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- W2886962016 abstract "INTRODUCTION:The national policy for children 1974 recognizes children as the nation’sSupremely important asset. It states that it shall be the policy of the state toProvide adequate services to children throughout their period of growth andDevelopment. Child’s health has been given greatest priority over the years andMany health programmes have been implemented aimed at reducing childMortality and morbidity 1The challenge of the time is to study child’s health in relation toCommunity, social values and social policy2. The active role of communityEspecially from families is a must. Their role is in turn influenced by theKnowledge and perception about the disease and its management.One of the major health problem encountered in childhood is acuteDiarrhea. Diarrhea is dangerous because of the dehydration which has beenEstimated to account for 16% of under-five mortality and 3% of neonatalMortality globally3. Diarrheal diseases also cause malnutrition. Children withSevere malnutrition and diarrhea have high mortality rate4. Studies indicate thatDiarrhea can also lead to long-term physical impairments such as stuntedGrowth and reduced intellectual development5Globally one in five deaths in children is due to diarrhea. DiarrhealDisease occurs worldwide, 90 percent of diarrheal disease deaths in childrenUnder age five occur in developing countries6. Africa and South Asia are homeTo more than 80 percent of child deaths due to diarrhea. Just 15 countriesAccount for almost three quarters of all deaths from diarrhea among childrenUnder-five years of age annually. Among this India ranks first 7 .The caseFatalities is also high in low resource setting 8. It also causes heavy economicBurden on health services.The prevalence of diarrhea differs from place to place9. The etiologyAlso differs. But regardless of the agent, age or place 90% of diarrheal deathsCan be prevented provided little care is taken to see that the child is rehydrated.Diarrheal diseases are like an emergency happening everyday and it is easilyPreventable and treatable 10.Awareness of, and access to, existing lifesaving interventions is oftenLimited. In fact, research indicates that only about one-third of childrenSuffering from diarrheal disease in developing countries actually receive theRecommended treatment they need11.Diarrheal disease doesn’t have to be a top killer of children inDeveloping countries. Proven, lifesaving interventions already exist. TheyInclude prevention methods such as improved sanitation and hygiene, access toSafe drinking water, vaccines, exclusive breastfeeding, and optimalComplementary feeding. And, when diarrhea occurs, treatment options such asOral rehydration solution (ORS)/oral rehydration therapy (ORT) and zincTreatment speed recovery and save lives.Oral Rehydration Therapy is scientifically sound, practically adoptable,Culturally acceptable and economically cheap and is of appropriateTechnology12. Oral rehydration therapy is one of the important medicalAdvances of the 20th century in terms of simplicity and scope to save lives13.ORS is the cornerstone of diarrheal disease treatment in both industrialized andDeveloping nations. It reduces dehydration in nearly 90 percent of patients14.Since 1970’s ORT has saved an estimated 50 million lives15.Zinc is a critical new intervention for treating diarrhea, particularly inThe developing world. It is a safe and effective treatment option that canConsiderably reduce the duration and severity of diarrhea episodes, decreaseStool output, and lessen the need for hospitalization. It may also prevent futureDiarrhea for up to three months. It is important that the full course of zinc isTaken in conjunction with ORS/ORT and that follow-up and behavior changeMessages for caregivers are given to ensure full compliance16.But over the last decade, momentum has slowed, with declines inResearch and funding commitments and competing global health priorities. ThePerceived lack of urgency and taboo nature of the illness may have alsoContributed to the current low level of awareness surrounding the issue. ThereHave been advocacy challenges as well, because groups have acted in isolationAnd failed to exploit opportunities to collaborate across sectors. All of this hasContributed to stagnated progress and even declines in intervention coverage inSome countries17.This is occurring at a time when the World Health Organization hasReported that diarrheal disease is the most common illness in the world18.Diarrheal disease is not just a health issue, but an economic one as well. InSub-Saharan Africa, for example, treating water-borne diseases like diarrheaCosts governments at least 12 percent of their total health budgets each year19.Thus the ORT and ORS use has declined in many countries includingIndia. ORS use decline may be due to lack of knowledge about and access toORT and ORS20.And also the increased use of intravenous therapy forCorrection of dehydration. There is also consistent disparity in diarrheal deathsAnd ORS usage between higher and lowers socioeconomic groups.In this regard it becomes necessary to assess the existing knowledge ofThe caregivers in the management of diarrhea with ORT and the various factorsWhich are related to the non usage of the same. In view of this a populationBased study on ORT among mothers of under- five children was taken up in anUrban slum.OBJECTIVE:1. To assess the knowledge and attitude towards oral rehydration therapyFor the management of diarrhea among mothers of under-five children inThe slums of Agaram health post, Zone IV of Chennai City.2. To assess the practices of oral rehydration therapy exercised by theseMothers when their child experienced a diarrheal episode.3. To find the association between the knowledge, attitude and practicesWith selected demographic variables." @default.
- W2886962016 created "2018-08-22" @default.
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- W2886962016 date "2011-04-01" @default.
- W2886962016 modified "2023-09-26" @default.
- W2886962016 title "A Study on Knowledge, Attitude and Practices on OralRehydration Therapy among Mothers of Under five Children in the Slums of Chennai" @default.
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