scholarly journals How knowledgeable and practicable are the mothers of under five children in urban slum, Tamil Nadu on: utilization of ORS, homemade fluids and feeding practices during acute diarrhoeal diseases

2019 ◽  
Vol 6 (8) ◽  
pp. 3502
Author(s):  
Daimler Linzy Jose ◽  
Punithakumary Purushothaman ◽  
Ravi Shankar Singanallur Lakshmanan
Keyword(s):  
Tamil Nadu ◽  
Health Centre ◽  
Acute Diarrhoea ◽  
Oral Rehydration Therapy ◽  
Urban Slum ◽  
Age Group ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children

Background: Globally, acute diarrhoea claims around 1.5 million lives of under-five children. In India, ADD accounts for 8% of deaths in <5yrs age group. Child may be pushed into an irreversible outcome as stunting because of inadequate nutrition and repeated bouts of infection during the first 1000 days of life. Oral rehydration therapy is the most effective treatment intervention which can avert about 14% of deaths in under five children.Methods: A cross sectional study was done among 270 mothers of under five children from our urban health centre service area of PSGIMSR.Results: Among 270 mothers of under five children most of them belonged to the age group of ≤25 years. Only 10.7% of the mothers were aware that infection or germs cause diarrhea, signs of dehydration were not known by 80% of mothers. Mothers’ with more than one child and mothers with education more than 8th class were emerged as the factors affecting ORS preparation.Conclusions: The knowledge on diarrhoea was low. Although awareness regarding spread of diarrhoea and ORS was adequate in this community, knowledge regarding continuation of feeding and signs of dehydration were deficient. Thus educating the mothers of under-five children regarding correct practices of home management of diarrhoea is likely to further reduce diarrhoea morbidity and mortality. 

scholarly journals Use of oral rehydration solution by mothers of under-five children in a rural area of Kancheepuram district, Tamil Nadu: a KAP study

2017 ◽  
Vol 4 (11) ◽  
pp. 4326
Author(s):  
Muthulakshmi M. ◽  
Gopalakrishnan S.
Keyword(s):  
Tamil Nadu ◽  
Good Practice ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Adequate Knowledge ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Diarrhoea is defined as the passage of loose, liquid or watery stools more than three times a day. Globally, diarrhoeal disease is the second leading cause of death in children under five years of age. Timely management of the children with ORS has substantially declined the morbidity and mortality from acute infectious diarrhoea. This study was planned with an objective to find out the knowledge, attitude and practice about the use of ORS among mothers of under five children.Methods: This is a cross sectional descriptive study carried out in the rural field practice area attached to a medical college in Kancheepuram district. Using simple random sampling method, the study group of 450 mothers of under-five children were identified. The data was collected using a pretested structured questionnaire containing 10 questions for assessing the knowledge and 8 for attitude and practice each. The answers were scored accordingly. Data was analysed using SPSS 17 software. Knowledge, attitude and practice were calculated using percentages.Results: It is observed that 72% had adequate knowledge, 92% had positive attitude and 94% had good practice regarding the use of ORS among mothers of under-five children.Conclusions: In this study, most of the mothers had adequate knowledge, attitude and practice about the use of ORS. However, knowledge, attitude and practice of mothers towards use of ORS for the treatment of diarrhoea need a little more improvement. This improvement can be achieved through effective health education strategies

scholarly journals ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malnourished Children ◽  
Coimbatore District

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.

scholarly journals A community-based cross-sectional study on the nutritional status of children less than 5 years of age using Composite Index of Anthropometric Failure in a semi-urban area of northern Tamil Nadu

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain
Keyword(s):  
Nutritional Status ◽  
Urban Area ◽  
Tamil Nadu ◽  
Composite Index ◽  
Major Public Health Problem ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Nutritional Status Of Children

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.

scholarly journals Assessment of deworming practice among mothers of under five children in Kancheepuram district

2018 ◽  
Vol 5 (6) ◽  
pp. 2580
Author(s):  
Dhanuraja V. ◽  
Vijayakarthikeyan M. ◽  
Krishnakumar J.
Keyword(s):  
Health Centre ◽  
Cross Sectional Study ◽  
Education Level ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Medical College ◽  
Worm Infestation ◽  
Micronutrient Malnutrition ◽  
Rural Mothers

Background: Worm infestation is a major problem in children from developing countries due to poor sanitary and hygienic conditions. As the worm infestation is highly associated with the anaemia in children and generalized malnutrition as well as micronutrient malnutrition it is important to assess the deworming practice among mothers of under five children. Thus this study was aimed to assess the deworming practice to their children among mothers of under five children in Kancheepuram district and to find out the association between education level of the mothers and deworming practice, residence (rural/urban) of the mothers and deworming practice.Methods: A cross- sectional study was conducted among 208 mothers of under five children in the field practice area urban and rural health centre of Sree Balaji Medical College for duration of four month using a pretested questionnaire.Results: Among 208 mothers 105 (50.5%) is from rural and 103 (49.5%) is from urban. Among them 40 (19.2%) were illiterate and 168 (80.8%) were literate. About deworming practice 40 (19.2%) mothers have never done deworming to their children, 32 (15.4%) mothers have done deworming to their children only after the worm infestation symptoms appears and 136 (65.4%) mothers have done deworming to their children regularly. Education level of the mothers (p=0.000) and the residence (rural/urban) of the mothers (p=0.000) are significantly related to the deworming practice.Conclusions: Deworming practice among rural mothers and illiterate mothers is low. Hence awareness should be created among them about the deworming practice in preventing the complication caused by the worm infestation and should promote the habit of regular deworming to their children.

scholarly journals Prevalence of rotavirus infection and its association with socio-demographic characteristics among under-five children admitted with acute diarrhoea in a tertiary care hospital of Bangladesh

2021 ◽  
Vol 11 (3) ◽  
pp. 186-190
Author(s):  
Farjana Binte Habib ◽  
Mohammed Mirazur Rahman ◽  
Rafaat Choudhury ◽  
Tarun Kanti Paul ◽  
Md Moynul Haque
Keyword(s):  
Tertiary Care ◽  
Acute Diarrhoea ◽  
Watery Diarrhoea ◽  
Enzyme Linked Immunosorbent Assay ◽  
High Morbidity ◽  
Care Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Under Five ◽  
Under Five Children

Background: Rotavirus has been recognized as the most common cause of acute watery diarrhoea among under-five children worldwide. It is considered as a major cause of childhood morbidity and mortality particularly in developing countries like Bangladesh. Considering the high morbidity and significant mortality, this study was designed to evaluate the prevalence of rotaviral diarrhoea among children less than five years in Sylhet region of Bangladesh. Methods: This cross-sectional study was conducted in the Department of Microbiology, Sylhet MAG Osmani Medical College from 1st January to 31st December, 2018. Total 184 under-five children admitted in paediatrics department of the same institute with acute watery diarrhoea were enrolled in this study by convenient sampling. Stool samples were obtained and assayed for rotavirus antigen by sandwich type enzyme linked immunosorbent assay (ELISA). Results: Rotaviral antigen was found positive in 86 cases and disease prevalence was 46.74%. The rotavirus infection was found highest in age group of 7 to 12 months (50.56%) and in male (59.30%) children. Prevalence of infection was associated with age (p= 0.004), socio-economic condition (p=0.001) and exclusive breastfeeding of children (p=0.01). Conclusion: Rotavirus was a significant cause of acute watery diarrhoea and mainly affected children below 12 months age. BIRDEM Med J 2021; 11(3): 186-190

scholarly journals Isolation of Campylobacter Species in the Stool of Under Five Children With Acute Diarrhea in a Tertiary Care Hospital of Bangladesh

2021 ◽  
Vol 49 (3) ◽  
pp. 11-16
Author(s):  
Suborna Dey ◽  
Rajib Das ◽  
Md Moynul Haque ◽  
Premananda Das ◽  
Shantanu Das ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Tertiary Care ◽  
Acute Diarrhoea ◽  
Socioeconomic Background ◽  
Care Hospital ◽  
Age Group ◽  
Isolation Rate ◽  
Under Five ◽  
Under Five Children ◽  
Campylobacter Species

Campylobacter species is the main etiology of gastroenteritis due to bacteria.  To determine prevalence of Campylobacter species in stool of children less than five years of age with acute diarrhoea, this observational study was conducted in the Department of Microbiology, Sylhet M A G Osmani Medical College, Sylhet from January to December, 2017. Stool samples were collected from 162 under-five children with acute diarrhoea admitted in the Department of Paediatrics. Isolation of Campylobacter species were done by stool culture. About two third of the children were male (65.4%) and more than one fourth of the affected children (26.65%) were in age group 6-12 months. Campylobacter species was isolated in 24 (15%) sample and among them, Campylobacter jejuni were 22 (91.7%) and Campylobacter coli were 2 (8.3%). Isolation rate of Campylobacter species did not differ significantly between age group of 6-12 months and  above 12 months (p=0.211) of age;  male and female children (p=0.288); among socioeconomic status (p=0.673) and between residential status (p=0.108). Isolation rate of Campylobacter species are frequent among under five children with acute diarrhea and most of the children came from low socioeconomic background and were male. However, a large multicenter study needs to be conducted to generate more evidence regarding the issue. Bangladesh Med J. 2020 Sept; 49(3) : 11-16

scholarly journals Effectiveness of pamphlets on knowledge and practice regarding oral rehydration among mothers of under five children

2020 ◽  
Vol 7 (10) ◽  
pp. 3963
Author(s):  
Rina Kumari ◽  
Somesh Raju ◽  
Pragati Sharma ◽  
Raunak Verma ◽  
Prashant Pratap
Keyword(s):  
Test Score ◽  
Knowledge Score ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Post Test ◽  
Knowledge And Practice

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. Our objective was to assess the awareness, knowledge and practice of mothers of under-five children regarding ORT and home management of diarrhoea and effectiveness of pamphlets regarding knowledge and practices of oral rehydration therapy.Methods: A pre-experimental (one group pre-test & post-test) quantitative study conducted at King George’s Medical University, Lucknow, U.P. Subjects selected by purposive sampling technique and pre-test and post test conducted after explain nature of study and distribution of pamphlets containing information about diarrhoea and ORS.Results: Pre-test knowledge score of subjects regarding diarrhoea and oral rehydration showed that 64 percent of mothers having moderately adequate knowledge and 36 percent were having inadequate knowledge. Post-test knowledge score showed Significant improvements, 72.72 percent of subjects having adequate knowledge and 27.27 percent of subjects having moderately adequate knowledge and results were highly significant. Pre-test score of mothers regarding practice of oral rehydration therapy showed that majority (45.45%) of subjects having inadequate knowledge, 41.81% of subjects having moderately adequate knowledge and only 12.72% of mothers having adequate knowledge. Post-test score ct showed significant improvement in their practice regarding diarrhoea and ORS.Conclusion: Mothers were having moderately adequate knowledge about diarrhoea and dehydration. Although most of them could prepare commercially available packets of the O.R.S, but they could not prepare the O.R.S at home. Teaching of mothers about signs of dehydration and preparing and using O.R.S can help to reduce the mortality and morbidity of under five children.

scholarly journals Diarrhea Prevalence and Associated Factors Among Under-Five Children in the Periphery Area of Azezo Sub-City, Gondar, Northwest Ethiopia: A community Based Cross-Sectional Study

2021 ◽  
Author(s):  
Bikes Destaw Bitew ◽  
Atalay Getachew ◽  
Jember Azanaw
Keyword(s):  
Associated Factors ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Age Group ◽  
Monthly Income ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Abstract Background Although there has been a global decrease in childhood diarrheal disease in parallel with improvements in the standard of living, it still remains a significant public health problem that occurs due to poor WASH status and other related factors that cause massive childhood morbidity and mortality particularly in sub-Saharan Africa countries including Ethiopia. Objective To assess diarrheal disease prevalence and associated factors among under-five children in periphery area of Azezo sub-city, Gondar, northwest Ethiopia. Methods A community-based cross-sectional study was conducted in April 2019. A simple random sampling technique was applied to recruit the eligible clusters/villages. Structured interview questionnaires were used to collect data. The completed data were entered into Epi Info version 7 and exported to SPSS version 20 for further analysis. A binary logistic regression model was used to process bivariate and multivariable analysis of the data to establish the association between dependent and independent variables. The adjusted odds ratio (AOR) with 95% CI was used for the interpretation of data after controlling the confounders. Results The two-week prevalence of U5C diarrheal disease was 24.9% with 95% CI: (20.4 – 29.7). Age group of 1-12months [AOR: 9.22, 95%CI: (2.93-29.04)], age group of 13-24months [AOR: 4.44, 95%CI: (1.87-10.56)], low monthly income (AOR: 3.68, 95% CI: (1.81-7.51)], small family size [AOR: 0.32, 95% CI: (0.16-0.65)], poor hand washing practice [AOR: 8.37, 95% CI: (3.12-22.52), and immediate feed for cooked foods [AOR: 0.39, 95%CI: (0.19-0.81)] were significantly associated factors with childhood diarrhea. Conclusion Diarrhea was a common health problem among under-five children in the periphery area of Azezo sub-city. Age of children, family size, monthly income, hand-washing practice, and feeding time for cooked food were identified statistically significant risk factors. Therefore, an appropriate intervention program through health education would be recommended with a focus on identified risk factors to reduce the burden of diarrheal diseases.

scholarly journals Manuscript title: Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Rural Area ◽  
Maternal Education ◽  
Protective Factor ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Trial Registration ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
The Family

Abstract Background: Undernutrition among under five children in India is a major public health problem. Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas. Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition.Methods: A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through the house to house survey by interviewing mothers of under five children. Logistic regression method was used for multivariate analysis to determine the association between the variables like sex of the child, type of family, the income of the family, birth order, exclusive breastfeeding, immunization status, ARI, diarrhea, maternal age, maternal education with outcome variables underweight, stunting and wasting.Results: Total 2929 mothers and their 3,671 under five children were covered. Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.Exclusive breastfeeding up to 6 months was the protective factor against wasting in both rural area (Adj OR=0.35,p<0.001)and urban slum(Adj OR=0.47,p<0.05),Acute diarrhea was associated with wasting in rural area(Adj OR=0.11,p=0.001).Boys were more prone to stunting in the urban slum(Adj OR=1.77,p<0.05). Children with birth order 2 or less than 2 were more affected by stunting in the rural area (Adj OR=.11, p<0.05). The joint family acted as a protective factor against stunting in the urban slum(Adj OR=0.56,p<0.05).Whereas exclusive breastfeeding up to six months of age was seen as a protective factor against underweight in the rural area (Adj OR=0.50,p<0.05). The low income of the family has resulted in underweight children in an urban slum (Adj OR=2.16, p<0.05). Low maternal education was related to underweight in children (Adj OR=0.44, p,0.05)Conclusion: Undernutrition was related to the sex of the child, the economic status of the family, diarrhea (Past 1 month), and maternal education. Improvement of maternal education will improve the nutritional status of the child.The trial registration-This article is part of baseline data of the project, hence not related to trial registration. After baseline data principal investigator had done trial registration retrospectively.

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