Knowledge, Attitude and Practice of Mothers/Caregivers Regarding Oral Rehydration Therapy at Ishaka Adventist Hospital, Bushenyi District, Uganda

TABLE OF CONTENTS

DEDICATION.................................................................................................................................... III

ACKNOWLEDGEMENT...................................................................................................................IV

ABBREVIATIONS AND ACRONYMS ............................................................................................V

DEFINITION OF TERMS.................................................................................................................VI

TABLE OF CONTENTS..................................................................................................................VII

LIST OF TABLES...............................................................................................................................XI

LIST OF FIGURES...........................................................................................................................XII

ABSTRACT......................................................................................................................................XIII

CHAPTER ONE................................................................................................................................... 1

INTRODUCTION ............................................................................................................................... 1

1.1 BACKGROUND............................................................................................................................ 1

1.1.1 HISTORICAL BACKGROUND .............................................................................................. 1

1.1.2 THEORETICAL BACKGROUND .......................................................................................... 1

1.1.3 CONCEPTUAL BACKGROUND............................................................................................ 1

1.1.4 CONTEXTUAL BACKGROUND............................................................................................ 1

1.2 PROBLEM STATEMENT .......................................................................................................... 2

1.3 OBJECTIVE OF THE STUDY.................................................................................................... 2

1.3.1 GENERAL OBJECTIVE........................................................................................................... 2

1.3.2 SPECIFIC OBJECTIVES.......................................................................................................... 2

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1.4 RESEARCH QUESTIONS........................................................................................................... 2

1.5 SIGNIFICANCE OF THE STUDY.............................................................................................. 3

1.6 SCOPE OF THE STUDY............................................................................................................. 3

1.6.1 GEOGRAPHICAL SCOPE....................................................................................................... 3

1.6.2 CONTENT SCOPE ................................................................................................................... 4

1.6.3 TIME SCOPE ............................................................................................................................ 4

1.7 CONCEPTUAL FRAME WORK................................................................................................ 4

CHAPTER TWO................................................................................................................................. 4

LITERATURE REVIEW.................................................................................................................... 4

2.1 EPIDEMIOLOGY OF ORAL REHYDRATION THERAPY................................................... 5

2.2 RESPONSE TO CHILDHOOD DIARRHEA............................................................................ 5

2.4 ATTITUDES TOWARDS ORT ................................................................................................. 6

2.5 PRACTICE OF ORT.................................................................................................................... 6

2.6 BARRIERS TO ORT ................................................................................................................... 7

CHAPTER THREE ............................................................................................................................. 9

METHODOLOGY ............................................................................................................................... 9

3.0 INTRODUCTION ........................................................................................................................ 9

3.1 STUDY DESIGN........................................................................................................................... 9

3.2 STUDY POPULATION............................................................................................................... 9

3.2.1 INCLUSION CRITERIA .......................................................................................................... 9

3.2.2 EXCLUSION CRITERIA.......................................................................................................... 9

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3.3 SAMPLING SIZE DETERMINATION...................................................................................... 9

3.4 SAMPLING TECHNIQUE .......................................................................................................... 9

3.5 DATA COLLECTION METHOD .............................................................................................10

3. 6 QUALITY CONTROL...............................................................................................................10

3.7 DATA ENTRY AND ANALYSIS..............................................................................................10

3.8 ETHICAL CONSIDERATIONS................................................................................................10

CHAPTERFOUR...............................................................................................................................12

DATAPRESENTATIONANDANALYSIS......................................................................................12

4.0 INTRODUCTION ......................................................................................................................12

4.1 SOCIO-DEMOGRAPHIC PROFILE OF RESPONDENTS ..................................................12

4.2 KNOWLEDGE OF ORAL REHYDRATION THERAPY......................................................14

4.3 HOME MANAGEMENT OF DIARRHEA ..............................................................................16

CHAPTER FIVE:...............................................................................................................................18

DISCUSSION OF RESULTS CONCLUSIONS AND RECOMMENDATIONS..........................18

5.0 INTRODUCTION ......................................................................................................................18

5.1 DISCUSSION..............................................................................................................................18

5.1.2 RESPONDENTS’ ATTITUDE OF ORAL REHYDRATION THERAPY........................18

5.1.3 RESPONDENTS’ PRACTICES OF ORAL REHYDRATION THERAPY.......................19

5.2 CONCLUSIONS..........................................................................................................................20

5.3 RECOMMENDATIONS ............................................................................................................20

REFERENCES....................................................................................................................................21

ABSTRACT Background: In Uganda, diarrhea is the second killer of children after malaria. Uganda’s diarrhea prevalence rate in children under five was 26% (WHO 2013). This study was designed to assess the knowledge, attitudes and practices of mothers /caregivers regarding oral rehydration therapy at Ishaka Adventist Hospital, Bushenyi district, Uganda. Method: A simple random sampling technique was used to select 100 mothers of under-five children. A validated semi-structured questionnaire was used for data collection. The questionnaire included 16-point ORT knowledge scales. ORT/SSS knowledge scores of 0-5, >5-10 and >10- 16 were considered poor, fair and good, respectively. Results: The age of respondents was 29.8±5.5 years. Their main occupations are petty-trading (43%), full-time “housewives” (36%) and artisanship (13%). Most respondents (98%) were aware of ORT, 95% correctly stated the composition of ORS and 44% were able to state the correct proportions of sugar, salt, and water in ORS. Respondents’ sources of information about ORT included health personnel (79%), relatives (11%) and television (6%). Majority (80%) of respondents reported that their children) had diarrhoea within the three months preceding the study and the home treatment given included use of ORT (50%); others gave and native medicine (19%). Seventy per cent of respondents stated that they could prepare ORS, but 73% preferred taking children with diarrhoea to the hospital instead of using ORS. Conclusion: Knowledge about oral rehydration therapy was high among respondents, but their use of oral rehydration was low. Recommendation: Training, public enlightenment and social marketing strategies are needed to promote the use of oral rehydration therapy among mothers of under-five children.