A Qualitative Exploration of Parental Perspectives and Behaviors on Self-Medication for Children Under Five in Abbottabad, Pakistan

Ijaz Ul Haq ^1,2* Syed Hanzila Azhar ¹ Shahbaz Ahmad Zakki ¹ Xiaojing Hu ^2*

• ¹ The University of Haripur, Haripur, Pakistan
• ² Children's Hospital, Fudan University, Shanghai, Shanghai Municipality, China

Background: Children are more susceptible to irrational medication and its short-and long-term health consequences. This study investigated parents' perceptions and behavior regarding selfmedication of their children under five years of age in city Abbottabad, Pakistan.Methods: Non-probability convenient random selection was used to select participants for this qualitative study. In-depth interviews were conducted with 40 parents who self-medicate their children, utilizing audio recordings and note-taking as the methods for data collection. N-Vivo 11.0 was used for thematic analysis and data has presented according to COREQ checklist.The majority (45%) of parents were aged 25-35 years, while 35% had primary education.Of the 40 parents (18 females, 22 males) interviewed, 38 reported frequently self-medicating their children. The data highlighted three major themes: reasons for self-medication, factors influencing self-medication, and most commonly used medication. Parents reported that they self-medicate their children frequently. Most parents kept antipyretics, antibiotics, and cough syrups at home. The majority of the participating parents preferred self-medication due to their lack of trust on healthcare professionals. Factors for self-medication practices included a preference of home-based care, cultural influence, financial and time constraints, the parents' own understanding of the disease and its symptoms, and a lack of basic education.Pakistani parents in the Abbottabad region frequently resort to self-medication for their children, due to range of factors. The study emphasizes the need of building trust in healthcare experts, raising knowledge and educating people about the dangers of self-medication, and addressing cultural and socioeconomic variables that influence parental decision-making.