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RESEARCH PROJECT
PRESENTATION
Knowledge Attitude and Practices of Mothers of Under-five
Children Regarding Diarrheal Illness: Hyderabad
Research Project Supervisor: Sir Habib Gul
Students: Aneesa Kumbrani Bakhtawar
Shehnila Khurram Paul
Qamar Christopher Zoya Zulfiqar
Maryam Noor Rukhsar Zaman
Sikandar Ashiq
KHARADAR GENERAL HOSPITAL SCHOOL OF NURSING
POST RN BSN IV SEMESTER 2020-2022
POST RN BSN IV SEMESTER 2020-2022
We would like to thank our respected principle
Madam Talat Parveen Shah to provide us the
opportunity to participate in this research and
also Dr. Khalid Iqbal for the permission from
the platform of Kharadar General Hospital.
We also pay our gratitude to our research
project supervisor Mr. Habib Gul to guide and
correct us throughout our research.
TITLE
Knowledge Attitude and Practices of Mothers
about Diarrhea in Children under 5 years
3
Introduction
Diarrhea is a serious issue in places where environmental
conditions adversely effect health, food sanitation is a challenge
and people have very poor knowledge about basic hygiene.
Universally, there are almost 1.7 billion cases of diarrheal
disease and 760,000 deaths in children under 5 every year.
Pakistan has the third-highest burden of diarrhea related
mortality in children < 5 y of age with 39500 death annually.
The 2017-2018 Pakistan Demographic and Health Survey
(PDHS) reported the national prevalence of diarrhea amoung
children <5 y of age to be 19%.
4
 In Pakistan, diarrhea is the leading cause of infant and child
death as around 800,000 children are died due to diarrhea
every year.
 Sindh leads with both the highest number of cases of diarrhea
as well as highest number of deaths of <5 y children,
according to independent surveys.
 As 2015 has already disclosed that Pakistan still struggles to
be able to meet millennium development goal 4, by the end of
2015. ( Published in Dawn, 12th January, 2015.
 Therefore it needs to evaluate the knowledge and attitude of
mothers of <5 y children and there practice to control the
disease spread.
5
Rationale
6
S.NO. ARTICLE NAME AUTHOR’S NAME RESULTS
1. Knowledge, attitude and practice of
mothers about diarrhea in children
under 5 years
Yasmeen Mumtaz, Mubbashir Zafar,
Zara Mumtaz.
J Dow Uni Health Sci 2014; 8(1): 3-
6
• Most of the mothers (47%) did not
know the causes of diarrhea
• Regarding knowledge mothers (40%)
were not able to specify the signs of
diarrhea
• Only 25% mothers used to give ORS
to their children during diarrhea
• Mothers (22.5%) having financial
issues and couldn’t visit doctor.
2. Knowledge, attitude and practice of
mothers of under-five children
regarding diarrheal illness: A study
from coastal Karnataka
Laxmipati Hanumantagouda Gollar,
K. Shreedhara Avabratha.
Muller J Med Sci Res 2018;9:66-70
• All of the mothers were literate in
this study
• Mothers with good knowledge about
diarrheal symptoms were 84%
• 42% mothers had bottle-fed their
chidren without knowledge that this
is the main cause of diarrhea.
• Almost 40% mothers didn’t know
the danger signs of diarrhea
including dehydration
Literature Review
7
S.NO. ARTICLE NAME AUTHOR’S NAME RESULTS
3. Mother’s knowledge, attitude and
practice towards the prevention and
home-based management of
diarrheal disease in Diredawa,
Eastern Ethiopia
Hailemariam Mekonne Workie,
Abdilahi Sharfiabdilahi, Esubalew
Addis
• Most of mothers (92.5%) defined
diarrhea correctly
• A number of mothers (54.9%)
had a negative attitude towards
home-based diarrheal prevention.
• Almost all mothers (98%) sought
medical treatment for their
children during disease time.
• 62.7% mothers decreased fluid
and feeding during diarrheal
episodes to their children
4. Impact of structural educational
program on maternal knowledge,
attitude and practice towards
diarrhea management in children
under 5 years age in Anantapur
District
Guddeti Sunanda, Dasaratha
Ramaiah, Mantargi Mohammad
Jaffer Sadiq, Goruntla Naryana
CHRISMED Journal of Health
and Research. Sunanda, et al.:
Maternal KAP toward diarrhea
• Majority of women (56.7%) were
between age group of 20-29
years.
• Around 69% of participants
belong to low socioeconomic
status.
• Only few mothers (12.2%)
answered the KAP questions
correctly.
• Just about 27% mother had used
ORS in the management of
diarrhea.
Literature Review
Objective
 A study designed to assess the knowledge, attitude and
practice of mothers of children under five years of age and to
measure the need of health education to mothers about
diarrhea, its causes prevention and proper treatment.
8
Significance of the study
 This study would help to find out the prevalence of mothers level of
knowledge and associated factors responsible in delay for treatment of
diarrhea and mortality.
 Furthermore the Primary researcher will be able to arrange awareness
sessions for mothers on danger signs in children specially under five years
of age.
 Consequently, this would increase mothers knowledge and health seeking
behavior lead to decrease in child mortality rate due to diarrheal illness.
9
Research Methodology
10
Study
Design
Setting
Duration
Research Methodology
• Mothers who
have children
under five years
of age at Niloufer
Hospital,
Hyderabad,
Telangana
• Non
Probability
Consecutive
Convenient
Sampling
11
• Sample size is
N= 100
Research Methodology
12
• Mothers of children below
the age of 5 years who
were admitted in inpatient
department of Paedriatrics
at Niloufer Hospital were
included
• Mothers who not willing to
sign consent form
• Physically or mentally no
fit
• Having no sufficient time
to fill the quesionair
Data Analysis
Category Frequency (%)
Age (years)
Up to 20 8
21-25 43
26-30 32
>31 17
Education of mothers
Primary (1-7) 11
High-school (8-10) 45
PUC (11-12) 39
Graduate 5
Socioeconomic status
Class I 6
Class II 21
Class III 37
Class IV 30
Class V 6
13
Table 1: Baseline demographic characteristics of mothers of undre five years
Total mothers= 100
Age group Literacy Socioeconomic
21-25 = 43% High school = 45% Class III = 37%
26-30 = 32% PUC education = 39% Class IV = 30%
Data Analysis
14
Table 2: Answering pattern for the 10 questions by the participants regarding knowledge about diarrheal disease
Responses Correctly answered (%)
1. What is diarrhea 82
2. Causes of diarrhea 68
3. Consequences of diarrhea 58
4. Signs of dehydration 42
5. Treatment modalities 41
6. Oral rehydration solution 78
7. Danger signs 43
8. When to seek medical advice 72
9. Preventive measures 66
10. Rotavirus vaccination 32
Total questions = 10
Points basis Scoring Analysis
Correct response = 1 < 5 correct = Poor
Wrong response = 0 > 5 correct = Good
(Note: questions 1, 2, 3, 6, 8 and 9 were correctly answered by more than 50% of participants.
Data analysis
15
Table:3 Distribution of participants according to the knowledge scores
Category Poor knowledge Good knowledge
Age group (years)
< 25 15 32
> 25 1 52
Educational status
School education 18 28
College education 0 54
Socioeconomic status
Lower 12 24
Higher 6 58
Mother more than 25 years of age = 52%
Mothers had college education = 54%
Mothers belong to higher socioeconomic status = 58%
Data analysis
16
Table 4: patterns of attitude about diarrheal illness among the participants
Attitude
Fully agree
(%)
Partially agree
(%)
Disagree
(%)
Diarrhea as serious health problem 82 13 5
Management measures 52 42 6
Preventive measures 32 64 4
Mothers seriousness of attitude on diarrheal illness
Serious attitude toward diarrheal illness = 82%
Serious attitude toward management measures = 52%
Serious attitude toward Preventive measures = 32%
Conclusion
© MHM Research Cell 2013
17
Total mothers = 100
Age group Literacy socioeconomic
21-25 = 43% High school = 45% Class III = 37%
26-30 = 32% PUC Education = 39% Class IV = 30%
 Mothers belong to age more than 25 years were 52%
 Mothers had college education were 54%
 Mothers with high socioeconomic status were 58% had good knowledge
 Mothers had serious attitude toward diarrheal illness were 82%
 Mothers had serious attitude toward management measures of diarrheal illness were 52%
 Mothers had serious attitude towards preventive measures of diarrheal illness were 32%.
Good Luck!
18

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ARTICAL PRESENTATION of mothers knowledge attitude and practice toward diarrhea

  • 1. RESEARCH PROJECT PRESENTATION Knowledge Attitude and Practices of Mothers of Under-five Children Regarding Diarrheal Illness: Hyderabad Research Project Supervisor: Sir Habib Gul Students: Aneesa Kumbrani Bakhtawar Shehnila Khurram Paul Qamar Christopher Zoya Zulfiqar Maryam Noor Rukhsar Zaman Sikandar Ashiq KHARADAR GENERAL HOSPITAL SCHOOL OF NURSING POST RN BSN IV SEMESTER 2020-2022
  • 2. POST RN BSN IV SEMESTER 2020-2022 We would like to thank our respected principle Madam Talat Parveen Shah to provide us the opportunity to participate in this research and also Dr. Khalid Iqbal for the permission from the platform of Kharadar General Hospital. We also pay our gratitude to our research project supervisor Mr. Habib Gul to guide and correct us throughout our research.
  • 3. TITLE Knowledge Attitude and Practices of Mothers about Diarrhea in Children under 5 years 3
  • 4. Introduction Diarrhea is a serious issue in places where environmental conditions adversely effect health, food sanitation is a challenge and people have very poor knowledge about basic hygiene. Universally, there are almost 1.7 billion cases of diarrheal disease and 760,000 deaths in children under 5 every year. Pakistan has the third-highest burden of diarrhea related mortality in children < 5 y of age with 39500 death annually. The 2017-2018 Pakistan Demographic and Health Survey (PDHS) reported the national prevalence of diarrhea amoung children <5 y of age to be 19%. 4
  • 5.  In Pakistan, diarrhea is the leading cause of infant and child death as around 800,000 children are died due to diarrhea every year.  Sindh leads with both the highest number of cases of diarrhea as well as highest number of deaths of <5 y children, according to independent surveys.  As 2015 has already disclosed that Pakistan still struggles to be able to meet millennium development goal 4, by the end of 2015. ( Published in Dawn, 12th January, 2015.  Therefore it needs to evaluate the knowledge and attitude of mothers of <5 y children and there practice to control the disease spread. 5 Rationale
  • 6. 6 S.NO. ARTICLE NAME AUTHOR’S NAME RESULTS 1. Knowledge, attitude and practice of mothers about diarrhea in children under 5 years Yasmeen Mumtaz, Mubbashir Zafar, Zara Mumtaz. J Dow Uni Health Sci 2014; 8(1): 3- 6 • Most of the mothers (47%) did not know the causes of diarrhea • Regarding knowledge mothers (40%) were not able to specify the signs of diarrhea • Only 25% mothers used to give ORS to their children during diarrhea • Mothers (22.5%) having financial issues and couldn’t visit doctor. 2. Knowledge, attitude and practice of mothers of under-five children regarding diarrheal illness: A study from coastal Karnataka Laxmipati Hanumantagouda Gollar, K. Shreedhara Avabratha. Muller J Med Sci Res 2018;9:66-70 • All of the mothers were literate in this study • Mothers with good knowledge about diarrheal symptoms were 84% • 42% mothers had bottle-fed their chidren without knowledge that this is the main cause of diarrhea. • Almost 40% mothers didn’t know the danger signs of diarrhea including dehydration Literature Review
  • 7. 7 S.NO. ARTICLE NAME AUTHOR’S NAME RESULTS 3. Mother’s knowledge, attitude and practice towards the prevention and home-based management of diarrheal disease in Diredawa, Eastern Ethiopia Hailemariam Mekonne Workie, Abdilahi Sharfiabdilahi, Esubalew Addis • Most of mothers (92.5%) defined diarrhea correctly • A number of mothers (54.9%) had a negative attitude towards home-based diarrheal prevention. • Almost all mothers (98%) sought medical treatment for their children during disease time. • 62.7% mothers decreased fluid and feeding during diarrheal episodes to their children 4. Impact of structural educational program on maternal knowledge, attitude and practice towards diarrhea management in children under 5 years age in Anantapur District Guddeti Sunanda, Dasaratha Ramaiah, Mantargi Mohammad Jaffer Sadiq, Goruntla Naryana CHRISMED Journal of Health and Research. Sunanda, et al.: Maternal KAP toward diarrhea • Majority of women (56.7%) were between age group of 20-29 years. • Around 69% of participants belong to low socioeconomic status. • Only few mothers (12.2%) answered the KAP questions correctly. • Just about 27% mother had used ORS in the management of diarrhea. Literature Review
  • 8. Objective  A study designed to assess the knowledge, attitude and practice of mothers of children under five years of age and to measure the need of health education to mothers about diarrhea, its causes prevention and proper treatment. 8
  • 9. Significance of the study  This study would help to find out the prevalence of mothers level of knowledge and associated factors responsible in delay for treatment of diarrhea and mortality.  Furthermore the Primary researcher will be able to arrange awareness sessions for mothers on danger signs in children specially under five years of age.  Consequently, this would increase mothers knowledge and health seeking behavior lead to decrease in child mortality rate due to diarrheal illness. 9
  • 11. Research Methodology • Mothers who have children under five years of age at Niloufer Hospital, Hyderabad, Telangana • Non Probability Consecutive Convenient Sampling 11 • Sample size is N= 100
  • 12. Research Methodology 12 • Mothers of children below the age of 5 years who were admitted in inpatient department of Paedriatrics at Niloufer Hospital were included • Mothers who not willing to sign consent form • Physically or mentally no fit • Having no sufficient time to fill the quesionair
  • 13. Data Analysis Category Frequency (%) Age (years) Up to 20 8 21-25 43 26-30 32 >31 17 Education of mothers Primary (1-7) 11 High-school (8-10) 45 PUC (11-12) 39 Graduate 5 Socioeconomic status Class I 6 Class II 21 Class III 37 Class IV 30 Class V 6 13 Table 1: Baseline demographic characteristics of mothers of undre five years Total mothers= 100 Age group Literacy Socioeconomic 21-25 = 43% High school = 45% Class III = 37% 26-30 = 32% PUC education = 39% Class IV = 30%
  • 14. Data Analysis 14 Table 2: Answering pattern for the 10 questions by the participants regarding knowledge about diarrheal disease Responses Correctly answered (%) 1. What is diarrhea 82 2. Causes of diarrhea 68 3. Consequences of diarrhea 58 4. Signs of dehydration 42 5. Treatment modalities 41 6. Oral rehydration solution 78 7. Danger signs 43 8. When to seek medical advice 72 9. Preventive measures 66 10. Rotavirus vaccination 32 Total questions = 10 Points basis Scoring Analysis Correct response = 1 < 5 correct = Poor Wrong response = 0 > 5 correct = Good (Note: questions 1, 2, 3, 6, 8 and 9 were correctly answered by more than 50% of participants.
  • 15. Data analysis 15 Table:3 Distribution of participants according to the knowledge scores Category Poor knowledge Good knowledge Age group (years) < 25 15 32 > 25 1 52 Educational status School education 18 28 College education 0 54 Socioeconomic status Lower 12 24 Higher 6 58 Mother more than 25 years of age = 52% Mothers had college education = 54% Mothers belong to higher socioeconomic status = 58%
  • 16. Data analysis 16 Table 4: patterns of attitude about diarrheal illness among the participants Attitude Fully agree (%) Partially agree (%) Disagree (%) Diarrhea as serious health problem 82 13 5 Management measures 52 42 6 Preventive measures 32 64 4 Mothers seriousness of attitude on diarrheal illness Serious attitude toward diarrheal illness = 82% Serious attitude toward management measures = 52% Serious attitude toward Preventive measures = 32%
  • 17. Conclusion © MHM Research Cell 2013 17 Total mothers = 100 Age group Literacy socioeconomic 21-25 = 43% High school = 45% Class III = 37% 26-30 = 32% PUC Education = 39% Class IV = 30%  Mothers belong to age more than 25 years were 52%  Mothers had college education were 54%  Mothers with high socioeconomic status were 58% had good knowledge  Mothers had serious attitude toward diarrheal illness were 82%  Mothers had serious attitude toward management measures of diarrheal illness were 52%  Mothers had serious attitude towards preventive measures of diarrheal illness were 32%.