Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Mekonnen, Mathewos; Bekele, Kumera; Jemal, Kemal; Hailu, Dejene; Tesfa, Bikila; Mulatu, Teshale

doi:10.2147/ppa.s295428

Cited by 6 publications

(10 citation statements)

References 14 publications

(12 reference statements)

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“…The finding is supported by other studies. 15 , 16 , 24 , 27 – 29 The possible justification might be that educated mothers presume better about the complication of diarrheal disease and they may seek early health treatment during the episode of diarrhea. 30 – 32 This was a good opportunity for mothers to obtain health education from health professionals and give the appropriate treatment or medication, including ORS, to their sick children.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies conducted in Ethiopia found that maternal educational status, 15,16 monthly income, 15 previous experience, 15,17 perception of tooth eruption, 17,18 knowing the severe sign of dehydration, 18 seeking advice from health facilities, 15,17 and knowledge of oral rehydration therapy 15,17 have an association with ORS utilization. However, those studies were conducted in specific areas of Ethiopia and were not nationally representative.…”

Section: Introductionmentioning

confidence: 94%

“…However, those studies were conducted in specific areas of Ethiopia and were not nationally representative. 15 – 18 Even there is one study conducted nationally in Ethiopia, which is only focused primarily on individual-level factors 19 without considering the community-level factors. But, ORS utilization can be affected by community-level factors, such as the recommended water source for preparation of ORS, 20 enumeration area (region), distance from health institution, 21 and residence.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

et al. 2022

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Background: Oral rehydration salt therapy is a critical intervention to reduce mortality and morbidity of children with diarrheal diseases. However, it remains underused in low- and middle-income countries. In Ethiopia, only less than half of children with diarrheal diseases were treated with oral rehydration salt solution. Therefore, the objective of this study was to identify the determinants of oral rehydration salt utilization among children with diarrhea in Ethiopia. Method: A secondary data analysis was done using the 2016 Ethiopian Demographic and Health Survey. A weighted sample of 1227 children who had diarrhea in the last 2 weeks with their index mothers during the 5 years survey was included in the study. A multilevel mixed logistic regression model was fitted to identify factors associated with oral rehydration salt utilization. Finally, statistical significance was declared at p-value < 0.05. Result: The overall prevalence of oral rehydration salt utilization for children with diarrhea was 29.5%. In this study, age of mother ⩾35 (adjusted odds ratio = 1.66, 95% confidence interval = 1.05, 2.64), mothers with formal education (adjusted odds ratio = 1.52, 95% confidence interval = 1.09, 2.11), media exposure (adjusted odds ratio = 1.72, 95% confidence interval = 1.25, 2.38), living in Metropolitan regions (Addis Ababa and Dire Dawa (adjusted odds ratio = 1.76, 95% confidence interval = 1.14, 2.69)), and small peripheral regions (Afar, Gambela, Somalia, Benishangul-Gumuz (adjusted odds ratio = 1.69, 95% confidence interval = 1.22, 2.34)) were associated with higher odd of oral rehydration salt utilization for children with diarrhea. Conclusion: The study concludes that the age of mothers, educational status of the mother, media exposure, and regions of mothers were determinants of oral rehydration salt utilization for children with diarrhea. Therefore, media advertising regarding diarrhea management should be scaled up to increase oral rehydration salt utilization for children with diarrhea. Special attention to socio-cultural constraints or beliefs regarding diarrhea management should be given to mothers from large to center (Tigray, Amhara, Oromia, Southern Nations Nationalities, and People’s Region, and Harari) regions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

et al. 2022

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“…Children whose mothers had postnatal care visits were more likely to undergo diarrhoea treatment than those whose mothers did not have postnatal care visits. Women who had frequent postnatal care visitations could have been educated on the importance of timely diarrhoea treatment, resulting in their increased likelihood of treating their childrens’ diarrhoea [ 31 , 32 ]. The study also found that children whose mothers believed that permission to go and get medical help for self was a big problem were more likely to access diarrhoea treatment compared with those whose mothers believed that permission to go and get medical for self was not a big problem.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of oral rehydration therapy, zinc, and other treatments for diarrhoea among children under-five in sub-Saharan Africa

et al. 2022

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Background Despite the evidence-based effectiveness of diarrhoea treatment in preventing diarrhoea-related child mortality, the accessibility and utilization of diarrhoea treatments remain low in sub-Saharan Africa, even though these treatments are available. Therefore, this study aimed to assess the prevalence and predictors of diarrhoea treatment among under-five children in sub-Saharan Africa. Methods This study involved cross-sectional analyses of secondary data from the most recent Demographic and Health Surveys of 30 countries in sub-Saharan Africa. Percentages with their respective 95% confidence intervals (CI) were used to summarise the prevalence of diarrhoea treatment. A multivariable multilevel binary logistic regression analysis was employed to examine the predictors of diarrhoea treatment among children under five years in sub-Saharan Africa. The regression results were presented using adjusted odds ratio with their accompanying 95% confidence intervals. Statistical significance was set at p<0.05. Stata software version 16.0 was used for the analyses. Results The overall prevalence of diarrhoea treatment among under-five children in sub-Saharan Africa was 49.07% (95% CI = 44.50–53.64). The prevalence of diarrhoea treatment ranged from 23.93% (95% CI = 20.92–26.94) in Zimbabwe to 66.32% (95% CI = 61.67–70.97) in Liberia. Children aged 1 to 4 years, those whose mothers had at least primary education, those whose mothers had postnatal care visits, those whose mothers believed that permission to go and get medical help for self was a big problem, and those whose mothers’ partners had at least primary education were more likely to undergo diarrhoea treatment as compared to their counterparts. The odds of diarrhoea treatment increased with increasing wealth index with the highest odds among those in the richest quintile. Also, the odds of diarrhoea treatment was higher in the Central, Eastern, and Western geographical subregions compared to those in the Southern geographical subregion. However, children whose mothers were cohabiting, those whose mothers were exposed to watching television, and those living in female-headed households were less likely to undergo diarrhoea treatment. Conclusion The study found that the prevalence of diarrhoea treatment among children in sub-Saharan Africa was relatively low and varied across countries. The sub-regional estimates of diarrhoea treatment and identified associated factors can support country-specific needs assessments targeted at improving policy makers’ understanding of within-country disparities in diarrhoea treatment. Planned interventions (e.g., provision of quality and affordable supply of oral rehydration salts and zinc) should seek to scale up diarrhoea treatment uptake among under-five children in sub-Saharan Africa with much focus on the factors identified in this study.

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“…In Sub-Saharan Africa, the cases remain high due to poor perception of primary caregivers' management of diarrhea especially mothers (10,11). Studies showed that positive mothers' attitudes towards homebased management of diarrhea (HBMD) range from 39-78% (12)(13)(14)(15)(16)(17)(18). Home-based uids include, a mixture of salt, sugar, and water, breast milk, Gruels (diluted mixtures of cooked cereals and water), soup, rice water.…”

Section: Introductionmentioning

confidence: 99%

Attitude Towards Home-Based Management of Diarrhea and Associated Factors Among Mothers of Under-Five Children of Fagita Lekoma District, Northwest Ethiopia, 2020

Desta

Muhye

Melkie

et al. 2022

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Background: Diarrhea is the second most common cause of morbidity and mortality among children under 5 years old, following acute respiratory tract infection. Despite that home interventions can prevent 57% of mortality related to diarrhea. However, still mothers’ attitudes towards home-based diarrheal management range from 39-78% as a result of different factors.Objective: This study aimed at assessing attitudes towards home-based management of diarrhea and associated factors among mothers of under-five children attending health care institutions.Methods: An institutional-based cross-sectional study was conducted. Systematic random sampling was used to select study participants. Data were entered using Epidata version 3.1 and exported to SPSS version 25. The result was presented in frequency and percentage using tables and figures. Binary logistic regression was used to analyze the data. Those variables with p-value <0.2 in bivariate were entered in multivariate analysis to avoid confounding variables whereby p-value <0.05 were considered as significantly associated. Result: A total of 422 mothers were surveyed with a 100% response rate. The mean age of the mothers was 33 ±10. Positive mothers’ attitude was 51.9% with 95%CI (46.8, 57.1). Maternal age ranges from 25-35 years (AOR:3.27, 95% CI: 1.72,6.22), 36-45 years (AOR: 8.79, 95%CI: 3.50, 22.11), age >45 years (AOR: 8.00, 95%CI: 2.62, 24.43), being single (AOR 0.18, 95%CI:0.06, 0.56), being divorced (AOR:0.25, 95%CI:0.08,0.81), primary education (AOR: 7.26, 95%CI: 3.62,14,57), Secondary and above (AOR:8.43, 95%CI:3.77,18.82), Daily labor (AOR:5.44, 95%CI:1.19, 24.96), Income level with 1001-3000 ETB and greater or equal to 3001ETB with (AOR:3.14, 95%CI:1.35, 7.29) and (AOR:4.06, 95% CI: 1.71, 9.66) respectively. Knowing about how to prepare ORS (AOR: 6.72, 95%CI: 3.62,12.48) were significantly associated variables with the out came variable in the multivariate regressionConclusion: One in every two mothers had a favorable attitude in this study. Maternal age, marital status, maternal educational status, occupation, and knowing about the preparation of ORS were factors associated with mothers’ attitude. The focus should be made on younger mothers, illiterate, unmarried couples, not knowing how to prepare ORS to boost mothers’ attitude.

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Prevalence of Oral Rehydration Therapy Use During the Diarrheal Episode and Associated Factors Among Mothers of Under-Five Children Visiting Public Health Facilities in North Showa Zone, Oromia Region, Ethiopia

Cited by 6 publications

References 14 publications

Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

Prevalence and predictors of oral rehydration therapy, zinc, and other treatments for diarrhoea among children under-five in sub-Saharan Africa

Attitude Towards Home-Based Management of Diarrhea and Associated Factors Among Mothers of Under-Five Children of Fagita Lekoma District, Northwest Ethiopia, 2020

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