Objective: To determine mothers' knowledge regarding ORS therapy during diarrhea among children, aged under five years. Methodology: This was a cross-sectional study and was conducted at the pediatric department of Bilawal Medical College for Boys LUMHS/Jamshoro. The study duration was six months, from March 2021 to August 2021. All the mothers, aged 18 to 40 years, who presented with their children under 5 years old with acute diarrhea and were willing to participate in the study were included. After taking demographic information, interviews were conducted with the mothers, and data was gathered. A self-structured questioner was used to assess the maternal knowledge in terms of diarrhea and its severity, the purpose of ORS, the ORS preparation method, the frequency of use, and the type of ORS. All the data was collected via a study proforma, and SPSS version 26 was used for the data analysis. Results: Children’s mean age was 4.0+2.58 years. Most of the children 60.5% were girls and 38.3% were boys. The majority of women, 43.2%, were educated; 30.9% had a secondary education; 21% had a primary education; and only 4.9% were graduates. Majority of the individuals 75.3% belongs to poor socioeconomic status. Overall, 82.7% of mothers were aware of the severity of diarrhea, 91.4% were aware of ORS, 61.7% believed it was used to prevent water loss, 4.9% believed it prevented salt and water imbalances, and 4.9% believed it was used to prevent diarrhea, while 28.4% were unaware. 69.1% of mothers were aware of the ORS preparation method, but 56.8% had no idea how long ORS should be used for. 49.4% of mothers said ORS should be used slowly at small intervals, few said as per demand; and the remaining had no knowledge. Although regarding types of ORS, most of the mothers 71.6% had no idea. Conclusion: As per the study conclusion, most of the mothers had inadequate knowledge of ORS therapy during diarrhea. Numerous factors, including lower socioeconomic status, maternal illiteracy, caregiver ignorance, and the inability to offer therapy, when necessary, are linked to the severity of disease. Keywords: Diarrhea, ORS, Dehydration, knowledge, Mothers
Objective: To determine the frequency of factors responsible for iron deficiency anemia in children under five years of age at tertiary care Hospital. Methodology: This cross-sectional study was done at the paediatric department of Muhammad Medical College MirpurKhas, during six months from October 2020 to March 2021. All the children with of (<5 years), presented at Paediatric OPD and of either gender were included. After taking complete clinical examination, parents were interviewed reading history of diet. After obtaining informed consent from the parents, a 3ml blood sample was taken from each case and was immediately sent to the Hospital diagnostic laboratory for the complete blood count (CBC). Anemia was defined as hemoglobin level <11g/dl. All the data was gathered via self-made study proforma and SPSS version 26 was used for the purpose of data analysis. Results: A total of 58 children with anemia were studied, their mean age was 02.91+1.29 years, mean Hb was 7.22+1.27mg/dl. Males were 56.9% and females were 40.1%. History of Buffalo milk consumption was in 53.4% children, history of pica was in 27.6%, Caffeine containing food history was in 84.5% of the cases, age of weaning <12 months was in most of the cases and non-iron containing food consumption was also commonest. Most of the cases 55.20% had moderate anemia and 43.10% had severe anemia. The severity of childhood anemia was statically significant according to the type of milk consumption, type of food and caffeine containing food (p-<0.05), while it was statistically insignificant according to the gender and age of weaning (P->0.05). Conclusion: As per study conclusion the Buffalo milk consumption, history of pica, caffeine containing food, age of weaning <12 months and non-iron containing food consumption were observed to be the commonest factors responsible for childhood anemia. Key words: Iron deficiency anemia, factors, diet
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