Oral Rehydration Therapy Utilization and Associated Factors Among Children with Diarrhea in Debre Berhan, Ethiopia, 2020

Abstract

Background Oral rehydration therapy is a critical intervention to save the lives of children during episodes of diarrhea and vomiting. However, millions of children die every year due to failure to replace fluid effectively. Nearly all dehydration-related deaths can be preventable by prompt administration of rehydration therapy. The current study aimed to assess oral rehydration therapy utilization and associated factors among children with diarrhea in Debre Berhan town. Methods Community-based cross-sectional study was conducted from February to March 2020. The study participants were selected by systematic random sampling. The first household was selected randomly by the lottery method. The collected data were checked for completeness and relevance, and then entered into EPI data and transferred to SPSS for analysis. Multivariate logistic regression was used to determine the ORT utilization and predictor variables. A p-value less than 0.05 was considered a cutoff point for statistical significance for all statistical tests. Results The study included 233 participants with a 99% response rate. Among them, 73% [95% Cl: 66.8 78.6] of caregivers had given oral rehydration therapy to their children. Previous use of oral rehydration therapy [AOR: 5.3, Cl: 2.1–13.32], health-seeking behavior [AOR: 5.7, Cl: 2.07–15.6], knowledge about oral rehydration therapy [AOR: 4.2, Cl: 1.7–10.46], caregivers’ perception of tooth eruption [AOR: 3.13, Cl: 1.08–9], weaning as causes of diarrhea [AOR: 6.7, Cl: 2.49–17.9], and recognize the severity sign of dehydration [AOR: 5.6, Cl: 2.16–14.7] became significant factors of oral rehydration therapy. Conclusion Nearly two-thirds of the mothers give oral rehydration therapy while their child develops diarrhea. Mothers had previous oral rehydration therapy, good health-seeking behavior, knowledge about oral rehydration therapy, caregivers’ perception of tooth eruption, and weaning as causes of diarrhea. Signs to recognize the severity of dehydration were important factors with oral rehydration therapy utilization. It will be better to give mothers special attention to hindering factors from giving oral rehydration therapy for their beloved child during diarrheal disease.

Caregivers' knowledge, practice, and associated factors toward oral rehydration salt with zinc to treat diarrhea among under 5 children in Burayu town, Oromia, Ethiopia, 2022: Cross‐sectional study: An implication for action

“…Mothers/caregivers who visited government health facility/health centers were more likely to have good practice of ORS with zinc when compared with who visited other else. It is consistent with the study conducted in Debre Birhan Ethiopia and Benishangul Gumuz, Ethiopia, and Uganda 28–30 . This might be due to the fact that health care providers in government facility have access to training which contributes to provision up to date information.…”

“…It is consistent with the study conducted in Debre Birhan Ethiopia and Benishangul Gumuz, Ethiopia, and Uganda. 28 , 29 , 30 This might be due to the fact that health care providers in government facility have access to training which contributes to provision up to date information.…”

Determinants of oral rehydration salt utilization among under-five children with diarrhea in Ethiopia: A multilevel mixed-effect analysis

“…Previous studies conducted in Ethiopia found that maternal educational status, 15,16 monthly income, 15 previous experience, 15,17 perception of tooth eruption, 17,18 knowing the severe sign of dehydration, 18 seeking advice from health facilities, 15,17 and knowledge of oral rehydration therapy 15,17 have an association with ORS utilization. However, those studies were conducted in specific areas of Ethiopia and were not nationally representative.…”

“…However, those studies were conducted in specific areas of Ethiopia and were not nationally representative. 15 – 18 Even there is one study conducted nationally in Ethiopia, which is only focused primarily on individual-level factors 19 without considering the community-level factors. But, ORS utilization can be affected by community-level factors, such as the recommended water source for preparation of ORS, 20 enumeration area (region), distance from health institution, 21 and residence.…”

Hypokinetic Activity of Menthofuran on the Gastrointestinal Tract in Rodents

“…Diarrhea treatment usually involves the administration of oral rehydration therapy (ORT) and in some cases, antibiotics directed against a particular pathogen [ 4 ]. However, pharmacological therapy against gastrointestinal disorders of motility and secretion may be indicated, as antispasmodic drugs with antisecretory activity and can alleviate the manifestations of the diarrheal process, reducing dehydration and pain and preventing death [ 5 ].…”