Maternal Knowledge, Attitudes and Practices towards Prevention and Management of Child Diarrhoea in Urban and Rural Maseru, Lesotho
International Journal of TROPICAL DISEASE & Health,
Aim: To compare the knowledge, attitudes and practices of mothers in the prevention and management of child diarrhoea, in rural and urban settings of Maseru.
Methodology: This cross-sectional study was carried out in the Domiciliary (Urban) and Tlali (Rural) Health centres in Maseru, within the period of February to May, 2017. Data was collected from 458 mothers/caregivers, with 299 (65%) and 159 (35%) from urban and rural settings respectively. Scores were assigned for the level of knowledge, attitudes, and practices. STATA 14.1 was applied to determine the strengths of associations between categories of the maternal characteristics and the outcome variables.
Results: Aggregation of participants’ knowledge, attitudes, and practices response reveal a statistical significant association with residence. The maternal age range of 30-39 years, P = .03, and mothers with three (3) children, P = .02 were significantly associated with the knowledge of prevention and management of diarrhoea in the rural area. In the urban area, mothers with tertiary education, P = .04, employed, P = .001, unemployed, P = .004, and all categories of monthly income were significantly associated with the knowledge of prevention and management of diarrhoea. For the urban setting, an association between mothers’ attitudes and monthly income between M500 – M1399, P = .05 was observed. The practices of mothers/caregivers in the prevention and management of diarrhoea showed no significant differences in the light of the socio-demographic variables in both settings.
Conclusion: The study revealed low level of maternal knowledge, attitudes and practices in prevention and management of child diarrhea in the rural and urban settings, hence the need to strengthen the existing health education messages on both settings.
How to Cite
Walker CLF, Perin J, Aryee MJ, Boschi-Pinto C, Black RE. Diarrhea incidence in low-and middle-income countries in 1990 and 2010: a systematic review. BMC Public Health. 2012;12(1):220.
Kelly P. Diarrhoeal disease. Journal of the Royal College of Physicians. 2011;11(5): 488-91.
Unicef. Diarrhoea: why children are still dying and what can be done.
Available:http://wwwuniceforg/media/files/Final_Diarrhoea_Report_October_2009_final pdf. 2010:68
[Accessed 23 May2018]
Kahabuka C, Kvåle G, Hinderaker SG. Factors associated with severe disease from malaria, pneumonia and diarrhea among children in rural Tanzania–A hospital-based cross-sectional study. BMC infectious diseases. 2012;12(1):219.
Peter G, Nkambule SE. Factors affecting sustainability of rural water schemes in Swaziland. Physics and Chemistry of the Earth, Parts A/B/C. 2012;50:196-204.
Walker CLF, Rudan I, Liu L, Nair H, Theodoratou E, Bhutta ZA, et al. Global burden of childhood pneumonia and diarrhoea. The Lancet. 2013;381(9875): 1405-16.
Ministry of Health. Child Health. In: Ministry of Health, editor. Lesotho Demographic and Health Survey. 27-07-2016 ed. Rockville, MD 20850, USA; ICF Inter-national. 2014;538.
Sunanda G, Ramaiah D, Sadiq MMJ, Narayana G. Impact of structured educational program on maternal knowledge, attitude, and practice toward diarrhea management in children< 5 years age in Anantapur District. CHRISMED Journal of Health and Research. 2017; 4(3):186.
Sillah F. Knowledge, attitude and practice assessment of mothers in managing children under five years old with diarrhea in the Gambia. Taipel Medical University Health Nutrition 1st Diviision. 2012;1-71.
Khan AI, Danish SH, Ashfaq A, Ahmad F, Mohammad S, Warsi A, et al. Knowledge, attitude and practices of mothers regarding diarrheal risk factors and management in under 5 children: A cross sectional survey in Dadu and Badin Districts of Sindh, Pakistan. Journal of Dow University of Health Sciences. 2016;10(1).
Salone LR, Vann Jr WF, Dee DL. Breastfeeding: An overview of oral and general health benefits. The Journal of the American Dental Association. 2013;144(2): 143-51.
USAID. Handwashing Knowledge, Attitudes, and Practices in Korogocho (Nairobi) and Bondo (Nyanza) The Maternal and Child Health Integrated Program (MCHIP). 2014;30.
Othero DM, Orago AS, Groenewegen T, Kaseje DO, Otengah P. Home manage-ment of diarrhea among underfives in a rural community in Kenya: Household perceptions and practices. East African Public Health Association. 2009;5(3):5.
[Accessed 23 May 2018]
Bello DA, Afolaranmi TO, Hassan ZI, Ogbonna FC, Inedu PG, Ejiga C, et al. Knowledge and use of oral rehydration solution in the home management of diarrhea among mothers of under fives in Jos, Plateau State. International Journal of Biomedical Research. 2017;8(1):5.
Lesotho Bureau of Statistics. Lesotho Demographic Survey 2011. In: Ministry of Development Planning GoL, editor. Lesotho. 2011;367.
Asghar I, Javaid A, Anwar M, Mustafa G. Knowledge and practices of rural mothers about diarrhea among infants. Journal Of Sheikh Zayed Medical College. 2016; 7(4):1053-6.
Nelson SB, Panicker PR, Nandakumar L, Malaichamy K. Knowledge and practice regarding diarrheal diseases and drinking water usage in Kanyakumari district, South India. National Journal of Research in Community Medicine. 2017;6(3):217-222.
Alshammari BA, Moussa S, Zaid AW. Knowledge and behavioral practice of mothers about diarrhea in Hail region, Saudi Arabia. World Journal of Pharmaceutical Research. 2017;7(3):1661-74.
[Accessed 04 July 2018]
Kumi-Kyereme A, Amo-Adjei J. Household wealth, residential status and the incidence of diarrhoea among children under- five years in Ghana. Journal of Epidemiology and Global Health. 2016;6(3):131-40.
Zafar M. Knowledge and attitude towards and preventive practices relating to diarrhea among mothers under five years of Children: Findings of a cross-sectional study in Karachi. Pakistan J Infect Dis Ther. 2014;2(1):1-6.
Berisha M, Hoxha-Gashi S, Gashi M, Ramadani N. Maternal practice on management of acute diarrhea among children under five years old in kosova. TAF Preventive Medicine Bulletin. 2009; 8(5).
Shah D, Choudhury P, Gupta P, Mathew JL, Gera T, Gogia S, et al. Promoting appropriate management of diarrhea: A systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian pediatrics. 2012;49(8):627-49.
Llale MA. How well do mothers and caregivers prepare oral rehydration solution. Wits Institutional Repository environment on DSpae: University of the Witwatersrand medical school; 2017.
[Accessed 04 July 2018]
Nasrin D, Wu Y, Blackwelder WC, Farag TH, Saha D, Sow SO, et al. Health care seeking for childhood diarrhea in developing countries: evidence from seven sites in Africa and Asia. The American Journal of Tropical Medicine and Hygiene. 2013;89(Suppl_1):3-12.
Adimora G, Ikefuna A, Ilechukwu G. Home management of childhood diarrhoea: Need to intensify campaign. Nigerian Journal of Clinical Practice. 2011;14(2):237-41.
Mahor G. Knowledge and attitudes of mothers regarding use of oral rehydration solution in management of diarrhea. Asian Journal of Biomedical and Pharmaceutical Sciences. 2013;3(22):6.
Ansari M, Palaian S, Ibrahim M. The role of mothers in the management of childhood diarrhoea in Nepal. Australasian Medical Journal. 2009;1(14):235-8.
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