Beliefs and knowledge of a group of doctors about the nutritional management of the child with acute diarrhea

To identify the beliefs and knowledge of a group of rural physicians on the dietary management of children under five years of age, with acute diarrhea. Physicians' dietary management was compared with that recommended by the World Health Organization. A cognitive anthropology study was carried...

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Veröffentlicht in:Salud pública de México 2002-07, Vol.44 (4), p.303-314
Hauptverfasser: Corral-Terrazas, Martha, Martínez, Homero, Flores-Huerta, Samuel, Duque-L, Ma Ximena, Turnbull, Bernardo, Levario-Carrillo, Margarita
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container_end_page 314
container_issue 4
container_start_page 303
container_title Salud pública de México
container_volume 44
creator Corral-Terrazas, Martha
Martínez, Homero
Flores-Huerta, Samuel
Duque-L, Ma Ximena
Turnbull, Bernardo
Levario-Carrillo, Margarita
description To identify the beliefs and knowledge of a group of rural physicians on the dietary management of children under five years of age, with acute diarrhea. Physicians' dietary management was compared with that recommended by the World Health Organization. A cognitive anthropology study was carried out from July to December 1998, on ten physicians that care for the infant population ascribed to Hospital Rural IMSS-Solidaridad of San Juanito Bocoyna, Chihuahua, Mexico. Data were collected through focus groups, case vignettes, free listing, pile sorting, and a semi-structured questionnaire, and then cross-referred. The physicians recognized the negative impact of diarrhea on the nutritional state of the child, but not all of them evaluated this state. Prevailing interventions were antibiotic therapy, fluid management, and feeding recommendations. Among the latter, the most consistent were breastfeeding, delayed feeding, and gradual feeding. The obtained information is in conflict with WHO's recommendations, specially with that of sustained feeding. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
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subjects Acute Disease
Adult
Breast Feeding
Case Management
Child, Preschool
Culture
Dehydration - prevention & control
Diarrhea - diet therapy
Diarrhea, Infantile - diet therapy
Diet
Fluid Therapy
Focus Groups
Humans
Infant
Infant Food
Knowledge
Middle Aged
Nutrition Disorders - prevention & control
Physicians - psychology
Practice Guidelines as Topic
World Health Organization
title Beliefs and knowledge of a group of doctors about the nutritional management of the child with acute diarrhea
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