scholarly journals Management of diarrheal diseases among children under five years: a case study of mothers at Kakamega county, Kenya

Author(s):  
Peterson M. Njeru ◽  
John M. Kariri ◽  
Mary W. Murigi ◽  
Heuston M. Waweru ◽  
Felister M. Muriithi

Background: Despite much effort and successes in the management of diarrhoea, the disease has remained among the top five causes of mortality and morbidity in Kenya, particularly among infants and children below five years. Advent of HIV/AIDS and the harsh economic situation is Kenya has led to increase in diarrhoea diseases. This study was conducted to determine the mother’s knowledge, attitude and practice in the management of diarrheal diseases among children under five years of age.Methods: This was a cross-sectional study conducted at Lurambi sub-County, Kakamega County. Systematic sampling technique was used to determine the study population. The research instruments were; observational checklists, an in-depth interview schedule, self-administered semi-structured questionnaires and focused group discussions. Quantitative data analysis was conducted using SPSSand involved univariate and bivariate analysis. Qualitative data was analyzed by thematic content analysis.Results: Overall, 88% mothers each with at least one child under five years took part in the study. 84% of the respondents had knowledge of the causes of diarrhoea; however only 31% knew methods of diarrhoea prevention. 41% of the respondents managed diarrhoea cases with non-recommended home remedies such as salt and sugar solutions. The study also established that 37% of the health workers were not trained on diarrhoea management despite them being directly involved in the case management.Conclusions: Overall, the research identified a gap between knowledge and practice. There is need for improving home based case management and implementing a community strategy for diarrhoea management.

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events


Author(s):  
Dipak Kumar Dhar ◽  
Nilratan Majumder ◽  
Debasish Paul

ABSTRACT Aim Zinc is now considered as an important treatment intervention along with low-osmolarity oral rehydration salts in diarrhea. But awareness about the use of zinc remains low. The present study was conducted with an objective of assessing knowledge and practice of mothers of under-5 children about zinc supplementation in diarrhea. Materials and methods A hospital-based cross-sectional study was carried out in the Paediatric Outpatient Department Agartala Government Medical College and GB Pant Hospital, Agartala, Tripura, India, with a sample size of 700 mothers of under-5 children over 2 months. Convenience sampling technique was employed and the data were collected in a structured, interview schedule. Descriptive statistics and tests like chi-square test were used for analysis. Results Only 1.9% of all the respondents (13 out of 700) had heard about zinc therapy in diarrhea. Out of them, 11 mothers had actually used zinc in practice and 7 could tell the duration of therapy. None of them were aware of what benefit is conferred by zinc in an episode of diarrhea. An association between knowledge levels and educational status and occupation of mothers was found to be statistically significant. Conclusion The study reaffirmed the abysmally low level of awareness about zinc supplementation among mothers. Therefore, health education can be used as a tool to promote knowledge and practice of zinc supplementation in diarrhea to reduce mortality and morbidity. How to cite this article Dhar DK, Majumder N, Paul D. Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea. Int J Adv Integ Med Sci 2016;1(4):169-172.


2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.


2019 ◽  
Vol 10 (4) ◽  
pp. 66-72
Author(s):  
Andamlak Dendir Egata ◽  
Abdusemd Worku Nida

Background: Malnutrition is one of the most common causes of morbidity and mortality in children under the age of five year. However, in Gurage zone information about the prevalence and associated factors of malnutrition still limited. Aims and Objectives: The major objective of this study was assessing the burden and determinants of malnutrition among under five children. Materials and Methods: A community based cross-sectional study design was applied from December 25, 2016 to April 25, 2017. A total of 1040 eligible mothers were interviewed using structured interviewer administered questionnaires by trained data collectors working in pediatrics ward. Through systematic sampling technique study participant were included in the study. To test the existence of statistical relationship between independent and dependent variables multiple logistic regressions analysis was used. Results: The prevalence of malnutrition among study children was 38.8%. Logistic regressions analysis result indicated that Unimproved sanitation [AOR 1.58 (95% CI 1.13-2.2)], food insecurity [AOR 2.06 (CI 3.49-3.33)], maternal disempowerment [AOR 4.1(CI 2.69-6.24)], inadequate frequency of exclusive breast feeding [AOR 1.9 (95% CI 1.176-3.357]. showed a significant association with malnutrition. Conclusion: The prevalence of malnutrition among under five year children living in Gurage zone was 38.8%. It was associated with utilization of unimproved sanitation, maternal disempowerment, food insecurity. Hence to abort the problem, it is better to enhance house hold food security, exclusive breast feeding, maternal empowerment and utilization of improved sanitation.


2018 ◽  
Vol 4 (2) ◽  
pp. 9
Author(s):  
Arum Meiranny

ABSTRAK Ibu yang memiliki Balita kurang memperhatikan KMS untuk memantau pertumbuhan Balita, sehingga pertumbuhan anak kurang optimal. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan ibu tentang KMS dengan pertumbuhan Balita. Jenis penelitian dalam penelitian ini adalah analitis, dengan pendekatan cross sectional. Populasi yang digunakan adalah ibu Balita di Wilayah RW V Kelurahan Kalipancur Kecamatan Ngaliyan Kota Semarang, dengan jumlah sampel 47 orang. Tehnik sampling yang digunakan adalah quota sampling. Uji analisis yang digunakan adalah analisis univariat dan analisis bivariat menggunakan Chi Square. Hasil penelitian menunjukkan masih banyak ibu Balita yang kurang mengetahui tentang KMS (63,8 %). Kurangnya pengetahuan tersebut mengakibatkan banyaknya Balita yang tidak mengalami kenaikan berat badan (80,9 %). Analisis Chi Square menunjukkan bahwa ada hubungan tingkat pengetahuan ibu tentang KMS dengan pertumbuhan Balita (p = 0,007), sehingga dapat disimpulkan bahwa ada hubungan tingkat pengetahuan ibu tentang KMS dan pertumbuhan Balita di Wilayah RW V Kelurahan Kalipancur Kecamatan Ngaliyan Kota Semarang. Saran bagi ibu agar lebih memperhatikan kualitas pertumbuhan Balitanya, bagi Posyandu, dapat memaksimalkan pelaksanaan sistem 5 meja, dan bagi petugas kesehatan dapat memberi motivasi bagi kader untuk dapat memberikan informasi tentang KMS dan mengatur jadwal pelaksanaan Posyandu, sehingga memungkinkan para ibu untuk dapat mengantar Balitanya ke Posyandu. Kata Kunci : Pengetahuan; Kartu Menuju Sehat (KMS); Pertumbuhan Balita  MOTHER’S KNOWLEDGE ABOUT ROAD TO HEALTH CHART (RHC) INFLUENCE THE GROWTH OF CHILDREN  UNDER FIVE AGES ABSTRACT Mothers who have child under five ages giving less attention to Road to Health Chart (RHC) as the controlling media of children growth under five. This  research was done with the purpose to know the corelation beetwen mother’s level of knowledge about RHC with the growth of children under five ages. This research was conducted by analythical research with cross sectional approach. Population used mother of children under five ages at administrative unit V of the Kalipancur Village Ngaliyan Subdistrict Semarang City with  47 samples. Sampling technique used by this research was quota sampling. Analysis test using by univariate and bivariate analysis which uses Chi Square. The result of this research indicated that there were still many mother of children under five ages which unknown concerning RHC (63,8 %). The lack knowledge regarding such matter caused many children under five ages shall not having normal with growth (80,9 %). Chi Square analysis shows that there was a corelation between mother’s level of knowledge about RHC with the growth of child under five ages (p = 0,007), so it could be concluded that there was a corelation between mother’s level of knowledge about RHC with the growth of child under five ages. Suggestion particularly to mother of children under five ages was give greater concern to  the growth quality of their under five children, to the integral health post that it could maximized the implementation of five tables system, and for the health service personal to giving a  motivation to the cadres, so that they could shale appropriate information concerning RHC and arrange their schedule for appliying or visiting the integral health post and enable mother to carry their children to that place her self. Keywords: Knowledge, Road To Health Chart (Rhc), The Growth Of Children  Under Five Ages


2020 ◽  
Vol 2 (4) ◽  
pp. 736-746
Author(s):  
Meinarisa Meinarisa ◽  
Mefrie Puspita ◽  
Jelori Jalal

ABSTRACT: THE RELATIONSHIP OF KNOWLEDGE, MATERNAL BEHAVIOR, AND AGE OF THECHILD TO THE INCIDENCE OF DIAPER FEVER IN CHILDREN UNDER FIVE IN JAMBI CITY Background Toddlers have extensive problems especially with the sjon. Toddlers susceptible to diaper rush to the use of disposible diapers and no treatmenr done by mothers using disposible diapers, mothers just let it go and not given medication becuase of a lack of maternal knwoledge and behavior that is wrong with diaper rush. The purpose of this study was to determine the relationship of knowledge, mother's behavior and age of children to the incidence of diaper rush in children under five at Posyandu Kota Baru Indah Jambi City in 2019.Method : This research method is descriptive quantitative using a cross sectional study design. This research was conductet on june 2019. Puposive sampling technique with a population of 148 toddlers. Respondent in this study were mothers who has children under five who used disposible diapers in teh work area posyandu kota baru indah with amounted to 60 respondent. Data collection methods using a questionnaire. Univariate and bivariate data analysis, statistical test using the chi square test.Result : The study found that there was a significant relationship between maternal behavior with the occurrance of diaper rush in children under five with a p-value 0,002. The results of the study found that respondents who had poor knowledge were 34 respondents (56,7%) children, respondents with bad behavior as many as 13 respondents (55,0%), and description of the age of the child against the occurence of diaper rush is the age between 0-1 years 24 (40%) children, 2-3 years 19 (32%) children, ages between 4-5 years 17 (28) childrenConclution : Mother's knowledge and behavior related to diaper rush events in children under five and age are not related to diaper rush events in children under five in Posyandu Kota Baru Indah Kota Jambi.  Keywords     : Knowledge, Mother's Behavior, Diaper Rush, age of the child.     INTISARI: HUBUNGAN PENGETAHUAN, PERILAKU IBU DAN USIA ANAK TERHADAPKEJADIAN DIAPER RUSH PADA ANAK BALITA DI KOTA JAMBI Latar Belakang : Balita memiliki masalah yang luas terutama pada kulit. Balita rentan terkena Diaper Rush akibat penggunaan disposible diaper dan tidak adanya perawatan yang dilakukan ibu saat menggunakan disposible diaper, ibu hanya membiarkannya saja dan tidak diberi obat karena kurangnya pengetahuan dan prilaku ibu yang salah terhadap kejadian diaper rush Tujuan penelitian ini adalah mengetahui hubungan pengetahuan, perilaku ibu dan usia anak terhadap kejadian diaper rush pada anak balita di Posyandu Kota Baru Indah Kota Jambi Tahun 2019Metode : Metode penelitian ini bersifat deskriptif kuantitatif menggunakan desain studi cross sectional. Penelitian ini dilakukan pada tanggal 3 Juni 2019. Teknik pengambilan sampel purposive sampling dengan jumlah populasi 148 Balita. Responden pada penelitian ini adalah ibu yang memiliki anak balita yang menggunakan diaper disposibel diwilayah kerja posyandu Kota Baru Indah yang berjumlah 60 responden. Metode pengumpulan data menggunakan kuesioner. Analisa data univariat dan bivariat, uji statistik menggunakan uji Chi square.Hasil : Penelitian didapatkan bahwa ada hubungan yang siginifikan antara prilaku ibu  dengan kejadian Diaper rush  pada anak balita dengan nilai p-value  0.002. Hasil penelitian diperoleh bahwa responden yang memiliki pengetahuan kurang baik sebanyak 34 responden (56%,7%). Responden dengan prilaku kurang baik sebanyak 33 responden (55%), dan gambaran usia anak terhadap kejadian diaper rush adalah anak usia antara 0-1 tahun 24 (40%) orang anak, usia 2-3 tahun 19 (32%) orang anak, usia antara 4-5 tahun 17 (28%) orang anak.Kesimpulan : Pengetahuan dan perilaku ibu berhubungan dengan kejadian diaper rush pada anak balita dan umur tidak berhubungan dengan kejadian diaper rush pada anak balita di Posyandu Kota Baru Indah Kota Jambi   Kata Kunci    : Pengetahuan, Perilaku Ibu, Diaper Rush, usia anak


2018 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Dwi Aprilianti ◽  
Jonni Syah R. Purba

The importance of knowing the nutritional status of mothers before pregnancy can improve nutrition problems that will be sustainable in infants will be born. The risk of SEZ in women of childbearing age (WUS) has an impact on infants with LBW so that it will increase the number of malnutrition in Indonesia. This study aims to determine the relationship of knowledge, attitudes, energy and protein intake to the risk of chronic lack of energy (SEZ) in women of childbearing age (WUS) in Hibun Village, Sanggau District. This type of research is an observational study with a cross-sectional study design with a purposive sampling technique, the number of research samples is 70 respondents with criteria aged 18-35 years both those who have given birth and have not and are not pregnant. Data analysis included univariate and bivariate analysis using the chi-square test with a confidence level of 90% (α = 0.10). The results showed that there was a relationship between energy intake (p = 0.009) and SEZ risk in women of childbearing age and there was no relationship between knowledge (p = 0.196), attitudes (p = 0.226) and protein intake (p = 0.483) with SEZ risk in women of childbearing age in Hibun Village, Sanggau District. There is a relationship between energy intake and the risk of SEZ in women after fertility. There is no relationship between knowledge, attitudes and protein intake against the risk of SEZ in women after fertility. The need for counseling on SEZs for WUS to increase knowledge carried out at posyandu is carried out by health workers and cadres carried out periodically and continuously


2018 ◽  
Vol 68 ◽  
pp. 04013
Author(s):  
Masagus M. Hakim ◽  
Irfanuddin ◽  
Hermansyah ◽  
Novrikasari

UNICEF in 2013 reported more than 400 children die everyday. The prevalence of diarrhea occurs more in developing countries. Children under the age of five experience an average of 1.6 to 2.3 episodes of diarrhea per year. The aim of the study was to determine the prevalence of diarrhea based on knowledge and environmental sanitation in Tanjung Lago wetland area. This study used cross sectional design with quantitative approach. The sampling technique was simple random sampling with mapping. The sample was 145 housewives with children under five. It used univariate and bivariate analysis. The prevalence of diarrhea in Tanjung Lago was 13.8%. Only a portion of the respondents knew what diarrhea was (53.1%) and the cause of diarrhea (53.8%). The majority of respondents used river water as a source of clean water (91.0%) and refill water as a source of drinking water (98.6%). Most of respondents who have latrines were only less than 10m from daily sources of clean water (91.7%). There is no relationship between knowledge. quality of clean water and availability of latrines with the incidence of diarrhea on children under five. It is important to communicate. inform and educate the public about the environment that can be a medium for diarrhea transmission and the quality of clean water.


Author(s):  
Habtamu Dessie

This study aimed to assess the determinants of diarrhea among children under-five in Jabitehnan district, Northwest Ethiopia. A community-based cross-sectional study was done using a cluster sampling technique. The study was done in the Jabitehnan district from April to July 2019.  The study was done among women who had children under five during the survey who settled in Jabitehnan district. The main outcome measure was the occurrence of diarrhea. A binary logistic regression was used to identify factors associated with diarrhea. The prevalence of diarrhea was found to be 19.8%. The child lived with whose non-biological mothers were 32.44 times more likely to be exposed to diarrhea compared to the child who lived with whose biological mothers. The odds of being diarrheal for a child whose mother does not wash her hand after latrine was 7.91 times higher than its counterpart. A child whose mother pregnant was 5.66 times higher risk of developing diarrhea than whose mother do not pregnant. The likelihood of diarrhea for children drinking unprotected water were14.1times higher than its counterpart. The magnitude of reported diarrhea was high. Child age, residence, drinking water, pregnant mother, toilet facility, washing hand after latrine, and child live with whom were the main determinates of diarrhea. Addressing these factors will help to prevent future morbidity and mortality of children and will assist in alleviating hygiene and refining their quality of life. Moreover, a trend-based sampling design might be considered for a better understanding.


2021 ◽  
Vol 5 (2) ◽  
pp. 761-769
Author(s):  
Hamzah B ◽  
Strahmawati Hamzah

ABSTRACT Diarrhea is still a health problem in the world, there are about 2 million cases of diarrhea worldwide every year, and 1,9 million children under five years die from diarrhea every year. Diarrhea in Indonesia is an endemic disease and it is very potential for Extraordinary Events to occur. Diarrhea was the 3rd highest infectious disease in North Sulawesi in 2016 with a total of 23,881 cases. This study aims to analyze the relationship between the use of clean water and the use of latrines with the incidence of diarrhea in children under five in Gogagoman Village, Kotamobagu City. This study used a cross sectional study design with a total sample of 130 children under five. The subject of this research is the mother/the closest person to the toddler. The sampling technique used is simple random sampling. The data collection instrument used a questionnaire and an observation sheet. The data were then analyzed by univariate and bivariate using chi square test. The results showed that there was a relationship between the use of clean water and the incidence of diarrhea in children under five (p = 0,036


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