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African Journal of Food, Agriculture, Nutrition and Development
Rural Outreach Program
ISSN: 1684-5358 EISSN: 1684-5358
Vol. 10, No. 3, 2010, pp. 2291-2304
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Bioline Code: nd10029
Full paper language: English
Document type: Research Article
Document available free of charge
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African Journal of Food, Agriculture, Nutrition and Development, Vol. 10, No. 3, 2010, pp. 2291-2304
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Knowledge and Belief of Nursing Mothers on Nutritional Management of Acute Diarrhoea in Infants, Ibadan, Nigeria
Ogunbiyi, B. O. & Akinyele, I. O.
Abstract
Malnutrition continues to be a major public health problem in Nigeria, and this
contributes substantially to childhood mortality. Culturally related food restriction and
reduction in feeding frequency during common childhood illnesses such as diarrhoeal
diseases further contributes to the burden of malnutrition and thus to childhood
morbidity and mortality. This study was designed to determine the knowledge,
attitudes and practices of nursing mothers with respect to food restriction during acute
diarrhoea in Ibadan, South West Nigeria. This single round cross-sectional study
adopted a purposive sampling procedure to select 250 nursing mothers aged between
17 and 45 years from the sick-baby and immunization clinics of two health facilities
in Ibadan, between November 2003 and February 2004. Information on nutritional
management of acute diarrhoea was collected with a structured intervieweradministered
questionnaire and two focus group discussions exploring food
withdrawal practices during acute diarrhoea. Data analysis was done using SPSS
11.0. Descriptive and inferential statistics were generated to test for associations.
About half (46.8%) of the respondents had secondary education. Only 6.0% had
knowledge of nutritional management of diarrhoea while 54.8% had knowledge of
oral rehydration therapy. Seventy-one percent of respondents reported food
withdrawal during acute diarrhoea in infants, 44% also reported reduction in
breastfeeding frequency during acute diarrhoea and more than two-thirds of these
(71.2%) cited cultural reasons for withholding breastfeeding. Mothers’ educational
level had no significant effect on their knowledge of nutritional management of acute
diarrhoea in infants (p = 0.610). Mothers’ knowledge of nutritional management of
acute diarrhoea had a significant effect on their attitude (p = 0.03) but not on their
practice (p = 0.257). Relatives and health care providers were the sources of advice on
food restriction/withdrawal during acute diarrhoea. Appropriate nutritional
management during acute illness is important, and this has been found to be deficient
among caregivers in the family setting. Targeting appropriate health and nutrition
education to caregivers particularly mother would reduce morbidity and mortality
commonly associated with childhood diarrhoea.
Keywords
Infants, diarrhoea, food restriction, mothers
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