Caregiver’s Knowledge about Childhood Pneumonia: A Study from Rural Areas and Urban Slums of Lucknow
Keywords:
Caregiver, Childhood pneumonia, Risk factors, Preventive measures, slumAbstract
Background: India bears highest burden of childhood morbidity and mortality due to childhood pneumonia. The study was con- ducted with aim to assess caregivers’ knowledge about signs/symptoms of childhood pneumonia and their perception about its risk factors and preventive measures.
Methodology: This community based cross sectional study was carried out among 568 caregivers of 1065 under-five children. A pretested, semi-structured questionnaire was used to collect in- formation about bio-social profile, caregivers’ knowledge about signs & symptoms, danger signs, risk factors and preventive measures of pneumonia.
Results: Majority of the respondents (88.7%) identified “cough/cold” as sign and symptom of pneumonia, followed by “chest in-drawing” (85.7%) and “fast/difficult breathing” (77.8%). Only few caregivers (9.3%) perceived “fast/difficult breathing” as danger sign and only 12% and 16.1% respectively had adequate knowledge about risk factors and preventive measures of child- hood pneumonia. The study found statistically significant associa- tion between parent’s education status and knowledge about risk factors, preventive measures and ability to recognize early danger signs of childhood pneumonia.
Conclusions: The study identified significant lack of knowledge about childhood pneumonia among caregivers. Strengthening of IMNCI and community-based health education programs need to be promoted to ensure better health practices and appropriate care seeking for childhood pneumonia.
References
Wardlaw T, Salama P, Johansson EW, and Mason E. Pneumonia: The Leading Cause of Children. Lancet. 2006;368(9541):1048–50.
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. The Lancet. 2012;379(9832):2151–61. Epub 2012/05/15. doi: 10.1016/S0140-6736(12)60560-1.
Pneumonia: The Forgotten Killer of Children. The United Nations Children’s Fund (UNICEF) September 2006.
Mathew JL, Patwari AK, Gupta P, Shah D, Gera T, Gogia S, et al. Acute respiratory infection and pneumonia in India: a systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian pediatrics. 2011;48(3):191–218.
Ghimire M, Bhattacharya SK, Narain JP. Pneumonia in South-East Asia Region : Public health perspective. Indian J Med Res. 2012;135(April):459–68.
Kallander K, Hildenwall H, Waiswa P, Galiwango E, Petersona S, and Pariyob G. Delayed care seeking for fatal pneumonia in children aged under-five years in Uganda: a case-series study. Bulletin of the World Health Organiza- tion. 2008;86(5):332–38.
Noordam AC, Carvajal-Velez L, Sharkey AB, Young M, Cals JWL. Care seeking behaviour for children with suspected pneumonia in countries in Sub-Saharan Africa with high pneumonia mortality. PLoS One. 2015 Feb 23;10(2):e0117919.
Onyango D, Kikuvi G, Amukoye E, Omolo J. Risk factors of severe pneumonia among children aged 2–59 months in western Kenya: a case control study. Pan Afr Med J. 2012;13:45.
Colvin CJ, Smith HJ, Swartz A, Ahs JW, De Heer J, Opiyo N, et al. Understanding care seeking for child illness in sub- Saharan Africa: A systematic review and conceptual frame- work based on qualitative research of household recogni- tion and response to child diarrhea, pneumonia and malar- ia. Social Science & Medicine. 2013;86:66-78.
Ferdous F, Dil Farzana F, Ahmed S, Das SK, Malek MA, Das J, et al. Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh. ISRN Fam Med. 2014;690315:1-8
Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis. The Lancet. 2010;375(9730):1969–87. doi: 10.1016/S0140-6736(10)60549-1.
Chisti MJ, Duke T, Robertson CF, Ahmed T, Faruque AS, Bardhan PK et al. Co-morbidity: exploring the clinical over- lap between pneumonia and diarrhoea in a hospital in Dha- ka, Bangladesh. Annals of Tropical Paediatrics. 2011; 31(4): 311-9
Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? The Lancet. 2003;361(9376):2226– 34.
Chisti MJ, Ahmed T, Faruque AS, Abdus Salam M. Clinical and laboratory features of radiologic pneumonia in severely malnourished infants attending an urban diarrhea treatment center in Bangladesh. Pediatr Infect Dis J. 2010;29(2):174-7
Iqbal I, Malik AY, Anwar M, Khan SP. Community perceptions about acute respiratory infections (ari) in multan, pakistan. 2010;2(1):2–9.
Siswanto E. Bhuiyan SU, Chompikul J. Knowledge, and Perception of Pneumonai Disease among Mothers of Children under-five Years attending Nakhon Pathom General Hospital, Thailand. Journal of Public Health and Development. 2007;5(2)
Memon KN, Shaikh K, Pandhiani BS, Usman G. How do mothers recognize & treat pneumonia in their children at home? A study in Union Council Jhudo, district Mirpurkhas. J Liaquat Univ Med Heal Sci. 2013;12(3):208– 13.
Ekure EN, Ci E, Oo O, Ai O. Esangbedo DO Mothers and childhood pneumonia : what should the focus of public campaigns be ? Nigerian Journal of Paediatrics 2013 ;40(1): 24–9.
Iqbal I, Malik AY, Anwar M, Khan SP. Community perceptions about acute respiratory infections (ari) in multan, pakistan. Nishtar Medical Journal. 2010;2(1):2–9.
Kambli S. Knowledge of Bronchopneumonia among Caretakers of Infants. International Journal of Science and Research. 2014;3(7):5.
Kapoor SK. Knowledge attitude and practices regarding acute respiratory infections. India J Pediatr. 1990;57(5):33–5.
Haq Anwar, Durrani HM, Kumar R, Durrani SM. Recognizing the Danger Signs and Health Seeking Behaviour of Mothers in Childhood Illness in Karachi, Pakistan. Universal Journal of Public Health. 2015;3(2): 49- 54.
Jena M. Effectiveness of Information Booklet on Knowledge & Practice about Prevention of Pneumonia among Mothers of under-five Children. IOSR Journal of Nursing and Health Science. 2014;3(1):25–30.
D’Souza Asha, Joy A, Karkada A, Jacob J, Sebastian M, Joseph ST, et al. Knowledge of mothers regarding respiratory tract infection in children. International Journal of Recent Scientific Research. 2014;5:2188–91
Minz Anurag, Agarwal Monika, Singh JV, Singh VK. Care seeking for childhood pneumonia by rural and poor urban communities in Lucknow: A community-based cross- sec- tional study. J Family Med Prim Care. 2017 Apr-Jun; 6(2): 211–217.
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