Terefe Gemechu, Murugan Rajalakshim, Bedada Tadesse, Bacha Girma, Bekele Gadisa
School of Midwifery, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
SAGE Open Med. 2022 Apr 28;10:20503121221095727. doi: 10.1177/20503121221095727. eCollection 2022.
The study was aimed to assess the home-based management practice of diarrhea and associated factors among caregivers in children under 5 years old at Ginchi town, Oromia region, West Ethiopia.
A community-based cross-sectional study was conducted among 335 caregivers in Ginchi town. Data were collected using face-to-face interviewing questionnaires by using a systematic sampling technique. Data were entered into Epi-data version 3.5.1 and exported to statically software package for social science version 23.0 for analysis. Descriptive analyses were carried out. Bivariable and multivariable logistic regressions were done to identify predictors of home-based management practice of diarrhea in children under 5 years old.
The study had a total of 326 participants, with a 97.3% response rate. Accordingly, 193 (59%) have a good home-based management practice of diarrhea in children under the age of 5 years. Attended elementary school (adjusted odds ratio (95% confidence interval), 0.17 (0.06, 0.47)), high school education (adjusted odds ratio (95% confidence interval), 0.04 (0.013, 0.126)), monthly income in second class (adjusted odds ratio (95% confidence interval), 0.19 (0.04, 0.94)), and being mother in child relationship (adjusted odds ratio (95% confidence interval), 1.27 (1.4, 4.20)) were the identified predictors of home-based management practice of diarrhea in children under 5 years old.
More than half of the respondents have a good home-based management practice of diarrhea in children under 5 years old. Caregivers' educational status, being mothers of the child, and monthly income were the identified predictors. As a result, health education and awareness programs for caregivers on diarrhea control, proper use of oral rehydration solution, home-based fluid preparation, and diarrhea prevention are critical.
本研究旨在评估埃塞俄比亚西部奥罗米亚地区金奇镇5岁以下儿童看护者对腹泻的家庭管理做法及相关因素。
在金奇镇对335名看护者开展了一项基于社区的横断面研究。采用系统抽样技术，通过面对面访谈问卷收集数据。数据录入Epi - data 3.5.1版本，并导出到社会科学统计软件包23.0版进行分析。进行了描述性分析。采用双变量和多变量逻辑回归来确定5岁以下儿童腹泻家庭管理做法的预测因素。
该研究共有326名参与者，应答率为97.3%。相应地，193名（59%）看护者对5岁以下儿童腹泻有良好的家庭管理做法。接受小学教育（调整比值比（95%置信区间），0.17（0.06，0.47））、接受高中教育（调整比值比（95%置信区间），0.04（0.013，0.126））、月收入处于第二等级（调整比值比（95%置信区间），0.19（0.04，0.94））以及在亲子关系中为母亲（调整比值比（95%置信区间），1.27（1.4，4.20））是确定的5岁以下儿童腹泻家庭管理做法的预测因素。
超过一半的受访者对5岁以下儿童腹泻有良好的家庭管理做法。看护者的教育程度、作为孩子的母亲以及月收入是确定的预测因素。因此，针对看护者开展关于腹泻控制、正确使用口服补液盐、家庭补液配制以及腹泻预防的健康教育和意识项目至关重要。
