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
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%...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2011-12, Vol.85 (6), p.1134-1140 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | OLSON, Christine K BLUM, Lauren S PATEL, Kinnery N ORIA, Prisca A FEIKIN, Daniel R LASERSON, Kayla F WAMAE, Annah W BARTLETT, Alfred V BREIMAN, Robert F RAM, Pavani K |
| description | 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. |
| doi_str_mv | 10.4269/ajtmh.2011.11-0178 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.2011.11-0178</identifier><identifier>PMID: 22144458</identifier><identifier>CODEN: AJTHAB</identifier><language>eng</language><publisher>Deerfield, IL: American Society of Tropical Medecine and Hygiene</publisher><subject>Adult ; Biological and medical sciences ; Breast Feeding ; Caregivers - statistics & numerical data ; Case Management - statistics & numerical data ; Cross-Sectional Studies ; Dehydration - etiology ; Dehydration - therapy ; Diarrhea, Infantile - complications ; Diarrhea, Infantile - therapy ; Female ; Fluid Therapy - statistics & numerical data ; Gastroenterology. Liver. Pancreas. Abdomen ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility ; Humans ; Infant ; Infectious diseases ; Interviews as Topic ; Kenya ; Male ; Medical sciences ; Multivariate Analysis ; Other diseases. Semiology ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Breast Feeding</subject><subject>Caregivers - statistics & numerical data</subject><subject>Case Management - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Dehydration - etiology</subject><subject>Dehydration - therapy</subject><subject>Diarrhea, Infantile - complications</subject><subject>Diarrhea, Infantile - therapy</subject><subject>Female</subject><subject>Fluid Therapy - statistics & numerical data</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Kenya</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Other diseases. Semiology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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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.</abstract><cop>Deerfield, IL</cop><pub>American Society of Tropical Medecine and Hygiene</pub><pmid>22144458</pmid><doi>10.4269/ajtmh.2011.11-0178</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Breast Feeding Caregivers - statistics & numerical data Case Management - statistics & numerical data Cross-Sectional Studies Dehydration - etiology Dehydration - therapy Diarrhea, Infantile - complications Diarrhea, Infantile - therapy Female Fluid Therapy - statistics & numerical data Gastroenterology. Liver. Pancreas. Abdomen Health Knowledge, Attitudes, Practice Health Services Accessibility Humans Infant Infectious diseases Interviews as Topic Kenya Male Medical sciences Multivariate Analysis Other diseases. Semiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
| title | 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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