Community case management of childhood diarrhea in a setting with declining use of oral rehydration therapy: Findings from cross-sectional studies among primary household caregivers, Kenya, 2007

Christine K. Olson, Lauren S. Blum, Kinnery N. Patel, Prisca A. Oria, Daniel R. Feikin, Kayla F. Laserson, Annah W. Wamae, Alfred V. Bartlett, Robert F. Breiman, Pavani K. Ram

Research output: Contribution to journalArticlepeer-review

Abstract

We sought to determine factors associated with appropriate diarrhea case management in Kenya. We conducted a cross-sectional survey of caregivers of children < 5 years of age with diarrhea in rural Asembo and urban Kibera. In Asembo, 61% of respondents provided oral rehydration therapy (ORT), 45% oral rehydration solution (ORS), and 64% continued feeding. In Kibera, 75% provided ORT, 43% ORS, and 46% continued feeding. Seeking care at a health facility, risk perception regarding death from diarrhea, and treating a child with oral medications were associated with ORT and ORS use. Availability of oral medication was negatively associated. A minority of caregivers reported that ORS is available in nearby shops. In Kenya, household case management of diarrhea remains inadequate for a substantial proportion of children. Health workers have a critical role in empowering caregivers regarding early treatment with ORT and continued feeding. Increasing community ORS availability is essential to improving diarrhea management.

Original languageEnglish (US)
Pages (from-to)1134-1140
Number of pages7
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume85
Issue number6
DOIs
StatePublished - Dec 2011

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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