Background: Diarrhea is the leading cause of childhood morbidity and mortality. Failure of exclusive breast feeding, improper weaning practices, poor sanitation, lack of personal hygiene and inadequate water supply are among major risk factors of diarrheal disease in children. Aim of the study is to determine risk factors associated with recurrence of diarrheal episodes among children under two years Settings: This study was conducted at the Out Patient Clinic at Damanhur Medical National Institute (DMNI). Subjects: A convenient sample of 200 mothers having children under two years who are suffering from diarrhea constituted the subjects Tool: One tool was used for data collection: Risk Factors Associated with recurrence of Diarrheal Episodes among Children underTwo Years Structured Interview Schedule. Results: that there is statistically significant relation between recurrence of diarrheal episodes of mothers` children and their breast-feeding practices, weaning practices, personal hygiene, vaccination status and seasonal pattern where P=0.001, P<0.001, P=0.003, P=0.009 and P=0.029* respectively. Conclusion: The findings of the present study concluded that mothers who have children with recurrence of diarrheal episodes are confronting multiple risk factors like younger age of mothers, low family income, family size (overcrowding), feeding type, residence, failure of exclusively breast-feeding, inappropriate weaning practices, poor personal hygiene, inadequate water sanitation, poor environmental sanitation, and seasonal pattern. Recommendations: Mothers' education class about diarrhea risk factors should be extensively encouraged by educational authorities in all health centers to help them gaining information about how to prevent diarrhea
Weaning is a very vulnerable period for children's life that covers from 6-24 months of age, where they transfer from exclusive breastfeeding or formula feeding to complementary food. Objective: Identify the mothers' knowledge regarding weaning practices for their children aged from 6 to 24 months. Settings: Out-Patient Clinics and Well-Baby Clinics of Matrouh General Hospital and Specialized Children's Hospital at Matrouh city. Subjects: A convenience sample of 200 mothers having children aged from 6 to 24 months and free from chronic illness. Tool: "mothers' knowledge regarding weaning practices for their children aged from 6 to 24 months structured interview schedule" was developed to collect data. Results: Half of the studied mothers had "good" total knowledge score with a mean score of 35.94 ± 6. 515. Where 82.0% of the studied mothers had "good" knowledge score regarding general weaning practices, 52% of them had "fair" knowledge score related to the number of meals and appropriate types of food, 46% of them had "good" knowledge score related to principles of weaning. Conclusion: it can be concluded that mothers had a good total knowledge score regarding weaning practices. Recommendations: Health teaching sessions about weaning practices for mothers should be conducted in well-baby clinics and outpatient clinics.
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