scholarly journals Direct and indirect costs of acute diarrhea in children under five years of age in Indonesia: Health facilities and community survey

2022 ◽  
Vol 19 ◽  
pp. 100333
Author(s):  
Jarir At Thobari ◽  
Sutarman ◽  
Asal Wahyuni Erlin Mulyadi ◽  
Emma Watts ◽  
Natalie Carvalho ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Indirect Costs ◽  
Community Survey ◽  
Health Facilities ◽  
Direct And Indirect Costs ◽  
Children Under Five ◽  
Under Five

Direct and Indirect Costs of Acute Diarrhea in Children Under-Five Years Old in Indonesia

2021 ◽  
Author(s):  
Jarir At Thobari ◽  
Sutarman Sutarman ◽  
Asal Wahyuni Erlin Mulyadi ◽  
Emma Watts ◽  
Natalie Carvalho ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Indirect Costs ◽  
Direct And Indirect Costs ◽  
Children Under Five ◽  
Under Five

scholarly journals Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tarikuwa Natnael ◽  
Mistir Lingerew ◽  
Metadel Adane
Keyword(s):  
Acute Diarrhea ◽  
Urban Areas ◽  
Odds Ratio ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Water Sources ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Study Participants

Abstract Background Diarrheal disease is still one of the most common causes of mortality and morbidity in children under five in developing countries, including Ethiopia. Lack of specific data on the prevalence of acute diarrhea and associated factors among under-five children in the semi-urban areas of Gelsha, found in northeastern Ethiopia’s South Wollo zone, remains a major gap. Therefore, this study was designed to provide data that is important for proper planning of intervention measures to reduce the problem in this area. Methods A community-based cross-sectional study was conducted among 340 systematically selected children under five in semi-urban areas of Gelsha from January to March 2019. The data was collected using a structured questionnaire and an observational checklist. Bivariable (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) were employed using binary logistic regression model with 95% CI (confidence interval). Variables with a p-value < 0.05 from the multivariable analysis were declared as factors significantly associated with acute diarrhea. Result The prevalence of acute diarrhea among children under five in the study area was 11% (95%CI: 7.8–14.3%). About two-thirds (63.60%) of study participants used water from improved sources. About half (54.90%) of study participants practiced poor handwashing and 45.10% practiced good handwashing. We found that factors significantly associated with acute diarrhea were a child’s age of 12–23 months (AOR = 4.68, 95% CI: 1.45–1.50), the presence of two or more under-five children in the house (AOR = 2.84, 95% CI: 1.19–6.81), unimproved water sources (AOR = 2.97, 95% CI: 1.28–6.87) and presence of feces around the pit hole/slab/floor of the latrine (AOR = 3.34, 95% CI: 1.34–8.31). Conclusion The prevalence of acute diarrhea among children under five was relatively high. To reduce the problem, various prevention strategies are essential, such as the provision of health education to mothers/caregivers that focuses on keeping sanitation facilities clean and child care, and construction of improved water sources. Furthermore, implementing a strong health extension program, advocating an open defecation-free environment, and practicing a community-led total sanitation and hygiene approach might be helpful to sustainably reduce childhood diarrhea.

Relative Efficacy of Probiotics Compared with Standard Therapy for Diarrhea Treatment in Children Under Five Years of Age: A Meta-Analysis Evidence from Developing Countries

2020 ◽  
Author(s):  
Nurul Aini Suria Saputri ◽  
◽  
Tri Nugraha Susilawati ◽  
Vitri Widyaningsih ◽  
◽  
...  
Keyword(s):  
Developing Countries ◽  
Acute Diarrhea ◽  
Standard Therapy ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Gastrointestinal Diseases ◽  
Relative Efficacy ◽  
Children Under Five ◽  
Under Five ◽  
Review Manager

ABSTRACT Background: Probiotics have been widely studied in a variety of gastrointestinal diseases. There is high-quality evidence that probiotics are effective for acute infectious diarrhea. This study aimed to examine the relative efficacy of probiotics compared with standard therapy for diarrhea treatment in children under five using meta-analysis. Subjects and Method: A meta-analysis was carried out using systematic PRISMA guidelines. The review process begins with searching for articles published between 2009 and 2019 from PubMed, Clinical Key, ScienceDirect, and Scopus databases. This study obtained four articles that meet the criteria of the randomized controlled trial (RCT), the study subjects were toddlers and conducted in developing countries. A sample of 995 children was divided into two groups, 518 children received probiotics (intervention) and 477 children received standard therapy (control). The data were analyzed by Review Manager (RevMan) software 5.3 to assess Standardized Mean Difference (SMD). Results: Probiotics administration reduced duration of acute diarrhea in children under five than standard therapy, with pooled estimate= 0.30 (SMD= -0.30; 95% CI= – 0.56 to -0.03). Conclusion: Probiotics administration combined with standard therapy is effective to reduce the duration of acute diarrhea in children under five in developing countries. Keywords: acute diarrhea, probiotic, children under five Correspondence:Nurul Aini Suria Saputri. Midwifery Department, School of Health Polytechnics, Tanjungpinang/ Masters Program in Public Health, Universitas Sebelas Maret. Jl. Arief Rahman Hakim No.1, Tanjungpinang, Riau Islands. Email: [email protected]. Mobile: +6285743401971. DOI: https://doi.org/10.26911/the7thicph.03.95

scholarly journals Attitude of Mothers Toward Home Management of Acute Diarrhea in Children Under Five Years of Age

2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Somia I. Bashir, Noora B. Altamimi , Nada R. Alharbi, Amani
Keyword(s):  
Social Media ◽  
Saudi Arabia ◽  
Acute Diarrhea ◽  
Descriptive Study ◽  
Artificial Feeding ◽  
Home Management ◽  
Children Under Five ◽  
Under Five ◽  
Unfavorable Attitude ◽  
North Western

  A descriptive study conducted in Hail city (north-western Saudi Arabia, has a population of 412.758 according to Ha'il Province in 2010). Study aim to assess knowledge of mother about acute diarrhea in children under five years in Hail city (north-western Saudi Arabia), and to assess the attitude of mothers of home management of acute diarrhea. A questionnaire was used to collect data from 522 mothers of children under five years old whom suffered from diarrhea during the last year were included in the study. Mothers whose children didn’t have diarrhea during the last year were excluded.  Questionnaires were distributed directly to the mothers and through social media. The data were statistically analyzed using SPSS 19 program for Windows. The study started from October 2015 to February 2016, that included 522 mothers, most of the mothers are educated, and half of them were between 21-30 years of age. 37.4% of mothers increase fluid during diarrhea, most of them gives artificial feeding only. Also, half of the children showed sign of dehydration. It’s concluded that considerable number of mothers have unfavorable attitude towards the management of acute diarrhea at home. So, they need health education. 

scholarly journals Pathogens associated with acute diarrhea, and comorbidity with malaria among children under five years old in rural Burkina Faso

2021 ◽  
Vol 38 ◽  
Author(s):  
Palpouguini Lompo ◽  
Marc Christian Tahita ◽  
Hermann Sorgho ◽  
William Christian Kaboré ◽  
Adama Kazienga ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Acute Diarrhea ◽  
Children Under Five ◽  
Under Five

scholarly journals Conductas, actitudes y prácticas de la madre o cuidador en el manejo de la enfermedad diarreica aguda en menores de cinco años

2015 ◽  
Vol 12 (2) ◽  
pp. 39
Author(s):  
María Del Pilar Gallardo-Lizarazo
Keyword(s):  
Acute Diarrhea ◽  
Statistical Validation ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Attitudes And Practices ◽  
Proportional Allocation ◽  
Family Tradition ◽  
Palabras Clave ◽  
Para Determinar

Objetivo: determinar las creencias de la madre y del cuidador sobre el manejo de la enfermedad diarreica aguda en menores de 5 años de edad en la ciudad de Bucaramanga en el año 2015. Materiales y Métodos: la investigación se enmarca en el paradigma cuantitativo mediante el desarrollo de estudio descriptivo de corte transversal; se encuestaron 200 madres o cuidadores de menores de cinco años en la ciudad de Bucaramanga, seleccionados mediante muestreo aleatorio estratificado con afijación proporcional, confiabilidad 95% y margen de error de 7%. Para la recolección de la información se empleó una encuesta elaborada por la autora con validación estadística y por expertos. Resultados: se obtiene información sobre conocimientos y tradiciones acerca del manejo de la diarrea y la identificación de los signos de deshidratación por parte de los cuidadores, que son analizados en comparación con sus características sociales y culturales. Conclusiones: en Bucaramanga, madres y cuidadores de menores de cinco años, continúan la tradición familiar en lo referente a identificación de signos de deshidratación y costumbres en el manejo de la diarrea; la mayoría acude a consulta médica para su tratamiento; sin embargo, se encuentra un alto porcentaje que también recurre al tegua–sobandero. Para el manejo de la diarrea, las madres o cuidadores suministran caldos a los menores, aumentan la cantidad de líquidos, les administran sales de rehidratación oral y jugo de guayaba. Se encuentran diferencias acerca de las costumbres y tradiciones entre estratos socioeconómicos y niveles de escolaridad. PALABRAS CLAVE: costumbres, cuidadores, diarrea infantil . Behaviors, attitudes and practices of the mother or caregivers in the management of acute diarrhea in children under five years  ABSTRACT Goal: to determine the beliefs of mothers and caregivers about the management of acute diarrhea in children under 5 years old in Bucaramanga city in the year 2015. Materials and Methods: the research is part of the quantitative paradigm by development of cross-sectional descriptive study; 200 mothers or caregivers of children under five were surveyed in Bucaramanga city,they were selected through stratified random sampling with proportional allocation, reliability and 95% margin of error of 7%. For data collection, a survey was conducted by the author with statistical validation and experts. Results: information on knowledge and traditions about the management of diarrhea and identify signs of dehydration by caregivers, which are analyzed in comparison with their social and cultural characteristics were obtained. Conclusions: in Bucaramanga city , mothers and caregivers of children under five years, continue the family tradition when it comes to checking for signs of dehydration and the old fashioned method in the management of diarrhea; most of them  go to see their doctor for treatment; however, there is a high percentage that also relies `Tegua-sobandero`. For the management of diarrhea, mothers or caregivers provide wines to children, increase the amount of fluids administered them ORS and guava juice.There were some differences concerning to the customs and traditions between socioeconomic and educational levels.KEYWORDS: customs, caregivers, childhood diarrhea.Comportamentos, atitudes e práticas da mãe ou responsável na gestão da diarreia aguda em crianças menores de cinco anos ABSTRACT  Objetivo: para determinar as crenças de mães e cuidadores sobre a gestão da diarreia aguda em crianças menores de 5 anos na cidade de Bucaramanga em 2015. Materiais e Métodos: a pesquisa é parte do paradigma quantitativo por desenvolvimento de estudo descritivo transversal; 200 mães ou cuidadores de crianças menores de cinco anos foram pesquisados na cidade de Bucaramanga, selecionadas por amostragem aleatória estratificada com alocação proporcional, confiabilidade e margem de 95% de erro de 7%. Para pesquisa de coleta de dados realizada pelo autor com validação estatística e os peritos que ele estava acostumado. Resultados: informações sobre o conhecimento e tradições sobre a gestão de diarreia e identificar sinais de desidratação por cuidadores, que são analisadas em comparação com as suas características sociais e culturais é obtido. Conclusões: em Bucaramanga, mães e cuidadores de crianças menores de cinco anos, continuar a tradição da família quando se trata de verificar se há sinais de desidratação e alfândegas na gestão da diarreia; mais ir ver o seu médico para tratamento; no entanto, há uma alta porcentagem que também se baseia Tegua-sobandero. Para a gestão de diarreia, mães ou cuidadores fornecem vinhos a menores, aumentar a quantidade de fluidos administrados los ORS e suco de goiaba. diferenças sobre os costumes e tradições entre os níveis socioeconômicos e educacionais são.PALAVRAS-CHAVE: costumes, cuidadores, diarreia infantil. 

scholarly journals Comparison of zinc-probiotic combination therapy to zinc therapy alone in reducing the severity of acute diarrhea

2011 ◽  
Vol 51 (1) ◽  
pp. 1
Author(s):  
Muhammad Hatta ◽  
Supriatmo Supriatmo ◽  
Muhammad Ali ◽  
Atan Baas Sinuhaji ◽  
Berlian Hasibuan ◽  
...  
Keyword(s):  
Combination Therapy ◽  
Acute Diarrhea ◽  
Zinc Sulphate ◽  
Controlled Trial ◽  
Combination Group ◽  
Open Label ◽  
Children Under Five ◽  
Under Five ◽  
Group I ◽  
Group Ii

Background Although the incidence of diarrhea in Indonesia has declined in the last five years, the mortality rate in children under five years old is still high. Therefore, appropriate and comprehensive management of diarrhea is essential. There have been many studies on the role of zinc therapy and probiotic therapy in reducing the severity of acute diarrhea, but not many studies have compared the use of a combination of the two therapies tozinc therapy alone.Objective To compare the efficacy of zinc-probiotic combination therapy to zinc alone in reducing the severity of acute diarrhea.Methods We conducted a randomized, open-label, controlled trial from July 2009 to January 2010 in Adam Malik Hospital and Pirngadi Hospital, Medan. Children aged between 1 month and 5 years who met the criteria were divided into two groups. Group I received zinc sulphate (aged <6 months: 10 mg/day; aged 2:6 months: 20 mg/day) combined with heat-killed Lactobacillus acidophilus (3x101O CFU/day) for 10 days. Group II received only zinc sulphate at the same dosage as group I. Measurement of disease severity was based on the frequency of diarrhea (times/day) and the duration of diarrhea (hours) after initial drug consumption.Results Eighty subjects were enrolled, randomised, and divided equally into two groups. 40 children received zinc-probiotic in combination (group I) and the remainder (group II) received zinc alone. We observed significant differences in frequency of diarrhea (2.1 vs 3.1 times/day, P=0.001, 95%CI -1.62 to -0.49), and duration of diarrhea (52.1 vs. 72.6 hours, P=0.00l, 95%CI -30.91 to -10.18) in the two groups.Conclusion Combination of zinc-probiotic therapy was more effective in reducing the severity of acute diarrhea than zinc therapy alone in children under five years of age.

Attitude of Mothers toward Home Management of Acute Diarrhea in Children under Five Years of Age

2016 ◽  
Vol 2 (4) ◽  
pp. 32-45
Author(s):  
Somia I. Bashir ◽  
Noora B. Altamimi ◽  
Nada R. Alharbi ◽  
Amani F. Alrashidi ◽  
Entesar H. Alshamary ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Home Management ◽  
Children Under Five ◽  
Under Five

scholarly journals Water, sanitation, and hygiene risk factors of acute diarrhea among children under five years in the Gaza Strip

2019 ◽  
Vol 10 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Samer Abuzerr ◽  
Simin Nasseri ◽  
Masud Yunesian ◽  
Mahdi Hadi ◽  
Kate Zinszer ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Gaza Strip ◽  
Water Tank ◽  
Cross Sectional ◽  
Sewerage System ◽  
Children Under Five ◽  
Under Five ◽  
Sanitation And Hygiene ◽  
Increased Risk ◽  
The Gaza Strip

Abstract This cross-sectional community household-based study aims to evaluate the water, sanitation, and hygiene facilities in the Gaza Strip and to investigate their associations with the occurrence of acute diarrhea among children under five years. A survey using a structured questionnaire was conducted on 1,857 households with an child under five years from August 2017 to June 2018. About 69.7% of heads of households reported a diarrheal episode among their children during the two months preceding the survey. Multivariable logistic regression showed that sewage water observed around the households was associated with an increased risk of acute diarrhea (AOR = 2.45; P &lt; 0.001; 95% CI: 1.83–3.27). Nevertheless, the allocation of a special water tank for desalinated drinking water at home (AOR = 0.3; P = 0.02; 95% CI: 0.1–0.8), the connection of households to a closed sewerage system (AOR = 0.56; P &lt; 0.001; 95% CI: 0.43–0.73), and handwashing practices before and after eating (AOR = 0.42; P = 0.003; 95% CI: 0.24–0.74 and AOR = 0.50; P = 0.03; 95% CI: 0.26–0.94, respectively), as well as using desalinated water sources for drinking purposes, were inversely associated with the incidence of acute diarrhea among children under five. Further improvements in the existing sewerage system and the intensification of sanitation and hygiene promotion programs at the household levels may reduce the risk of acute diarrhea among children under five years in the Gaza Strip.

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