Management and treatment of diarrhea in Honduran children: Factors associated with mothers' health care behaviors

DeClerque, Julia; Bailey, Patricia; Janowitz, Barbara; Dominik, Rosalie; Fiallos, Carlos Alberto Martínez

doi:10.1016/0277-9536(92)90196-w

Cited by 18 publications

(8 citation statements)

References 7 publications

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“…The included studies with data on the use of ORT for diarrhoea showed a fairly constant level of ORT use over time: a median of 31.0% (23.2%–46.0%) before 1990, 34.8% (15.7%–55.1%) from 1990 to 1999, and 36.3% (13.4%–68.1%) from 2000 to 2010 [20]–[23], [37], [48], [59]–[66]. The authors of one of the studies included in this review [66] commented that there had been no recent campaigns to encourage ORT use in the study areas in Kenya.…”

Section: Discussionmentioning

confidence: 99%

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

et al. 2014

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BackgroundPneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers.Methods and FindingsWe conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low.ConclusionsGiven the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes.

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Section: Discussionmentioning

confidence: 99%

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

et al. 2014

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“…This research uses a nationally representative data source from Honduras to examine the recent associations between a common proxy for children's health and nutritional status, socioeconomic inequality and differential parental investment within the context of a developing nation with high levels of inequality. Some work has been done within Honduras on children's health from the perspective of economic development (Smith,2002), effects of natural disasters (Barrios et al,2000; Moll et al,2007), and some descriptive findings on general child nutrition (Gray et al,2006; Nestel et al,1999a,b) document general disparities by socioeconomic status (Declerque et al,1992) and geographic region or as a result of specific pathogens (Dekaminsky,1991; Giron et al,2006) although none of these studies use nationally representative datasets.…”

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confidence: 99%

Parental investment and socioeconomic status influences on children's height in Honduras: An analysis of national data

Sparks

2010

American J Hum Biol

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“…Nas diferentes culturas, com pequena demanda de consulta médica. A procura de serviços foi maior para aquelas residentes na RMR, onde, no caso da população estudada, existe maior acesso geográfi-co. Em concordância com pesquisas realizadas na América Latina [28][29][30] , na África 11-13 e na Ásia 14,19 , a valorização das manifestações clínicas pela mãe teve uma influência marcante no manejo da doença. leiga da desidratação que concorda com a técnica, demonstra a importância atribuída à vivência própria e ao "ouvir dizer" no emaranhado das relações que condicionam as decisões tomadas no manejo das doenças diarréicas.…”

Section: Discussionunclassified

Are mothers encouraged to identify the risk signs of diarrhea?

Feliciano

Kovacs²

1998

J Pediatr (Rio J)

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Trabalho financiado pela Organização Pan-Americana da Saúde (OPAS). ResumoObjetivos: Conhecer as percepções das mães sobre o episódio de diarréia e sua capacidade de identificar os sinais de risco; caracterizar, nos serviços de saúde, no nível ambulatorial, a oferta de atividades que estimulem uma atenção oportuna à doença.Métodos: Inquérito realizado em amostra representativa de 1026 crianças menores de cinco anos, residentes nas áreas piloto selecionadas para intervir sobre a diarréia em Pernambuco, e estudo transversal interconectado em 14 serviços de saúde do projeto de intervenção: 11 centros de saúde e 3 hospitais.Resultados: Elevada proporção das mães de crianças com diarréia valorizam sinais que não permitem a identificação precoce da desidratação. Apenas uma quarta parte destas menciona a desidratação como uma complicação da doença. A percepção do episó-dio pela mãe tem influência marcante nas condutas adotadas, em particular na Região Metropolitana, onde, na ausência de preocupação, nenhuma criança foi levada ao médico e uma proporção significativamente menor recebeu cuidados com a hidratação. Nos serviços de saúde, em geral, o trabalho educativo não é rotina, a consulta médica restringe-se à queixa, não existe pós-consulta de enfermagem e nem articulação com os agentes comunitários de saúde. À saída, metade das mães não sabia os sinais de desidratação.Conclusões: Os achados do inquérito e da avaliação dos serviços de saúde mostram uma situação bastante crítica: a pouca percepção pelas mães dos sinais de agravamento da diarréia, além do baixo desempenho destes serviços no que diz respeito às atividades educativas voltadas a estimular o reconhecimento e a valorização dos mesmos.J. pediatr. (Rio J.). 1998; 74(2):135-142: diarréia, sinais de risco, avaliação de serviços de saúde, educação em saúde. AbstractObjectives: To acknowledge the mothers' perception of the diarrhea episode and their ability in identifying the signs of risk; to characterize, in the health services, at ambulatory level, the activities that stimulate a timely attention to the disease.Methods: An inquiry was applied to a representative sample of 1026 children under 5 years old who live in the pilot areas of Pernambuco selected to receive interference concerning diarrhea, and an interconnected transversal study in 14 health services: 11 health centres and 3 hospitals.Results: A high proportion of the mothers of children with diarrhea give importance clinical manifestations that do not allow an early identification of dehydration. Only one fourth of them mentions dehydration as a complication. The mother's perception of the episode has a striking influence on the adopted conduct, particularly in the Metropolitan Area, in which, in the absence of preoccupation, no children were taken to the physician and a significant smaller proportion received care to hydration. In the health services, in general, collective educational programs are not the routine, the consult with the physician is limited to the main complaint, there is no post-consul...

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Management and treatment of diarrhea in Honduran children: Factors associated with mothers' health care behaviors

Cited by 18 publications

References 7 publications

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

Parental investment and socioeconomic status influences on children's height in Honduras: An analysis of national data

Are mothers encouraged to identify the risk signs of diarrhea?

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