DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20174853

Use of oral rehydration solution by mothers of under-five children in a rural area of Kancheepuram district, Tamil Nadu: a KAP study

Muthulakshmi M., Gopalakrishnan S.

Abstract


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


Keywords


Acute diarrhoeal disease, Dehydration, Under-five mortality

Full Text:

PDF

References


World Health Organization, Geneva: Diarrheal disease Fact Sheet No. 330. World Health Organization, 2013. Available at: http://www.who. int/mediacentre/factsheets/fs330/en/. Accessed on July 7th, 2017.

Million Death Study Collaborators, Bassani DG, Kumar R, Awasthi S, Morris SK, Paul VK, et al. Causes of neonatal and child mortality in India: A nationally representative mortality survey. Lancet. 2010;376(9755):1853-60.

Thammanna PS, Sandeep M, Sridhar PV. Awareness among mothers regarding oral rehydration salt solution in management of diarrhea: A cross-sectional study. Indian J Child Health. 2015;2(4):215-8.

Rehan HS, Gautam K, Gurung K. Mothers needs to know more regarding management of childhood acute diarrhea; Indian J Prevent Social Med. 2003;34:1-2.

Gupta P, Murali MV, Seth A. Epidemiology of diarrhea in urban slums. Indian Pediatr. 1998;35:147-51.

Singh J, Gowriswari D, Chavan BR, Patiat RA, Debnath AC, Jain DC, et al. Diarrhoeal diseases amongst children under five. A study in rural Alwar. J Commun Dis. 1992;24(3):150-5.

WHO/UNICEF Joint Statement Clinical Management of Acute Diarrhoea - The United Nations Children’s Fund/World Health Organization. 2004;78:1192-9.

Cezard JP, Bellaiche M, Viala J, Hugot JP. Medication in infectious acute diarrhea in children. Arch Pediatr. 2007;14Supp 3:S169-75.

Cash RA, Nalin DR, Rochat R et al. A clinical trial of oral therapy in a rural cholera-treatment center. Am J Trop Med Hyg. 1970;19:653–6.

Mahalanabis D, Choudhuri AB, Bagchi NG et al. Oral fluid therapy of cholera among Bangladesh refugees. Johns Hopkins Med J. 1973;132:197–205.

Mahalanabis D, Wallace CK, Kallen RJ, Mondal A, Pierce NF. Water and electrolyte losses due to cholera in infants and small children: a recovery balance study. Pediatrics. 1970;45:374–85.

Nalin DR, Cash RA. Oral or nasogastric maintenance therapy in pediatric cholera patients. J Pediatr. 1971;78:355–8.

Nalin DR, Cash RA, Islam R, Molla M, Phillips RA. Oral maintenance therapy for cholera in adults. Lancet. 1968;2:370–3.

Pierce NF, Banwell JG, Rupak DM, Mitra RC, Caranasos GJ, Keimowitz RI, et al. Effect of intragastric glucose-electrolyte infusion upon water and electrolyte balance in Asiatic cholera. Gastroenterology. 1968;55:333–43.

Pierce NF, Sack RB, Mitra RC, Banwell JG, Brigham KL, Fedson DS, et al. Replacement of water and electrolyte losses in cholera by an oral glucose-electrolyte solution. Ann Intern Med. 1969;70:1173–81.

World Health Report, shaping the future, Rotavirus and Severe Childhood Diarrhea, world health organization. 2006,12(2):304-6.

Seyal T, Hanif A. Knowledge, attitude and practices of the mothers and doctors regarding feeding, oral rehydration solution (ORS) and use of drugs in children during acute diarrhoea. Annals King Edward Med Coll. 2009;15(1):38-41.

Jain H, Bamnawat S. Knowledge and attitude towards oral rehydration therapy among mothers of under-five children of South Rajasthan, India. Int J Contemporary Pediatr. 2016;3(2):394-7.

Sultana A, Riaz R, Ahmed R, Khurshid R. Knowledge and attitude of mothers regarding oral rehydration salt. JRMC. 2010;14(2):109-11.

Datta V, John R, Singh VP, Chaturvedi P. Maternal knowledge, attitude and practices towards diarrhea and oral rehydration therapy in rural Maharashtra. Indian J Pediatr. 2001;68(11):1035-7.

Mahor GR. Knowledge and attitudes of mothers regarding use of Oral Rehydration Solution in management of diarrhea. Asian J Biomedical Pharm Sci. 2013;3(22):6.

Taha AZ. Assessment of mother's knowledge and practice in use of oral rehydration solution for diarrhea in rural Bangladesh. Saudi Med J. 2002;23(8):904-8.

Jha N, Singh R, Baral D. Knowledge, attitude and practices of mothers regarding home management of acute diarrhoea in Sunsari, Nepal. Nepal Med Coll J. 2006;8(1):27-30.

Raghu MB, Balasubramanian S, Balasubrahmanyam G. Awareness of and attitude towards oral rehydration therapy. Indian J Pediatr. 1995;62(4):439-43.

Chaudhary P, Basu S, Dzeyie AK, Gulla S, Khade S, Patel A et al. Knowledge, Attitude and Practice of Mothers regarding Diarrhoeal Illness in Children under Five Years of Age: A Cross Sectional Study in an Urban Slum of Delhi, India. The J Communicable Diseases. 2014;46(3):13-21.

Shaw DD, Jacobsen CA, Konare KF, Isa AR. Knowledge and use of oral rehydration therapy for childhood diarrhoea in Tumpat District. Med J Malaysia. 1990;45(4):304-9.