Gebreslasie Senait, Welu Guesh, Berhane Betiel, Gebresilassie Birhanu, Fseha Berhane, Tsegay Tesfay, Negash Hadush
MSc, Department of Midwifery, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia, P.O Box 50.
MSc, Department of Public Health, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia, P.O Box 50.
Germs. 2020 Mar 2;10(1):9-17. doi: 10.18683/germs.2019.1175. eCollection 2020 Mar.
Globally, a large number of under-five deaths have occurred from preventable and treatable common childhood illnesses. Therefore, early identification of general danger signs of common childhood illnesses and adhering to appropriate treatment helps to reduce morbidity and mortality. This study aimed to assess the knowledge of mothers and associated factors on general danger signs of common childhood illnesses of under-five children in Central Tigrai, Ethiopia.
A community-based cross-sectional study design was employed from February to March 2017. A total of 416 study participants were finally enrolled in the study using simple random sampling technique. A pretested and structured interviewer-based questionnaire was used. Data were entered, coded and analysed using SPSS 22.0. Multivariable logistic regression was used to control the effect of confounders.
In this study, 44.7% of the mothers had good knowledge of the general danger signs of common childhood illnesses. Mothers' educational status (AOR=1.93, 95%CI=1.09-3.44, p=0.025), occupation of mothers (AOR=5.94, 95%CI=3.17-11.12, p≤0.001), childbirth order (AOR=1.85, 95%CI=1.00-3.40, p=0.005) and source of information (AOR=2.19, 95%CI=1.23-3.87, p=0.007) were significantly associated with knowledge of mothers on general danger signs of common childhood illnesses.
Maternal knowledge of general danger signs of common childhood illnesses was low. Therefore, intervention modalities focusing on improving the educational level, behavioural change communication activities, and access of mothers to health visits are needed.
在全球范围内，大量五岁以下儿童死于可预防和可治疗的常见儿童疾病。因此，尽早识别常见儿童疾病的一般危险体征并坚持适当治疗有助于降低发病率和死亡率。本研究旨在评估埃塞俄比亚提格雷中部五岁以下儿童常见儿童疾病一般危险体征方面母亲的知识水平及相关因素。
采用基于社区的横断面研究设计，时间为2017年2月至3月。最终使用简单随机抽样技术招募了416名研究参与者。采用经过预测试的、基于访谈者的结构化问卷。数据录入、编码并使用SPSS 22.0进行分析。采用多变量逻辑回归来控制混杂因素的影响。
在本研究中，44.7%的母亲对常见儿童疾病的一般危险体征有良好的了解。母亲的教育程度（调整后比值比[AOR]=1.93，95%置信区间[CI]=1.09 - 3.44，p = 0.025）、母亲的职业（AOR = 5.94，95%CI = 3.17 - 11.12，p≤0.001）、生育顺序（AOR = 1.85，95%CI = 1.00 - 3.40，p = 0.005）和信息来源（AOR = 2.19，95%CI = 1.23 - 3.87，p = 0.007）与母亲对常见儿童疾病一般危险体征的知识水平显著相关。
母亲对常见儿童疾病一般危险体征的知识水平较低。因此，需要采取干预措施，重点提高教育水平、开展行为改变沟通活动以及让母亲能够更方便地获得健康检查服务。
