Knowledge and Attitude of Mothers about Diarrhea, ORS and Feeding Practices in Under-Five Children in a Rural Area of Ranga Reddy, Telangana

Title: Knowledge and Attitude of Mothers about Diarrhea, ORS and Feeding Practices in Under-Five Children in a Rural Area of Ranga Reddy, Telangana

Authors: V Prasanna Rani, Leo Sequeira Vaz, Kusneniwar GN

DOI: https://dx.doi.org/10.18535/jmscr/v4i10.48

Abstract

Background: Diarrhea is one of the major cause of morbidity and mortality among under five age group children in India. Mothers knowledge about diarrhea and it’s management depends on various factors such as educational status, socio-economic factors and feeding practices. The present study was undertaken to assess the knowledge, attitude regarding diarrhea, ORS and feeding practices in mothers of under-five children.

Methodology: A Cross-sectional study was conducted in a rural area of Rangareddy district among mothers of under-five children in December 2014. A pre designed pre-tested questionnaire was used for data collection among 210 mothers. Data was entered into MS excel sheet & analyzed by using Epi Info.7.1.3. Version

Results: Among the under-fives mothers 73.3% know about ORS, 52.8% knew the correct method of preparing ORS.72.3% of mothers continued breast feeding during diarrheal episode,41.4% mothers do not know the cause of diarrhea, 63.1% think due to mothers dietary habits child can get diarrhea through breast milk.71.9% are giving some home available fluids during diarrhea.

Conclusion: The present study shows that though most of the mothers were familiar with the term oral rehydration salt, there is a gap in the knowledge and attitude of the mothers regarding diarrhea and ORS. Their knowledge about correct method and amount of ORS is very poor. There is a need to educate the mothers about causes of diarrhea and correct method of ORS preparation.

Keywords: Diarrhea, knowledge, feeding practices, mothers, rural area.

References

1. Diarrhoea remains a leading killer of young children, despite the availability of a simple treatment solution . Available at http:/data.u-nicef.org/chi-ld-health/diarrhoeal-disease.html#inline1

2. United Nations Children’s Fund. Levels & Trends in Child Mortality. Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation. New York, USA: UNICEF; 2013.

3. WHO. Media Centre. Diarrhoeal disease. Fact sheet N° 330. 2013. Available at: http://www.who.int/mediacentre/factsheets/fs330/en/. Accessed 25 August 2013.

4. Rashid, S. F., Hadi, A., Afsana, K., & Begum, S. A. (2001). Acute respiratory infections in rural Bangladesh: cultural understandings, practices and the role of mothers and community health volunteers. Trop Med Int Health, 6(4), 249- 255.

5. Saini, N. K., Gaur, D. R., Saini, V., &Lal, S. Acute respiratory infections in children: a study of knowledge and practices of mothers in rural Haryana. J Commun Dis, 1992, 24(2), 75-77.

6. The World Health Report. Chapter 4, 2015. Available at: http://www.who.int/whr /2002/chapter4/en/index7.html. Accessed June 2015.

7. Unicef survey of 10 districts, management practices of childhood diarrhea in india ,new delhi,unicef 2009 .

8. Park K. Textbook of Preventive and Social Medicine. 23rd edition Jabalpur, India: BanarsidasBhanot; 2015. Epidemiology of communicable disease; pp. 221–224.

9. Bhatia, V., Swami, H. M., Bhatia, M., & Bhatia, S. P. (1999). Attitude and practices regarding diarrhoea in rural community in Chandigarh. Indian J Pediatr,66(4),499-503.

10. 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.

11. 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 Issues. 2005;28(2):100-7.

12. Dhadave MM, Kumar A, Reddy S, Vijayanath V. A study on diarrhea related practices awareness of ORS among mothers of under-five children attending OPD, CHTC, Rajpur. J Pharm Biomed Sci. 2012;19(19):1-3

13. Kumar, D., Goel, N. K., Kalia, M., Swami, H. M., & Singh, R. (2008). Gap between awareness and practices regarding maternal and child health among women in an urban slum community. Indian J Pediatr, 75(5), 455-458.

14. World Health Organization, ‘Children: Reducing mortality’,www.who.int/mediace-ntre/factsheets/fs178/en/index.html, accessed 17 July 2012.

15. UN WATER- ‘Sanitation for all–Making the right a reality’, www.sanitationdrive,2015/ /Planners-Guide- Fact -Sheet -4-English.pdf

16. Sood, A. K., &Kapil, U. (1990). Knowledge and practices among rural mothers in Haryana about childhood diarrhea. Indian J Pediatr, 57(4), 563-566.

17. Rehan SH, Gautam K, Gurung K. KAP of mothers regarding diarrhea. Indian J prevSoc Med 2003; 34:1-6.

18. Munos MK, Walker CL, Black RE. The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. International Journal of Epidemiology. 2010;39:i75-87.

19. International Institute for Population Sciences (IIPS) and Macro International. District Level Household and Facility Survey(DLHS -4) ,2012-13. State fact sheet Andhra Pradesh.

20. The management of diarrhoea and use of oral rehydration therapy: A joint WHO/ UNICEF statement. 2nd ed.WHO.1985. Available at: http://hetv.org/pdf/management-ort.pdf. Accessed 16 August 2013.

21. Rajendra Kumar Gupta, GautamLalNagori, Devendra Kumar Jain. Study of knowledge of mothers regarding use and preparation of ors in acute diarrhoea .J of Evolution of Med and Dent Sci 2015/ Vol. 4/ Issue 20/ Mar 09.

22. Ravi Pachori. Drinking water and sanitation: household survey for knowledge and practice in rural area, Magudanchavadi, Salem district, India.Int J Community Med Public Health, 2016. Jul;3(7):1820-28.

23. M Bhattacharya, V Joon, V Jaiswal. Water handling and sanitation practices in rural community of Madhya Pradesh: a knowledge, attitude and practice study.Indian J. Prev. Soc. Med Vol. 42 No.1 January- March, 2011.Page 93-97.

24. Eashingazi et al.,Can mothers care for acute diarrhoeal disease of their under five children effectively at home? A cross sectional study in slum community in Bankura. J of Evidence Based Med &Hlthcare, 2015 ,Vol. 2/Issue 36/Sept. 07, Page 5575

25. PritiChaudhary et al. Knowledge, Attitude and Practice of Mothers regarding Diarrhoeal Illness in Children under Five Years of Age: A Cross Sectional Study in an Urban Slum of Delhi, India J. Commun. Dis.2014; 46(3):13- 21.

26. P S Thammanna, M Sandeep, P V Sridhar. Awareness among mothers regarding oral rehydration salt solution in management of diarrhea: A cross-sectional study .Indian J Child Health.Vol 2 | Issue 4 | Oct-Dec 2015,,Page 215-218.

27. Shah MS, Ahmad A, Khalique N, Khan IM, Ansari MA, Khan Z. Do the mothers in rural Aligarh know about home based management of acute diarrhoea? Biology and Medicine, 2011, 3 (2) Special Issue: 76-80.

28. Kaur,S. Chowdhury,R. Kumar;Mothers' Beliefs and Practices Regarding Prevention and Management of Diarrheal Diseases. Indian Pediatrics; January 1994-Volume 31.

29. AmitkumarRao, JyothiJadhav, Ranganath TS, LilianDsouza. Awareness regarding diarrhea, its prevention, and oral rehydration therapy among mothers of under-five children in urban slums of Bengaluru. International Journal of Medical Science and Public Health | 2015 | Vol 4 | Issue 8.page 1086-89.

30. Kaur P, Singh G. Food practices during diarrhea. IJPH 1994;38: 58-61.

31. SumanSaurabh, Umakant G Shidam, ManjulaSinnakirouchenan, MohsinaSubair, Loo GuoHou, Gautam Roy. Knowledge and practice regarding oral Rehydration therapy for acute diarrhea Among mothers of under-five children in an Urban area of puducherry, India. National Journal of Community Medicine│Volume 5│Issue 1│Jan – Mar 2014,page 100-104.

32. DM Kadam, R Hadaye and D Pandit .Knowledge and practices regarding oral rehydration therapy among mothers in rural area of Vasind, India. Nepal Med Coll J 2012; 15(2): 110-112.

33. Vivechana et al. A study of diarrhoea management and literacy among Children under five years of age in rural areas, Moradabad, U.P. Global Journal of Bio-science and .B., VOL.5 (1) 2016: 142-145.

34. AbhaMangal, VarunKumar ,SanjeetPanesar , RichaTalwar , Deepak Raut , Saudan Singh. Updated BG Prasad Socioeconomic Classification, 2014: A Commentary.[Downloaded free from http://www.ijph.in on Wednesday, July 01, 2015, IP: 115.111.224.207]. Indian Journal of Public Health, Volume 59, Issue 1, January-March, 2015; Page 42-44.

Corresponding Author

Dr V Prasanna Rani

Department of Community Medicine, MediCiti Institute of Medical Sciences, Share India,

Medchal, Telangana, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.