The influence of knowledge and health service in the usage of oral rehydration salts in diarrhea management for children under 5 years; case study in Balikpapan, Indonesia
Keywords:
Diarrhea, Knowledge, Health Service, ORSAbstract
Oral Rehydration Salts (ORS) solution can contribute to a substantial reduction in infant deaths from diarrhea. However, factors affecting the use of ORS is not known at Balikpapan City, Indonesia. This study aims to establish the determinants of ORS use in children under-five years with diarrhea in Balikpapan City, Indonesia. To examine the Influence of Knowledge and Health Service in the usage oral rehydration salts in diarrheal management for children under 5 years among mothers attending health clinics in Balikpapan. A cross sectional study was done based on 3 health clinics. Four hundred three mothers with children who have diarrhea 2 weeks episode and are under the age of 5 years. Definition ORS used sachet package and salt sugar solution. Data were collected using structured questionnaires, including demographic information, knowledge about diarrhea, health service factors and cost in health facility the management of diarrhea. The prevalence of mothers used ORS for the management of diarrhea was only 68.7%. Factors associated with ORS used were knowledgeable mothers about danger signs of diarrhea (adj. OR: 170.49, 95% CI: 41.38, 702.46); obtain of ORS from public health facilities (adj. OR: 22.7, 95% CI: 6.93, 74.41). Health seeking behavior, knowledge, source and mode of obtaining ORS significantly increases ORS solution use in children under-five with diarrhea in Balikpapan District.
References
Amare, D., Dereje, B., Kassle, B., Tessema, M., Mulu, G., Alene, B. and Ayele, A. 2014. Maternal knowledge and practice towards diarrhoea management in under 5 children in Fenote Selam Town, West Gojjam Zone, Amhara Regional State, Northwest Ethiopia. Journal Infectious Disease and Therapy 2:6.
Adhikari, K.P., Kunwar, L.S., MacDonald, V. Paudel, M. 2006. Qualitative research for a Zinc treatment program in Nepal: Findings and recommendations. http:// www.psp-one.com/content/resource/detail/3280/.
Asif, M., Tripathi, N.K., Ahmed, S. 2013. Toward near real time publish health surveillance (A decision support system for public health surveillance). International Journal of Computer Applications 61(21): 0975-8887.
Caruso, B., Stephenson, R., and Leon, J.S. 2010. Maternal behavior and experience, care access, and agency as determinants of child diarrhea in Bolivia. Rev Panam Salud Publica 28(6): 429-439.
Claeson, M.H.M.M. 1990. Global progress in the conrol of diarrheal diseases. Paediatric Infectious Disease Journal 9: 345-55.
Das, J.L., Salam, R.A. and Bhutta, Z.A. 2014. Global burden of childhood diarrhea and interventions. Current Opinion in Infectious Disease 27(5):451-458.
Dinas Kesehatan Kalimatan Timur. 2012. Profil Kesehatan.
Gao, W., Yan, H., Wang, D. and Dang,S. 2013. Oral rehydration salt use and its correlates in low-level care of diarrhea among children under 36 months old in rural Western China. BMC Public Health 13:238.
Gurpreet, K., Tee, G.H., Amal, N.M., Paramesarvathy, R. and Karuthan, C., 2011. Incidence and determinants of acute dirrhoea in Malaysia: A population-based study. Journal Health Population and Nutrition 29(2): 103-112.
Hardi, R.A. 2012. The factors which are the incident of diarrhea at toddler in local Clinic Barangnglompo Ujung Tanah Subdistrict. Bachelor Thesis, Universitas Hasanudin.
Indonesia Ministry of Health. 2010a. Indonesia Health Profile. Jakarta.
Jamison, D.T., Breman, J.G., Measham, A.R., Alleyne, G., Claeson, M., Evans, D.B., Jha, P., Mills, A. Musgrove, P. 2006. Priorities in developing countries (2nd edition). In: Diarrheal Disease, ed. Keusch, G.T., Fontaine, O., Bhargava,A., Pinto-Boschi, C., Bhutta, Z.A., Gotuzzo,E., Rivera, J.A., Chow, J., Salles-Shahid, S.A. and Laxminarayan, R, pp. 371-388. Oxford University Press and World Bank: Washington DC.
Lamberti, L.M., Walker, C.L.F., Noiman, A., Victora, C. and Black, R.E. 2011. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health 11 (3): 515.
Lanata, C.F., Walker-Fischer, C.L., Olascoaga, A.C., Torres, C.X., Aryee, M.J., Black, R.E. and For the Child Health Epidemiology Reference Group on the World Health Organization. 2013. Global causes of diarrheal disease mortality in children.
Lenters, L.M., Das, J.K. and Bhutta, Z.A. 2013. Systematic review of strategies to increase use of oral rehydration solution at household level. BMC Public Health 13(3): 528.
MacDonald, S.E., Moralejo, D.G. and Matthews, M.K. 2007. Maternal understanding of diarrhoea-related dehydration and its ifluence on ORS use in Indonesia. Asia Pacific Journal of Public Health 19 (1): 34-39.
Mach, O., Lu, L., Creek, T., Bowen, A., Arvelo, W., Smit, M., Masunge, J., Brennan, M. and Handzel, T. 2009. Population-based study of a widespread outbreak of diarrhea associated with increased mortality and malnutrition in Botswan January-March 2006. The American Journal of Tropical Medicine and Hygiene 80 (5): 812-818.
Morisky, D.E., Kar, S.B., Chaudry, A.S., Chen, K.R., Shaheen, M. and Chickering. 2002. Update on ORS usage in Pakistan: Results of National Study. Pakistan Journal of Nutrition 1(3): 143-150.
Mohammed, S. and Tamiru, D. 2014. The burden of diarrheal disease among children under 5 years of age in Arba Minch District, Southern Ethiopia, and associated risk factors: A cross sectional study. International Scholarly Research Notice 6.
Munos, M.K., Walker, C.L.F. and Black, R.E. 2010. The effect of oral rehydration solution and recommended home fluid on diarrhoea mortality. International Journal Epidemiology 39: 175-187.
Pham, D.M., Byrkit, M., Pham, H.V., Pham, T. and Nguyen, C.T. 2013. Improving pharmacy staff knowledge and practice on childhood diarrhea management in Vietnam: Are educational interventious effective. PLos One 8:10.
Ram, P.K. Choi, M., Blum, L.S., Wamae, A.W., Mintz, E.D. and Bartlett, A.V., 2008. Declines in case management of diarrhoea among children less than 5 years old. Bulletin World Health Organization 86(3): A-F.
Sastry, N. and Burgard,S. 2011. Changes in diarrheal disease and treatment among Brazilian children from 1986 to 1996. P Population research and policy review 30(1): 81-100.
Sabot, O., Schroder, K., Yamey, G., Montagu, D. 2012. Scaling up oral rehydration salts and zinc for the treatment of diarrhoea. BMJ 344: e940.
S.K. Bhatttacharya. (2000). Therapeutic methods for diarrhea in children. World Journal of Gastroenterology, 6(4):497-500.
Sreeramareddy, T.C., Shankar, P.R., Sreekumara, V.B., Subba, H.S., Joshi, S,H. and Ramachandran, U. 2006. Care seeking behaviour for childhood illness, a questionnaire survey in western Nepal. BMC International Health Human Rights 6:7.
United Nations Children's Fund (UNICEF). 2012. Pneumonia and diarrhoea: Tackling the deadliest disease for the world's poorest children. New York: UNICEF.
United Nations Children's Fund (UNICEF). 2014a. The state of the world's children 2014 in numbers every child count, pp 3-7. New York: UNICEF.
Walker-Fisher, C.L., Aryee, M.J., Pinto,C.B and Black. R.E. 2012. Estimating diarrhea mortality among young children in low- and middle-income countries. PLoS ONE 7(1): 29151.
World Health Organization (WHO). 2013. Pocket book of hospital care for children: Guidelines for the management of common childhood illneses (2nd edition), pp. 126-143. Geneva: World Health Organization.
World Health Organization (WHO) and UNICEF. 2009. Diarrhoea: Why children are still dying and what can be done. In The global burden of childhood diarrhoea, pp. 4-8. New York: UNICEF.
World Health Organization (WHO) and UNICEF. 2004. Joint Statement: Clinical management of acute diarrhoea. www.wikipedia.orh/wiki/diarrhea
