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Home based management of acute diarrhoeal disease in an urban slum of Aligarh- an appraisalN.Faizi,M.S.Shah1, A.Ahmad1, N.Khalique3,S.Afzal4,M.A.Ansari2, Z Khan3 Dr. M. Salman Shah Assistant Professor Department of Community Medicine Jawaharlal Nehru Medical College Aligarh Muslim University, Aligarh.
Introduction Globally, Diarrhoeal diseases are a major cause of morbidity and mortality accounting for 4 billion cases and 2 million deaths annually. According to the recent estimates for 2004 diarrhoeal diseases accounted for about 17% of under-five mortality and 3% of neonatal deaths.
Use of ORT became the highest priority in diarrheal disease control efforts. 1.07 million cases in 2005 . (4.07 m in 1980)
Objective To know the knowledge, attitude, practice regarding diarrhoea in children under-five years of age. Methodology The study was undertaken in urban slum (Shahenshabad) of Aligarh District in June & July 2009.
The mothers of all the 250 children uptill the age of 60 months, suffering from diarrhoea with atleast one episode in the last 2 weeks prior to the day of interview were included in the study. Tool of Study: Information was gathered on a predesigned and pretested questionnaire.
Mothers of the child were interviewed for : Danger Signs Home available fluids preparation of ORS feeding pattern health seeking behaviour during diarrhoeal illness. Case of diarrhoea: Children up to the age of 60 months having passed 3 or more loose stools in a day or passed blood or mucous even once over a period of 2 weeks preceding the date of interview.
Consent & Ethical Consideration Only those mothers who gave consent were included in the study Wherever known that there is deficiency in the knowledge and practice and the behaviour, it was overcome by behavioural change communication
Socio-demographic profile of mothers
Approximately 80% of the mothers were illiterate.
Per capita income was less than Rs.1500.
Availability of safe water was poor.
Water was stored in buckets which remained open.
Practice of defecation in fields was near universal.
Prevalence of Diarrhoea cases in under-five children
Aware of Danger Signs?
Do You Know about ORS? How to prepare ORS?
What can be given ? Knowledge about HAF ?
Feeding pattern during diarrhoea
Health Seeking BehaviorUse of Medical Services
Types of Medical Services availed
Conclusion & Recommendations
The study highlights that the knowledge and practice of mothers is not adequate. If health education is correctly provided to the specific target group (mothers and health care providers) regarding early home based case management of childhood diarrhoea, things would improve. Serious analysis of the reasons for a this disappointing situation should be done, although the significant efforts made over the past 25 years to promote proper home base management of diarrhoea in children.