Knowledge, Attitude and Practices of Mothers Regarding Diarrheal Risk Factors and Management in under 5 Children: A Cross Sectional Survey in Dadu and Badin Districts of Sindh, Pakistan

Aneela Iqbal Khan, Syed Hasan Danish, Ahsan Ashfaq, Farah Ahmad, Syed Mohammad, Ali Warsi, Muzammil Parvaiz Khan


Objective: To assess the knowledge, attitude and practices of mothers regarding risk factors for diarrhea
and its management in children under five years of age living in rural districs of Pakistan.
Materials and Methods: A cross sectional study was conducted in two union councils of Dadu and Badin
Districts of Sindh in 2014. The sample size from each Union council was n=450. Cluster sampling technique
was utilized for selection of households in both of the Union Councils. Personal interviews were conducted
from mothers by trained data collectors on pretested questionnaire. Descriptive analysis was done on SPSS
version 20.
Results: 46% in Badin and 44% under 5 children in Dadu had suffered an attack of acute diarrhea in the last
three months. Regarding the signs of dehydration, 36% mothers identified that absence of tears as a principle
sign of dehydration in Badin, while 41% in Dadu identified lethargy as the chief sign. Contaminated water
and stale food was identified as a cause of diarrhea by most participants in both districts. 48% in Badin and
41% in Dadu identified hand washing the most important method for prevention against diarrhea. When
management of diarrhea was taken into account for majority 50% mothers it was through ORS.
Conclusion: Knowledge on diarrhea and its treatment and prevention was found to be bleak in our survey
among rural residents of Sindh. Results displayed poverty besides illiteracy, improper water and sanitation
facilities and unhygienic practices serving as barricades dragging down health indicators similar to other rural
parts of the country.


Mothers, Pakistan under 5 children, rural areas, management, diarrhea, risk factors

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