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Child health: understanding the home care practices in some illnesses among underfive children in imnci implemented rural area.

Authors:Abhay B Mane, Sushil Dohare , Sunil V. Gitte
Int J Biol Med Res. 2012; 3(1): 1251-1254  |  PDF File


Background: Child mortality rates in rural areas are still higher than in urban areas. Success in reducing childhood mortality requires a partnership between health workers and families, with support from their communities. The integrated management of neonatal and childhood illnesses (IMNCI) strategy has improved the care of sick child at health facilities thereby reducing mortality. But the community component of IMNCI to improve household and community practices related to child health, nutrition and development is not addressed adequately. OBJECTIVES: 1. To study the home care practices received by under five children in some childhood illnesses in IMNCI implemented rural area. Material and methods Type of study: Cross sectional descriptive. Study participants: Mother’s of underfive child who had fever, diarrhea and ARI in last two weeks. Study area: 3 PHC’s adopted by Department of Community Medicine. The detailed history regarding the home care practices adopted in case management was asked. Results: 830 children of age below five years and their mothers were surveyed. The attack rate of ARI was 18.3%, for diarrhea was 11.3 % and for fever 6.1 % in the study. 25.3 % 0f the children did not receive any care. In case of fever, 71.4 % of children received antipyretic tablet, 1.7 % received antimalarials and 16.7 % received antibiotics at home. The use of ORS at home in diarrhea was low. In ARI, 29.4 % children received antibiotic. The most common danger sign of illness was fever (33.1%) and change in appetite (18.4%). Conclusions: There were lacunae in the knowledge of mothers in home based care or management of these illnesses. Hence there is a need to address the community component of IMNCI.