Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Public Health Research. 2021, 9(2), 57-62
DOI: 10.12691/AJPHR-9-2-3
Original Research

Dehydration Knowledge and Dairrheal Perception are Predictors of Dairrheal Home Management: A Cross-Sectional Study of Caregivers in West Seme, Kisumu County, Kenya

Beatrice A. Owiti1, Collins O. Asweto2, , Jesse A. Oyieke3, Joash R. Aluoch4 and Charles O. Obonyo5

1School of Public Health and Community Development, Maseno University, P.O. Box Private Bag, Maseno, Kenya

2School of Nursing, University of Embu, P.O. Box 6 - 60100, Embu, Kenya

3School of Nursing, AMREF International University, P.O. Box 27691 - 00506, Nairobi, Kenya

4School of Medicine, College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000-00200, Nairobi, Kenya

5Kenya Medical Research Institute, Center for Global Health Research (KEMRI) Kisumu, P.O. Box: 1578 - 40100, Kisumu, Kenya

Pub. Date: February 05, 2021

Cite this paper

Beatrice A. Owiti, Collins O. Asweto, Jesse A. Oyieke, Joash R. Aluoch and Charles O. Obonyo. Dehydration Knowledge and Dairrheal Perception are Predictors of Dairrheal Home Management: A Cross-Sectional Study of Caregivers in West Seme, Kisumu County, Kenya. American Journal of Public Health Research. 2021; 9(2):57-62. doi: 10.12691/AJPHR-9-2-3

Abstract

Background: With the increasing number of under-five diarrhea in Seme Sub-County; therefore, it is important to assess under-five caregivers’ knowledge and perception on diarrheal home management. Methodology: A community-based survey involving 394 caregivers was done. Multistage sampling technique was used to identify caregivers. Interviewer administered questionnaires were used to collect data. Logistic regression was used to determine the link between knowledge/perception and diarrheal home management. Results: About 79.9% knew the causes of diarrhea while only 11% recognized danger signs of dehydration. About 39.2% had good diarrheal management practice. Those who identified causes of diarrhea were more likely to give water (OR=3.7, p<0.05) and continue feeding (OR=1.4, p=0.04) during diarrhea. Those who recognized dehydration signs were more likely to give ORS (OR=4.67, p= 0.022), give water (OR=5.34, p=0.001), and continue feeding (OR=6.63, p =0.038). Those who perceived severe diarrhea were more likely to use ORS (OR=2.1, p=0.008) and give water (OR=4.2, p=0.048) during diarrheal episode. Conclusion: Causes of diarrhea were well known; however, few knew signs of dehydration. Knowing dehydration signs and perceiving diarrhea severity predict good diarrheal home management. It is important to educate caregivers on the signs of dehydration and diarrhea severity to enhance appropriate diarrheal home management.

Keywords

under-five diarrhea, caregivers, dehydration, home management

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  UNICEF. UNICEF Data: Monitoring the situation of children and women (Dairrheaol Diseases). UNICEF, New York, October 2019. https://data.unicef.org/topic/child-health/diarrheal-disease/.
 
[2]  Kenya National Bureau of Statistics (KNBS), & ICF Macro, Kenya Demographic Health Survey 2013, Calverton, Maryland: KNBS and ICF, 2015.
 
[3]  Institute of Health Metrics and Evaluation (IHME). Measuring What Matters: Kenya, 2019. http://www.healthdata.org/kenya (accessed on 4th February 2020).
 
[4]  Uchendu, U. O., Emodi, I. J., & Ikefuna, A. N. Pre-hospital management of diarrhea among caregivers presenting at a tertiary hospital: implications for practice and health education. African Journal of Health Sciences, vol.11, no. 1, pp. 234-238, 2011.
 
[5]  Young, M., Wolfheim, C., Marsh, D. R., Hammamy, D. World Health Organization/United Nations Children's fund joint statement on integrated community case management: an equity-focused strategy to improve access to essential treatment services for children. The American journal of tropical medicine and hygiene, vol. 87, no. 5, pp. 6-10, 2012.
 
[6]  Dodicho, T. Knowledge and practice of mothers on home managment of diarhea in under five children in Mareka district, Southern Ethiopia. Journal of Health Medicine and Nursing, 27, 2016.
 
[7]  Bhutta, Z. A., Das, J. K., Walker, N., Rizvi, A., Campbell, H., Rudan, I., et al. Interventions to address deaths from childhood pneumonia and diarrhea equitably: what works and at what cost? Lancet (London, England), vol. 381, no. 9875, pp.1417-29, 2013.
 
[8]  Shah M. S., Ahmad A., Khalique N., Afzal S., Ansari M. A., and Khan, Z. Home-based management of acute diarrheal disease in an urban slum of Aligarh, India. The Journal of Infection in Developing Countries, vol. 6, no. 2, pp. 137-142, 2012.
 
[9]  Okoh B. A. N. and Alex-Hart B. A. Home management of diarrhea by caregivers presenting at the diarrhea training unit of a tertiary hospital in Southern Nigeria. British Journal of Medicine & Medical Research, vol. 4, no. 35, pp. 5524-5540, 2014.
 
[10]  Tambe, A., Nzefa, L., and Nicoline. N. Childhood diarrhea determinants in sub-saharan Africa: a cross sectional study of Tiko-Cameroon. Challenges, vol. 6, no. 2, pp. 229-243, 2015.
 
[11]  Merga, N. and Alemayehu, T. Knowledge, Perception, and Management Skills of Mothers with Under-five Children about Diarrheal Disease in Indigenous and Resettlement Communities in Assosa District, Western Ethiopia. Journal of Health, Population and Nutrition, vol.33, no. 1, pp. 20-30, 2015.
 
[12]  Carter, E., Bryce, J., Perin, J. & Newby H. Harmful practices in the management of childhood diarrhea in low- and middle-income countries: a systematic review. BMC Public Health, vol. 15, no. 788, 2015.
 
[13]  WHO & IMCI. The Management of nutrition in major emergencies of diarrhea. WHO (Decision Chart), Geneva, Switzerland, 2005.
 
[14]  Munos, M. K., Fischer, W., Christa, L., Black, R. E. The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. International Journal of Epidemiol. Vol. 39, pp. 75-87, 2010.
 
[15]  Amare, D., Dereje, B., Kassie, B., Tessema, M., Mullu, G., Alene, B., & Ayele, A. Maternal Knowledge and Practice Towards Diarrhea Management in Under Five Children in Fenote Selam Town, West Gojjam Zone, Amhara Regional State, Northwest Ethiopia. Journal of Infectious Diseases & Therapy, vol. 2, no. 182, 2014.
 
[16]  Victoria, C.G., Bryce, J., Fontaine, O., & Monasch, R. (2000). Reducing deaths from diarrhea through oral rehydration therapy. Bull World Health Organization, 78(10), 1246-55.
 
[17]  Ministry of Public Health and Sanitation (MoPH), Division of Child and Adolescent Health (DCAH). Policy guidelines on control and management of diarrheal diseases in children below 5 years in Kenya. pp. 1-2, 2010.
 
[18]  Njuguna, J. Effect of eliminating open defecation on diarrheal morbidity: an ecological study of Nyando and Nambale sub-counties, Kenya. BMC Public Health, vol. 16, no. 712, 2016.
 
[19]  Kenya National Bureau of Statistics (KNBS), & ICF Macro. Kenya Demographic Health Survey 2008-2009, Calverton, Maryland: KNBS and ICF, 2010.
 
[20]  Fishers, WCL., Friberg, IK., & Binkin, N.. Scaling up diarrheal prevention and treatment interventions; lives saved tool analysis. PLoS, Med, vol. 8, no. 3, pp. 1-8, 2000.
 
[21]  WHO & UNICEF. Integrated Management of Childhood Illness Information, Division of Child and Adolescent Health and Development. WHO & UNICEF, Geneva, Switzerland, 2007.
 
[22]  Carvajal-Vélez, L., Amouzou, A., Perin, J., Maïga, A., Tarekegn, H., Akinyemi, A., Shiferaw, S., Young, M., Bryce, J., and Newby, H. Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis. BMC Public Health, vol. 16, no. 1, pp. 830, 2016.
 
[23]  Kudlova, E. Home Management of Acute Diarrhea in Czech Children. Journal on Pediatric Gastro entero-l Nutrition, vol. 50, no. 5, pp. 510-515, 2010.
 
[24]  Mugo, J. M. Mother’s knowledge and practice of home management of diarrhea and risk factors in under five years in Nakuru Kenya (Master’s thesis). Retrieved from Kenyatta University Institutional Repository. (2012-11-29T09:38:37Z).
 
[25]  Fufa, W. K., Berhe, G. G., Gebregergs, G. B., Mokonnon, T. M. Assessment of Poor Home Management Practice of Diarrhea and Associated Factors among Caregivers of Under-Five Years Children in Urban and Rural Residents of Doba Woreda, Ethiopia: Comparative Cross-Sectional Study. International Journal of Pediatrics, vol. 8345245, pp. 1-12, 2019.
 
[26]  Mengiste, B., Berthane, Y., & Worku, A. Prevalence of diarrhea and associated risk factors among children under-five years of age in Eastern Ethiopia. Open Journal in preventive medicine, vol. 3, no.7, pp. 446-453, 2013.