Knowledge, Attitudes and Perception of Caretakers towards Control and Preventive Practices of Malnutrition and Diarrhoeal Diseases in Under-Five Children in Pemba Districts of Zambia

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DOI: 10.21522/TIJPH.2013.08.01.Art032

Authors : Israel Ndayambaje, Dorothy Osigwe Chanda, Benius Kaliyangile

Abstract:

Malnutrition and Diarrhoeal diseases pose a significant threat to the health, well-being, and survival of under-five year old children in resource constrained world. It is estimated that (25%) out of the total mortality of under-five year old children die worldwide as a result of diarrhoea (UNICEF, 2012) and more than half of these deaths in developing world particularly in Zambia has an underlying association with malnutrition (UNICEF, 2015). The objective of this study was to assess the levels of Knowledge, Attitudes, and Perceptions towards malnutrition and diarrhoeal diseases preventive and control practices among caretakers of under-five children of Pemba District. This study used a Cross section study design. The study population was adult care-takers of children aged between 4 months to 5 years. The sample size comprised of 210 caretakers. Health Centers in Pemba District were selected conveniently; 210 households were selected using a simple random sampling technique, and respondents from each sampled household were picked purposively. Data collection was conducted using a semi-structured interview questionnaire. Data was analyzed using SPSS version 24, and X2 test and Correlations were used and conclusion done at 0.05 significance level. The study revealed that majority (76.6%) of caretakers demonstrated low levels of knowledge, with 51% demonstrating poor attitudes towards control of malnutrition and diarrhoeal diseases, and some (57.1%) demonstrated fair practices, among the HBM variables, Perceived benefits towards diarrhoeal disease prevention showed a moderate correlation (Pearson’s) of 0.30 at 0.01 level (2-tailed). The poor result identified in this study reveals the reasons for the current diseases burden especially malnutrition and diarrhoeal disease trends in the district. Perceived benefits, therefore, was established to be moderately correlated and should be used to design any intervention measures aimed at correcting the situation.

Keywords: Knowledge, Attitudes, Perceptions, Practices, Diarrhoea, Malnutrition and Caretakers.

References:

[1].   Brandon A. K., Shay E. S., Arpana G. I.& Iveta S., (2017); Training community health workers: an evaluation of effectiveness, sustainable continuity, and cultural humility in an educational program in rural Haiti, International Journal of Health Promotion and Education, 55:4, 177-188, DOI: 10.1080/14635240.2017.1284014.

[2].   Bwalya M. K., Mukonka V., Kankasa C., Masaninga F., Babaniyi O. & Siziya S. (2015); Infants and young children feeding practices and nutritional status in two districts of Zambia. Int Breastfeeding Journal 10:5 DOI: 10.1186/s13006-015-003-x.

[3].   Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International. (2014); Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central Statistical Office, Ministry of Health, and ICF International.

[4].   Chanda D., Siziya S., Baboo S., Mweemba O. (2016); The Impact of Using a Modified Ministry of Health Traditional Birth Attendant Curriculum on the Infection Prevention Knowledge, Practice and Attitude of Trained Traditional Birth Attendants in Chongwe District of Zambia'. African Journal of Midwifery and Women’s Health, Vol 10 (2) pg 62-65.

[5].   Desta B.K., Assimamaw N.T., Ashenafi T.D. (20017); Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016. Nurs Res Pract. doi: 10.1155/2017/8084548. Epub PMID: 28912970; PMCID: PMC5585659.

[6].   Edith, M., & Priya, L. (2016); Knowledge, attitude and practice (KAP) survey on dietary practices in prevention of malnutrition among mothers of under-five children. Manipal Journal of Nursing and Health Sciences, 2(2), 19-24.

[7].   Gabida M., Chemhuru M., Tshimanga M., Gombe N. T., Takundwa L., and Bangure D., (2015); The effect of distribution of Educational Material to Mothers on duration and severity of diarrhoea and Pneumonia, Midlands Province, Zimbabwe. A Cluster randomised controlled trial. International Breastfeeding Journal. 10:13. DOI 10.1186/s13006-015-0037-6. Global Malaria Action Plan (2010); Malaria free world, Geneva.

[8].   Gazi E., Chowdhury A., Kumar R., Sarkar A. P., Basu S. S., and Saha S. (2015); Can Mothers Care for Acute Diarrhoeal Disease of their Under Five Children Effectively at Home? A Cross Sectional Study in Slum Community in Ankura”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 36; Page: 5575-5584, DOI: 10.18410/jebmh/2015/772.

[9].   Guerrant R. L, Kosek M., Moore S., Lorntz B., Brantley R., Lima A. A (2012).; Magnitude and impact of diarrheal diseases. Arch Med Res. 2012;33(4):351–5.

[10].  Masibo PK, Makoka D, (2012); Trends and determinants of undernutrition among young Kenyan children: Kenya Demographic and Health Survey; 1993, 1998, 2003 and 2008–2009. Public Health Nutr 15: 1715–1727.

[11].  Ministry of Health, (2010); Mozambique Malaria Programme Performance Review; Scaling up for Universal Access to Malaria Control Interventions. Aide memoire.

[12].  Munthali T., Choolwe J., Sitali L., Dambe R. and Michel C., (2015); Mortality and morbidity patterns in under-five children with severe acute malnutrition (SAM) in Zambia: a five-year retrospective review of hospital-based records (2009–2013). Munthali et al. Archives of Public Health 73:23. DOI: 10.1186/s13690-015-0072-1.

[13].  Msiska F.B., Mtimuni B., Kabambe O., & Mchakulu J.P. (2017); Knowledge, Attitude and Practice on Infant and Young Child Feeding: A Comparative Study of Radio Listening Club Members and Non-Members of Mudzi Wathu Community Radio in Mchinji District. J Nutr Sci Res 3: 131.

[14].  Shaimaa B. Abdel-Aziz, Maha A. Mowafy & Yasmine S. Galal, (2015); Assessing the Impact of a
Community-Based Health and Nutrition Education on the Management of Diarrhoea in an Urban District, Cairo, Egypt. Global Journal of Health Sciences. ISSN: 1916-9736, E-ISSN: 1916-9744.

[15].  UNICEF (2012); Unicef Zambia Fact Sheet.

[16].  UNICEF (2015); Knowledge, Attitude and Practice (KAP) Analysis of Reproductive Maternal, Neonatal, Child health and Nutrition (RMNCH-N) on the Copperbelt and Lusaka Provinces, Enhancing the Practice of Saving Life, Lusaka Zambia.