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Area of Science:

  • Pediatrics
  • Global Health
  • Public Health Interventions

Background:

  • Diarrhea management in children emphasizes increased fluid intake and continued feeding to prevent dehydration.
  • Reducing or stopping fluids during diarrhea episodes is a harmful practice with potential to increase child mortality.
  • Addressing fluid curtailment is crucial for global child survival strategies.

Purpose of the Study:

  • To quantify the prevalence of fluid curtailment in children under five with diarrhea in high-mortality countries.
  • To examine the associations between fluid curtailment and child, household, and management characteristics.

Main Methods:

  • Utilized national cross-sectional survey data from Burkina Faso, DRC, Ethiopia, Nigeria, Tanzania, and Uganda.
  • Analyzed the extent of fluid curtailment and its relationship with various demographic and health-seeking factors.

Main Results:

  • Prevalence of fluid curtailment ranged from 32% in Burkina Faso to 55% in Nigeria.
  • Fluid curtailment was linked to withholding food (OR 3.51), non-governmental provider care, breastfeeding, and unimproved water sources.
  • Children of poorer, less educated, or rural mothers were more likely to experience fluid curtailment.

Conclusions:

  • The widespread practice of curtailing fluids for children with diarrhea poses a significant risk for dehydration and complications.
  • Specific subgroups, including those with certain care providers or from disadvantaged backgrounds, are disproportionately affected.
  • Interventions targeting fluid curtailment are essential to reduce diarrhea-related morbidity and mortality in young children.