Scholarlink

Background <p>Diarrhea is a major global public health concern, accounting for 18% of deaths in children under five. Timely and appropriate management at both household and healthcare levels is crucial for reducing mortality associated with childhood diarrhea. However, adherence to recommended guidelines for managing childhood diarrhea is often suboptimal worldwide. This study aimed to assess the overall appropriateness of diarrhea management and its associated factors in children under five, with or without co-morbid illnesses.</p> Methods <p>Hospital-based cross-sectional study was conducted. Data were collected retrospectively from the medical records of diarrhea cases using a two-stage stratified sampling technique. The appropriateness of diarrhea management was evaluated based on WHO and national guidelines. Descriptive statistics and logistic regression were employed using IBM SPSS (V.23).</p> Results <p>Out of the 756 children under five, only 15.9% were appropriately managed. The most common factors for inappropriate management were lack of counseling (77.8%) and the failure to prescribe zinc (49.9%). Factors significantly associated with appropriate management included vomiting (AOR = 1.64, 95% CI: 1.03–2.62), some dehydration (AOR = 0.24, 95% CI: 0.08–0.71), and the prescriber qualification being a medical intern (AOR = 3.86, 95% CI: 1.91–7.81) or a degree nurse (AOR = 0.31, 95% CI: 0.14–0.72).</p> Conclusion <p>This study highlighted a high prevalence of inappropriate diarrhea management in children under five, indicating an urgent need for interventions to reduce associated risks.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Evaluation of diarrhea management appropriateness and its determinants among children under five years of age in regional and national referral hospitals in Eritrea: a cross-sectional study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月14日

查看全文
  • Ghebremedhin Tesfamariam,
  • Merhawi Bahta,
  • Nuru Abdu,
  • Indermeet Singh Anand,
  • Tsegereda Gebrehiwot,
  • Ghimja Fessahaye,
  • Eyasu H. Tesfamariam

摘要

Background

Diarrhea is a major global public health concern, accounting for 18% of deaths in children under five. Timely and appropriate management at both household and healthcare levels is crucial for reducing mortality associated with childhood diarrhea. However, adherence to recommended guidelines for managing childhood diarrhea is often suboptimal worldwide. This study aimed to assess the overall appropriateness of diarrhea management and its associated factors in children under five, with or without co-morbid illnesses.

Methods

Hospital-based cross-sectional study was conducted. Data were collected retrospectively from the medical records of diarrhea cases using a two-stage stratified sampling technique. The appropriateness of diarrhea management was evaluated based on WHO and national guidelines. Descriptive statistics and logistic regression were employed using IBM SPSS (V.23).

Results

Out of the 756 children under five, only 15.9% were appropriately managed. The most common factors for inappropriate management were lack of counseling (77.8%) and the failure to prescribe zinc (49.9%). Factors significantly associated with appropriate management included vomiting (AOR = 1.64, 95% CI: 1.03–2.62), some dehydration (AOR = 0.24, 95% CI: 0.08–0.71), and the prescriber qualification being a medical intern (AOR = 3.86, 95% CI: 1.91–7.81) or a degree nurse (AOR = 0.31, 95% CI: 0.14–0.72).

Conclusion

This study highlighted a high prevalence of inappropriate diarrhea management in children under five, indicating an urgent need for interventions to reduce associated risks.