Knowledge and home management of diarrhoeal disease among mothers with under-five children attending university of Uyo teaching hospital, Nigeria

Mkpouto Udeme Akpan, Echey Ijezie

Abstract


Background: Diarrhoea is a major cause of mortality in under-five children worldwide, but more especially in developing countries including Nigeria. Most of the deaths are due to dehydration and its mismanagement at home. Mothers’ good knowledge and proper home management will help reduce its morbidity and mortality rates. Aim: To assess the knowledge of diarrhoea and home management among mothers with under-five children attending the University of Uyo Teaching Hospital, Uyo, Nigeria. Methods: A twenty-two item structured questionnaire was administered to 370 mothers with at least one under-five child who attended either the Children’s Emergency Unit or the Paediatric clinic of the University of Uyo Teaching Hospital. The questionnaire bordered on knowledge, prevention, home management and attitudes of mothers toward diarrhoea. Results: Majority (86.2%) of the women knew that drinking dirty water can cause diarrhoea, 175 (47.3%) believed teething causes diarrhoea, 177 (47.8%) knew that human faeces could be a source of diarrhoea, while 332 (89.7%) knew that hand-washing prevents one from developing diarrhoea. Their level of knowledge of signs of dehydration was low with 45.7%, 62.4%, 27.8% and 42.2% identifying sunken eyes, thirst and dry mouth, tearless eyes and loss of stretchiness of the skin as signs of dehydration respectively. Conclusion: Though mothers had good knowledge of causes, and home management of diarrhoea, there are still knowledge gaps. Efforts to bridge the gaps should be tackled through periodic and regular health education programs for the mothers

Full Text:

PDF HTML

References


Amare D, Dereje B, Kassie B, Tessema M, Mullu G, Alene B, et al. Maternal knowledge and practice towards diarrhoea management in under five children in Fenote Selam town, West Gojjam zone, Amhara regional state, Northwest Ethiopia. J Infect Dis Ther. 2014; 2: 182. Doi: 10.4172/2332-0877.1000182.

UNICEF. Pneumonia and diarrhoea tackling the deadliest diseases of the world’s poorest children. New York, NY: UNICEF; 2012.

Boschi-Pinto C, Velebit L, Shibuya K. Estimating child mortality due to diarrhoea in developing countries. Bul World Health Organ. 2008; 86: 710-17.

WHO, author. Reducing mortality from major childhood killer diseases . Mortality Country Fact Sheet. 2006. https//apps.who.int/chd/publications/ imci/ fc_ 180.htm.

UNICEF Nigeria, author. The child – Maternal and child health. http:// www.unicef.org/nigeria/ children 1926.html.

World Health Organization. Diarrhoeal disease fact sheet. 2013; No.330.

Environmental Health Project, author. Lesson Learnt (Oct.2002). PNA-CY112. www.ehproject.org.

Ghasemi AA, Talebian A, Masoudi Alavin N, Mousavi GA. K knowledge of mothers in management of diarrhoea in under five children, in Kashon, Iran. Nurs Midwifery Stud. 2013; 1: 158-62.

Othero DM, Orago AS, Groenewegen T, Kaseje DO, Otengah PA. Home management of diarrhoea among under five in a rural community in Kenya: household perceptions and practices. East Afr J Public Health. 2008; 5: 142-6.

Abiola AO, Ndamon AL, Idris SH, Jiya NM, Ibrahim MT. Home management of childhood diarrhoea among mothers in Sokoto, Nigeria. Trop J Health. 2010; 17(1) http://dx.doi.org/10.4314/tjhc.v17: 1.52801.

Masangwi SJ, Grimason AM, Morse TD, Kazembe L, Ferguson N, Jabu G. Pattern of maternal knowledge and its implications for diarrhoea control in Southern Malawi: multilevel thresholds of change analysis. Int J Environ Res Public Health. 2012; 9: 955-69.

Merga N, Alemayehu T. Knowledge, perception and management skills of mothers with under-five children about diarrhoeal disease in indeginous and resettlement in Assosa District, Western Ethiopia. J Health Popul Nutr. 2015 3; 33(1): 20-30.

Ahmed IS, Eltom AR, Karrar ZA, Gibril AR. Knowledge, attitudes and practices of mothers regarding diarrhoea in a Sudanese rural community. East Afr Med J. 1994; 71(11): 716-9.

Uchendu UO, Emodi IJ, Ikefuna AN. Pre-hospital management of diarrhoea among caregivers presenting at a tertiary health institution: implications for practice and health education. Afr Health Sci. 2011; 11(1): 41-7.

Ahmed F, Farheen A, Ali I, Thakur M, Samina M. Management of diarrhoea in under-fives at home and health facilities in Kashmir. Int J Health Sci (Qassim). 2009; 3 (2): 171-5.

Adimora GN, Ikefuna AN, Ilechukwu G. Home management of childhood diarrhoea: Need to intensify campaign. Nig J Clin Pract. 2011; 14(2): 237-41.

Ogunrinde OG, Raji T, Owolabi OA, Anigo KM. Knowledge, attitude and practice of home management of childhood diarrhoea among caregivers of under-5 children with diarrhoeal disease in Northwestern Nigeria. J Trop Pediatr. 2012; 58(2): 143-6.

Okunribido OO, Brirger WR, Omotade OO, Adeyemo AA. Cultural perceptions of diarrhoea and illness management choices among Yoruba mothers in Oyo state, Nigeria. Int Q Community Health Educ. 1997; 17(3): 309-18.

Oyoo A, Burstrom B, Forsberg B, Makhulo J. Rapid feedback from household surveys in PHC planning: An example from Kenya. Health Policy Plan. 1991; 6(4): 380-3.

Desta BK, Assimamaw NT, Ashenafi TD. Knowledge practice and associated factors of home-based management of diarrhoea among caregivers of children attending under-five clinic in Fagita Lekoma district, Awi zone, Amhara Regional state, Northwest Ethiopia. Nurs Res Pract. 2017; doi.org/10.1155 /2017/ 8084548.

Gazi E, Chowdhury A, Kumar R, Sarkar AP, Basu SS, Sahar S. ‘Can mothers care for acute diarrhoeal disease of their under five children effectively at home? A cross sectional study in slum community in Bankura. J Evidence Based Med and Healthcare. 2015; 2 (36): 5575-84.

James RM, Gathece LW,Kemoli AM. Association of fever and diarrhoea with infant teething among mothers attending two health centres in Nairobi. J Kenya Dental Assoc. 2015; 6(2): 265-72.

Paul NI, Olanrewaju PF. Mothers’ perception of teething in children. The Nig Health J. 2014; 14(1):21-6.


Refbacks

  • There are currently no refbacks.