Knowledge, Attitude and Practices of Care Givers of Children Under Five Years On Diarrhea Prevention at Kijomoro Health Centre Iii, Olufu Sub-County, Maracha District.

TABLE OF CONTENTS

DECLARATION ............................................................................................................................. i

APPROVAL.................................................................................................................................... ii

DEDICATION ...............................................................................................................................iii

ACKNOWLEDGEMENT ............................................................................................................. iv

LIST OF ACRONYMS AND ABREVIATIONS .......................................................................... v

OPERATIONAL DEFINITIONS.................................................................................................. vi

LIST OF TABLES ......................................................................................................................... xi

LIST OF FIGURES....................................................................................................................... xii

ABSTRACT.................................................................................................................................xiii

CHAPTER ONE: INTRODUCTION............................................................................................. 1

1.0 BACKGROUND....................................................................................................................... 1

1.1. PROBLEM STATEMENT.................................................................................................. 2

1.3. OBJECTIVE OF THE STUDY ............................................................................................... 3

1.3.1. GENERAL OBJECTIVE.................................................................................................. 3

1.3.2. SPECIFIC OBJECTIVES ................................................................................................. 3

1.4. RESEARCH QUESTIONS...................................................................................................... 3

1.5. SIGNIFICANCE OF THE STUDY......................................................................................... 4

1.6.1. GEOGRAPHICAL SCOPE .............................................................................................. 4

1.6.2. TIME SCOPE.................................................................................................................... 4

1.6.3. CONTENT SCOPE........................................................................................................... 4

1.7. CONCEPTUAL FRAMEWORK ............................................................................................ 4

CHAPTER TWO: LITERATURE REVIEW................................................................................. 6

2.0 INTRODUCTION..................................................................................................................... 6

2.1 CAREGIVERS' KNOWLEDGE ON PREVENTION OF DIARRHEA IN CHILDREN

UNDER FIVE YEARS................................................................................................................... 6

2.2. CAREGIVERS’ ATTITUDES TOWARDS PREVENTION OF DIARRHEA IN CHILDREN

UNDER FIVE YEARS................................................................................................................... 7

2.3 CAREGIVERS' PRACTICES TOWARDS PREVENTION OF DIARRHEA IN CHILDREN

UNDER FIVE YEARS................................................................................................................... 8

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CHAPTER THREE: METHODOLOGY ..................................................................................... 10

3.0 INTRODUCTION................................................................................................................... 10

3.1 STUDY DESIGN.................................................................................................................... 10

3.2 STUDY AREA........................................................................................................................ 10

3.3 STUDY POPULATION ......................................................................................................... 10

3.4 SELECTION CRITERIA........................................................................................................ 10

3.4.1 INCLUSION CRITERIA................................................................................................. 10

3.4.2 EXCLUSION CRITERIA................................................................................................ 10

3.5 SAMPLE SIZE DETERMINATION CAREGIVERS SAMPLE........................................... 11

3.6 SAMPLING TECHNIQUE .................................................................................................... 11

3.7 SOURCE OF DATA............................................................................................................... 11

3.8 DATA COLLECTION TECHNIQUES AND INSTRUMENTS........................................... 11

3.9 DATA MANAGEMENT........................................................................................................ 11

3.10 DATA ANALYSIS............................................................................................................... 11

3.11 QUALITY CONTROL TECHNIQUES............................................................................... 12

3.12 ETHICAL CONSIDERATIONS.......................................................................................... 12

CHAPTER FOUR: STUDY FINDINGS...................................................................................... 13

4.0. INTRODUCTION.................................................................................................................. 13

4.1. CAREGIVERS’ GENERAL INFORMATION AND BIODATA........................................ 13

4.1.1. RELATION OF THE PRIMARY CAREGIVER TO THE UNDER-FIVE....................... 13

4.1.2. AGES OF CAREGIVERS .................................................................................................. 13

4.1.3. PLACE OF RESIDENCE OF CAREGIVERS................................................................... 14

4.1.4. LEVEL OF EDUCATION OF CAREGIVERS ................................................................. 15

4.1.5. CAREGIVER MARITAL STATUS................................................................................... 15

4.1.6. RELIGIOUS AFFILIATIONS OF THE CAREGIVERS................................................... 15

4.1.7. EMPLOYMENT STATUS OF CAREGIVERS................................................................. 16

4.1.8. NUMBER OF PEOPLE PER HOUSEHOLD .................................................................... 16

4.1.9. MONEY SPENT DAILY FOR DOMESTIC USE............................................................. 17

4.2. CAREGIVER KNOWLEDGE ON PREVENTION OF DIARRHOEA IN UNDER-FIVES

....................................................................................................................................................... 17

4.2.1. TYPE OF DIARRHOEA THE CHILD SUFFERED IN THE PAST TWO WEEKS ....... 18

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4.3. CAREGIVERS’ ATTITUDE TOWARDS DIARRHOEA PREVENTION AMONG THE

UNDER-FIVES ............................................................................................................................ 18

4.3.1. LIKELYHOOD OF THEIR UNDER-FIVES GETTING DIARRHOEA IN THE NEXT

MONTH........................................................................................................................................ 19

4.3.2. SATISFACTION WITH THE CURRENT WATER SUPPLY ......................................... 19

4.4. PRACTICES OF CAREGIVERS CONCERNING PREVENTION OF DIARRHOEA

AMONG UNDER-FIVES ............................................................................................................ 20

4..4.1. EXLUSIVE BREASTFEEDING PRACTICES ................................................................ 20

4.4.2. REGULAR SOURCE OF WATER FOR DOMESTIC USE & METHODS OF

TREATMENT. ............................................................................................................................. 20

4.4.3. HUMAN WASTE DISPOSAL........................................................................................... 21

4.4.4. HANDWASHING PRACTICES....................................................................................... 22

CHAPTER FIVE: DISCUSSIONS, CONCLUSIONS AND RECOMMENDATIONS ............. 23

5.0. INTRODUCTION.................................................................................................................. 23

5.1. DISCUSSIONS OF THE STUDY FINDINGS ..................................................................... 23

5.1.1. KNOWLEDGE OF RESPONDENTS CONCERNING DIARRHOEA PREVENTION.. 23

5.1.2. CAREGIVERS’ ATTITUDES TOWARDS DIARRHOEA AND DIARRHOEA

PREVENTION AMONG UNDER-FIVES.................................................................................. 23

5.1.3. CAREGIVERS’ PRACTICE CONCERNING DIARRHOEA PREVENTION AMONG

THE UNDER-FIVES.................................................................................................................... 24

5.2. CONCLUSIONS.................................................................................................................... 25

5.3. RECOMMENDATIONS ....................................................................................................... 25

5.3.1. TO THE CAREGIVERS OF UNDER-FIVES OF OLUFU............................................... 25

5.3.2. TO THE HEALTHCARE SECTOR IN OLUFU SUB-COUNTY .................................... 25

5.3.3. TO THE LOCAL ADMINISTRATION OF OLUFU SUB-COUNTY ............................. 25

REFERENCES.............................................................................................................................. 27

APPENDICES............................................................................................................................... 30

APPENDIX I: CONSENT FORM FOR THE CAREGIVERS ................................................ 30

APPENDIX II: QUESTIONNAIRE......................................................................................... 31

APPENDIX III: WORK PLAN ................................................................................................ 37

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APPENDIX IV: BUDGET ....................................................................................................... 38

APPENDIX V: MAP OF MARACHA DISTRICT (RED STAR & RED INSET) ................. 39