Frontiers in public health · 2025
Maternal practices and awareness of diarrhea management in children under-five: evidence from Pune, India.
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Shukla Sandhya A, Suryawanshi Sonali P, Dhande Priti P
Аннотация
INTRODUCTION: Diarrhea remains a leading cause of morbidity and mortality among children under-five in developing countries. Mothers' knowledge and practices play a critical role in early home management and prevention.
OBJECTIVES: To assess the knowledge, attitudes, and practices (KAP) of mothers of under-five children regarding the prevention and management of diarrhea in Pune, India.
METHODS: A cross-sectional, questionnaire-based survey was conducted among 122 mothers attending the pediatric outpatient department of a tertiary care hospital. Data on sociodemographic characteristics, knowledge, attitudes, and practices related to diarrhea were collected and analyzed using descriptive statistics and Chi-square tests.
RESULTS: Most mothers (67.2%) correctly defined diarrhea, and nearly all (99.18%) identified contaminated water as a major cause. Awareness of ORS was high, with 95.9% knowing its correct preparation. However, only 28.7% recognized the role of zinc supplementation. Higher education, employment, and income were significantly associated with better knowledge (p < 0.05), but not with practice scores. A weak positive correlation (r = 0.34) was found between knowledge and practice. About 27% followed all three WHO-recommended home-based treatments (ORS, increased fluids, continued feeding), while 3% relied solely on antibiotics.
CONCLUSION: Mothers demonstrated good awareness of diarrhea causes and ORS use but lacked adequate knowledge of zinc supplementation. Health education efforts should target these gaps to promote complete and evidence-based home management practices.
OBJECTIVES: To assess the knowledge, attitudes, and practices (KAP) of mothers of under-five children regarding the prevention and management of diarrhea in Pune, India.
METHODS: A cross-sectional, questionnaire-based survey was conducted among 122 mothers attending the pediatric outpatient department of a tertiary care hospital. Data on sociodemographic characteristics, knowledge, attitudes, and practices related to diarrhea were collected and analyzed using descriptive statistics and Chi-square tests.
RESULTS: Most mothers (67.2%) correctly defined diarrhea, and nearly all (99.18%) identified contaminated water as a major cause. Awareness of ORS was high, with 95.9% knowing its correct preparation. However, only 28.7% recognized the role of zinc supplementation. Higher education, employment, and income were significantly associated with better knowledge (p < 0.05), but not with practice scores. A weak positive correlation (r = 0.34) was found between knowledge and practice. About 27% followed all three WHO-recommended home-based treatments (ORS, increased fluids, continued feeding), while 3% relied solely on antibiotics.
CONCLUSION: Mothers demonstrated good awareness of diarrhea causes and ORS use but lacked adequate knowledge of zinc supplementation. Health education efforts should target these gaps to promote complete and evidence-based home management practices.