KNOWLEDGE AND MALPRACTICES IN PEDIATRICS DIARRHEA MANAGEMENT BY IRAQI MOTHERS
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i8.27454Keywords:
Knowledge, Malpractices, Pediatrics, Infants, Diarrhea, Al-SagwaAbstract
Objectives: In developing countries like Iraq, diarrhea was responsible for 70% of deaths among pediatrics. This study was designed to determine Iraqi mothers' knowledge and malpractices associated with diarrhea management in pediatrics.
Methods: A cross-sectional pilot study was done on a convenient sample of mothers in Baghdad – Iraq. Data collection was done using a validated questionnaire specifically designed for this study.
Result: Most participants preferred to consult physicians or pharmacists about pediatrics diarrhea management. Breastfeeding was stopped by 19% of participants, whereas 35% of mothers who depend on formulated milk discontinued it. Only 30% of participants use oral rehydration solution therapy always as a part of treatment. Although 54% of participated mothers certainly not used antibiotics for the diarrhea management before doctor consultation, however 52.5% of these mothers used antimotility suspensions without any consultation. 17% of participants used some herbal preparations in addition to 11% used some forms of traditional harmful preparations (Al-Sagwa) to manage diarrhea.
Conclusions: This study indicates a good level of knowledge about diarrhea management for most participants, although there are some wrong concepts which followed by a small percentage of mothers, especially the most dangerous malpractices of using Al-Sagwa.
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References
Cooke M. Causes and management of diarrhea in children in a clinical setting. S Afr J Clin Nutr 2010;23:140-7.
Ala’din A. Health in Iraq: The Current Situation, our Vision for the Future and Areas of Work. Baghdad: Ministry of Health; 2004.
Waqar A, Hassanain A, Alyaa A. Intestinal parasitic diarrhea among children in Baghdad-Iraq. Trop Biomed 2014;31:499-506.
Mukhtar A, Izham MM, Pathiyil R. Mothers’ knowledge, attitude and practice regarding diarrhea and its management in Morang Nepal: An interventional study. Trop J Pharm Res 2012;11:847-54.
Nigatu M, Tadesse A. Knowledge, perception, and management skills of mothers with under-five children about diarrhoeal disease in indigenous and resettlement communities in Assosa District, Western Ethiopia. J Health Popul Nutr 2015;33:20-30.
Anidi I, Bazargan M, James F. Knowledge and management of diarrhea among underserved minority parents/caregivers. Ambul Pediatr 2002;2:201-6.
Mukhtar A, Mohamed Izham M, Pathiyil R. A survey of mothers’ knowledge about childhood diarrhoea and its management among a marginalised community of Morang, Nepal. Australas Med J 2011;4:474-9.
Gondar NR, Farooq D. Diarrhea, nutrition and oral rehydration therapy: Awareness, attitude and practices among mothers of children under five years. Int J Contemp Pediatr 2017;4:1995-2001.
Available from: https://www.data.unicef.org/topic/child-health/diarrhoeal-disease. [Last accessed on 2017 Aug 03].
Padhy S, Sethi R, Behera N. Mother’s knowledge, attitude and practice regarding prevention and management of diarrhea in children in Southern Odisha. Int J Contemp Pediatr 2017;4:966-71.
Ellis AA, Winch P, Daou Z, Gilroy KE, Swedberg E. Home management of childhood diarrhoea in southern Mali--implications for the introduction of zinc treatment. Soc Sci Med 2007;64:701-12.
Le TH, Ottosson E, Nguyen TK, Kim BG, Allebeck P. Drug use and self-medication among children with respiratory illness or diarrhea in a rural district in Vietnam: A qualitative study. J Multidiscip Healthc 2011;4:329-36.
Kuhn L, Aldrovandi G. Survival and health benefits of breastfeeding versus artificial feeding in infants of HIV-infected women: Developing versus developed world. Clin Perinatol 2010;37:843-62.
World Health Organization. UNICEF, The Treatment of Diarrhea. Geneva: WHO; 2005. p. 1-5.
Ansari M, Ibrahim MI, Hassali MA, Shankar PR, Koirala A, Thapa NJ. Mothers’ beliefs and barriers about childhood diarrhea and its management in Morang district, Nepal. BMC Res Notes 2012;5:576.
McLennan JD. Home management of childhood diarrhoea in a poor periurban community in Dominican Republic. J Health Popul Nutr 2002;20:245-54.
Othero DM, Orago AS, Groenewegen T, Kaseje DO, Otengah PA. Home management of diarrhea among underfives in a rural community in Kenya: Household perceptions and practices. East Afr J Public Health 2008;5:142-6.
Kaatano GM, Muro AI, Medard M. Caretaker’s perceptions, attitudes and practices regarding childhood febrile illness and diarrhoeal diseases among riparian communities of Lake Victoria, Tanzania. Tanzan Health Res Bull 2006;8:155-61.
Bella H, Ai-Freihi H, El-Mousan M, Danso KT, Sohaibani M, Khazindar MS. Knowledge, Attitudes and Practices related to Diarrhoea in Eastern Province, Saudi Arabia. J Family Community Med 1994;1:40-4.
Langsten R, Hill K. Diarrheal disease, oral rehydration, and childhood mortality in rural Egypt. J Trop Pediatr 1994;40:272-8.
Chouraqui J, Michard-Lenoir A. Feeding infants and young children with acute diarrhea. Arch Pediatr Organe Off Soc Fr Pediatr 2007;14:176-80.
Buch N, Hassan M, Bhat IA. Parental awareness and practices in acute diarrhea. Indian Pediatr 1995;32:76-9.
Shah M, Kathiiko C, Wada A, Odoyo E, Bundi M, Miringu G, et al. Prevalence, seasonal variation, and antibiotic resistance pattern of enteric bacterial pathogens among hospitalized diarrheic children in suburban regions of central Kenya. Trop Med Health 2016;44:39.
El-Gilany A, Hammad S. Epidemiology of diarrheal diseases among children under age 5 years in Dakahlia, Egypt. Eastern Mediterr Health J 2005;11:762-75.
Sillah F, Ho HJ, Chao JC. The use of oral rehydration salt in managing children under 5 y old with diarrhea in the Gambia: Knowledge, attitude, and practice. Nutrition 2013;29:1368-73.
Desta BK, Assimamaw NT, Ashenafi TD. Knowledge, practice, and associated factors of home-based management of diarrhea among caregivers of children attending under-five clinic in Fagita Lekoma district, awi zone, Amhara regional state, northwest Ethiopia, 2016. Nurs Res Pract 2017;2017:8084548.
Black R. Zinc deficiency, infectious disease and mortality in the developing world. J Nutr 2003;133:1485- 9.
Bajait C, Thawani V. Role of zinc in pediatric diarrhea. Indian J Pharmacol 2011;43:232-5.
Rahman M, Vermund S, Wahed MA, Fuchs GJ, Baqui AH, Alvarez JO, et al. Simultaneous zinc and Vitamin A supplementation in Bangladeshi children: Randomized double blind controlled trial. BMJ 2001;323:314 8.
Dipak K, Nilratan M, Dibasish P. Assessment of knowledge and practice of mothers of children under five regarding Zinc therapy in childhood diarrhea. Int J Adv Integr Med Sci 2016;1:169-72.
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