Accuracy and Completeness of Mothers' Recall of Diarrhoea Occurrence in Pre-School Children in Demographic and Health Surveys

Jt, Boerma; Re, Black; Ae, Sommerfelt; So, Rutstein; Gt, Bicego

doi:10.1093/ije/20.4.1073

Cited by 103 publications

(69 citation statements)

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“…In Guatemala, we found that children of literate and educated women were at greater risk for diarrhea. On the basis of a previous analysis of DHSs using maternal recall for diarrhea, 25 we believe this is most likely due to underreporting of diarrhea by less educated and illiterate mothers. We also found no significant association between current or exclusive breast-feeding and risk for diarrhea.…”

Section: Discussionmentioning

confidence: 94%

Diarrhea Prevalence, Care, and Risk Factors Among Poor Children Under 5 Years of Age in Mesoamerica

Colombara¹,

Hernández²,

McNellan³

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Care practices and risk factors for diarrhea among impoverished communities across Mesoamerica are unknown. Using Salud Mesoamérica Initiative baseline data, collected 2011-2013, we assessed the prevalence of diarrhea, adherence to evidence-based treatment guidelines, and potential diarrhea correlates in poor and indigenous communities across Mesoamerica. This study surveyed 14,500 children under 5 years of age in poor areas of El Salvador, Guatemala, Mexico (Chiapas State), Nicaragua, and Panama. We compared diarrhea prevalence and treatment modalities using χ 2 tests and used multivariable Poisson regression models to calculate adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) for potential correlates of diarrhea. The 2-week point prevalence of diarrhea was 13% overall, with significant differences between countries (P < 0.05). Approximately one-third of diarrheal children were given oral rehydration solution and less than 3% were given zinc. Approximately 18% were given much less to drink than usual or nothing to drink at all. Antimotility medication was given to 17% of diarrheal children, while antibiotics were inappropriately given to 36%. In a multivariable regression model, compared with children 0-5 months, those 6-23 months had a 49% increased risk for diarrhea (aRR = 1.49, 95% CI = 1.15, 1.95). Our results call for programs to examine and remedy low adherence to evidence-based treatment guidelines.

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Section: Discussionmentioning

confidence: 94%

Diarrhea Prevalence, Care, and Risk Factors Among Poor Children Under 5 Years of Age in Mesoamerica

Colombara¹,

Hernández²,

McNellan³

et al. 2016

The American Society of Tropical Medicine and Hygiene

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“…First, the principal outcome was self-reported diarrhea, which is subject to imperfect recall. 36,37 To improve recall, we visited homes twice a week. Second, frequent home visits by the field officers may have influenced water handling and household hygienic practices in both the intervention and control groups.…”

Section: Discussionmentioning

confidence: 99%

“…However, DHS data are based on cross-sectional surveys using self-reported 2-week recall which is subject to over-reporting. 37 In addition, diarrhea rates vary by season, by climatic conditions, by population, and by year. During this study, heavy rains maintained ground water supplies which are delivered through piped water networks; the expected seasonal use of surface water, which usually coincides with an increase in diarrheal disease rates, did not occur.…”

Section: Discussionmentioning

confidence: 99%

Sodium Dichloroisocyanurate Tablets for Routine Treatment of Household Drinking Water in Periurban Ghana: A Randomized Controlled Trial

Jain

Sahanoon²,

Blanton³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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Abstract. We conducted a randomized, placebo-controlled, triple-blinded trial to determine the health impact of daily use of sodium dichloroisocyanurate (NaDCC) tablets for household drinking water treatment in periurban Ghana. We randomized 240 households (3,240 individuals) to receive either NaDCC or placebo tablets. All households received a 20-liter safe water storage vessel. Over 12 weeks, 446 diarrhea episodes (2.2%) occurred in intervention and 404 (2.0%) in control households ( P = 0.38). Residual free chlorine levels indicated appropriate tablet use. Escherichia coli was found in stored water at baseline in 96% of intervention and 88% of control households and at final evaluation in 8% of intervention and 54% of control households ( P = 0.002). NaDCC use did not prevent diarrhea but improved water quality. Diarrhea rates were low and water quality improved in both groups. Safe water storage vessels may have been protective. A follow-up health impact study of NaDCC tablets is warranted.

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“…Secondly, diagnoses of illnesses depended on mother's report (recall) as is common in retrospective surveys. Accuracy and completeness of mother's recall in 19 national Demographic and Health surveys found that highly educated women were more accurate in reporting and identification of these illnesses (Boerma et al, 1991). To provide a consistent sample, recalls were restricted to 14 days prior to the survey.…”

Section: Sampling Designmentioning

confidence: 99%

Diarrhoea, acute respiratory infection, and fever among children in the Democratic Republic of Congo

Kandala

Emina

Nzita

et al. 2009

Social Science & Medicine

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Several years of war have created a humanitarian crisis in the Democratic Republic of Congo (DRC) with extensive disruption of civil society, the economy and provision of basic services including health care. These challenges are faced against a background of heavy disease burden, especially of HIV/ AIDS, tuberculosis, diarrhoea, acute respiratory infection, and malaria. Health policy and planning in the DRC are constrained by a lack of reliable and accessible population data.Thus there is currently a need for primary research to guide programme and policy development for reconstruction and to measure attainment of the Millennium Development Goals (MDGs).This study uses the 2001 Multiple Indicators Cluster Survey to disentangle children's health inequalities by mapping the impact of geographical distribution of childhood morbidity stemming from diarrhoea, acute respiratory infection, and fever. We account for important risk factors and nonlinear effects using a Bayesian geo-additive regression model based on Markov Chain Monte Carlo techniques.We observe a low prevalence of childhood diarrhoea, acute respiratory infection and fever in the western provinces (Kinshasa, Bas-Congo and Bandundu), and a relatively higher prevalence in the south-eastern provinces (Sud-Kivu and Katanga). However, each disease has a distinct geographical pattern of variation. Among covariate factors, child age had a significant association with disease prevalence. The risk of the three ailments increased in the first 8-10 months after birth, with a gradual improvement thereafter. The effects of socioeconomic factors vary according to the disease.Accounting for the effects of the geographical location, our analysis was able to explain a significant share of the pronounced residual geographical effects. Using large scale household survey data, we have produced for the first time spatial residual maps in the DRC and in so doing we have undertaken a comprehensive analysis of geographical variation at province level of childhood diarrhoea, acute respiratory infection, and fever prevalence. Understanding these complex relationships through disease prevalence maps can facilitate design of targeted intervention programs for reconstruction and achievement of the MDGs.

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Accuracy and Completeness of Mothers' Recall of Diarrhoea Occurrence in Pre-School Children in Demographic and Health Surveys

Cited by 103 publications

References 0 publications

Diarrhea Prevalence, Care, and Risk Factors Among Poor Children Under 5 Years of Age in Mesoamerica

Diarrhea Prevalence, Care, and Risk Factors Among Poor Children Under 5 Years of Age in Mesoamerica

Sodium Dichloroisocyanurate Tablets for Routine Treatment of Household Drinking Water in Periurban Ghana: A Randomized Controlled Trial

Diarrhoea, acute respiratory infection, and fever among children in the Democratic Republic of Congo

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