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Pattern of maternal knowledge and its implications for diarrhoea control in Southern Malawi: multilevel thresholds of change analysis.

Masangwi SJ, Grimason AM, Morse TD, Kazembe L, Ferguson N, Jabu GC - Int J Environ Res Public Health (2012)

Bottom Line: The results show a strong hierarchical structured pattern in overall maternal knowledge revealing differences between communities.The results show that differences in diarrhoeal knowledge do exist between communities and demonstrate that basic formal education is important in responsible mother's understanding of diseases.The results also reveal the positive impact health surveillance assistants have in rural communities.

View Article: PubMed Central - PubMed

Affiliation: Centre for Water, Sanitation, Health and Appropriate Technology Development (WASHTED), University of Malawi, The Polytechnic, P/B 303, Blantyre, Malawi. smasangwi@poly.ac.mw

ABSTRACT
A survey was conducted in Southern Malawi to examine the pattern of mothers' knowledge on diarrhoea. Diarrhoea morbidity in the district is estimated at 24.4%, statistically higher than the national average at 17%. Using hierarchically built data from a survey, a multilevel threshold of change analysis was used to determine predictors of knowledge about diarrhoeal aetiology, clinical features, and prevention. The results show a strong hierarchical structured pattern in overall maternal knowledge revealing differences between communities. Responsible mothers with primary or secondary school education were more likely to give more correct answers on diarrhoea knowledge than those without any formal education. Responsible mothers from communities without a health surveillance assistant were less likely to give more correct answers. The results show that differences in diarrhoeal knowledge do exist between communities and demonstrate that basic formal education is important in responsible mother's understanding of diseases. The results also reveal the positive impact health surveillance assistants have in rural communities.

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Related in: MedlinePlus

Catapillar plot of diarrhoea knowledge residuals ranked by sampled communities. The dotted line is the mean of the estimated (shrunken) residuals * which is equal to zero. The triangles indicate estimated (shrunken) community residuals. * Estimated or shrunken residual for community j is the residual obtained by multiplying the mean of the residuals of households in community j by a shrinkage factor. Shrinkage factor shrinks an observed group mean towards the centre of the population mean.
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ijerph-09-00955-f001: Catapillar plot of diarrhoea knowledge residuals ranked by sampled communities. The dotted line is the mean of the estimated (shrunken) residuals * which is equal to zero. The triangles indicate estimated (shrunken) community residuals. * Estimated or shrunken residual for community j is the residual obtained by multiplying the mean of the residuals of households in community j by a shrinkage factor. Shrinkage factor shrinks an observed group mean towards the centre of the population mean.

Mentions: There is significant variation between communities on the symptoms outcome, causes outcome, and overall knowledge outcome indicating differences between communities in those outcomes. This is evident in Figure 1 which shows residuals for some communities significantly below zero while others are significantly above zero revealing disparities in the way different communities understand issues related to diarrhoea.


Pattern of maternal knowledge and its implications for diarrhoea control in Southern Malawi: multilevel thresholds of change analysis.

Masangwi SJ, Grimason AM, Morse TD, Kazembe L, Ferguson N, Jabu GC - Int J Environ Res Public Health (2012)

Catapillar plot of diarrhoea knowledge residuals ranked by sampled communities. The dotted line is the mean of the estimated (shrunken) residuals * which is equal to zero. The triangles indicate estimated (shrunken) community residuals. * Estimated or shrunken residual for community j is the residual obtained by multiplying the mean of the residuals of households in community j by a shrinkage factor. Shrinkage factor shrinks an observed group mean towards the centre of the population mean.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3367290&req=5

ijerph-09-00955-f001: Catapillar plot of diarrhoea knowledge residuals ranked by sampled communities. The dotted line is the mean of the estimated (shrunken) residuals * which is equal to zero. The triangles indicate estimated (shrunken) community residuals. * Estimated or shrunken residual for community j is the residual obtained by multiplying the mean of the residuals of households in community j by a shrinkage factor. Shrinkage factor shrinks an observed group mean towards the centre of the population mean.
Mentions: There is significant variation between communities on the symptoms outcome, causes outcome, and overall knowledge outcome indicating differences between communities in those outcomes. This is evident in Figure 1 which shows residuals for some communities significantly below zero while others are significantly above zero revealing disparities in the way different communities understand issues related to diarrhoea.

Bottom Line: The results show a strong hierarchical structured pattern in overall maternal knowledge revealing differences between communities.The results show that differences in diarrhoeal knowledge do exist between communities and demonstrate that basic formal education is important in responsible mother's understanding of diseases.The results also reveal the positive impact health surveillance assistants have in rural communities.

View Article: PubMed Central - PubMed

Affiliation: Centre for Water, Sanitation, Health and Appropriate Technology Development (WASHTED), University of Malawi, The Polytechnic, P/B 303, Blantyre, Malawi. smasangwi@poly.ac.mw

ABSTRACT
A survey was conducted in Southern Malawi to examine the pattern of mothers' knowledge on diarrhoea. Diarrhoea morbidity in the district is estimated at 24.4%, statistically higher than the national average at 17%. Using hierarchically built data from a survey, a multilevel threshold of change analysis was used to determine predictors of knowledge about diarrhoeal aetiology, clinical features, and prevention. The results show a strong hierarchical structured pattern in overall maternal knowledge revealing differences between communities. Responsible mothers with primary or secondary school education were more likely to give more correct answers on diarrhoea knowledge than those without any formal education. Responsible mothers from communities without a health surveillance assistant were less likely to give more correct answers. The results show that differences in diarrhoeal knowledge do exist between communities and demonstrate that basic formal education is important in responsible mother's understanding of diseases. The results also reveal the positive impact health surveillance assistants have in rural communities.

Show MeSH
Related in: MedlinePlus