PriMera Scientific Medicine and Public Health (ISSN: 2833-5627)

Thesis

Volume 6 Issue 2

A Study of Maternal Knowledge, Attitude and Practice Regarding Child Survival Interventions at a Urban Health Centre of Berhampur

Geetanjali Sethy*, Sadhana Panda, Kaliprasad Mishra, Saroj Barma and Sangeeta Das

January 24, 2025

DOI : 10.56831/PSMPH-06-193

View PDF

Abstract

Introduction: The world has made remarkable progress in child survival in the past few decades. WHO in collaboration with UNICEF and the WORLD BANK, developed a set of evidence based interventions -“Child survival strategies” which when properly implemented would reduce under five mortality.

Objectives: 1. To assess the knowledge, attitude and practice of mothers having children aged less than 5 years about child survival strategies.

2. To determine the association between various sociodemographic variables and the knowledge, attitude and practice of mothers on child survival strategies if any.

Methodology: This is a hospital based Cross-sectional Study done at Urban Health Centre(UHC), Ankuli from November 2017 - October 2019. Mothers of children less than 5 years of age attending the UHC were the study subjects. Pre-designed, semi-structured questionnaire was used and data collected & analysed using SPSS 18.0.

Sample size: The sample size was calculated to be 237 and to this was added the nonresponse rate of 20% making it 285. The final sample was rounded off to 300.

Results: Around 41.3% (124) of the mothers were in the age group of 21 to 25 years and 72.7% (218) were literate. The occupation was associated with the practice of exclusive breastfeeding. (p =0.028). Literacy was associated with exclusive breast feeding, (0.037) knowledge about reconstitution of ORS(0.039) and practice of Family planning methods (P=0.042).

Conclusion: Awareness needs to be created among adolescents about correct age of marriage, pregnancy & appropriate ANC check-ups. Literacy was significantly associated with breast feeding practices, ORT and family planning practices.

Keywords: Growth monitoring; Oral rehydration therapy; Breastfeeding; Immunization; Family planning; Food supplementation; Female education

References

  1. Child Mortality, UNICEF DATA.
  2. GOBI-FFF - General Practice Notebook.
  3. National Family Health Survey-4.
  4. Madhu K, Chowdary S and Masthi R. “Breast feeding practices and newborn care in rural areas: a descriptive cross-sectional study”. Indian J. Community Med 34.3 (2009): 243-6.
  5. Rasaki Ajani Sanusi and Adunni Olatokunbo Gbadamosi. “Do Mothers’ Knowledge and Practice of ‘Child Survival Strategies’ Affect the Nutritional Status of Their Children?”. Pakistan Journal of Nutrition 8 (2009): 1506-1511.
  6. Ashworth A, Shrimpton R and Jamil K. “Growth monitoring and promotion: review of evidence of impact”. Matern Child Nutr 4.s1 (2008): 86-117.
  7. Ruberfroid D, GH Pelto and P Kolsteren. “Plot and see! Maternal comprehension of growth chart worldwide”. Trop. Med. Int. Health 12 (2007): 1074-1086.
  8. Datta V., et al. “Maternal knowledge, attitude and practices towards diarrhea and oral rehydration therapy in rural Maharashtra”. Indian J Pediatr 68.11 (2001): 1035-7.
  9. Nilambar Jha, Rupa Singh and Dharinadhar Baral. “Knowledge, attitude and practices of mothers regarding home management of acute diarrhea in Sunsari, Nepal”. Nepal Med Coll J 8.1 (2006): 27-30.
  10. S Sethi., et al. “A study of breast feeding practices among urban mothers attending the immunization clinic of MKCG medical college hopstial Berhampur”. Journal of Community Medicine 4.1 (2008).
  11. Koosha A, Hashemifesharaki R and Mousavinasab N. “Breast feeding patterns and factors determining exclusive breast-feeding”. Singapore Medical Journal 49.12 (2008): 1002-1006.
  12. Iyanam Victory Edet., et al. “Knowledge and Practice of Child Survival Strategies among mothers Attending postnatal clinics in Itu a Sub Urban Area of South Nigeria”. International journal of Health Sciences & research 10.1 (2020).
  13. Grover VL, Chhabra P and Aggarwal OP. “Knowledge, Attitude and Practices of Breast Feeding in a Rural Area of East Delhi”. Health and Population- Perspectives and Issues 20.2 (1993): 49-56.
  14. Singh MC, Badole CM and Singh MP. “Immunization coverage and the knowledge and practice of mothers regarding immunization in rural area”. Indian J Public Health 38.3 (2004): 103-7.
  15. Khalifa AM., et al. “The results of the Egyptian Contraceptive Prevalence Survey in rural Egypt”. Contraception 23.1 (2008): 356-9.
  16. Etokidem AJ and Johnson O. “Child Survival Strategies: Assessment of Knowledge and Practice of Rural Women of Reproductive Age in Cross River State, Nigeria”. Journal of Tropical Medicine (2016).
  17. ME Khan. “Breast - feeding and Weaning Practices in India”. Asia-Pacific Population 5.1 (2010): 71-88.
  18. Anju Aggarwal., et al. “Complementary feeding - reasons for inappropriateness in timing, quantity and consistency”. Indian journal of pediatrics 76.1 (2008): 49-53.