Factors that Influence Effective Diarrhea Treatment Programs in Haitian Children.
Artículo
en Inglés
| IMSEAR
| ID: sea-165917
ABSTRACT
Objectives:
Childhood diarrhea is a major cause of morbidity and mortality in Haiti; a situation exacerbated by the cholera outbreak in 2010. Oral rehydration salts (ORS), when combined with zinc (ORS-zinc), is effective in preventing death and reduces severity of illness—yet their combined use remains low. An intervention to expand delivery of ORS-zinc is underway. To guide the scale up of the intervention, we conducted a qualitative study to identify caregivers’, influencers’ and healthcare providers’ knowledge, attitudes and practices related to diarrhea and its treatment.Methods:
Study conducted in two departments in Haiti North West, where ORS-zinc distribution has already begun, and North, where ORS-zinc will be implemented in 2014. Using rapid ethnographic methods, we conducted 1) semi-structured interviews with both health workers of traditional and modern medicine (n=16), 2) facility observations where child diarrhea is treated (n=4), 3) six focus group discussions (FGD) with caregivers (n= 62) and influencers (n=39).Results:
All modern and most traditional health workers recommended ORS in their practice, however, only those already receiving the intervention prescribed zinc while a few modern practitioners in the non-intervention group had heard of it. Facility observations demonstrated a gap in how the use of ORS-zinc is explained to patients. FGD showed that care seeking behaviour is strongly influenced by perceptions of the type of diarrhea and availability of healthcare provider.Conclusions:
Knowledge and attitudes affect the prescription and use of ORS-zinc. These findings will affect the design of targeted behavior change interventions for scaling up ORS-zinc in northern Haiti.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Tipo de estudio:
Estudio pronóstico
/
Investigación cualitativa
País/Región como asunto:
Haití
Idioma:
Inglés
Año:
2015
Tipo del documento:
Artículo
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