Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan
Khaliq, Asif, Holmes-Stahlman, River, Ali, Danish, Karatela, Shamshad, and Lassi, Zohra S. (2023) Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan. Life, 13 (3). 677.
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Abstract
Worldwide, diarrhoea in children under five years of age is the second leading cause of death. Despite having high morbidity and mortality, diarrhoeal diseases can be averted by simple and cost-effective interventions. The Integrated Management of Childhood Illness (IMCI) has proposed the use of Oral Rehydration Salt (ORS) and zinc together with adequate food and fluid intake for the management of acute non-dysenteric watery diarrhoea in children. In the past, few studies examined the determinants of adherence to diarrhoea case management. Therefore, this study measured the determinants of therapeutic and dietary adherence to diarrhoea case management using the third and fourth wave of Pakistan Demographics and Health Surveys (PDHS) datasets. Data from 4068 children between 0 to 59.9 months with positive history of diarrhoea were included, while data on children with dysentery, severe dehydration, and co-morbid condition was excluded. This study reported therapeutic adherence in less than 10% of children in Pakistan, while dietary adherence was reported in 39.2% of children (37.7% in 2012–2013 and 40.7% in 2017–2018). A significant improvement in therapeutic (0.8% in 2012–2013 and 8.1% in 2017–2018) and dietary adherence (37.7% in 2012–2013 and 40.7% in 2017–2018) was reported in the 2017–2018 survey compared to the 2012–2013 survey. In general, children over the age of one year (compared to children <1 year) and of the richer/richest socioeconomic class (compared to poorest/poorer socioeconomic class) showed higher therapeutic and dietary adherence. Therapeutic and dietary adherence among diarrhoeal children can be improved by increasing the awareness and accessibility of ORS, zinc, and essential foods.
| Item ID: | 78360 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 2075-1729 |
| Keywords: | adherence, case management, determinants, diarrhoea, paediatrics |
| Copyright Information: | © 2023 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
| Date Deposited: | 11 Oct 2023 01:57 |
| FoR Codes: | 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420601 Community child health @ 50% |
| SEO Codes: | 20 HEALTH > 2003 Provision of health and support services > 200302 Community health care @ 100% |
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