Assessment of Mothers' Knowledge and use of Oral Rehydration Therapy for Diarrhoea in Children under 5 Years in Ife, Nigeria
Keywords:Acceptance, Management, Dehydration, Knowledge, ORT, Child, Mother, Diarrhoea
Background: Diarrhoea disease is the second leading cause of death in children under 5 years old, and is responsible for killing about 300, 000 children annually in Nigeria. Oral rehydration therapy (ORT) is the preferred treatment for fluid and electrolyte losses due to diarrhoea in children with mild to moderate dehydration. This study aimed to assess the knowledge and use of ORT in the management of diarrhoea in children under 5 years at Seventh Day Adventist Hospital (SDAH, Ife).
Method: A structured questionnaire was adopted for this study design and data was collected using a self-structured questionnaire both selfadministered and interviewer administered.
Results: Of 80 participants, 44 (55%) of the respondents had heard of ORT before this study, while 36 (45%) had not. 48 (60%) responded that they use oral rehydration solution while 32 (40%) of mothers said they had not used ORT. There was significant difference in both outcomes. The result revealed that there was significant difference in morbidity and mortality between mothers who use ORT and those who do not. But there was no significant difference between the knowledge of ORT compared with its use.
Conclusion: Appropriate knowledge of the therapy will positively influence its use which will drastically prevent morbidity associated with diarrhoea as well as contain the incidence of mortality.
Yusuf AB, Junaidu A, Abubakar MK. Assessment of Knowledge and Usage of Oral Rehydration Therapy in Management of Childhood Diarrhea among Mothers of Kambaza town, Kebbi State, Nigeria. Saudi J Biomed Res. 2022; 7(11): 315-21.
Brunner and Susdarth. Textbook of medicalsurgical nursing. Lippincott Williams & Wilkins. 2010; 12th ed: pp 267-70
Uchendu, U. O., Emodi, I. J., & Ikefuna, A. N. Prehospital management of diarrhoea among caregivers presenting at a tertiary health institution: implications for practice and health education. African health sciences. 2011; 11(1).
Boma, A.N., and Balafama, A. Home management of diarrheaby care givers presenting at the diarrhea training unit ofa tertiary Hospital in southern Nigeria. British Journalof Medicine and Medical Research. 2014; 4(35); 5524-5540
Mahor, G. R. Knowledge and attitudes of mothers regarding use of Oral Rehydration Solution in management of diarrhea. Asian Journal of Biomedical and pharmaceutical sciences. 2013; 3(22), 6-8.
Ashley Kirk. Mappes: The most dangerous disease around the world. The Telegraph. 2018; telegraph.co.uk
Mustapha, M. G., Ifah, S. S., & Garba, M. A. Knowledge, attitude and practices of mothers on home management of childhood acute watery diarrhoea in Maiduguri, Borno State, Nigeria. Nigerian Medical Journal. 2008; 49(1).
Guerrant RL, Van Gilder T, Steiner TS, ThielmanNM, Slutsker L, Tauxe RV, et al. InfectiousDiseases Society of America. Practice guidelines for the management of infectious diarrhea. Clinical Infectious Diseases. 2001;32:331–51.
M. K. Thomas, R. Murray, L. Flockhart et al., “Estimates of the burden of foodborne illness in Canada for 30 specified pathogens and unspecified agents, circa 2006,” Foodborne Pathogens and Disease, vol. 2013;10, no. 7, pp. 639–48.
Shah, M. S., Ahmad, A., Khalique, N., Khan, I. M., Ansari, M. A., & Khan, Z. Do the mothers in rural Aligarh know about home based management of acute diarrhea. Biology and medicine. 2011; 3(2), 76-80.
World Health Organization. World Health Survey: Report of Ethiopia. Geneva: World Health Organization, 2003.
Hahn S, Kim Y, Garner P. Reduced osmolarity oral rehydration solution for treating dehydration due to diarrhoea in children: systematic review. BMJ 2001; 323: 81–85.
Hackett KM, Mukta US, Chowdhury SB. Jalal. A qualitative study exploring perceived barriers to infant feeding and caregiving among adolescent girls and young women in rural Bangladesh; BMC Public Health. 2015;15:771.
Mumtaz Y, Zafar M, Mumtaz Z. Knowledge attitude and practices of mothers about diarrhea in children under 5 years. J Dow Uni Health Sci 2014; 8(1): 3-6
Abiola A. O. A., Ndaman A. L., Idris S. H., Jiya N. M., Ibrahim M. T. O. Home management ofchildhood diarrhoea among mothers in Sokoto, Nigeria. Tropical Journal of Health Sciences. 2010;17(1). (Availableat:http://www.ajol.info/index.php/tjhc/article/vi
Ogunrinde, O. G., Raji, T., Owolabi, O. A., & Anigo, K. M. Knowledge, attitude and practice of home management of childhood diarrhoea among caregivers of under-5 children with diarrhoeal disease in Northwestern Nigeria. Journal of tropical pediatrics. 2012; 58(2), 143-46.
Ige, O. O., & Olubukola, P. B. Teething myths among nursing mothers in a Nigerian community. Nigerian medical journal: journal of the Nigeria medical association. 2013; 54(2), 107
Solomon Tessema Memirie, Zewdu Sisay Metaferia, Ole F Norheim,1 Carol E Levin, Stéphane Verguet,Kjell Arne Johansson. Household expenditures onneumonia and diarrhoea treatment in Ethiopia: a facility-based study. BMJ Glob Health 2017; 1
Uwaezuoke S., Tagbo B., and Okoro B., “Knowledge and Utilization of Oral Rehydration Therapy among Mothers in Enugu, Nigeria,”
Orient J. Med. 2003; vol. 15: no. 1–2, pp. 45–8
Adimora, G.N., Ikefuna A.N., Ilechukwu, G. Home Management of Childhood Diarrhea: Need to Intensify Campaign. Nigerian Journal of Clinical Practice. 2011; 14(2):237-41.
Ahmed, F., Farheen, A., Ali, I., Thakur, M., Muzaffar, A., Samina, M. Management of Diarrhea in Under-fives at Home and Health Facilities in Kashmir. International Journal of Health Science (Qassim). 2009; 3(2): 171–75.
Bachrach, L.R., Gardner, J.M. Caregiver’s knowledge, attitude and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica. Rev Panam Salud Publication. 2002; , 12(1): 343-55 Bland diet. (2020, January). Medline Plus
Chiba T, Phillips SF. Alcohol-related diarrhea. Addict Biol. 2000 Apr 1;5(2):117-25. doi: 10.1080/13556210050003702. PMID: 20575826.
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. Nurse’s Pocket Guide Diagnoses, Prioritized Interventions, and Rationales. F. A. Davis
Company. 2008; 11th ed.
Farthing, Salam, Lindberg, Dite, Khalif, SalazarLindo, Ramakrishna, Goh, Thomson, Khan,Krabshuis, Lemair. History of diarrhea IBD Clinic. (n.d.). Smoking and Crohn’s Disease. IBD Clinic. International Journal of Medical and Health Research ISSN: 2454-9142. 2013; Impact Factor: RJIF 5.54 www.medicalsciencejournal.com. 2016; November Volume 2; (11):Page No. 62-7
Jamrozy, K. Alcohol and Diarrhea. Alcohol RehabHelp. Jan 1998. J Diarrhoeal Dis Res Georgr Okhale Akpede, Babatunde Abayomi Omotara, G.D Webb. 2021. John Oamen Igene Lamont, T. Patient education: Chronic diarrhea in adults (Beyond the Basics). Mayo Clinic. (n.d.). Dumping Syndrome. Mayo Clinic. 2020
Othero DM, et al. Home management of diarrhea among under-fives in a rural community in Kenya: Household perceptions and practices. East African Journal of Public Health. 2008; 5(3): p. 142-6.
Remidius Kamuhabwa Kakulu. Diarrhoea among underfive children and household water treatment and safe storage factors in mkuranga district, tanzania= Muhimbili University of Health and Allied Sciences. 2012
Roth GA, Abate D, Abate KH, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392:1736–88.
Sun, Y., Li, L., Xie, R., Wang, B., Jiang, K., & Cao, H. Stress Triggers Flare of Inflammatory Bowel Disease in Children and Adults. Frontiers in pediatrics. 2019; 7, 432.
Tresca, A. Normal Stool After Ostomy Surgery. Very well Health. WHO.UNICEF. Definition of oral rehydration solution concentrations of ingredient in reduced osmolarity, 2021; From 2005.
WHO: http://wholibdoc.who.intl/2003/624/1211/54321 . (Farthing, Salam, Lindberg, Dite, Khalif, SalazarLindo, Ramakrishna, Goh, Thomson, Khan, Krabshuis, Lemair. 2013. History of diarrhea
WHO. Pocket book for hospital care for children. Guideline for management of common childhood illness. 2013; 2nd ed. P.125-48
WHO. The treatment of diarrhea: A manual ofphysicians, students and healthcare workers. WHO/FCH/CAH/ Available from:
http://whqlibddoc.who.intl/publications/2005/92 4/593180. pdf WHO. (2015). Fact sheet ondiarrhoea. Available from: http//:
Ahmed, F., Farheen, A., Ali, I., Thakur, M., Muzaffar, A., Samina, M. Management of Diarrhea inUnderfives at Home and Health Facilities in Kashmir. International Journal of Health Science (Qassim). 2009; 3(2): 171–75
Bachrach, L.R., Gardner, J.M. Caregiver’s knowledge, attitude and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica. Rev PanamSaludPublica. 2002;12(1): 343- 55
Bello, D. A., Afolaranmi, T. O., Hassan, Z. I., Ogbonna, F. C., Inedu, P. G., Ejiga, C., & Chirdan, O.O. Knowledge and use of oral rehydration solution in the home management of diarrhea among mothers of under fives in Jos, Plateau State. 2017
Misgna, H. G., Ebessa, B., & Kassa, M. Prevalence of oral rehydration therapy use and associated factors among under-five children with diarrhea in Dangure, Benishangul Gumuz Region, Ethiopia/2018. BMC research notes. 2019; 12(1), 1- 6.
Digre, P., Simpson, E., Cali, S., Lartey, B., Moodley, M., & Diop, N. Caregiver perceptions and utilization of oral rehydration solution and other treatments for diarrhea among young children in Burkina Faso. Journal of global health. 2016; 6(2).
Stephen Nanbur, Ringkat Kumzhi Patience, Lydia B. Bulndi, Auta Dauda Abimiku, 5 Gusen Nanle Joseph, Obagu Solomon Abeh, S., Vasantha Kumari, P., & Champion, M. Knowledge and utilization of oral rehydration therapy among mothers in the management of childhood diarrhoea in General Hopital Kwoi, Kaduna State, Nigeria. International Journal of Medical and Health Research ISSN: 2454-9142, Impact Factor: RJIF 5.54 www.medicalsciencejournal.com Volume 2; Issue 11; November 2016; Page No. 62-7
WHO. (2005). The treatment of diarrhea: A manualof physicians, students and healthcare workers.WHO/FCH/CAH/ Available from:
http://whqlibddoc.who.intl/publications/2005/92 4/593180. pdf
World Health Organization (WHO) Fact sheet on diarrhoea (2015). Available from: http//:www.who.int/
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