Gashaw, Arega (2015) Assessment of the Management of Diarrhea in Children Under Five in Health Centers of Addis Ababa City Administration, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Despite the progress made in reducing mortality in children, diarrhea continues to be a major cause of hospitalization and death of young children and has major economic consequences. Diarrhea is a condition for which high rate and misuse of drugs is common. The purpose of this study was to assess the management of diarrhea in children under five in health centers of Addis Ababa city administration, Ethiopia. Cross sectional study was conducted between September 1, 2014 and February 30/2015. An appropriate data extraction format was used to extract relevant information. Epi data was used for data entry and SPSS 20 was used for data analysis. A logistic regression was employed to examine the association between variables. A total of 803 children with diarrhea were enrolled. Of these 54.4 % had got inappropriate managements. At least one antimicrobial was prescribed to 588 (73.2%) of all children who attend the health centers. ORS and zinc were prescribed to 66.7% and 47.5 % respectively. Regarding appropriate management based on stool characteristics, children with bloody diarrhea 6.38 times more likely (AOR= 6.38(3.11, 13.63) to receive appropriate diarrhea management compared to children mucous diarrhea (p<0.05; OR=6.38(3.11,13.63) and the odds of appropriate management of diarrhea for children with watery diarrhea were 77 % less compared to children with mucous diarrhea (OR=0.23(0.13, 0.88)). The odds of appropriate management of diarrhea for children with 2-11 months were 54 % less compared to children 12-59 months (p<0.05; OR=0.46(0.24, 0.90). Based on the findings of the study, it can be concluded that health professionals are not strictly follow the guidelines with respect to the use of ORS, zinc and antimicrobials in management of diarrhea. Antimicrobial prescription rate were high whereas low rate of prescription rate in ORS and zinc regardless the type of diarrhea, stool characteristics and dehydration status of the children. It is important that interventions to educate clinicians about the dangers of irrational use of drugs and strictly follow the recommended guide lines in the management of diarrhea.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Diarrhea; under-five children, rational use; assessment; management |
| Subjects: | R Medicine > RS Pharmacy and materia medica |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 29 Jun 2018 13:40 |
| Last Modified: | 29 Jun 2018 13:40 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6352 |
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