scholarly journals Knowledge and practices of mothers of under-five children regarding Zinc supplementation in childhood diarrhea

2021 ◽  
Vol 11 (2) ◽  
pp. 301-304
Author(s):  
Meenal Kulkarni ◽  
Vedant Nayse ◽  
Jaydeep Nayse

Diarrhoea continues to plaque the developing worldresulting in morbidity of 1.7 billionand mortality of 5.25 lakhsin under- five childrenIn India diarrhea is 3 most common cause of death among under-five children with morbidity of 11.6 million and mortality of 1300 deaths and thus causing 8% of deaths per yearZinc has a major role in prevention of diarrhea. To assess the knowledge and practices of mothers of under-five children regarding zinc supplementation for prevention of childhood diarrhea, to find out the reasons for not supplementing Zinc during diarrhoeal episodes, to find out association between socio-demographic factors and awareness of zinc supplementation. : Hospital based cross sectional analytical study was conducted among 200 mothers of underfive children in outpatient department of Paediatrics of a tertiary care hospital. The data was entered in predesigned semistructured questionnaire. Data was analysed by EPI INFO 7 software. Only 18(9%) mothers were aware about use of Zn supplementation to the under-five children in childhood diarrhoea. Only 10 mothers administered zinc supplementation in childhood diarrhea. Unawareness regarding Zn supplement was common reason mentioned for not giving Zn supplementation. Association was found between religion, type of family and awareness of Zn supplementation. There is a need to increase awareness of mothers regarding zinc supplementation by conducting health education sessions.

Author(s):  
Rachita Sarangi ◽  
Lipilekha Pattnaik ◽  
Saroj Kumar Satpathy ◽  
Mahesh Chandra Sahu

  Objective: Under-five mortality is a major public health challenge particularly in developing countries like India. The study was undertaken a hospital-based cross-sectional study to see the pattern of childhood mortality in a tertiary care hospital of Eastern India.Methods: This study was a hospital-based cross-sectional study on under-five children, carried out in the Department of Pediatrics in a tertiary care hospital from January 2013 to December 2014. All the children admitted to the inpatient Department of Pediatrics from 1 month to 5 years were included in the study group and those who died were further explored.Results: Maximum number of death occurred due to central nervous system infection (25.5%) followed by acute respiratory tract infections (19.5%) and complicated malaria (17.2%). Death occurred due to measles and its complication was 1.1% during the study. The percentage of death was higher among rural children (65.2%), children belonged to joint families (63.3%), backward classes (82.8%), low education, and the 1st order birth (49.1%).Conclusion: Specific efforts to combat under-five mortality are needed. In order of priority, the promotion of female education, gender equity, family planning, and addressing the vast socioeconomic differentials in Odisha is important steps to improving under-five survival.


2020 ◽  
Vol 7 (2) ◽  
pp. 300
Author(s):  
Archana Reddy D. ◽  
Lakshmi Aparnadevi V. V.

Background: All possible efforts are being made by the governments, and other agencies to reduce the burden of these problems of malnutrition and deaths associated with it but still it remains a challenge. Severe acute malnutrition continues to constitute an important risk for mortality and morbidity among the under five children. Objective of the study was to study the profile and risk factors of severe acute malnutrition of the under five children in a tertiary care hospital setting.Methods: Hospital based cross sectional study was carried out among 60 under five children with severe acute malnutrition who were admitted for difference causes in the Pediatric wards of SVS Medical College and Hospital, Mahabubnagar. A detailed history and physical examination were done. Anthropometric indices like weight, length/height, MUAC and weight for height were recorded and analysed using WHO growth charts.Results: Majority of the children with severe acute malnutrition were found in the age group of 1-2 years i.e. 48.3%. Males were more (69%) compared to females (31%) and this can be attributed to the hospital based cross sectional nature of the present study. Only 21.6% of the children were completely immunized for age. Majority of the children were found to have grade IV type of malnutrition i.e. 38.3%. Majority of the children presented with fever in 71.6% of the cases. Majority of the children had gastrointestinal related comorbidity in 54.6% of the cases.Conclusions: Incomplete immunization, low social class, inappropriate feeding practices in young age of <1 year are important risk factors of severe acute malnutrition.


2015 ◽  
Vol 13 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Sundari Joshi ◽  
Megha Pradhan Pradhan ◽  
Ujjwal Joshi

Introduction: Anaemia is a pathologic deficiency in oxygen-carrying haemoglobin in red blood cells which may be the result of genetic diseases, infections and deficiency of several nutrients. Nepal is one of the developing countries where anaemia is one of the most serious public health problems. So, a study was planned to evaluate the prevalence of anaemia among children under five years in tertiary care hospital of Nepal. Methods: A cross-sectional study was carried out from August 2011 to January 2012 using a structured questionnaire interview and observation. The children were divided into three groups: group I (0-1 years), group II (>1-3 years), group III (>3-5 years). Anaemia was assessed using  haemoglobin measurement in gram in decilitre on Sysmex KX -21 (automated haematology analyzer). The severity of anaemia were grouped as follows: severe anaemia, < 7.0 g/dL; moderate anaemia, 7.0 to 8.9 g/dL; and mild anaemia, 9.0 to 10.9 g/dL as per WHO classification. Stool test was also carried out to assess worm infestation. Data were analysed using SPSS 11.5. Results: There were 208 children among which 52.9 % were male while 47.10 % were female.  The overall prevalence of anaemia was found to be 49.5% of which 43.3% had mild, 15.8% had moderate and 0.5% had severe anaemia. Out of 20 children in group I, 70 % were anaemic. Among the 94 each in group II and group III, children suffering from anaemia were 51% and 43% respectively. The stool investigations showed that 5.3 % children suffered from worm infestations.   Conclusions: prevalence of anaemia was seen in 49.5% of children below five years age group and the diet and worm infestations didn’t affect it.doi:  http://dx.doi.org/10.3126/mjsbh.v13i1.12998


2021 ◽  
Vol 11 (3) ◽  
pp. 186-190
Author(s):  
Farjana Binte Habib ◽  
Mohammed Mirazur Rahman ◽  
Rafaat Choudhury ◽  
Tarun Kanti Paul ◽  
Md Moynul Haque

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


Author(s):  
Nibedita Banerjee ◽  
Arup Chakraborty ◽  
Arista Lahiri ◽  
Kalidas Biswas

Background: Breast feeding is of utmost importance for optimal child growth. This study aims to determine the knowledge on breast feeding among the mothers of under five children and to find out the association between the proportion of exclusive breast feeding and the incidence of diarrhoeal disease.Methods: An institution based cross sectional descriptive study was conducted among ninety (90) mothers of under five children who attended the immunization clinic of a tertiary care hospital with the help of a pre-designed, pre-tested, semi-structured schedule. Mothers were selected by systematic random sampling and interview done after obtaining written consent.Results: The mean age of the respondent mothers were 25.78 years. Among them 77.8% were staying in the nuclear family with the mean education up to 8th standard, 94.4% of home maker. The mean education of fathers was 9th standard with majority (77.8%) occupied either in service or in other occupation. Average no of children per family was 1.3. Majority of mothers’ younger children (66.7%) were male. Majority (66.7%) mothers had heard the term colostrum and 88.3% knew that colostrum has anti-infective property and nutritionally superior. Sixty (66.67%) mothers had exclusively breast fed their children. Out of not exclusively breastfed children 36.67% experienced diarrhoea.Conclusions: Though majority mothers knew about breastfeeding, yet the proportion not having proper knowledge was high. The statistical analysis showed exclusive breast feeding to be highly protective against developing diarrhoeal episodes. In order to generate better breastfeeding practices, addressing the knowledge gap is needed. 


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