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Management of Diarrhea in Under-fives at Home and Health Facilities in Kashmir
Fayaz Ahmed1, Aesha Farheen, Imtiyaz Ali
1Sher-i-Kashmir Institute of Medical Sciences.
Insights
Diarrheal disease management in Kashmir shows low oral rehydration solution (ORS) use and high antibiotic use. Harmful cultural practices, like starving children, worsen outcomes, mirroring issues in other developing regions.
Area of Science:
- Pediatrics
- Public Health
- Infectious Diseases
Background:
- Diarrheal disease is a leading cause of mortality in children under five in developing nations.
- Domestic cultural practices and healthcare-seeking behaviors significantly influence diarrhea management.
- Inappropriate antibiotic and intravenous fluid use is common, while oral rehydration solution (ORS) is underutilized in health centers.
Purpose of the Study:
- To investigate current diarrhea management practices in children under five in the Kashmir Valley.
- To identify the prevalence of oral rehydration solution (ORS) use, antibiotic utilization, and cultural practices related to childhood diarrhea.
Main Methods:
- A cross-sectional study was conducted in villages of the Kashmir Valley.
- Data was collected using a pretested interview schedule from January to December 2006.
Main Results:
- Oral rehydration solution (ORS) use was low, recorded at 24.4% for past episodes and 8.4% for current episodes.
- Antibiotic use was high, at 77.9%.
- Harmful cultural practices, such as withholding food (bowel rest), were prevalent.
Conclusions:
- Diarrhea management in Kashmir faces challenges similar to other developing regions, including low ORS utilization.
- High rates of antibiotic use and detrimental cultural practices like bowel rest contribute to poor outcomes.
- Effective diarrhea control strategies are needed, emphasizing ORS promotion and education against harmful traditional beliefs.
Background:
Diarrheal disease forms one of the two major killer diseases in children under five years of age in the developing world. There are inherent cultural practices for management of diarrhea at the domestic level. Also, the treatment practices at health centers vary, with inappropriate use of antibiotics, and iv fluids observed commonly, while ORS is less frequently used.
Methodology:
Cross sectional study was carried out using pretested interview schedule between January and December 2006, in villages of Kashmir Valley.
Results:
The ORS use rate is low (24.4% and 8.4%) respectively in past and current episode. Cultural practices include harmful ones like starving to overcome the episode. The rate of Antibiotic use is higher with 77.9%.
Conclusion:
Kashmir valley faces the same problems in effective diarrhea management as in other developing regions of India and the world, viz. less ORS use, high antibiotic use and harmful cultural practices like giving bowel rest.
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