DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20202148

A study to identify knowledge, attitude and practices prevalent amongst the caregivers of children below five years presenting with acute diarrhoea in a tertiary care centre

Poorva Gohiya, Varsha Shrivastava, Swetleena Mandavi, Rashmi Dwivedi

Abstract


Background: Diarrhoeal infections are the second leading cause of death worldwide in under-five children covering 9% of the total deaths. The objective of the study was to assess and compare mothers’ knowledge, attitude and practice regarding prevention and management of diarrhoea in children.

Methods: A cross-sectional hospital-based observational study was conducted in a tertiary centre amongst all 356 children between age group 2 months to 60 months admitted with acute watery diarrhea. A pre-tested questionnaire and face-to-face interviews with the mothers was used as a data collection tool.

Results: Most of the mothers 282 (79.2%) were 20-30-year-old, 51.4% were illiterate, 57.3% were unemployed and 27.2% were daily wage labourers. 44.6% people came from rural background and 78.9% belonged to lower socio-economic strata. 30.3% were exclusively breastfed and 69.7% were on top feeds. Animal milk was taken by 62.1%, 46.6% had dilution and 50.6% used bottles for feeding. 70.5% of mothers washed their hands at the time of feeding of their child, 93.8% mother covered food in their houses while only 26.7% of mothers gave freshly cooked food. Mother’s outlook on various aspects of diarrhea was sought. Very few mothers considered poor sanitation (2.5%) and

contaminated water (12.6%) as a source of diarrhea. Only 8.7% mothers knew about the role of ORS in diarrhea and maximum (53.4%) considered that diarrhea could not be avoided by any measure.

Conclusions: Mother’s knowledge regarding causes, management and prevention of diarrhea needs to be upgraded to allow better utilisation of health resources by the families.


Keywords


Bottle feeding, Hand-washing, Illiteracy, Mother, ORS

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References


WHO diarrheal diseases factsheets. Available at: http://www.who.int/mediacentre/factsheets/fs330/en/ Accessed 18 July 2018.

CDC mortality statistics. Available at: www.cdc.gov/nchs/data/mvsr/supp/mv23_11s2acc.pdf Accessed 28 August 2018.

Kumar SG, Subitha L. Diarrheal diseases in developing countries: a situational analysis. Kathmandu Univ Med J (KUMJ). 2012 Apr-Jun;10(38):83-8.

Ghishan FK. Chronic Diarrhoea. In: Kliegman, Behrman, Jenson, Stanton. Nelson textbook of Paediatrics. 18th ed. South Asia SA Volume 2 Elsevier; 1621-1626.

Srivastav A, Jagadisan B, Yachha SK. Diseases of Gastrointestinal System and Liver. Ghai textbook of Paediatrics. 9th ed. New Delhi: CBS Publishers & Distributors Pvt Ltd; 2019:287-296.

Diouf K, Tabatabai P, Rudolph J, Marx M. Diarrhoea prevalence in children under five years of age in rural Burundi: an assessment of social and behavioural factors at the household level. Glob Health Action. 2014;7.

Khalili M, Mirshahi M, Zarghami A, Rajabnia Chenari M, Farahmand F. Maternal Knowledge and Practice Regarding Childhood Diarrhea and Diet in Zahedan. Iran Health Scope. 2013;2(1):19-24.

Ghasemi AA, Talebian A, Masoudi Alavi N, Mousavi GA. Knowledge of Mothers in Management of Diarrhea in Under-Five Children, in Kashan, Iran. Nurs Midwifery Stud. 2013;2(1):158-62.

Padhy S, Sethi RK, Behera N. Mother’s knowledge, attitude and practice regarding prevention and management of diarrhoea in children in Southern Odisha. Int J Contemp Pediatr. 2017 May;4(3):966-71.

Gupta P, Murali MV, Seth A. Epidemiology of diarrhea in urban slums. Indian Pediatr. 1998 Feb;35(2):147-51.

Yilgwan CS, Okolo SN. Prevalence of diarrhea disease and risk factors in Jos University Teaching Hospital, Nigeria. Ann Afr Med. 2012;11:217-21.

Hbatu M, Nsabimana J, Mureithi C. Factors Contributing to Diarrheal Diseases among Children Less than Five Years in Nyarugenge District, Rwanda. J Trop Dis. 2017;5:238.

Mukhtar M, Ibrahim M, Izham M, Pathiyil RS. A survey of mothers' knowledge about childhood diarrhoea and its management among a marginalised community of Morang, Nepal. Australas Med J. 2011;4(9):474-9.

Tumwine JK, Thompson J, Katua-Katua M, Mujwajuzi M, Johnstone N, Porras I. Diarrhoea and effects of different water sources, sanitation and hygiene behaviour in East Africa. Trop Med Int Health. 2002; 7(9):750-6.

Yassin K. Morbidity and risk factors of diarrheal disease among under-five children in rural upper Egypt. J Trop Pediatr. 2000;46 (5):282-7.

Ogbo FA, Agho K, Ogeleka P, Woolfenden S, Page A, Eastwood J, et al. Infant feeding practices and diarrhea in sub-Saharan African countries with high diarrheal mortality. PLoS One. 2017;12:e0171792.

Shad D, Choudhury, Gupta P, Mathew JL. Promoting appropriate management of Diarrhea: A systemic review of literature for advocacy and action: UNICEF-PHFI Series on Newborn and Child Health, India. Indian Paediatr. 2012;49:627-49.

Cabatbat AM. The effect of health education on the knowledge, attitude and practices (KAP) on the mothers on diarrhea in Barangay, Paglaun, Dumalinao, Zamboanga Del Sur. Available at: http://som.adzu.edu.ph/research/pdf/2008-05-09-10035cabatbat.pdf. Accessed 18 August 2018.

Rehan HS, Kunta G, Khargamaya G. Mothers needs to know more regarding management of childhood acute diarrhea. Indian J Prev Soc Med. 2003; 34(1&2):40-5.

Gorter AC, Sandiford P, Pauw J, Morales P, Perez RM, Alberts H. Hygiene behaviour in rural Nicaragua in relation to diarrhoea. Int J Epidemiol. 1998; 27(6):1090-100.

Sutaria S, Talsania N, Shah C. Study of prevalence of diarrhoeal diseases among under fivepopulation; National J Community Med. 2011;2(1):96-9.

Stanly AM, Sathiyasekaran BW, Palani G. A population based study of acute diarrhea among children under 5 years in a rural community in South India. Sri Ramchandra J Med. 2009;1:1-7.

Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM Jr. Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis. 2005;5(1):42-52.

Tambe AB, Nzefa LD, Nicoline NA. Childhood Diarrhea Determinants in Sub-Saharan Africa: A Cross Sectional Study of Tiko-Cameroon. Challenges. 2015;6:229-43.

Jensen PK, Ensink JH, Jayasinghe G, van der Hoek W, Cairncross S, Dalsgaard A. Domestic transmission routes of pathogens: the problem of in-house contamination of drinking water during storage in developing countries. Trop Med Int Health. 2002;7(7):604-9.

Progress on sanitation and drinking water 2015 update and MDG assessment. Available at: http://www.who.int/water_sanitation_health/monitoring/jmp-2015-update/en/ Accessed 28August 2018.

Progress on sanitation and drinking water 2015 update and MDG assessment. Available at: http://files.unicef.org/publications/files/Progress_on_Sanitation_and_Drinking_Water_2015_Update_.pdf. Accessed 21August 2018

Ahiadeke C. Breast-feeding, diarrhoea and sanitation as components of infant and child health: a study of large scale survey data from Ghana and Nigeria. J Biosoc Sci. 2000;32(1):47-61.

Ghosh S, Sengupta PG, Mondal SK, Banu MK, Gupta DN, Sircar BK. Risk behavioural practices of rural mothers as determinants of childhood diarrhoea. J Commun Dis. 1997;29(1):7-14.

Gupta A, Sarker G, Rout AJ, Mondal T, Pal R. Risk correlates of diarrhea in children under 5 years of age in slums of Bankura, West Bengal. J Glob Infect Dis. 2015 Jan-Mar;7(1):23-9.

Gollar LH, Avabratha KS. Knowledge, attitude and practice of mothers of under-five children regarding diarrheal illness: A study from coastal Karnataka. Muller J Med Sci Res. 2018;9:66-70.

Choube A, Bahal SP, Srivastava A, Sharma M. Knowledge and child care practices regarding childhood diarrhea- A cross-sectional study. Ind J Comm Health. 2014;26(3):285-91.

Kadam DM, Hadaye R, Pandit D. Knowledge and practices regarding oral rehydration therapy among mothers in rural area of Vasind, India. Nepal Med Coll J. 2013 Jun;15(2):110-2.

Mahor GR. Knowledge and attitudes of mothers regarding use of Oral rehydration Solution in management of diarrhea. Asian J Biomed Pharmaceutical Sci. 2013;3(21):6-8.

Gupta RK, Nagori GL, Jain DK. Study of knowledge of mothers regarding use and preparation ORS in acute diarrhea. J Evolution of Med and Dent Sci. 2015;4(20):3457-61.

Arora KK, Taran SJ, Gupta N. A cross sectional study: knowledge and practices about diarrheal diseases and ORS in the mothers of under five years children. Int J Pediatr Res. 2019;6(02):58-63.