Published: 2018-12-24

Knowledge, attitude and practices of oral rehydration therapy among mothers coming to tertiary care centre

Haricharan K. R., Punith S., Harsha P. J., Gowtham R.


Background: Diarrhoea is a major cause of morbidity and mortality among under-five children. Correct knowledge regarding oral rehydration therapy (ORT) helps prevent morbidity and mortality due to diarrhoea. The objective of this study is to assess the knowledge, attitude and practice of mothers of under-five children regarding ORT and home management of diarrhoea.

Methods: Study period from December 1st, 2017 to December 31st, 2017, total of 200 mothers were enrolled in this study. The data was entered in Microsoft excel sheet and percentages were calculated.

Results: 95% of mothers were aware about ORS. ORS was given by parents on own in16%, 55% were advised by doctor. Only 60% knew how to prepare ORS correctly. About 45.7% had used bottle to give ORS and 55.3% used cup and spoon. About 67.9% had knowledge of quantity of ORS to be given during diarrhoea episode. Exclusive breast feeding was practised in 86% of mothers till 6 months of age. Misconceptions about the use of ORS were seen in 60% and more among illiterates. About 21% mothers’ felt ORS should be stopped if diarrhoea continues. Only 5% of mothers felt ORS can be given even if child has vomiting. About 9% mothers felt no fluids should be given during diarrhoea.

Conclusions: Mothers’ knowledge and attitude on use of ORS in diarrhoea need to be improved.


Diarrhoea, Knowledge, Mothers, ORS (Oral Rehydration Solution)

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Bassani DG, Kumar R, Awasthi S, Morris SK, Paul VK, Jha P et al. Million Death Study Collaborators. Causes of neonatal and child mortality in India: A nationally representative mortality survey. Lancet 2010;376(9755):1853-60.

Cezard JP, Bellaiche M, Viala J, Hugot JP. Medication in infectious acute diarrhea in children. Arch Pediatr. 2007;14(3):S169-75.

Sultana A, Riaz R, Ahmed R, Khurshid R. Knowledge and Attitude of Mothers Regarding Oral Rehydration Salt. J Rawalpindi Med Coll. 2010;14(2):109-11.

Datta V, John R, Singh VP, Chaturvedi P. Maternal knowledge, attitude and practices towards diarrhea and oral rehydration therapy in rural Maharashtra. Indian J Pediatr. 2001;68(11):1035-37.

Ibrahim MM, Aden AS, Omar HM, Wall S, Persson LA. Diarrhea among children in rural Somalia. Maternal perceptions, management and mortality. Ann Trop Paediatr. 1994;14(3):215-22.

Aiza M, Afsheen BR, Tahir MA. Knowledge, Attitude and Practices of the Mothers Regarding Oral Rehydration Solution. PJMHS 2012;6 (1):107-12

Jamil A, Adiba IA, Ibrahim KG, Adnan MH. Knowledge and attitude of mothers regarding oral rehydration solution in Sulaimani. Mustansiriya Med J;2016;15(1):7-10

Rasania SK, Singh D, Pathi S, Matta S, Singh S. Knowledge and attitude of mothers about oral rehydration solution in few urban slum of Delhi. Health Popul Perspect Iss. 2005;28(2):100-7.

Jain H, Bamnawat S. Knowledge and attitude towards oral rehydration therapy among mothers of under-five children of South Rajasthan, India. Int J Contemp Pediatr 2016;3(2):394-7.

Essomba NE, Koum DK, Adiogo D, Ngwe MI, Coppieters Y. Use of oral rehydration therapy in the treatment of childhood diarrhoea in Douala, Cameroon. Malawi Med J 2015;27(2):60-4.

DA Bello, TO Afolaranmi, Z I Hassan, FC Ogbonna, PG Inedu, C Ejiga et al. Knowledge and use of oral rehydration solution in the home management of diarrhea among mothers of under fives in Jos, Plateau State. IJBR 2017;8(1):33-37.

D Dawit, E Kumalo, Y Yasin, Y Halala. Assessment of Knowledge, Attitude& Practice of Child Care Givers towards Oral Rehydration Salt for Diarrhea Treatment in under 5 Children in Wolaita Sodo Town, SNNPR/2016. JBAH. 2017;7(4):9-18.