Maternal knowledge, attitude and practices regarding childhood acute respiratory infections in Kumasi, Ghana

Denno, Donna M.; Bentsi-Enchill, Adwoa; Mock, Charles; Adelson, Joel W.

doi:10.1080/02724936.1994.11747732

Cited by 30 publications

(28 citation statements)

References 9 publications

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“…Other symptoms in order of frequency were Fever (34%), Wheeze (9%), Sneezing (12%) and ear ache (5%) where as in a study carried out in Ghana the common symptoms were retraction of ribs (22%), fever cough and lethargy (57%)13 In a study conducted in Dar us Salam major symptoms were Fever (92.5%), Cough (85.3%) and inability to play (83.5%) 14…”

Section: Discussionmentioning

confidence: 93%

Knowledge, Attitude and Practice of mothers on acute respiratory infection in children under five years

Bham¹,

Saeed²,

Shah³

2016

Pak J Med Sci

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Objective:To assess Knowledge, Attitude and Practices of mothers on ARI (Acute Respiratory Tract Infection) in children less than five years of age.Methods:This cross-sectional survey was conducted in the Department of Pediatrics, Darul Sehat hospital from 1st December 2014 to 28th February 2015. Mothers(n=335) who were local residents, had at least one child below the age of five years and coming to the hospital for any medical problem along with accompanying women were included. Foreign mothers and/or those having difficulty in perceiving questions were excluded. Language used in the Questionnaire was English which was translated to Urdu for better understanding. Questionnaire was interviewer administered. Researchers and two house physicians took part in questioning the mothers.Results:Total 335 children were studied. Out of 335 children 228(68%) had ARI. Mean age of the children was 20 months ±17 SD while mean Birth weight was 2.7 kg ± 1.8 SD. The most common symptom perceived was cough (n=303, 40%), mostly worsening during winter season (n=255,87%), commonest aggravating factor was dust (n=174,81%), most common complication was Pneumonia (n=135, 83%), and most mothers opted for medical practitioner (n=268,89%) for treatment. Self-medication was practiced by 192(58%) and paracetamol was frequently used medication (n=117,42%).Conclusion:The study reveals good knowledge of mothers on ARI symptoms, worsening environmental conditions, aggravating factors and complications. Their attitude towards ARI was appropriate with early consultation with qualified medical practitioner. Better literacy rate, has a positive influence on the Knowledge, Attitude and Practices of mothers.

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Section: Discussionmentioning

confidence: 93%

Knowledge, Attitude and Practice of mothers on acute respiratory infection in children under five years

Bham¹,

Saeed²,

Shah³

2016

Pak J Med Sci

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“…This study describes local vocabulary and beliefs and practices about ARI and identifies some of the barriers to appropriate management. As in other parts of Africa, for many types of ARI in young infants, mothers resort to potentially harmful practices such as herbal enemas and commercially available cough remedies (Denno et al. 1994).…”

Section: Discussionmentioning

confidence: 99%

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Kauchali¹,

Rollins

Bland³

et al. 2004

Tropical Med Int Health

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Summaryobjectives To assess maternal ability to recognize respiratory distress and to identify local beliefs and practices around respiratory infections in rural KwaZulu/Natal, South Africa.methods A descriptive study: 15 knowledgeable mothers were shown a video of 10 children with respiratory distress and four normal children. Mothers were asked to describe perceived types, signs, symptoms, causes of and actions taken for each child. Sensitivity and specificity were calculated for maternal recognition of respiratory distress (chest indrawing, fast breathing) shown on the video. A focus group discussion with six mothers was held to corroborate and refine individually reported local concepts.findings Maternal recognition of respiratory distress was good (sensitivity 91.3%, 95% CI: 86.8-95.8%; specificity 95%, 95%CI: 89.5-100%), with little variation between mothers (kappa ¼ 0.704).Mothers described 12 'local types of respiratory illness', each with its own name and its own welldefined set of signs and symptoms. They were classifiable into five causative categories: supernatural, natural, tuberculosis, cold weather and unknown, indicating that perceptions of causation differed greatly from biomedical concepts. For illnesses of perceived supernatural causation, mothers were reluctant to seek medical care and antibiotics were deemed inappropriate. Traditional remedies were preferred instead.conclusion Knowledge of local vocabulary and concepts about respiratory infections is essential to design strategies for health care workers to communicate with mothers about respiratory disease, so that mothers will seek timely medical care, provide continued safe, supportive home care and comply with antibiotic treatment.

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“…For example, in Nigeria, respondents regarded ARI episodes as ordinary coughs and colds caused by cold weather [19]. If illnesses are not perceived as serious, caretakers may delay seeking hospital care [20-23]. …”

Section: Introductionmentioning

confidence: 99%

Inherent illnesses and attacks: an ethnographic study of interpretations of childhood Acute Respiratory Infections (ARIs) in Manhiça, southern Mozambique

et al. 2011

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BackgroundPneumonia is a leading cause of childhood hospitalisation and child mortality in Africa. This study explores local interpretations of Acute Respiratory Infections (ARIs), focusing on caretakers of children under five in the context of hospital care seeking.MethodsThe study took place in Manhiça, southern Mozambique and used Focused Ethnographic Study tools (FES) including field exercises and interviews.ResultsUnderstandings of terms used to describe ARIs differed between caretakers and hospital staff. Children's sicknesses that hospital staff diagnosed as ARIs were interpreted by caretakers as intermittent "attacks" of xifuva, a permanent, inherent and incurable chest illness. Caretakers thought that it was possible to manage and treat the attacks, which were caused by immediate natural factors such as food or the weather, but not the underlying illness, which was seen as having more indirect and social causes. Explanations of illness could not be neatly separated into pluralistic categories, but were characterised by syncretism, with "lay" and "biomedical" terms and concepts intermingling in practical care-seeking interactions between caretakers and health staff.ConclusionsHealth promotion should take into account the syncretism involved in explanations of ARIs in the context of practical care seeking for children. In doing so, it should draw upon lay interpretations and terminologies in order to stress the importance of seeking hospital care for all xifuva-type illnesses as well as seeking care for any subsequent attacks of an already diagnosed xifuva. However, this should be undertaken with awareness that the meanings of the terms used in practical care-seeking interactions may change over time. Health communication about ARIs should therefore be ongoing and evidence-based, even if ARIs appear to be well understood.

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Maternal knowledge, attitude and practices regarding childhood acute respiratory infections in Kumasi, Ghana

Cited by 30 publications

References 9 publications

Knowledge, Attitude and Practice of mothers on acute respiratory infection in children under five years

Knowledge, Attitude and Practice of mothers on acute respiratory infection in children under five years

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Inherent illnesses and attacks: an ethnographic study of interpretations of childhood Acute Respiratory Infections (ARIs) in Manhiça, southern Mozambique

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