scholarly journals Use of Drugs and Treatment Cost in Acute Watery Diarrhoea of Under-2 Children Attending a Tertiary Hospital of Bogra

2014 ◽  
Vol 14 (2) ◽  
pp. 149-152
Author(s):  
AKM Muraduzzaman ◽  
S M Rashed-Ul Islam ◽  
Md. Mahmudur Rahman Siddiqui
Keyword(s):  
Breast Feeding ◽  
Treatment Cost ◽  
Family Income ◽  
Educational Status ◽  
Tertiary Hospital ◽  
Watery Diarrhoea ◽  
Watery Diarrhea ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Acute Watery Diarrhea

A cross-sectional study was conducted in Mohammad Ali hospital (MAH) of Bogra from Bangladesh to evaluate the hand washing and exclusive breast feeding (EBF) practice and to explore the rational use of anti-diarrhoeal therapy in Acute Watery Diarrhea (AWD) and expenditure of the family in treatment. A total of 660 under-2 children attending at MAH with the complaints of AWD were selected for the study. The mean age (mean±SD) of the attended child was 11.75±5.16 months. About 80% of the respondents (mothers of under-2 child) were below SSC level in terms of educational status while about 9% were illiterate. About 85% of the respondent seek treatment from non-registered practitioners (NRP) while registered doctors contributed only among 12% which was found statistically significant in comparison to their family income (p<0.001). Azythromycin was the most prescribed drugs (22.4%) followed by ciprofloxacin (21.7%) and erythromycin (15.9%) which was mostly prescribed by  non-registered doctors (p <0.05). The families had to spend a mean cost of Tk. 209/- which was spend significantly high on NRP (p<0.05) as a direct treatment cost. Misuse of antibiotics was observed from NRP and a handsome amount was spending on them. Moreover, About 91% of the total respondent did not practice exclusive breast feeding and about 99% mother found to admit improper hand hygiene. To reduce unnecessary expenditure and ensure proper treatment of AWD, it was recommended to aware the community on quality management at government facility.DOI: http://dx.doi.org/10.3329/jom.v14i2.19665 J Medicine 2013, 14(2): 143-148

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI IBU DALAM PEMBERIAN ASI EKSKLUSIF DI DESA PUCANGANOM KECAMATAN GIRIWOYO KABUPATEN WONOGIRI

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Sri Aminingsih ◽  
Lucia Desi Puti
Keyword(s):  
Breast Feeding ◽  
Spiritual Development ◽  
Maternal Education ◽  
Family Income ◽  
Work And Family ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Second Child ◽  
Number Of Children ◽  
Mother’S Age

Background Breastfeeding will ensure babies stay healthy and start life in the most healthy. Breastfeeding is actually not only allows the baby to grow up to be healthy physically, but also more intelligent, stable had a emotional, spiritual development, and positivesocial development. Riskesdas 2010 coverage of exclusive breastfeeding in Indonesia is still far from the world average and still very far from the target of Healthy Indonesia 2010. In rural districts Pucanganom Giriwoyo of the initial interview 3 of 5 mothers to breastfeed exclusively, while 2 others are not breastfed exclusively with reasons having to work, lack of time and because of no discharge of breast milk.The purpose to find out the factors that affect the mother in exclusive breast feeding in the village of Pucanganom sub-district of Giriwoyo Regency Wonogiri.Method of this research is descriptive research. While the plan is cross sectional used to find out the factors that affect the mother in exclusive breast feeding. Then there searchers took data from respondents regarding the factors that affect breast feeding.The Result Factors that affect the exclusive breast feeding is the age of the mother, the mother's education, number of children,  mother's work and family income. The most exclusive breast feeding on mother's  age 26-45 years (83,33%), maternal education high school-undergraduate (70%), given on the first and second child(73,34%), employment of the mother as a homemaker (73,34%), and family income 1-3 million (76.67%).Conclusion the mother who does not work it's possible giving exclusive breast milk due to the considerable amount of time which can be used by the mother to nurture her baby even 24 hours time the mother could be given to her baby, therefore breast feeding can be done during the first 6 months of the birth ofthe baby.Keywords: Exclusive breast feeding

scholarly journals Barriers to exclusive breast feeding, the missing links: a cross sectional study from Puducherry, India

2020 ◽  
Vol 7 (4) ◽  
pp. 884
Author(s):  
Gayathri G. Nair ◽  
Arul Kumaran Arunagirinathan ◽  
Nirmal S. R. ◽  
Rajesh Yadav B.
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Born Term ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Inverted Nipple ◽  
Natural Food ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exclusive Breast Feeding

Background: Breast milk, the first natural food for a new-born, provides all the energy and essential nutrients an infant requires for the first 6 months of life. The NHFS -4 survey shows only 45.5% of children are exclusively breastfed (EBF) in Puducherry. This study aims at assessing the socio-demographic characteristics associated with exclusive breastfeeding in a tertiary hospital in Puducherry and identify the barriers in the promotion of exclusive breastfeeding.Methods: Community-based cross-sectional study at a tertiary hospital in Puducherry. Sample size: 115 mothers of 6 months to 2-year-old children, born term gestation with a birth weight of >2.5 kg, attending the Paediatric OPD. Questionnaire-based study comprising of socio-demographic and parameters pertaining to exclusive breast-feeding.Results: Only 44.3% of the mothers have exclusively breastfed in the first 6 months. Shorter duration of spacing between births and caesarean section had significant negative association with exclusive breast-feeding. Most of the mothers received postnatal counselling on breast-feeding (94%) of which 58% were by health care personnel. Despite that, only a sixth (19%) of them were well versed with proper breastfeeding techniques. Poor secretion (45.3%), sore/inverted nipple (23.5%) amounted to the most common of the barriers. Among working mothers, 42.9% attributed their jobs as the cause for early weaning.Conclusions: The prevalence of exclusive breastfeeding is still low even among a literate study group. There were no significant association with socio-demographic factors found, but lacunae were identified. A more objective post-natal counselling to mothers involving their caregivers may improve the current scenario.

scholarly journals Child rearing practices in a rural community in Manipur: a cross-sectional study

2019 ◽  
Vol 6 (8) ◽  
pp. 3246
Author(s):  
Haobam Danny Singh ◽  
Avinash Keisam ◽  
Bishwalata Rajkumari
Keyword(s):  
Breast Feeding ◽  
Family Income ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Child Rearing ◽  
Rural Setting ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exclusive Breast Feeding

Background: The child rearing practices differ in communities, depending on their social customs, traditional beliefs and prejudices. Understanding these practices is important for the successful delivery of health messages and services. The present study was conducted in a rural setting to determine the child rearing practices as well as to determine its association with relevant socio-demographic factors.Methods: This cross-sectional study was conducted among 369 mothers residing in Kshetrigao area under Kshetrigao Urban Health Centre, Porompat, Imphal East. A pre-tested interview schedule developed by the investigator was used for data collection. Descriptive statistics like mean, percentage and proportion as well as chi-square and t-test were used for data analysis.Results: Majority (79%) of the mothers breast-fed their newborn within 6 hours after birth. Almost half (46%) of the mothers gave pre-lacteal feeds to their newborn. Majority of the mothers (57%) did not practice exclusive breastfeeding. About 90% of the children were completely immunized for age. Mothers who got married before the age of 20 years, being Muslim and who had caesarean section were significantly less likely to practice exclusive breast feeding (p value of 0.025, 0.012 and 0.000 respectively). Children whose mother belongs to Muslim religion, lower educational status, lower family income and who delivered at home were significantly less likely to be completely immunized (p value of 0.001, 0.003, 0.014 and 0.003 respectively).Conclusions: Giving pre-lacteal feed and not practicing exclusive breast-feeding were very common among the studied population.  

scholarly journals Prevalence of breast-feeding and exclusive breast-feeding at 48 h after birth and up to the sixth month in Cyprus: the BrEaST start in life project

2017 ◽  
Vol 21 (5) ◽  
pp. 967-980 ◽  
Author(s):  
Mary Economou ◽  
Ourania Kolokotroni ◽  
Irene Paphiti-Demetriou ◽  
Christiana Kouta ◽  
Ekaterini Lambrinou ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Family Income ◽  
Mode Of Delivery ◽  
Public Hospitals ◽  
Policy Action ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Life Project ◽  
Breast Feed ◽  
Higher Educational Attainment

AbstractObjectiveTo assess the prevalence and sociodemographic determinants of breast-feeding (BF) and exclusive breast-feeding (EBF) in Cyprus up to the sixth month.DesignCross-sectional and longitudinal descriptive study. BF and EBF were estimated based on mothers’ self-reported BF status in line with Step 7 of the WHO/UNICEF Baby-Friendly Hospital Initiative questionnaire and based on 24 h recall.SettingMaternity wards in all public hospitals and twenty-nine (of thirty-five) private maternity clinics nationwide.SubjectsConsecutive sample of 586 mothers recruited within 48 h from birth, followed up by telephone interview at the first, fourth and sixth month.ResultsAlthough 84·3 % of mothers initiated BF before discharge, prevalence of BF at the sixth month was 32·4 %, with the highest reduction observed between the first and fourth months. Prevalence of EBF at 48 h was 18·8 % and fell gradually to 5·0 % at the sixth month. Mothers with higher educational attainment or higher family income were more likely to breast-feed until the sixth month. In terms of EBF, an association was observed only with education, which persisted until the sixth month. Other than social gradient, mode of delivery was the strongest determinant of BF initiation, exclusivity and continuation. Mothers who gave birth vaginally were three to four times more likely to initiate BF (OR=3·1; 95 % CI 1·7, 5·4) and EBF (OR=4·3; 95 % CI 2·7, 6·8).ConclusionsThe low prevalence of BF and EBF in Cyprus, together with the fact that caesarean section rates are currently among the highest in Europe, suggest the need for further research to understand this multidimensional phenomenon and for interdisciplinary policy action to protect, promote and support BF.

scholarly journals PREVALENCE AND PATTERNS OF ACUTE WATERY DIARRHOEAL ADMISSIONS PRESENTING TO A TERTIARY HOSPITAL IN SOUTH-EAST, NIGERIA

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Victoria Chikodili Ofora ◽  
Jacinta Chinyere Elo-Ilo ◽  
Chioma Pauline Mbachu ◽  
Ogochukwu Chioma Ofiaeli ◽  
Joy Chinelo Ebenebe ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
University Teaching ◽  
Watery Diarrhoea ◽  
Watery Diarrhea ◽  
Oral Rehydration ◽  
Anambra State ◽  
Economic Class ◽  
Childhood Morbidity ◽  
Duration Of Illness ◽  
Acute Watery Diarrhea

Background: Globally, acute watery diarrhea (AWD) is a major cause of childhood morbidity and mortality. It is the fourth leading cause of death in children contributing as high as 11% of all childhood deaths. In Nigeria, AWD causes 240,106 under five deaths per year despite the interventions aimed at preventing diarrhoea disease.  Objective: This work was to determine the prevalence and patterns of acute watery diarrhoeal admissions among children presenting to Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra state, Nigeria. Methods and Materials: This was an observational study. Children aged 6-36 months, admitted for acute watery diarrhea, who met inclusion criteria and whose caregivers gave informed consent. The caregivers of these children were interviewed using interviewer-administered questionnaire. Information obtained included socio-demography (age, gender, social class among others), symptoms of diarrhoea, duration of illness and medications given to these children at home. Data were analyzed using SPSS 21. Results: Of the159 study participants admitted for AWD, 103(65.0%) were males. Those of lower socio-economic class comprised 66.6%(106) while 49(30.6%) and 4(2.8%) belonged to the middle and upper socio-economic classes respectively. A total of 921 inpatients were admitted for the period of the study (January 2017 to October 2017), giving an AWD prevalence of 17.3%(159). The highest number of admissions occurred from January to March 2017, with highest prevalence in March. There is poor utilization of oral rehydration solution (40.3%; 64) with abuse of antibiotics in the home management of diarrhea. Conclusion and recommendations: The result of this study showed that the prevalence of AWD is still unacceptably high. Interventions aimed at prevention (such as promotion of exclusive breastfeeding, health education on hand and environmental hygiene, and inclusion of rota virus and cholera vaccine in our national program on immunisation etc) should be encouraged and strengthened by the policy makers and monitored for proper uptake by the populace. Key words: Prevalence, Acute watery diarrhoea, children, Admissions

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):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slums ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract BackgroundUndernutrition 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 in children under five in Maharashtra, India.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 house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37).Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.ConclusionsFactors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registration-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.

scholarly journals EXCLUSIVE BREAST FEEDING

2010 ◽  
Vol 17 (02) ◽  
pp. 286-290
Author(s):  
SOHAIL ASLAM ◽  
FAROOQ AKRAM ◽  
MEHBOOB SULTAN
Keyword(s):  
Breast Feeding ◽  
Feeding Practice ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Lower Socioeconomic ◽  
Primary Care Hospital ◽  
Breast Feed ◽  
Study Setting ◽  
Breast Fed

Objective To study the duration and factors influencing exclusive breast feeding practice. Design: A cross sectional descriptive study Setting: A primary care hospital Gilgit, northern area of Pakistan. Period: Ten months from March 2007 to December 2007. Material & Method This study include 125 mothers with mean age of 24.3 years (SD 4.8),37% were illiterate while only 14% were matriculate or above among 125 babies (male 61%: female 39%). Results Out of total 125, eighty one (64.8%) babies were exclusively breast fed (EBF) for first six months of life and only five(4%) infants were not given breast milk at all . among 76 male infants ,52 (68.4%) were EBF for six months in comparison to 29 female (59.2%) out of 49. among 36 first born infants only 15 (41.7%) were EBF for six months in comparison to 66 (74.2%)out of 89 not first born(p<0.05). Conclusion: Exclusive breast feeding for complete 6 months is still not routinely practised by most of mothers and first born are deprived of this right in majority lower socioeconomic group and illiterate mothers are more likelyto breast feed, gender bias was also observed as a significantly high percentage of male babies were observed to be breast fed as compared to females. More efforts are required by health depart. And NGO’s to promote good breast feeding practices in our setup. 

scholarly journals Knowledge, Attitude and Practice of Saudi Parents Towards Their Children's Oral Health: An Online Questionnaire Survey

2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Malaz Mohamed Elrafie Mustafa ◽  
Ebtehaj Saleh Albeshri ◽  
Mashael Khaled Althobati
Keyword(s):  
Oral Health ◽  
Young Children ◽  
Breast Feeding ◽  
Online Survey ◽  
Family Income ◽  
Dental Treatment ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
On Demand ◽  
Children’S Oral Health

Children's oral health is of paramount importance as it governs the oral health status of the upcoming generation. Their oral hygiene is a vital part of general childcare. This under-appraised issue is often neglected by young parents, which can result in poor children's oral health. Aim: To assess standard knowledge, attitude and behavior of Saudi parents pertaining to the oral health of their young children. Materials and Methods: a prospective cross-sectional online survey was conducted in Saudi Arabia in 2017. The questionnaire included a total of 16 questions which were divided into two parts; the first part asked about parents' general information such as the name, age, gender, educational level, occupation and total family income. The second part included questions related to knowledge, attitude and practices toward children on selected oral health issues. Results: 1038 Saudi parents responded to the online questionnaire (70% Females and 30% male). Majority Saudi parents recognized many preventive dental aspects like importance of early acquisition of tooth brushing, avoidance of caries-related diet and nocturnal on demand breast feeding. Seventy three percent were convinced that it is better to take their children to a specialized pediatric dentist rather than a general dental practitioner. However, it was revealed that there was limited knowledge and awareness of Saudi parents about the significance of the routine dental checkups, ideal timing of first dental visit and importance of topical fluoride. Hypothetical myths and social beliefs associated with dental treatment like endodontic treatment were common; creating barriers to early preventive and curative dental care of young Saudi children. Conclusion: Parents were found to have inadequate knowledge in regard to oral health of their young children. The present research points to a need for enhanced dental education of parents, particularly in planning for their children's first visit and effect of prolonged on-demand at night breast feeding on development of early childhood caries. Community based oral health programs are required in order to raise parents' awareness regarding their children's oral health.

scholarly journals 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):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Urban Slums ◽  
Trial Registration ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

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 in children under five in Maharashtra, India.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 house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. Results The mean age of the children was 2.38years (±SD 1.365) and mean age of mothers was 24.25(± SD6.37) years.Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001)in children underfive were associated with wasting, children with birth order 2 or less than 2 were more affected by stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight.Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.Conclusion Factors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.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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