Evaluation Of The Impact Of Educational Intervention On Traditional Beliefs, Knowledge, Attitude And Practice About Childhood Diarrhea And Its Management Among Mothers In Morang Nepal
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Date
2012-04
Authors
Ansari, Mukhtar
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Diarrhea is a global problem including Nepal and it is the second leading cause of child death worldwide. In Nepal, diarrhea is still a common problem and is a national priority despite the government’s efforts to reducing mortality for children under five through implementation of a childhood diarrheal diseases control program. The study was conducted with the objective of evaluating mothers' beliefs, knowledge, attitudes and practices about childhood diarrhea and its management with the final intention to reduce childhood diarrhea mortality and morbidity. The entire study was a mixture of qualitative and quantitative methods and it was accomplished in three phases. Phases 1 and 3 were qualitative in nature which involved Focus Group Discussions and In-Depth Interviews for determining pre and post interventional mothers' beliefs and barriers about diarrhea and its management respectively. Sixteen participants were purposively selected for each of the two phases of the studies. The phase 2 study was a quantitative, interventional, single blinded and randomized control trial which was conducted among 632 randomly selected subjects. Interventions were carried out with the help of specially designed intervention protocols. However, data on mothers’ knowledge, attitudes and practices of diarrhea and its management were collected through a pre tested interviewer administered survey type questionnaire. There were diverse beliefs among the mothers about classifying diarrhea, their perceived causes and management which were significantly improved through successive educational interventions. Besides these, there were various barriers toward adopting the recommended health actions which were also narrowed down along with positive attitude and health actions. Most of the children with diarrhea were from two age groups, i.e. 10-18 months and 37-45 months. A majority (75%) of the mothers were from an age group (21-30 years), uneducated (>60%) and were involved in farming as labor (93-94%).
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Keywords
Evaluation of the impact of educational intervention , about childhood diarrhea in Morang Nepal