Home management of childhood diarrhoea in southern Mali—Implications for the introduction of zinc treatment

Ellis, Amy A.; Winch, Peter J.; Daou, Zana; Gilroy, Kate; Swedberg, Eric

doi:10.1016/j.socscimed.2006.10.011

Cited by 70 publications

(77 citation statements)

References 39 publications

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“…This study established that most mothers gave their children anti-diarrhoeal drugs (45.3%) and gave less fluid (50.2%), no food (39.0%) and argued that continued feeding made the diarrhoea worse, a practice that predisposed the child to severe dehydration. This is in line with a study in Mali by Ellis et.al (7) which revealed that nearly all parents interviewed knew that Oral Rehydration Solution (ORS) could replace lost fluids, but its inability to stop diarrhoea caused parents to seek antibiotics from local markets, traditional medicines or anti-diarrhoeal drugs to cure the illness. The notion of combining multiple treatments to ensure the greatest therapeutic benefit was prevalent, and modern medicines were often administered simultaneously with traditional therapies.…”

Section: Discussionsupporting

confidence: 84%

“…The need for adequate instructions to the mothers on administration of the zinc tablets was underscored. A study by Ellis et.al (7) in Mali revealed that although nearly all mothers knew that Oral Rehydration Solution (ORS) could replace lost fluids, its inability to stop diarrhoea caused them to seek antibiotics from local markets, traditional medicines or anti-malarials to cure the illness. Parents often deemed ORS insufficient and judged that an additional treatment should be combined with ORS to cure diarrhoea.…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Home Management Of Diarrhea Among Underfives In A Rural Community In Kenya: Household Perceptions And Practices

Othero¹,

Orago²,

Groenewegen³

et al. 2009

East Afr. J. Pub. Health

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Section: Discussionsupporting

confidence: 84%

Section: Literature Reviewmentioning

confidence: 99%

Home Management Of Diarrhea Among Underfives In A Rural Community In Kenya: Household Perceptions And Practices

Othero¹,

Orago²,

Groenewegen³

et al. 2009

East Afr. J. Pub. Health

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“…Most of the childhood diarrhea can be treated at household level by proper replacement of fluid and salt through ORS and continuing feeding in addition to zinc since the onset of episode [25,26]. In the present study, two-third of the under-5 children received prior treatment (ORS, zinc and antibiotic), which indicated increased awareness of the mothers about management of diarrheal episodes of their children at household level.…”

Section: Discussionmentioning

confidence: 52%

The Impact of Socio-Economic Conditions and Clinical Characteristics on Improving Childhood Care Seeking Behaviors for Families Living far from the Health Facility

Ferdous¹

2013

SJPH

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Abstract:Background: Lack of proper transportation and poor road infrastructure to the health facility act as a strong barrier for the adequate accessibility to healthcare services. There is lack of evidence based information particularly in Bangladesh examining the relationship between health care seeking behavior of mothers for their children with diarrhea and barriers such as distance to be travelled in reaching health facility. Objective: This study explored the factors that determine improving care seeking behaviors by the caregivers of under-5 children with diarrhea and also measured its impact due to living too far from a tertiary health facility in rural Bangladesh. Methodology: From January 2010 to December 2011, a total of 2,324 under-five children with diarrhea received treatment at Kumudini Womens' Medical College and Hospital, Mirzapur, Tangail. Among them, 1,919 (83%) received treatment at home before coming to the health facility. Based on median value of 4 miles needed to travel, we divided distance into two groups: (i) >4 miles, (ii)≤4 miles. Results: Forty nine percent (n=1,144) of the diarrheal children presented to the facility from a distance of >4 miles and 86% of them received treatment at home before reporting to the hospital. Conclusions: Longer distance of health facility delays seeking appropriate medical care from the facility rather parent seeks care from facilities to the next door of the locality. Clinical features such as fever, vomiting, and more stool frequency influence parents to get prior treatment before reporting to health facility, whether, presence of blood in stool influence parents in reporting directly to the health facility.

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“…Forty-nine percent of respondents were of Luo and 32% were of Luhya ethnicity; 87% completed at least primary school. The mean age of children with diarrhea was 2.0 years, 49% were female and 55% were breastfeeding the week before illness; children had a median of four maximum stools per day (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Over half of caregivers reported knowing at least one child who had died because of diarrhea.…”

Section: Asembomentioning

confidence: 99%

Community Case Management of Childhood Diarrhea in a Setting with Declining Use of Oral Rehydration Therapy: Findings from Cross-Sectional Studies among Primary Household Caregivers, Kenya, 2007

Olson

Blum²,

Patel³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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Abstract. We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45% oral rehydration solution (ORS), and 64% continued feeding. In Kibera, 75% provided ORT, 43% ORS, and 46% continued feeding. Seeking care at a health facility, risk perception regarding death from diarrhea, and treating a child with oral medications were associated with ORT and ORS use. Availability of oral medication was negatively associated. A minority of caregivers reported that ORS is available in nearby shops. In Kenya, household case management of diarrhea remains inadequate for a substantial proportion of children. Health workers have a critical role in empowering caregivers regarding early treatment with ORT and continued feeding. Increasing community ORS availability is essential to improving diarrhea management.

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Home management of childhood diarrhoea in southern Mali—Implications for the introduction of zinc treatment

Cited by 70 publications

References 39 publications

Home Management Of Diarrhea Among Underfives In A Rural Community In Kenya: Household Perceptions And Practices

Home Management Of Diarrhea Among Underfives In A Rural Community In Kenya: Household Perceptions And Practices

The Impact of Socio-Economic Conditions and Clinical Characteristics on Improving Childhood Care Seeking Behaviors for Families Living far from the Health Facility

Community Case Management of Childhood Diarrhea in a Setting with Declining Use of Oral Rehydration Therapy: Findings from Cross-Sectional Studies among Primary Household Caregivers, Kenya, 2007

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