Health Belief Model on the Choice of Medical Doctor among Mothers of Children with Diarrhea

Prita Yuliana Irnawati, Harsono Salimo, Yulia Lanti Retno Dewi


Background: Diseases among young children are the major causes of morbidity and mortality particularly in the developing countries. An estimated 13 million infants and children die annually in developing countries. In most developing countries, the health of the children is strongly dependant on maternal healthcare behavior. Evidence on health seeking behavior has been lacking in Central Java, Indonesia, particularly mother’s choice to visit pediatrician rather than general practitioner for her ill child. The purpose of this study was to examine factors associated with the choice of medical doctor among mothers of children with diarrhea, using Health Belief Model.

Subjects and Method: A case control study was carried out at Sangkrah community health center, Surakarta, Central Java, in January 2017. A sample of 164 mothers was selected by fixed disease sampling. The dependent variable was mother’s choice to visit doctor. The independent variables were perceived susceptibility, seriousness, threat, benefit, and barrier. The data were collected by questionnaire and analyzed by path analysis.

Results: The chance of mother decided to visit pediatrician rather than general practitioner was directly increased with strong perceived threat (b= 0.91; 95% CI= 0.24 to -1.57; p= 0.008), strong perceived benefit (b= 0.85; 95% CI= 0.19 to 1.50; p= 0.012), and decreased with strong perceived barrier (b= -0.67; 95% CI= -1.36 to 0.01; p= 0.053). Mother’s choice to visit pediatrician was indirectly affected by perceived susceptibility and perceived seriousness.

Conclusion: Mother’s choice to visit pediatrician rather than general practitioner is directly increased with perceived threat, perceived benefit, and decreased with perceived barrier. Mother’s choice to visit pediatrician is indirectly affected by perceived susceptibility and perceived seriousness.

Keywords: mother’s choice, pediatrician, general practitioner, diarrhea, health believe model, children

Correspondence: Prita Yuliana Irnawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: Mobile: +6287835140534.

Journal of Health Promotion and Behavior (2018), 3(2): 100-108

Full Text:



Adamo KB, Brett KE (2013). Parental Perceptions and Childhood Dietary Quality. Maternal and Child Health Journal. doi: 10.1007/s1099501313266.

Adisasmito W (2007). Faktor Risiko Diare pada Bayi dan Balita di Indonesia: Systematic Review Penelitian Aka-demik Bidang Kesehatan Masyarakat. Makara, Kesehatan. 11(1): 1–10.

Al-mazrou YY, Khan MU, Aziz KMS (2002). Factors Associated with Diarrhoea Prevalence in Saudi Arabia. Journal of Family and Community Medicine. 2(1): 27–34.

Amare B, Moges B, Fantahun B, Tafess K, Woldeyohannes D, Yismaw G, Ayane T, Yabutani T, Mulu A, Ota F, Kassu A (2012). Micronutrient Levels and Nutritional Status of School Children Living in Northwest Ethiopia. Nutrition Journal, 11(1): 1. doi: 10.1186/-1475-2891-11-108.

Ambreen A, Marie A (2016). Knowledge and Practices of Mother Regarding Diet during Diarrhea and Respiratory Tract Infections among Children under Five years Attending Family Medicine Clinics of a Teaching Hospital, Karachi. Journal of Pioneering Medical Sciences, 6(2): 45.

Budhathoki SS, Bhattachan M, Yadav AK, Upadhyaya P, Pokharel PK (2016). Ecosocial and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of existing literature. BioMed Central Tropical Medicine and Health. 44(7): 1-7

Enquselassie F (2012). A Case-Control Study on Determinants of Diarrhea Morbidity among Under-Five Children in Wolaita Soddo Town, Southern Ethiopia. Ethiopian Journal of Health Development, 26(2): 78-85.

Mohebi S, Matlabi M, Shahsiah. (2013). The Effectiveness of Nutrition Education Program Based on Health Belief Model Compared with Traditional training. Journal of Education and Health Promotion. 2(1): 15. doi: 10.-4103/2277-9531.112684.

Pausi R, Suriah, Rachman WA (2014). Peri-laku Ibu Balita terhadap Pencarian Pengobatan Penyakit Diare di Wilayah Kerja Puskesmas Cendana Putih Kecamatan Mappedeceng Kabupaten Luwu Utara. Fakultas Kesehatan Masyarakat Universitas Hasanuddni.

Sigler R, Mahmoudi L, Graham JP (2015). Analysis of Behavioral Change Techniques in Community-led Total Sanitation Programs. Health Promotion International, 30(1): 16–28. doi: 10.1-093/heapro/dau073.

Shazma, Nazneen S, Ul-Haq N, Shah A, Jahan S (2016). Frequency of Diar-rhea and Its Risk Factor among Children under Five Years in Three Teaching Hospital of Peshawar, Pakistan. International Journal of Innovative Research and Development, 5(12): 8-11.

Siswandwika HD, Murti B, Dharmawan R (2017). Biopsychosocial and Economic Determinants of Personal Hygiene in the Prevention of Diarrheal Diseases in Sragen District, Central Java. Journal of Health Promotion and Behavior. 2(1): 1–14.

Vega NS (2013). Knowledge, Attitudes and Traditions Regarding Water Consumption and Sanitary Practices of the Ngabe-Bugle Indigenous Women in the Chiriqui Province in Panama. ProQuest Dissertations and Theses. p. 115.


  • There are currently no refbacks.