Prevalence and factors associated with child health record book utilization among parents attending government health clinics in Putrajaya, Malaysia.

Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7602632 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2214 (Electronic) Linking ISSN: 03051862 NLM ISO Abbreviation: Child Care Health Dev Subsets: MEDLINE

Original Publication: Oxford, Blackwell Scientific Publications.

Child Health* ; Parents*; Child ; Cross-Sectional Studies ; Female ; Government ; Humans ; Malaysia/epidemiology ; Pregnancy ; Prevalence ; Surveys and Questionnaires

Background: Use of a child health record book has long been established in Malaysia. The objective of the study was to determine the proportion of optimum child health record book utilization and its associated factors among parents attending government child health clinics in Putrajaya, the administrative capital of Malaysia.
Methods: A cross-sectional study was conducted among randomly selected group of 450 parents using a self-administered questionnaire. Optimum utilization of the book was defined as respondents reading all sections and recording comments in the book. Independent variables studied were sociodemographic characteristics; antenatal and breastfeeding history; child health and immunization status; perceptions and level of knowledge on the book and child health; and healthcare providers' performance. A multiple logistic regression analysis was used to identify the associated factors of optimum utilization.
Results: Out of 450 study participants, 415 completed the questionnaire and 150 (36.1%) were found to optimally utilized the book. Participants who read all sections totalled 245 (59.0%), and 242 (58.3%) respondents reported to record some comments in the book. Optimum utilization of the book was associated with older parents' age (adjusted odds ratio [AOR]: 1.06, 95% confidence interval [CI] 1.01-1.11) and higher education attainment (AOR: 2.21, 95% CI 1.24-3.91), with a good level of knowledge on child health record books and general child health (AOR: 3.87, 95% CI 2.27-6.61; AOR: 2.05, 95% CI 1.25-3.36) and among parents who delivered their children in government hospitals (AOR: 2.93, 95% CI 1.11-7.73).
Conclusions: The prevalence of child health record book utilization was low at 36.1% but difficult to compare with other studies. Based on the findings, improving the parents' knowledge of the book and general child health, particularly among younger parents with lower educational levels, and delivering the book to institutions outside government hospitals might be useful to increase the utilization.
(© 2021 John Wiley & Sons Ltd.)

Bhandari, R., Adhikari, M., & Khanal, V. (2013). Factors associated with child health card holding among mothers of western rural Nepal: A cross sectional community based study. International Journal of Child Health and Nutrition, 2(January), 123-130. https://doi.org/10.6000/1929-4247.2013.02.02.6.
Brown, D. W., & Gacic-Dobo, M. (2015). Home-based record prevalence among children aged 12-23 months from 180 demographic and health surveys. Vaccine, 33(24), 2584-2593. https://doi.org/10.1053/j.jvca.2010.06.032.
Brown, D. W., Tabu, C., Sergon, K., Shendale, S., Mugoya, I., Machekanyanga, Z., Okoth, P., Onuekwusi, I. U., & Ogbuanu, I. U. (2018). Home-based record (HBR) ownership and use of HBR recording fields in selected Kenyan communities: Results from the Kenya Missed Opportunities for Vaccination Assessment. PloS one, 13(8), e0201538. https://doi.org/10.1371/journal.pone.0201538.
Gazi, R., Khatun, J., & Ashraf, A. (2004). Retention, perceived usefulness, and use of family health card in the Bangladesh health and population sector programme. The Health Care Manager, 23(4), 341-352. https://doi.org/10.1097/00126450-200410000-00009.
Hikita, N., Haruna, M., Matsuzaki, M., Shiraishi, M., Takehara, K., Dagvadorj, A., Sumya, N., Bavuusuren, B., Baljinnyam, P., & Mori, R. (2018). Utilisation of maternal and child health handbook in Mongolia: A cross-sectional study. Health Education Journal, 77(4), 458-469. https://doi.org/10.1177/0017896917753649.
Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression. New York: Wiley.
Jeffs, D., Nossar, V., Bailey, F., Smith, W., & Chey, T. (1994). Retention and use of personal health records: A population-based study. Journal of Paediatrics and Child Health, 30(3), 248-252. https://doi.org/10.1111/j.1440-1754.1994.tb00627.x.
Kaphle, H. P., Poudel, S., Gupta, N., & Neupane, N. N. (2016). Maternal awareness on child health card and factors associated with its retention in Salyan Village Development Committee of Kaski, Nepal. International Biological & Biomedical Journal, 2(4), 149-155.
Kawakatsu, Y., Sugishita, T., Oruenjo, K., Wakhule, S., Kibosia, K., Were, E., & Honda, S. (2015). Effectiveness of and factors related to possession of a mother and child health handbook: An analysis using propensity score matching. Health Education Research, 30(6), 935-946. https://doi.org/10.1093/her/cyv048.
Lakhani, A. D., Avery, A., Gordon, A., & Tait, N. (1984). Evaluation of a home based health record booklet. Arch Dis Child, 59(11), 1076-1081. http://www.ncbi.nlm.nih.gov/pubmed/6508341.
Mukanga, D. O., & Kiguli, S. (2006). Factors affecting the retention and use of child health cards in a slum community in Kampala, Uganda, 2005. Maternal and Child Health Journal, 10(6), 545-552. https://doi.org/10.1007/s10995-006-0132-9.
Nakamura, Y. (2010). Maternal and child health handbook in Japan. JMAJ, 53(4), 259-265. https://www.med.or.jp/english/journal/pdf/2010_04/259_265.pdf.
Osaki, K., Hattori, T., & Kosen, S. (2013). The role of home-based records in the establishment of a continuum of care for mothers, newborns, and children in Indonesia. Global Health Action, 6(20429), 20429. https://doi.org/10.3402/gha.v6i0.20429.
Osaki, K., Kosen, S., Indriasih, E., Pritasari, K., & Hattori, T. (2015). Factors affecting the utilisation of maternal, newborn, and child health services in Indonesia: The role of the Maternal and Child Health Handbook. Public Health, 129(5), 582-586. https://doi.org/10.1016/j.puhe.2015.01.001.
Pahari, D. P., Bastola, S. P., & Paudel, R. (2011). Factors affecting retention of child health card in a rural area. Journal of Nepal Health Research Council, 9(2), 154-158.
Palombo, C. N. T., Duarte, L. S., Fujimori, E., & Toriyama, Á. T. M. (2014). Use and records of child health handbook focused on growth and development. Revista Da Escola de Enfermagem, 48, 59-66. https://doi.org/10.1590/S0080-623420140000600009.
Stacy, R., Sharma, M., & Torrence, W. (2008). Evaluation of the use of a parent-held child health record by pregnant women and mothers of young children. Californian Journal of Health Promotion, 6(1), 138-142. http://search.ebscohost.com/login.aspx?direct=true%26db=rzh%26AN=105688000%26site=ehost-live, https://doi.org/10.32398/cjhp.v6i1.1298.
Vieira, G. O., Coutinho Bastos, M., Ribeiro Dos Reis, M., Souza, I., Moreira, S., Da, C., & de Oliveira Vieira, T. (2017). Factors associated with the use of the child health handbook in a large city of the Brazilian Northeast, 2009. Cencia & Saude Coletivaencia, 22(6), 1943-1954. https://doi.org/10.1590/1413-81232017226.07752016.
Volkmer, R. E., Gouldstone, M. A., & Ninnes, C. P. (1993). Parental perception of the use and usefulness of a parent-held child health record. Journal of Paediatrics and Child Health, 29(2), 150-153. https://doi.org/10.1111/j.1440-1754.1993.tb00470.x.
Walton, S., & Bedford, H. (2007). Parents' use and views of the national standard personal child health record: A survey in two primary care trusts. Child: Care, Health and Development, 33(6), 744-748. https://doi.org/10.1111/j.1365-2214.2007.00735.x.
Walton, S., Bedford, H., & Dezateux, C. (2006). Use of personal child health records in the UK: Findings from the millennium cohort study. British Medical Journal, 332(7536), 269-270. https://doi.org/10.1136/bmj.332.7536.269.
World Health Organization. (2018). WHO recommendations on home-based records for maternal, newborn and child health. Geneva, World Health Organisation (2018th ed.). Geneva: World Health Organisation. http://www.who.int/immunization/monitoring_surveillance/routine/homebasedrecords/en/.
Wright, C. M., & Reynolds, L. (2006). How widely are personal child health records used and are they effective health education tools? A comparison of two records. Child: Care, Health and Development, 32(1), 55-61. https://doi.org/10.1111/j.1365-2214.2006.00575.x.

Keywords: child health clinics; child health record book; parents perceptions; primary care

Date Created: 20210304 Date Completed: 20211025 Latest Revision: 20211025

20240513

10.1111/cch.12863

33660312