Study to assess the knowledge and health seeking behaviour of mothers of under 5 children in the catchment area of G.M.C., Bhopal

Rama Singodiya Lodha, Dinesh Kumar Pal, Shipra Verma, Veena Melwani, Amreen Khan, Harshima Sawlani, Akhil R. Nair


Background: Under 5 mortality rate is considered as the best indicator of social development and well being. Low U5MR indicates better social development as children are most vulnerable during the first 5 years. Almost 1/3rd die of infectious cause, nearly all of which are preventable.

Methods: A cross- sectional interventional study was done on 105 mothers with children under the age group of 5 years. Knowledge and practice about diarrhoea, pneumonia and immunization was assessed first followed by and educational intervention which was later followed by post intervention interview of the same mothers after a gap of 1 month. The increment in the knowledge was then assessed.

Results: 41.9% belonged to the age group of 20-25 years. 94.11% of the mothers knew what diarrhoea is and only 47.61% could tell minimum 3 signs of dehydration. 32.38% could tell the specific signs of pneumonia. 90.47% mothers knew that immunisation prevents children from diseases. The overall knowledge scores improved significantly (p<0.0001) after a gap one month.

Conclusions: The knowledge appeared to improve significantly after an education intervention. The immunization coverage was found to be adequate.



Under 5 children, Diarrhoea, Immunization

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World Health Organization. Global Health Observatory data. Geneva: World Health Organization, 2016.

International Institute for Population Sciences (IIPS) and ICF. 2017. National Family Health Survey (NFHS-4), 2015-16: MP. Mumbai: IIPS., 2016

Park, K. Park's textbook of preventive and social medicine. 24th ed. Jabalpur: Banarasidas Bhanot; 2017: 611.

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

MacDonald SE, Moralejo DG, Matthews MK. Maternal understanding of diarrhoea-related dehydration and its influence on ORS use in Indonesia. Asia Pacific J Public Health. 2007;19(1):34-9.

Bhatia V, Swami HM, Bhatia M, Bhatia SP. Attitude and practices regarding diarrhoea in rural community in Chandigarh. Indian J Pediatr. 1999;66(4):499-503.

Bham SQ, Saeed F, Shah MA. Knowledge, Attitude and Practice of mothers on acute respiratory infection in children under five years. Pakistan J Med Sci. 2016;32(6):1557.

Ferdous F, Dil Farzana F, Ahmed S, Das SK, Malek MA, Das J, et al. Mothers’ perception and healthcare seeking behavior of pneumonia children in rural Bangladesh. ISRN Family Med. 2014;2014.

Siddiqui NS, Gaikwad AK, Kuril BM, Ankushe RT, Doibale MK, Pund SB, et al. Is mothers’ knowledge and practice regarding childhood immunization compliant with immunization completeness?. Int J Community Med Public Health. 2017;4(3):775-80.

Mereena SR, Sujatha R. A study on knowledge and attitude regarding vaccines among mothers of under five children attending pediatric OPD in a selected hospital at Mangalore. IOSR J Nursing Health Sci. 2014;3(5):39-46.

Ahmed SM, Abd-El Rahman TA, Masoed ES. Mothers' awareness and knowledge of under five years children regarding immunization in Minia city Egypt. Life Sci J. 2013;10(4):1224-32.

Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A study of knowledge, attitude and practices on immunization of children in urban slums of Bijapur city, Karnataka, India. J Clinical Diagnos Res: JCDR. 2013;7(12):2803.