FACTORS ASSOCIATED WITH HEALTH OUTCOMES IN DIARRHOEAL DISEASES AMONG CHILDREN AGED 2-59 MONTHSADMITTED TO COAST GENERAL HOSPITAL, MOMBASA COUNTY
Keywords:
Acute Watery Diarrhoea, Chronic Diarrhoea, Diarrhoea, Dysentery, Shock.Abstract
Purpose: Diarrhoea is among the leading causes of death among infants who are under five years despite it being preventable and treatable. However, nearly half a million children still die every year as a result of the disease.
Methods: A descriptive cross-sectional design hospital design was implemented in the study. This study was conducted in Coast General Hospital which is located in Mvita sub-County, Mombasa. A systematic sampling technique was used in the selection of patients who were admitted at the ward and Fischer's formula (1991) was used in the calculation of the sample size. The collection of data was achieved through the use of a structured interview schedule. The bivariate relationship that were associated with the health outcomes and other factors were assessed through the Spearman's rank-order correlation. All variables that were found to be associated with the occurrence with health outcome at the bivariate level were considered together using binary logistic regression. The level of statistical significance was set at p<0.05 and all tests were two-sided.
Results: The findings revealed that age, weight, low respiratory rate, capillary refill and children who required oxygen as the child related factors associated with health outcomes of diarrhoea. Marital status of the caregiver was the caregiver related outcome that was associated with health outcomes of diarrhoea and no health facility related factors were found to be significant.
Conclusion: Caregivers play a critical role in ensuring adequate healthcare of the children as such more efforts should be directed towards ensuring that they are knowledgeable diarrhoea management
Downloads
References
2. Dairo M, Ibrahim T, Salawu A. Prevalence and determinants of diarrhoea among infants in selected primary health centres in Kaduna north local government area, Nigeria. Pan Afr Med J. 2017;28(1):151.
3. van der Westhuizen F, Slogrove A, Kunneke M, Kruger M. Factors associated iwth severe dehydrating diarrhoea in rural western cape, South Africa. J Trop Pediatr. 2018;65(1):1-8.
4. UNICEF. Diarrhoeal Disease. Geneva, Switzerland: United Nations Children's Fund; 2016.
5. WHO. WHO recommendations on the management of diarrhoea and pneumonia in HIV-infected infants and children. Geneva, Switzerland: World Health Organization; 2015.
6. Dairo. Prevalence and determinants of diarrhoea among infants in selected primary health centres in Kaduna, North local Government area, Nigeria.
7. Bello D, Afolaranmi T, Hassan Z, Ogbonna F. Knowledge and use of oral rehdyration solution in home management of diarrhea among mothers of under fives in Jos , Plateau State. Int J Biomed Res. 2017;
8. Shah M, Tate J, Mwenda J, Steele D, Parashar U. Estimated reductions in hospitalizations and deaths from childhood diarrhea following implementation of rotavirus vaccination in Africa. Expert Rev Vaccines. 2017;16(10):987-95.
9. Carvajal-Velez L, Amouzou A, Perin J, Maiga A. Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter. BMC Public Health. 2016;16:830.
10. Wodnik B, Freeman M, Ellis A, Ogutu E. Behaviour measures relating to food preparation, hand washing and play environments in rural Kenya. Int J Environ Res Public Health. 2018;15(9):1994.
11. Onyango D. Role of community health volunteers in care of children aged under-five years in Western Kenya. Kenyan J Nurs Midwifery. 2017;2(2):133-8.
12. Kariuki J. Effectiveness of sanitation and hygiene interventions in changing mothers behaviours and improving child health in Turkanadistrict, Kenya. Jomo Kenyatta University of Agriculture and Technology; 2013.
13. Lazzerini M, Wanzira H. Oral Zinc for treating diarrhoea in Children. Cochrane Database Syst Rev. 2016;
14. Saha S, Santosham M, Hussain M. Rotavirus vaccine will improve child survival by more than just preventing diarrhea: Evidence from Bangladesh. Am J Trop Med Hyg. 2018;98(2):360-3.
15. Talbert A, Ngari M, Bauni E, Mwangombe M. Mortality after inpatient treatment for diarrhea in children: A cohort study. BMC Med. 2019;17(1):20.
16. Hasan A, Nguyen C. 2 weekold female infant with vomiting diarrhea and poor feeding. Pediatrics Morning Report: Beyond the pearls E-Book; 2018.
17. Mpabalwani E, Simwaka C, Mwenda J. Impact of rotavirus vaccination on diarrheal hospitalizations in children aged <5 years in Lusaka, Zambia. Clin Infect Dis. 2016;62(Suppl 2):183-7.
18. Cai L, Yu P, Zhang Y, Yang X, Li W. Effect of feeding pattern on infant illness in Chinese cities. Public Health Nutr. 2016;19(7):1252-9.
19. Kerac M, Mwangombe M, Marie M, Haider R. Management of acute malnutrition in infants aged under 6 months: Current issues and future directions in policy and research. Food Nutr Bull. 2015;36(Suppl 1):s30-4.
20. Patwari A, Kumar S, Beard J. Under nutrition among infants less than 6 months of age: An underestimated public health problem in India. Matern Child Nutr. 2015;11(1):1119-26.
21. Jarrett M, Han C, Cain K, Burr R, Shulman R. Relationships of abdominal pain, report to visceral and temperature pain sensitivity, condoned pain modulation and heart rate variability in irritable bowel syndrome. Neurogastroenterol Motil. 2016;28(7):1094-103.
22. Ramos J, Alegria I, Tessema D, Mohamed N, Tissiano G. Epidemiology of rotavirus diarrhea among children aged less than 5 years in rural southern Ethiopia. Southeast Asian J Trop Med Pulic Health. 2015;46(3):434-43.
23. Akhtaruzzaman M, Hossain A, Murtaza A. Home mangement of chilldhod diarrhoea by mothers presenting at a tertiary hospital in Bangladesh. J Nepal Paediatr Soceity. 2015;35(3):237-46.
24. Kalid M, Omar E, Ibrahim A, Said S. Factors related to the occurrence of diarrheal disease in under-five children of IDP's in Bosaso, Puntland-Somalia. World J Med Sci. 2016;13(1):54-9.
25. Qamar F, Zaman U, Quadri F, Shaikh B. Predictors of diarrheal mortality and patterns of caregiver health seeking behaviour in Karachi, Pakistan. J Glob Health. 2016;6(2).
26. Mohanna M, Al-Sonboli N. Prevalence of diarrhoea and related risk factors among children aged 5 years in Sana'a, Yemen. Hamdan Med J. 2018;11(1):29-33.
27. Suganya V, Baby B, Revathi D, Ramya K, Indira S, Kumar N. Knowledge on home management of diarrhoea among mothers of under five children. IJAR. 2017;3(5):376-80.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
