Mrs Matilda Anim-Larbi (Ghana) - Commonwealth Nurses · Mrs Matilda Anim-Larbi (Ghana) Factors...
Transcript of Mrs Matilda Anim-Larbi (Ghana) - Commonwealth Nurses · Mrs Matilda Anim-Larbi (Ghana) Factors...
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Mrs Matilda Anim-Larbi (Ghana)
Factors influencing management of diarrhoea in children of selected Ghanaian market women
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5TH
COMMONWEALTH
NURSING AND
MIDWIFERY
CONFERENCE
2020 YEAR OF THE NURSE AND
MIDWIFE: BREAKING BARRIERS,
LEAVING NO ONE BEHIND
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FACTORS INFLUENCING MATERNAL
MANAGEMENT OF DIARRHOEA IN
CHILDREN OF A SELECTED MARKET
IN ACCRA, GHANA.
PRESENTED BY: MRS MATILDA ANIM-LARBI
RGN, BA NURSING AND PSYCHOLOGY, MPHIL
COLLEGE OF HEALTH SCEINCESSCHOOL OF NURSING AND MIDWIFERY
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OUTLINE OF PRESENTATION
– Introduction
– Problem statement
– Methodology
– Results
– Discussion
– Conclusion
– References
– Sponsorship
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INTRODUCTION
– Diarrhoea is the passage of three or more loose or
watery stools in a day (WHO,2017). The depleting
body fluids during diarrhoea episodes causes
dehydration leading to child mortality. Globally,
diarrhoea diseases are the second main cause of
childhood mortality after pneumonia.
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INTRODUCTION
– A significant number of diarrhoea cases are often
related to poor hygiene practices and inadequate
sanitation.
– This study sought to determine the factors that
influence the management practices of mothers for
children under five years with diarrhoea.
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PROBLEM STATEMENT
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METHODOLOGY
Research Design
Research Setting
Target population
Inclusion criteria
Exclusion criteria
Sample Size 𝑛=(𝑍²𝑃(1−𝑃))/𝑑²
Z = 1.96 at C.I of 95%
P = 20% (0.2).
d = 5% (0.05)
𝑛=(1.96²(0.2)(1−0.2))/0.05²≃246
Sampling
Tools for data collection
Procedure for data collection
Data Analysis
Ethical consideration
Validity
Reliability
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RESULTS
Demographic Background
– Majority of the mothers in the study were between the ages of 20-29 years (53.4%).
– Mothers who had no education were 29.5% and 54.2% had basic education.
– Mothers who were Christians were 51.4%, and those with male children 52%.
– Most of the mothers in this study had children between the ages of 12 to 23 months
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RESULTSTable 2: Perception of severity and susceptibility of diarrhoea disease
Factor Mean S.D MN. MX.
Severity perceptions
Children could die from diarrhoea 3.6 0.3 1 4
Diarrhoea causes dehydration, lethargy or reduced urine 3.7 0.4 1 4
Major health problem in this community 2.3 0.2 1 4
Diarrhoea is a problem for the poor only 2.2 0.2 1 4
Overall Severity Perception 3.0 0.81
Susceptibility perceptions
Do nothing when children get diarrhoea 1.3 0.3 1 4
Children under age five can naturally fight diarrhoea 1.3 0.3 1 3
Children under age five are too young to experience serious 1.4 0.3 1 3
medical problems from diarrhoea
I am not worried when my child under-five gets diarrhoea 1.3 0.3 1 4
Children are more likely to get diarrhoea than adults 3.4 0.2 1 4
Overall Susceptibility perception 1.33 0.05
S.D- standard deviation
MN- minimum mean value, MX- maximum mean value
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RESULTSTable 6: Association between Management Practices and Perceptions about Diarrhoea
Severity and Susceptibility
Variables OR 95% confidence Interval P-Value
Lower Upper
Child Mortality (agreed)
2.872 1.256 6.569 0.012
Lethargy (agreed)
0.349 0.144 0.846 0.020
Immune to diarrhoea (agreed)
0.508 0.508 1.002 0.051
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RESULTS
Table 5: Significant Factors that Determine Good Management Practices
Variables OR 95% Confidence Interval Sig.
Lower Upper
Gender of children
Females (Reference)
Males 5.319 2.506 11.287 < 0.001
Knowledge about ORS
Poor knowledge (Reference)
Good knowledge 40.704 10.685 155.068 < 0.001
Zinc information
No information (Reference)
Heard information 8.921 3.833 20.762 < 0.001
NB: Dependent variable is management practices
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DISCUSSION
– Perception of mothers about diarrhoea severity and susceptibility (Greenland et al, 2016; Kundu et al, 2010).
– Poor knowledge of mothers in this study had about the general management of diarrhoea was found to be in agreement with other studies (Ogunrinde et al, 2011; Greenland et al, 2016)
– Factors such as demographic features, cues to action, mothers’ knowledge and threat perception predicted management practices of the mothers. The factors included (Pandey et al, 2002; Diouf et al , 2014).
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CONCLUSION AND
RECOMENDATION
– Policies on gender equality should be strengthened and should involve children under age five years. This is because of a major finding of this study that mothers with male children were more likely to manage diarrhoeal diseases better as compared with mothers of female children.
– Ministry of Health and Ghana Health Service should enforce the principles underlying the rational use of medicines to ensure prescription of antibiotics only when needed.
– Ensure that in-service training within all facilities under Ghana Health service jurisdiction is offered on a regular basis.
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REFERENCES
– World Health Organization (2017) Diarrhoeal diseases. https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
– Greenland, K., Chipungu, J., Chilengi, R., & Curtis, V. (2016). Theory-based formative research on oral rehydration salts and zinc use in Lusaka, Zambia. BMC Public Health, 16, 1–14.
– Kundu, T. R., Prateepchaikul, L., & Sen-Ngam, K. (2010). Relationship between maternal perceptions and preventive behaviors regarding acute diarrhea of children in Bangladesh. http://tar.thailis.or.th/handle/123456789/929
– Ogunrinde, O. G., Raji, T., Owolabi, O. A., & Anigo, K. M. (2011). Knowledge, attitude and practice of home management of childhood diarrhoea among caregivers of under-five children with diarrhoeal disease in Northwestern Nigeria. Journal of Tropical Pediatrics, 58(2), 143–146. https://doi.org/10.1093/tropej/fmr048
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REFERENCES
– Greenland, K., Chipungu, J., Chilengi, R., & Curtis, V. (2016). Theory-based formative research on oral rehydration salts and zinc use in Lusaka, Zambia. BMC Public Health, 16, 1–14. https://doi.org/10.1186/s12889-016-2984-2
– Pandey, A., Sengupta, P. G., Mondal, S. K., Gupta, D. N., Manna, B., Ghosh, S., … Bhattacharya, S. K. (2002). Gender differences in healthcare-seeking during common illnesses in a rural community of West Bengal, India. Journal of Health, Population, and Nutrition, 20(4), 306–11. http://www.ncbi.nlm.nih.gov/pubmed/12659410.
– Diouf, K., Tabatabai, P., Rudolph, J., & Marx, M. (2014). Diarrhoea prevalence in children under five years of age in rural Burundi: an assessment of social and behavioural factors at the household level. Global Health Action, 7, 24895. https://doi.org/10.3402/gha.v7.24895
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SPONSORSHIP
– Attendance to this conference was sponsored
by the Office of Research and Innovation
Department (ORID), University of Ghana,
Legon.
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