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Study on the management of diarrhea in young children at community level in Thailand

T Wongsaroj1, J Thavornnunth, U Charanasri

  • 1Division of General Communicable Diseases, Ministry of Public Health, Nonthaburi, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 1, 1997
PubMed

Insights

Diarrhea affects over 5% of young children in Thailand, with significant mortality. Improving oral rehydration solution (ORS) preparation and community health education is crucial for reducing child deaths from diarrhea.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Diarrheal diseases remain a significant cause of mortality in young children globally.
  • Effective home-based management and timely medical intervention are critical for reducing childhood diarrhea morbidity and mortality.

Purpose of the Study:

  • To evaluate the incidence, prevalence, and management of diarrhea in children under five years old in Thailand.
  • To assess the utilization of oral rehydration solution (ORS) and other treatment modalities.
  • To identify gaps in parental knowledge regarding ORS preparation and recommend interventions.

Main Methods:

  • A cross-sectional study involving 15,466 children from 30 clusters across twelve regions of Thailand.
  • Data collection on diarrhea incidence, prevalence, mortality rates, treatment practices, and ORS utilization.
  • Assessment of parental knowledge on correct ORS preparation.

Main Results:

  • The incidence rate of diarrhea was 5.13% among children under five, with an average annual prevalence of 1.3 episodes per child.
  • Diarrhea-associated mortality was 6.5 per 100,000 children.
  • Oral rehydration solution (ORS) utilization was 25.6%, with only 23.7% of parents correctly preparing it. Intravenous therapy was used in 6.2% of cases.

Conclusions:

  • Significant gaps exist in the correct preparation and utilization of ORS among parents in Thailand.
  • Strengthening community health education programs is essential to promote ORS and appropriate home care practices for diarrhea.
  • Targeted interventions are needed to reduce diarrhea-associated mortality in young children.

Keywords:
Age FactorsAsiaBreast FeedingChildDemographic FactorsDeveloping CountriesDiarrheaDiseasesHealthIncidenceInfantInfant NutritionMeasurementNutritionOral RehydrationOrganization And AdministrationPopulationPopulation CharacteristicsProgram EffectivenessProgram EvaluationProgramsResearch MethodologyResearch ReportSelf CareSoutheastern AsiaThailandTreatmentYouth

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