Assessment of the Knowledge, Attitudes, and Practices of Mothers Regarding Gastroenteritis in Under Five Children in Selected Hospital, Chennai

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DOI: 10.21522/TIJPH.2013.13.02.Art051

Authors : Ariya S. Kurup, Sathiyalatha Sarathi, V. Hemavathy

Abstract:

Gastroenteritis is a widespread and potentially deadly condition in children, accounting for roughly 10% of paediatric deaths globally, or approximately 70 million fatalities each year. The study aimed to assess the Knowledge, Attitudes, and Practices of mothers Regarding Gastroenteritis in under five children in Sree Balaji medical college and hospital, Chennai. Descriptive Cross-sectional design was used for the study. The study was conducted among 140 mothers of under-five children in a Sree Balaji medical college and hospital at Chennai. The samples were selected using a convenient sampling technique who fulfils inclusion criteria. The study shows that most mothers have good knowledge of gastroenteritis management, particularly with oral rehydration (78.57%) and handwashing (92.86%). However, misconceptions about fluid intake during diarrhoea and the seriousness of the condition indicate the need for further public health education. Overall, while proactive practices are common, targeted education on dehydration risks and proper care is essential. The study concluded that the mothers had a moderate understanding of gastroenteritis. While practices like handwashing and oral rehydration were common, inappropriate methods and mixed attitudes persisted. Enhanced education is needed to improve responses and prevent complications in young children.

References:

[1].   Muhsen, K., Kassem, E., Rubenstein, U., et al., 2019, No evidence of an increase in the incidence of norovirus gastroenteritis hospitalizations in young children after the introduction of universal rotavirus immunization in Israel. Human Vaccines & Immunotherapeutics, 15(6), 1284-1293. https://doi.org/10.1080/21645515.2019.1599522

[2].   Oppong, T. B., Yang, H., Amponsem-Boateng, C., Kyere, E. K. D., Abdulai, T., Duan, G., & Godfrey, O., 2020, Enteric pathogens associated with gastroenteritis among children under 5 years in sub-saharan Africa: A systematic review and meta-analysis. Epidemiology and Infection, 148. https://doi.org/10.1017/s0950268820000618

[3].   Avcu, G., Şahbudak, Z., Aydemir, Ş., Vardar, F., & Saz, E. U., 2016, Prevalence of bacterial agents in children with acute gastroenteritis in the pediatric emergency department of Ege University School of Medicine. Çocuk Enfeksiyon Dergisi/Journal of Pediatric Infection, 10(2), 49-53. https://doi.org/10.5152/ced.2016.2301

[4].   John, J., Sarkar, R., Muliyil, J., Bhandari, N., Bhan, M. K., & Kang, G., 2014, Rotavirus gastroenteritis in India, 2011-2013: Revised estimates of disease burden and potential impact of vaccines. Vaccine, 32 Suppl 1, A5-A9. https://doi.org/10.1016/j.vaccine.2014.03.004

[5].   Gollar, L. H., & Avabratha, K. S., 2018, Knowledge, attitude, and practice of mothers of under-five children regarding diarrheal illness: A study from coastal Karnataka. Muller Journal of Medical Sciences and Research, 9, 66-70.

[6].   Abbasi, A., et al., 2021, Demographic attributes of knowledge, attitude, practices, and One Health perspective regarding diarrhea in Pakistan. Frontiers in Public Health, 9, 731272. https://doi.org/10.3389/fpubh.2021.731272

[7].   UNICEF, 2021, Diarrhoea: Why children are still dying and what can be done. New York, USA.

[8].   Shah, D., Choudhury, P., Gupta, P., et al., 2012, Promoting appropriate management of diarrhea: A systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian Pediatrics, 49(8), 627-649. https://doi.org/10.1007/s13312-012-0134-1

[9].   Said, D. A., Ahmed, G. E. N., Zoromba, M., & Mohammed, B. A., 2021, Effect of educational guidelines about preventive measures of acute gastroenteritis on mothers' knowledge and reported practices. Egyptian Journal of Health Care, 12(3), 1358-1368. https://doi.org/10.21608/ejhc.2021.195940

[10].  Abuaish, M., Mirza, G., Al-Zamzami, W., & Atiyah, M., 2022, The effect of a structured gastroenteritis discharge management plan on compliance, prognosis, and parents' satisfaction. Cureus. https://doi.org/10.7759/cureus.23240

[11].  Pasi, R., & Ravi, K., 2020, Level of knowledge of mothers (18-35 years of age) of under-5 children regarding ORS therapy. Journal of Family Medicine and Primary Care, 9(9), 4747. https://doi.org/10.4103/jfmpc.jfmpc_853_20

[12].  Durduran, Y., Kandemir, B., Pekcan, S., & Evci, R., 2019, The factors related with behaviors and approaches of mothers in avoiding children from gastroenteritis. Journal of Pediatric Infectious Diseases, 14(4), 186-193. https://doi.org/10.1055/s-0039-1692671

[13].  Lakshminarayanan, S., & Jayalakshmy, R., 2015, Diarrheal diseases among children in India: Current scenario and future perspectives. Journal of Natural Science, Biology, and Medicine, 6(1), 24-28. https://doi.org/10.4103/0976-9668.149073

[14].  Bok, K., & Green, K. Y., 2012, Norovirus gastroenteritis in immunocompromised patients. New England Journal of Medicine, 367(22), 2126-2132. https://doi.org/10.1056/nejmra1207742

[15].  Oppong, T., Yang, H., Amponsem-Boateng, C., Kyere, E., Abdulai, T., Duan, G., & Godfrey, O., 2020, Enteric pathogens associated with gastroenteritis among children under 5 years in sub-saharan Africa: A systematic review and meta-analysis. Epidemiology and Infection, 148. https://doi.org/10.1017/s0950268820000618

[16].  Panatto, D., Amicizia, D., Giacchino, R., Tacchella, A., Natalizia, A. R., Melioli, G., & Gasparini, R., 2011, Burden of rotavirus infections in Liguria, Northern Italy: Hospitalisations and potential savings by vaccination. European Journal of Clinical Microbiology & Infectious Diseases, 30(8), 957-964. https://doi.org/10.1007/s10096-011-1180-7

[17].  Ogilvie, I., Khoury, H., Goetghebeur, M., Khoury, A. C. E., & Giaquinto, C., 2012, Burden of community-acquired and nosocomial rotavirus gastroenteritis in the pediatric population of western Europe: A scoping review. BMC Infectious Diseases, 12(1). https://doi.org/10.1186/1471-2334-12-62

[18].  Konca, Ç., Tekin, M., Çoban, M. Z., Kahramaner, Z., Tuegut, M., Akgün, S., & Bülbül, M., 2014, Prevalence of rotavirus in children with acute gastroenteritis, seasonal distribution, and laboratory findings in the southeast of Turkey. Journal of Pediatric Infection, 8(1), 7-11. https://doi.org/10.5152/ced.2014.1549

[19].  Acaye, I., 2023, Knowledge, attitudes, and practices of parents regarding gastroenteritis in children under the age of five attending FRRH Fort Portal City. IDOSR Journal of Experimental Sciences, 9(3), 102-110. https://doi.org/10.59298/IDOSR/JES/111.1.10108

[20].  Shewangizaw, B., et al., 2023, Knowledge and attitude on home-based management of diarrheal disease among mothers/caregivers of under-five children at a tertiary hospital in Ethiopia. The Pan African Medical Journal, 44(38). https://doi.org/10.11604/pamj.2023.44.38.34431.