Is knowledge and practice of oral rehydration therapy suboptimal? Assessment at Federal Medical Center, Asaba, South-South Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20173309Keywords:
Oral rehydration therapy, Children, Practice, KnowledgeAbstract
Background: Oral rehydration therapy (ORT) is a core component of the childhood survival strategies to reduce child mortality and morbidity due to diarrhoeal disease with its fatal dehydrating complication of acute kidney injury. This strategy is indispensable to the attainment of the International Society of Nephrology’s (ISN) aim to eliminate preventable deaths from acute kidney injury (AKI) by year 2025. Diarrheal disease is the second most common cause of morbidity and mortality in children at our centre. This interventional study assessed the knowledge and the practice of ORT among caregivers, educated and trained them on the management of diarrhoeal diseases and practice of ORT. Oral rehydration salt (ORS) and zinc tablets were also distributed.
Methods: An interviewer-administered questionnaire was used following informed consent. Consented care givers of wards attendees of FMC Asaba were assessed on their knowledge and their practice of ORT, educated on childhood diarrheal diseases, trained on practice of ORT and had ORS and zinc tablets distributed to them. These assessments were done on the spot and 6 weeks after the health talk, from July 2015 to December 2015.
Results: There were 266 respondents and 231 were mothers. The immediate impact of the health talk on the knowledge and the practice of ORT was laudable, p≤0.0001 and educational attainment of the respondent influenced the immediate post health talk knowledge of ORT, p=0.009. The age of the respondent predicted the long term impact of health talk on practice of ORT, p=0.020.
Conclusions: Knowledge and practice of ORT are not optimal but can be improved by regular education.
References
World Health Organization/United Nations Children’s Fund. Joint Statement - Clinical Management of Acute diarrhea. WHO/UNICEF; 2004 WHO/FCH/CAH/04.7. The United Nations Children’s Fund (UNICEF)/World Health Organization (WHO), Geneva, Switzerland. Accessed on 26th May 2016.
Ezeonwu BU, Chima OU, Oguonu T, Ikefuna AN, Nwafor I. Morbidity and mortality pattern of childhood illnesses seen at the children emergency unit of Federal Medical Center, Asaba, Nigeria. Ann Med Health Sci Res. 2014;4(3):239-44
International society of nephrology (ISN). Zero preventable death from AKI by 2025 (0by25): an ISN human right initiative. Eliminating preventable deaths from acute kidney injury (AKI). Available at www.0by25.org. Accessed on 20th February 2017
Anochie IC, Eke FU. Acute renal failure in Nigerian children: Port Harcourt experience. Pediatr Nephrol. 2005;20:1610–4.
Olowu WA, Adelusola KA. Pediatric acute renal failure in southwestern Nigeria. Kidney Int. 2004;66(4):1541-8.
Agbolade MO, Dipeolu IO, Ajuwon AJ. Knowledge and Use of Oral Rehydration Therapy among Mothers of under-five children in a Military Barrack in Ibadan, Nigeria. AJ Afr. J Biomed Res. 2015;18(1):7-15
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(6):182.
Saurabh S, Shidam UG, Sinnakirouche-nan M, Subair M, Hou LG, Roy G. Knowledge and Practice Regarding Oral Rehydration Therapy for Acute Diarrhoea among Mothers of Under-Five Children in an Urban Area of Puducherry. India Natl J Community Med 2014;5(1):100-4.
Ansari M, Mohamed IMI, Shanka PR. Mothers’ Knowledge, Attitude and Practice Regarding Diarrhea and its Management in Morang Nepal: An Interventional Study. Trop J Pharm Res. 2012;11(5):847-54.