Knowledge and practices among caregivers in cases of persisitent diarrhoea in children of age group 6 months-12 years


  • Swetleena Mandavi Department of Pediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Varsha Shrivastava Department of Pediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Yamini Jamod Department of Pediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India



Knowledge, Mortality, Oral rehydration solution, Persistent diarrhoea, Practice, Sanitation


Background: Persistent diarrhoea has a variety of infectious and non-infectious etiology and it seriously affects the growth and development of children. The objective of the is to the identify the knowledge and practices prevalent amongst caregivers of children to understand environmental and behavioral risk factors and their interactions associated with the disease and its management.

Methods: It is a hospital based cross-sectional study which included 70 children in the age group 6 months-12 years admitted in a tertiary care center at Bhopal over a period of one year with complaints of loose stools lasting for more than 14 days. A pre-tested questionnaire was used as a data collection tool for face-to-face interviews with the mothers or caretakers of the cases. Statistical analysis was done using Statistical Package of Social Science (SPSS Version 20; Chicago Inc., USA). Data comparison was done by applying specific statistical tests to find out the statistical significance of the comparisons.

Results: Most of children’s mother were Illiterate, 27.1% were educated till primary school and only 5.7% were graduate. Out of 70 cases, most of 51(72.8%) were have understanding that drinking untreated water is a risk factor, only 11(15.7%) understands the value of filtered water and 8(11.4%) know the importance of doing boiling. Most of 46(65.7%) were using open field for sanitation and only 11(15.7%) were using toilets at home. 42(60.0%) were having the habit of hand washing before taking meal. 

Conclusions: Community education about the prevention and management of diarrhoea will reduce the mortality and morbidity associated with persistent diarrhoea.


Walker-Smith JA: Post-infective diarrhoea. Curr Opin Infect Dis. 2001;14:567-71.

Umamaheshwari B, Biswal N, Adisivam B, Parija SC, Srinivasan S. Persistent Diarrhoea: Risk Factors and Outcome. Indi J Pediatr. 2010;77(8):885-8.

David KA. Acute and Persistent diarrhoea. Pedia Clin N Am. 2009;56:1343-61.

Child Health Research Project: Synopsis: persistent diarrhoea algorithm, no.1 Washington DC: Child Health Research Project USAID,1997.

Al-Badri AA, Makaei AF, Al-Badawi G, Al-Azawi S. Relation between Behavioral Factors, Malnutrion and Persistent Diarrhea in Children Under Two Years of Age. A Hospital Study J Fac Med Baghdad. 2007;49.

Lima AAM, Moore R, Barboza S. Persistent Diarrhoea Signals a critical period of increased diarrhoea burdens and nutritional shortfalls: A prospective cohort study among children in Northeastern Brazil. J Infect Disea. 2000;181(5).

Moore SR, Lima LN, Soares MA. Prolonged episodes of acute diarrhoea reduce growth and increase risk of persistent diarrhoea in children. Gastroenterol. 2010;139(4):1156-64.

Seema A, Ahmad SH, Lamba IMS. Clinical profile of persistent diarrhoea in DTTU. Indi Pediatr. 1997;34:631-5.

Karim AS, Akhter S, Rahman MA, Nazir MF. Risk factors of persistent diarrhea in children below five years of age. Indian Journal of gastroenterology: offici J Indi Socie Gastroenterol. 2001;20(2):59-61.

Mathai J, Raju B, Bavdekar A. Pediatric Gastroenterology Chapter, Indian Academy of Pediatrics. Chronic and perisistent diarrhoea in infants and young children. Indi Pediatr. 2011;48:37-42.

Nsabimana J, Mureithi C, Habtu M. Factors contributing to diarrheal diseases among children less than five years in Nyarugenge District, Rwanda. J Tropic Diseas & Publ Health. 2017;5(3):1-8.

Durairaj P, Raju S, Sivaraman T. Clinical profile and risk factors for persistent diarrhoea in children under five years of age in an urban referra; centre. Int J Contemp Pediatr. 2017;4(6).

Mittal SK. Chronic diarrhoea in tropics. Indi J Paediatr. 1999;66:S4-15.

Noaman AA. Acute and Chronic Diarrhea among Hospitalized infants aged (1-12) months. Diyal J Fo Pur Scien. 2014;10(1):1.

Ram PK. Declines in case management of diarrhoea among children less than five years old. Bulleti Worl Healt Organizat. 2008;86:161-240.

Kermani NA, Jafari F, Mojarad HN, Hoseinkhan N, Zali MR. Prevalence and associated factors of persistent diarrhoea in Iranian children admitted to a paediatric hospital. EMHJ-Easter Mediterran Heal J, 2010;16(8):831-6.

Lins MD, Motte ME, da Silva GA. Risk factors for persistent diarrhoea in infants. Arq Gastroenterol. 2003;40(4):239-46.

Mahor GR. Knowledge and attitudes of mothers regarding use of Oral Rehydration Solution in management of diarrhoea. Asia J of Biomedi Pharmaceut Scienc. 2013;3(21):6-8.

Gupta RK, Nagori GL, Jain DK. Study of knowledge of mothers regarding the use and preparation ORS in acute diarrhoea. J Evolut Med and Den Sci. 2015 2009;4(20):3457-61.






Original Research Articles