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Community-Based Participatory Research and Drug Utilization Research to Improve Childhood Diarrhea Case Management in Ujjain, India: A Cross-Sectional Survey
RD Gardi Med Coll, Dept Pediat, Ujjain 456006, Madhya Pradesh, India.ORCID iD: 0000-0003-2404-9231
RD Gardi Med Coll, Dept Pediat, Ujjain 456006, Madhya Pradesh, India.
RD Gardi Med Coll, Dept Pediat, Ujjain 456006, Madhya Pradesh, India.
Karolinska Inst, Dept Publ Hlth Sci, Global Hlth Hlth Syst & Policy, SE-17176 Stockholm, Sweden;RD Gardi Med Coll, Dept Publ Hlth & Environm, Ujjain 456006, Madhya Pradesh, India.ORCID iD: 0000-0001-7948-8579
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2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 9, article id 1646Article in journal (Refereed) Published
Abstract [en]

Childhood diarrhea continues to be a major cause of under-five (U-5) mortality globally and in India. In this study, 1571 U-5 children residing in nine rural villages and four urban slums in Ujjain, India were included with the objective to use community participation and drug utilization research to improve diarrheal case management. The mean age was 2.08 years, with 297 (19%), children living in high diarrheal index households. Most mothers (70%) considered stale food, teething (62%), and hot weather (55%) as causes of diarrhea. Water, sanitation, and hygiene (WASH)-related characteristics revealed that most (93%) households had toilets, but only 23% of the children used them. The study identified ineffective household water treatment by filtration through cloth by most (93%) households and dumping of household waste on the streets (89%). The results revealed low community awareness of correct causes of diarrhea (poor hand hygiene, 21%; littering around the household, 15%) and of correct diarrhea treatment (oral rehydration solution (ORS) and zinc use, 29% and 11%, respectively) and a high antibiotic prescription rate by healthcare providers (83%). Based on the results of the present study, context-specific house-to-house interventions will be designed and implemented.

Place, publisher, year, edition, pages
2019. Vol. 16, no 9, article id 1646
Keywords [en]
Child, diarrhea, water sanitation and hygiene, rehydration solution, zinc, case management, antibacterial agents, drug utilization, community participation, India
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-387605DOI: 10.3390/ijerph16091646ISI: 000469517300171PubMedID: 31083579OAI: oai:DiVA.org:uu-387605DiVA, id: diva2:1330856
Available from: 2019-06-26 Created: 2019-06-26 Last updated: 2019-06-26Bibliographically approved

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