A Study on Knowledge, Attitude and Practices on Oral Rehydration Therapy among Mothers of Under five Children in the Slums of Chennai

Sunitha, K (2011) A Study on Knowledge, Attitude and Practices on Oral Rehydration Therapy among Mothers of Under five Children in the Slums of Chennai. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: The national policy for children 1974 recognizes children as the nation’s Supremely important asset. It states that it shall be the policy of the state to Provide adequate services to children throughout their period of growth and Development. Child’s health has been given greatest priority over the years and Many health programmes have been implemented aimed at reducing child Mortality and morbidity 1 The challenge of the time is to study child’s health in relation to Community, social values and social policy2. The active role of community Especially from families is a must. Their role is in turn influenced by the Knowledge and perception about the disease and its management. One of the major health problem encountered in childhood is acute Diarrhea. Diarrhea is dangerous because of the dehydration which has been Estimated to account for 16% of under-five mortality and 3% of neonatal Mortality globally3. Diarrheal diseases also cause malnutrition. Children with Severe malnutrition and diarrhea have high mortality rate4. Studies indicate that Diarrhea can also lead to long-term physical impairments such as stunted Growth and reduced intellectual development5 Globally one in five deaths in children is due to diarrhea. Diarrheal Disease occurs worldwide, 90 percent of diarrheal disease deaths in children Under age five occur in developing countries6. Africa and South Asia are home To more than 80 percent of child deaths due to diarrhea. Just 15 countries Account for almost three quarters of all deaths from diarrhea among children Under-five years of age annually. Among this India ranks first 7 .The case Fatalities is also high in low resource setting 8. It also causes heavy economic Burden on health services. The prevalence of diarrhea differs from place to place9. The etiology Also differs. But regardless of the agent, age or place 90% of diarrheal deaths Can be prevented provided little care is taken to see that the child is rehydrated. Diarrheal diseases are like an emergency happening everyday and it is easily Preventable and treatable 10. Awareness of, and access to, existing lifesaving interventions is often Limited. In fact, research indicates that only about one-third of children Suffering from diarrheal disease in developing countries actually receive the Recommended treatment they need11. Diarrheal disease doesn’t have to be a top killer of children in Developing countries. Proven, lifesaving interventions already exist. They Include prevention methods such as improved sanitation and hygiene, access to Safe drinking water, vaccines, exclusive breastfeeding, and optimal Complementary feeding. And, when diarrhea occurs, treatment options such as Oral rehydration solution (ORS)/oral rehydration therapy (ORT) and zinc Treatment speed recovery and save lives. Oral Rehydration Therapy is scientifically sound, practically adoptable, Culturally acceptable and economically cheap and is of appropriate Technology12. Oral rehydration therapy is one of the important medical Advances of the 20th century in terms of simplicity and scope to save lives13. ORS is the cornerstone of diarrheal disease treatment in both industrialized and Developing nations. It reduces dehydration in nearly 90 percent of patients14 .Since 1970’s ORT has saved an estimated 50 million lives15. Zinc is a critical new intervention for treating diarrhea, particularly in The developing world. It is a safe and effective treatment option that can Considerably reduce the duration and severity of diarrhea episodes, decrease Stool output, and lessen the need for hospitalization. It may also prevent future Diarrhea for up to three months. It is important that the full course of zinc is Taken in conjunction with ORS/ORT and that follow-up and behavior change Messages for caregivers are given to ensure full compliance16. But over the last decade, momentum has slowed, with declines in Research and funding commitments and competing global health priorities. The Perceived lack of urgency and taboo nature of the illness may have also Contributed to the current low level of awareness surrounding the issue. There Have been advocacy challenges as well, because groups have acted in isolation And failed to exploit opportunities to collaborate across sectors. All of this has Contributed to stagnated progress and even declines in intervention coverage in Some countries17. This is occurring at a time when the World Health Organization has Reported that diarrheal disease is the most common illness in the world18 .Diarrheal disease is not just a health issue, but an economic one as well. In Sub-Saharan Africa, for example, treating water-borne diseases like diarrhea Costs governments at least 12 percent of their total health budgets each year19. Thus the ORT and ORS use has declined in many countries including India. ORS use decline may be due to lack of knowledge about and access to ORT and ORS20.And also the increased use of intravenous therapy for Correction of dehydration. There is also consistent disparity in diarrheal deaths And ORS usage between higher and lowers socioeconomic groups. In this regard it becomes necessary to assess the existing knowledge of The caregivers in the management of diarrhea with ORT and the various factors Which are related to the non usage of the same. In view of this a population Based study on ORT among mothers of under- five children was taken up in an Urban slum. OBJECTIVE: 1. To assess the knowledge and attitude towards oral rehydration therapy For the management of diarrhea among mothers of under-five children in The slums of Agaram health post, Zone IV of Chennai City. 2. To assess the practices of oral rehydration therapy exercised by these Mothers when their child experienced a diarrheal episode. 3. To find the association between the knowledge, attitude and practices With selected demographic variables.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Attitude ; Practices ; Oral Rehydration Therapy ; Mothers ; Under five Children ; Slums ; Chennai.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 12 Jul 2017 03:25
Last Modified: 02 Mar 2018 16:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/1136

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