Online Program

Awareness and use of ORS in treatment of childhood diarrhea among mothers in Bauchi state, Northern Nigeria: An implementation research findings

Tuesday, November 3, 2015

Toyin Akomolafe, MPH, B.Sc, USAID/Targeted States High Impact Project (TSHIP), Nigeria, Sokoto, Nigeria
Masduq Abdulkarim, Targeted States High Impact Project USAID Nigeria, Bauchi, Nigeria
Nosa Orobaton, MBBS, DrPH, MBA, Management, USAID-JSI Inc./Targeted States High Impact Project, Bauchi, Nigeria
Background: The management of childhood diarrhea using oral rehydration salts (ORS) is one of the proven life-saving interventions which reduce death and disability from diarrheal disease. Key messages on appropriate health and care-seeking behaviors, including use of ORS were reinforced through health facility workers, household education by community based health volunteers (CBHVs), and mass media in Bauchi State, Nigeria.

Methods: As part of an intervention initiated to improve access to quality care through private medical vendors (PMVs), a baseline survey on household experiences in managing malaria, diarrhea, and cough with difficult breathing was done in four local government areas (LGAs). A total of 3,077 children under five years of age were identified in selected households. 1,560 mothers with children under five presenting one or more of the three childhood illnesses in the last two weeks before the survey were interviewed. Mothers with more than one child under five were interviewed with respect to a particular child.

Results: Of the 1,560 mothers interviewed, 22% of the children had diarrhea, with 81% of these children treated. 25% of children treated were treated using ORS and 2% with salt-sugar solution. Among mothers of children that did not use ORS, 60% are aware of ORS. The results show that knowledge of ORS in the treatment of childhood diarrhea does not translate into use.

Implication/Conclusion: The baseline results was used in the development of training guide for PMVs, training of PMVs, re-orientation of CBHVs knowledge and areas to focus on with respect to childhood illnesses. Further study is required on perceptions of mothers regarding the use of oral rehydration solution (ORS), and the effectiveness of communication interventions.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Discuss the implications of findings for future research and interventions that promote appropriate healthcare seeking behaviors among mothers.

Keyword(s): Child Health, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Monitoring and Evaluation Assistant for USAID/Targeted States High Impact Project (TSHIP), Nigeria (April 2011 – August 2014), I participated in the design of the study and worked as survey manager during data collection, data entry and data analysis. In addition, I participated in the use of the data to inform pilot program design, e.g., development of training materials; developing of monitoring tools, and identification of indicators to routinely track
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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