Community Case Management of Childhood Diarrhea in a Setting with Declining Use of Oral Rehydration Therapy: Findings from Cross-Sectional Studies among Primary Household Caregivers, Kenya, 2007

We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45%...

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Bibliographic Details
Published in:	The American journal of tropical medicine and hygiene Vol. 85; no. 6; pp. 1134 - 1140
Main Authors:	OLSON, Christine K, BLUM, Lauren S, PATEL, Kinnery N, ORIA, Prisca A, FEIKIN, Daniel R, LASERSON, Kayla F, WAMAE, Annah W, BARTLETT, Alfred V, BREIMAN, Robert F, RAM, Pavani K
Format:	Journal Article
Language:	English
Published:	Deerfield, IL American Society of Tropical Medecine and Hygiene 01-12-2011 The American Society of Tropical Medicine and Hygiene
Subjects:	Adult Biological and medical sciences Breast Feeding Caregivers - statistics & numerical data Case Management - statistics & numerical data Cross-Sectional Studies Dehydration - etiology Dehydration - therapy Diarrhea, Infantile - complications Diarrhea, Infantile - therapy Female Fluid Therapy - statistics & numerical data Gastroenterology. Liver. Pancreas. Abdomen Health Knowledge, Attitudes, Practice Health Services Accessibility Humans Infant Infectious diseases Interviews as Topic Kenya Male Medical sciences Multivariate Analysis Other diseases. Semiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Kenya Africa Human Clinical management Treatment Cross sectional study Oral administration Diarrhea Rehydration Digestive diseases Intestinal disease Tropical medicine Child
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Summary:	We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45% oral rehydration solution (ORS), and 64% continued feeding. In Kibera, 75% provided ORT, 43% ORS, and 46% continued feeding. Seeking care at a health facility, risk perception regarding death from diarrhea, and treating a child with oral medications were associated with ORT and ORS use. Availability of oral medication was negatively associated. A minority of caregivers reported that ORS is available in nearby shops. In Kenya, household case management of diarrhea remains inadequate for a substantial proportion of children. Health workers have a critical role in empowering caregivers regarding early treatment with ORT and continued feeding. Increasing community ORS availability is essential to improving diarrhea management.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0002-9637 1476-1645
DOI:	10.4269/ajtmh.2011.11-0178