scholarly journals Determinants of Nutritional Practices Among Mothers with Under-Five Children is Paramount in Curbing the High Rate of Morbidities and Mortalities among Under-Five Children

2021 ◽  
Vol 4 (3) ◽  
pp. 139-165
Author(s):  
Dolapo O. ◽  
Olanreqaju M.F.

Nutritional outcomes among under-five children in Nigeria are among the worst globally. Therefore, this study investigated the determinants of nutritional practices among mothers with under-five children attending selected primary health centers in Abeokuta, Ogun state, Nigeria. The study adopted a quantitative cross-sectional descriptive survey research design. A A multi-stage sampling technique was used to select 419 mothers of under-five children attending primary health centres in Abeokuta, Ogun State. All the Research questions and hypothesis were formulated and were tested using the SPSS version 27 to compute descriptive and inferential statistics which were tested at a 5% level of confidence. The result indicated that mean age of respondents in this study was 28.48 ± 5.811years with participants between the ages of 27-35 (44.6%) were the highest. High level of knowledge regarding under-five nutrition was measured on a 21-points rating scale showed a mean score of 12.65±3.61. There was good level of nutritional practices which was measured on a 17-points rating scale showed a mean score of 11.06±2.26. There was a significant difference between level of education of mother and their nutritional practice (P=0.000), there is a significant correlation between respondents’ level of knowledge (r=0.256; p=0.000). In conclusion, the study established that there is good level of knowledge of under-five nutrition; there was poor support and good level of nutritional practice. The study recommended that continued training and re-training is very important for mothers of under-five children. There is also need for active involvement of the media in dissemination of nutritional benefits of under-five children.

2016 ◽  
Vol 43 (6) ◽  
pp. 226
Author(s):  
Endy P Prawirohartono ◽  
Ni Made Yuni Gumala

Objective To estimate the proportion of food intolerance in chil-dren based on parents’ perception and to analyze factors associ-ated with food elimination.Methods A cross-sectional study was done among 250 mothersof under-five children in Gianyar District, Bali. Mothers were inter-viewed with a questionnaire concerning basic characteristics ofthe children, the family, a list of allergic diseases, disturbance afteringesting certain foods, food avoidance, the reason for eliminatingcertain foods, the person who gave advice, and probable parentalhistory of allergic diseases.Results Fifty-three children (21.2%) were suspected to have ‘prob-able allergic diseases’ and six (2.4%) had ‘probable food intoler-ance’. Food elimination was practiced in 27 (10.8%) families. ‘Prob-able allergic parents’ was found in 49 (19.6%) families. There wasa significant difference in child allergy in proportion to parentalallergy (x 2 test p<0.0001). Food elimination was not associatedwith parental allergies, children’s allergies or children’s ages (x 2test p=0.36, 0.47, and 0.56), but seemed to be related to loweducational status of mothers (x 2 test p<0.0001) and fathers(Fisher’s exact tests p< 0.0001).Conclusions The proportion of children with ‘probable allergic dis-eases’ was higher in families with ‘probable allergic parents’. Theproportion of food elimination was greater than the prevalence of‘probable food intolerance’. Low educational status of parentsplayed an important role in this discrepancy of food elimination inchildren


2021 ◽  
Vol 4 (3) ◽  
pp. 22-31
Author(s):  
Sarmila Pradhan ◽  
Deepika Khadgi ◽  
Namita Yengden ◽  
Karishma Khadgi

Dental caries is a major public health problem globally and is one of the most chronic diseases in children. Children are susceptible to caries as soon as the first teeth appear. Parents are the primary decision-makers in matters of children's healthcare. If the parents are knowledgeable about the child's oral health care then childhood dental caries can be prevented. The objective of this study was to identify the knowledge on childhood dental caries among parents of under five children. A descriptive, cross-sectional study was carried out among parents of under five children in a community of Biratnagar 12. Sample was selected using non probability purposive sampling method and data was collected by face-to-face interview using a self-developed, semi-structured interview guideline. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e chi square was used to find the association between dependent and independent variables. About three fourths (71%) of the parents were of age group 20-30 years and 88% of them were mothers. Most of the parents (90%) were aware that dental caries can occur in under five children and excessive sugar intake was the most common cause as reported by all of them. Only 40% knew that dental caries is transmissible and among them 97.6% responded by sharing of toothbrush. Regarding good brushing habit, most of the parents were aware. Almost all (95%) knew that proper tooth brushing helps to prevent dental caries whereas only 19% were aware about use of fluoridated tooth paste as preventive measures. Meanwhile, only 12% of the parents were aware that first dental visit should be done when first tooth erupts or within 1 year of age More than half (79%) had good knowledge on childhood dental caries but there was no association of knowledge with socio-demographic variables. The study concluded that more than half of the respondents had good knowledge on childhood dental caries and none of the socio-demographic variables were associated with the level of knowledge of parents on dental caries. Despite good knowledge, prevalence of childhood dental caries is high in our society thus reflecting the need to assess the practice of dental care.


2017 ◽  
Vol 41 (1) ◽  
pp. 11
Author(s):  
Indra B. Hutagalung ◽  
Bangun Lubis ◽  
Ridwanto Ridwanto ◽  
Hakimi Hakimi ◽  
Endang D. Hamid

A cross sectional study was done on 94 under five children taken from Keluarga Pra-sejahtera (pre-prosperous family=-pre-PF) and Keluarga Sejahtera Tahap-1 (prosperous family phase-I=PF-I) in the East Medan subdistrict, municipality of Medan in period of August 1995 up to February 1996. The aim of the study was to measure nutritional status of under five children in both groups. There were 94 under five children in group of ore-PF and 94 under five children in group of PF-l. It was found that the nutritional status of both groups was significantly different. Significant difference was also noted when they were classified according to father's occupational status and father's education level. However when they were grouped according to maternal education, number of children in the family, and occurrence of disease in the previous month no significant difference was detected.


2021 ◽  
Vol 4 (3) ◽  
pp. 105-120
Author(s):  
Aruoture O.A. ◽  
Ademola A.

The study investigates the factors influencing the recognition and practice of Home-management of malaria among mothers of under-five children in Obafemi Owode Community, Abeokuta, Ogun State. The study employed a descriptive cross-sectional design. The study employed a multi-staged sampling technique to select 299 nursing mothers of under-five children at the primary health care centre of Obafemi Owode Community. The main instrument for the study was a questionnaire. The selected socio-demographic variables were analyzed using the descriptive analysis while the hypotheses were tested using Pearson Product Moment Correlation and linear regression analysis. The result indicated that 38.5% of the nursing mothers had a high level of knowledge of home-based management of malaria. 55.9% of the respondents had an average attitude towards home-based management of Malaria. 46.8% had a good level of practice of home-based management of malaria. There was a significant relationship between the demographic factors of nursing mothers and knowledge of home-based management of malaria among nursing mothers of Obafemi Owode Community, Abeokuta, Ogun State (p< .05). However, the age of mother is not significantly associated with knowledge of home-based management (p> 0.05). The calculated R Squared and p-value for demographic variables on practice of home-management of malaria among nursing mothers is: 0.788 which signifies 78.8% contribution to practice of home-management among nursing mothers. Hence, all demographic characteristics of nursing mothers are significant predictors of practice of home-based management of Malaria among Nursing mothers of Obafemi Owode Community, Abeokuta, Ogun State. The study recommended that Primary Health centres should put in place mechanisms for example incorporating components of home visit in the performance appraisal of community Health Officers to ensure the recommended number of visits are adhered to. Also, caregivers’ seemingly inability to correctly dissociate between the two essentials of knowledge related to malaria can be addressed by Community Health Officers through the home visit programme.


2019 ◽  
Vol 4 (1) ◽  
pp. 4
Author(s):  
Intan Mutiara Putri

Abstract: Injury is still one of the problems that need special attention because high mortality rate caused by injuries is still quite high. According to report of World Health Organization (WHO), from 5.8 million deaths worldwide, more than 3 million deaths among them occurred in developing countries due to the incidence of injuries. By analyzing the characteristics of the development, toddlers are more at risk of injury than adults. Injury results in 42% of deaths in children aged 1-4 years in the United States. Knowledge about the risk of injury and the practice of its prevention as well as handling is needed to parents who have under-fives children, so they can provide appropriate action. The purpose of this study was to determine the correlation between the level of knowledge and the practice of injury prevention in under-five children in Bangunjiwo Kasihan Bantul Yogyakarta. This study used a descriptive observational method with a cross sectional approach with a quantitative approach. The sampling technique applied the cluster random sampling method obtained by Anggrek Bulan Maternal Care at Kalangan Village. The numbers of samples were 90 under-five children. Bivariate statistical analysis employed Chi Square test. The results of the statistical test showed that there was a correlation between the level of knowledge and the practice of injury prevention in under-five children in Bangunjiwo Kasihan Bantul, Yogyakarta (p-value = 0.016). Thus, midwives need to improve health counseling for parents who have under-five children about the risk of injury to children, so parents have good knowledge regarding children's health, especially regarding the risk of injuries that can occur to children.  


2021 ◽  
Vol 17 (1) ◽  
pp. 30-35
Author(s):  
N. Dhana Sekaran ◽  
L. Indhumathi ◽  
Anu Kharel

Introduction: Paediatric emergencies are the leading causes of death in children under five years of age. The toddlers, preschoolers with highest curiosity to explore, investigate and with the ability to run and play are more prone to getting injuries like falls, burns, cuts, bites, stings, poisoning, fracture, chocking, and wounds. Paediatric emergency mostly occur in home, roads and grounds. Hence the mothers are expected to be knowledgeable on paediatric first aid management. The objectives of this research to assess the knowledge on pediatric first aid management, to compare the knowledge on pediatric first aid management and to find out association between the knowledge scores of mothers with under five children with selected demographic variables. Methods: A cross sectional analytical study was conducted to assess the knowledge regarding pediatric first aid management among 165 mothers with under five children were selected  in pediatric outpatient department of College of Medical Sciences  Teaching Hospital by non probability purposive sampling technique and data was collected by using structured interview questionnaire. The data was analyzed using both descriptive and inferential statistics SPSS software. Results: Demographic characteristics reveal that highest percentage (61.8 %) of them had one under five children. Comparisons of the knowledge score with demography highest mean and SD in relation to postgraduate shows that (30.2 ± 1.78). The level of knowledge score was (53.9 %) of them had adequate knowledge. However there was significant association between knowledge score with their education, occupation, family income and previous source of information. It revealing that maximum demographic variables do not affected the level of knowledge. Conclusions: The level of knowledge about pediatric first aid management among mothers was satisfactory. But still the mothers require the need of pediatric first aid health information among mothers to save and safe the children.   Keywords: Knowledge, Pediatric First Aid Management, Mothers with Under Five Children.


2021 ◽  
Vol 9 (E) ◽  
pp. 581-587
Author(s):  
Debora Natalia ◽  
Dina Keumala Sari ◽  
Rizky Ardiansyah ◽  
Wulan Fadinie

BACKGROUND: The coronavirus disease 2019 (COVID-19) is a new type of disease, which has never been identified in humans. Some of the primary symptoms are associated with acute respiratory disorders, namely, fever, cough, and shortness of breath. A person’s nutritional status affects the risk of infection and the clinical course of COVID-19. Knowledge is an important domain for the formation of a person’s behavior, because actions based on knowledge are more important than actions or behaviors that are not based on knowledge. AIM: This study aims to determine the relationship between the level of knowledge about COVID-19 and the balanced nutritional behavior of the people of Medan City. METHODS: This was a descriptive analytical study, with a cross-sectional research design. The study samples consisted of Medan City residents, who met the inclusion and exclusion criteria based on the convenient sampling method. The primary data in this study were drawn from a research questionnaire, which was filled out online. RESULTS: From 200 of the research samples analyzed, 88% had a good level of knowledge towards COVID-19, 59% had a good level of nutrition practices. There was no significant difference between mean score and results for knowledge of COVID-19 and nutritional practices based on certain demographic characteristics. The relationship analysis showed p = 0.22; prevalence ratio = 2.711; and confidence interval 95%= 1.123–6.541 with a correlation value of 0.161. CONCLUSIONS: There was a weak positive relationship between knowledge regarding COVID-19 and nutritional practices in residents of Medan City, Indonesia.


2017 ◽  
Vol 2 (1) ◽  
pp. 117-126
Author(s):  
Tara Kumari Kafle ◽  
GP Singh ◽  
SP Singh ◽  
TK Kafle

IntroductionThe poor nutritional status of under five children has been considered a serious problem in Nepal for many years. Children need adequate nutrition for their proper physical, emotional as well as psychological development.ObjectiveThe objective of this study was to assess and compare the nutritional status of under five children and explore its socio demographic determinants.MethodologyAn analytical cross-sectional study was conducted in Eastern Terai, ecological belt of Nepal. Predesigned, pretested interview schedule was used to collect the information. Information was collected from 720 Dalit as well as Non-dalit mothers about their youngest children. The nutritional status was measured byusing anthropometric measurements.  ResultsIn bi-variate analysis the significant difference were observed among children's nutritional status between castes as well as a number of socio-demographic variables however in multivariate analysis only caste, number of Children Ever Born (CEB) and mother's education were found significant determinants of height for age, mother's education was found significant determinant for weight for height and caste, age of children and mother's education were found significant determinants of weight for age of children.ConclusionDalit children were found much more malnourished than Nondalit. The castes, age of child, CEB to mother and mothers' education were found as the determinants of nutritional status among under-five children.Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 117-126


2016 ◽  
Vol 35 (3) ◽  
pp. 237-246
Author(s):  
Muhammad Akhtaruzzaman ◽  
Md Anwar Hossain ◽  
Ahmed Murtaza Choudhury ◽  
Md Nazul Islam ◽  
Sonjib Kumar Dhar

Introduction: Diarrhoea is a leading cause of under-five morbidity and mortality. Most of the diarrhoeal episodes are treated initially at home by mothers. The objective of the study was to assess mothers’ knowledge and practice of home management of diarrhoea.Material and Methods: This hospital based descriptive cross sectional study was carried out in Mymensingh Medical College Hospital. Three hundred and sixty children under five years of age having acute diarrhoea were included in the study by systematic random sampling. A structured pretested interview schedule was used to collect data. There were 11 knowledge and 11 practice questions; each was scored a point if correctly answered. The level of knowledge and the level of practice both were classified as poor for score 0-5 and good for score 6-11.Results: Of the 360 mothers, 45.55% had a good level of knowledge, while 33.89% had good level of practice. Both higher knowledge and practice score was significantly (p<0.001) associated with mother’s age, educational level and occupation and father’s educational level occupation and income. After adjusting for other factors, mother’s age was significantly associated with level of knowledge (p=0.003) and mother’s educational level was significantly associated with both level of knowledge (p=0.001) and practice (p=0.002) in home management of diarrhoea.Conclusion: The study has shown a low level of knowledge and practice in mothers regarding management of diarrhoea. The educational programs for mothers must be an essential part of the health facility programs.J Nepal Paediatr Soc 2015; 35(3): 237-246


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.


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