scholarly journals Knowledge and Practice of Mothers Regarding Child Safety at Home among Under Five Children and Its Correlation with Sociodemographic Details

Author(s):  
L. M. Gauthamme Sai ◽  
Radha Kumar ◽  
Vemulapalli Harsha

Background: Young children are prone for accidental injuries in the home environment and these injuries can be easily prevented by better supervision and improving safety in the home. Objectives: The aim of the study is to assess the knowledge and practice of mothers regarding child safety in under five children at home and its correlation with sociodemographic details. Materials and Methods: A cross sectional study conducted in a tertiary care teaching hospital at Kancheepuram. The duration of the study was 2 months. Mothers with at least one child under 5 years of age who visited the pediatrics outpatient department during the study period were included in the study. The sample size was 160. After obtaining approval from the institutional review board (approval no SMC/IEC/2021/03/046) a self designed and validated questionnaire was administered to the participants after obtaining consent. The data was entered into an excel sheet and analysed using SPSS 24. Results: A total of 160 mothers of under five children who visited the outpatient department of pediatrics during the study period were included in the study.  The mean age of mothers was 25 years. 73.12% of mothers who participated in the study had adequate knowledge about child safety at home and 53.12% mothers had adequate practice. The association of knowledge towards child safety at home and mothers’ education was statistically significant (P = 0.006). Graduate mothers were found to have more knowledge regarding child safety at home among under five children than mothers educated upto middle school and high school. The association of practice towards child safety and type of family was found to be statistically significant (P = 0.016). Mothers belonging to joint families were found to have better practices towards child safety than mothers belonging to nuclear and three generation families. 65% of the mothers stated that their child has suffered from home injuries earlier including minor and major injuries. 41.8% of mothers said that they have a first aid kit at home. Conclusion: Although most of the mothers had adequate knowledge towards child safety at home among under five children, half of the mothers lacked adequate practice towards child safety. Hence it is essential to counsel and educate mothers to improve practices at home that would be beneficial in improving child safety.

2020 ◽  
Vol 2 (1) ◽  
pp. 47-51
Author(s):  
Sapana Gautam ◽  
Dinesh Kumar Thapa

Background and purpose: The role of nursing care among the traction patients is vital and they should be competent, experienced and educated well about the traction devices used and care to minimize the traction associated complications and infections. This study was designed to access the knowledge and practice regarding care and management of the patients with traction in orthopedic trauma by Nurses. Material and method: A cross sectional descriptive study was conducted on 100 eligible nursing staffs from Kathmandu Medical College Teaching Hospital. Non-probability purposive sampling technique and a self administered structured questionnaire were used to collect data. The statistical analysis was done by using the SPSS version 16. The association between the demographic factors was analyzed by using chi square test.  Result: The working area and traction training has significant relation to knowledge and other, such as age, education, work experience, worked in orthopedic ward has no significance. There is adequate knowledge as the percentage value is 88 and practice regarding care of the patient on traction is 98%. Conclusion: The knowledge regarding traction care seems sufficient in this study and every orthopedic nursing should be master in traction knowledge, application and nursing care to acquire early patient recovery without significant deformity and complications.


Author(s):  
Muthulakshmi M. ◽  
Gopalakrishnan S.

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


Author(s):  
Anjana Verma ◽  
Dhriti Chugh ◽  
Ashish Patyal ◽  
Jitendra Kumar Meena ◽  
Medha Mathur

Background: Malnutrition continues to be a major problem in India and is rightfully described as “the silent emergency.” Sociocultural factors and rural urban disparity in health services in our country further impact the health outcomes. The effects of malnutrition are long-term and trap generations in the vicious circle of poverty. Improving nutrition is therefore essential to accelerate economic growth and development of the country.Methods: It was a community-based cross-sectional study conducted among 200 under five children residing in rural Udaipur, Rajasthan. Random sampling technique was used to select the study participants. A structured validated questionnaire was used to collect socio demographic data, birth history, Anganwadi beneficiary status etc. Mid upper arm circumference (MUAC), weight and heights were recorded and classified as underweight, wasted and stunted, using standard World Health Organization (WHO) guidelines.Results: This study revealed that 58% of the study population was stunted, 45% was wasted, 54% was underweight and 5% was overweight of the study population was overweight. Regarding the association of malnutrition parameters with other factors, it was found that malnutrition was high among female children, lower socioeconomic class, children of low educated mothers and children who were not exclusively breast fed.Conclusions: To combat malnutrition in India, there is need of multifaceted approach, taking into account the sociocultural determinants, demographic variables, especially in rural areas. In addition to providing supplementary nutrition, innovations regarding specific interventions targeted towards vulnerable population is necessary.


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):  
S. Dhanya Dedeepya ◽  
Vidhyasagar Krishnamoorthy ◽  
P. Ambikapathy

Aim: To assess the knowledge, attitude and belief of Parents about fever in their children and how they respond to it while at home and when they seek medical attention. Objectives: The purpose of this study is to know the preexisting knowledge of parents about fever in their children and to impart additional knowledge to them. Materials and Methods: A Cross- Sectional study in the form of a questionnaire was conducted at a tertiary care hospital among parents of children visiting the outpatient department and those admitted as inpatient with fever. Children who presented to the emergency room and those with chronic illnesses were not included. Majority of the primary caregivers was the child's mother, and family becomes the 1st point of contact for the intervention, hence we chose family. As per our department that at least 80% of children were primarily brought to OP for fever, and 90% of those admitted in wards were for febrile illnesses, with or without other associated problems, we asked the statistician to come up with an adequate number and we were given.  Results: A total of 100 parents were selected and interviewed. The informants were mostly mothers (83%). Most of the children were brought to outpatient department within the first five days of onset of fever (68%). The parents said that they confirmed the fever by touch(86%)and most of them prefer to consult the pediatrician before giving any medication (56%).The most common symptoms which were seen associated with fever are cough, cold  and  running nose (54%).The most common cause for worry amongst parents are complications like febrile seizures (43%). Conclusion: Fever is one of the most common complaints with which patients come to the hospital. Majority of parents in this study do not have the practice of documenting fever at home with a thermometer. Inadequate parental knowledge about the nature of fever can lead to poor management. Appropriate education helps them to take appropriate measures when their child develops fever.


2019 ◽  
Vol 7 (1) ◽  
pp. 66
Author(s):  
Navaneetha N. ◽  
Sherin Billy Abraham ◽  
Thushara Thomas ◽  
Rose Mary ◽  
Bhuvanendu . ◽  
...  

Background: Immunization coverage is undisputedly the most effective health status and outcome indicator.  Though India is effectively organizing vaccination campaigns, a large majority of children are often left out. Strong anti-vaccination propaganda is influencing the decision of parents. This study was initiated in the context of vaccine-preventable disease outbreak rising recently in Kerala to assess the knowledge and practices of mothers of children less than five years regarding immunization.Methods: A cross sectional study was conducted among 140 women with children less than 5 years. Sample was drawn from the rural and urban field practice areas of a tertiary care teaching hospital. A pilot tested interviewer administered questionnaire was used to assess the knowledge and practices of immunization among mothers of under-five children. Chi-Square test was used to find the association between dichotomous variables.Results: In the study group 96.4% of the children were fully immunized. Mean score on knowledge regarding immunization among the study population was 6.45 (SD=1.84). Majority (89%) of the mothers agreed on the importance of vaccination. More than half (57.1%) had heard of anti-vaccination campaign and 24.3% were influenced by it at one time or the other. Higher knowledge score was associated with mothers residing in urban area, better occupation of mother and educational status of father. Age of child, sex, religion, type of family did not influence knowledge level. Factors influencing the perceived importance of vaccination are better occupation of father, higher education status of father and mother.Conclusions: Vaccination was perceived significant for child’s health. Immunization coverage in the study population was high. The level of knowledge regarding immunization among the study population was poor. Anti-vaccination campaign has influenced the population at one time or the other.


Author(s):  
Rina Kumari ◽  
Somesh Raju ◽  
Pragati Sharma ◽  
Raunak Verma ◽  
Prashant Pratap

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.


Author(s):  
Ashis Samuel John ◽  
Kamaxi M. Bhate

Background: Inadequate understanding by patients of medical prescription given to them adversely affects treatment compliance; which can result in treatment failure and increase the incidence of adverse effects. The study site is a tertiary care hospital in a metropolitan city and the patients attending here are particularly vulnerable in this regard both due to the heavy patient load in the outpatient department and their low socioeconomic status.Methods: This was a cross sectional study conducted in the pharmacy of K.E.M. Hospital, Mumbai over a period of 1 month. Study population included general outpatient department patients of the hospital. Patients were interviewed using a pre validated questionnaire and their knowledge of the prescription analysed under five key aspects including dose, timing, duration, side effects and purpose of each drug. Data was entered using Microsoft Excel and analyzed using SPSS 22 software.Results: The mean age of the population was 37.6, with a standard deviation of 12.4. A good overall knowledge of the prescription was present only in 12.4% patients. In 52% of patients, the level of knowledge ranged from ‘no knowledge to little knowledge’. Age and literacy had statistically significant associations with overall knowledge of prescription.Conclusions: There is a significant gap in prescription knowledge in the study population. Age and literacy of the patient has an effect on prescription knowledge.


Author(s):  
Mubeen Nazar Duggal ◽  
Attia Bari ◽  
Ayesha Mansoor ◽  
Sara Saeed ◽  
Wajiha Rizwan ◽  
...  

Abstract Objectives: To assess mothers’ knowledge about quantity of ORS and zinc in management of diarrhoea. Methods: Cross sectional study conducted over a period of 4 months from May 2019 to August 2019 among mothers accompanying under five children admitted in the diarrhoea ward of The Children’s hospital Lahore for rehydration and included 334 children age 2 months to 59 months. Data was collected regarding age, sex, residence, number of children in house hold, socioeconomic status, maternal literacy status, mother’s awareness of signs of dehydration in diarrhoea, familiarity with the term oral rehydration salt (ORS) as regards its correct preparation and administration and Zinc supplementation in diarrhoea. Conclusion: Majority mothers were aware of ORS and doctors were the main source of information. Many knew the correct role of ORS in diarrhoea and its method of preparation as sachet pack was the most commonly used type. Although ORS use rate was high, but most mothers were unaware of quantity of ORS to be given. Zinc use in diarrhoea was very low in our study. Keywords: Awareness, ORS, Zinc, Diarrhoea.


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