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Eco-social and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of the existing literature.

Budhathoki SS, Bhattachan M, Yadav AK, Upadhyaya P, Pokharel PK - Trop Med Health (2016)

Bottom Line: Male children have better access to healthcare services.Hand-washing practices with soap which are protective are influenced by the cultural beliefs.Involvement of community health volunteers increases the access to the health system, thereby reducing the diarrhoeal burden in the community.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

ABSTRACT

Background: While diarrhoea is the second major killer among the under-five children in the world with an estimation of 760,000 deaths annually, it stands as a major killer in Nepal with an annual incidence of 500 per 1000 under-five children with diarrhoea. Diarrhoea is responsible for a wide range of morbidity and mortality among children in Nepal. The objective of this review work is to identify the eco-social and behavioural determinants of diarrhoea among the under-five children of Nepal.

Methods: A literature review was conducted using the Dahlgren and Whitehead model (1991) between June and October 2015. PubMed, Nepal Journals online and Google Scholar were used to search for literature published between 1989 and July 2015 using defined keywords.

Results: Children of age group 6-23 months are at higher risk, as supplementary diets are introduced to the children from the age of 6 months. Male children have better access to healthcare services. Malnourished children also have a higher chance of developing persistent diarrhoea. Provision of safe water and sanitation has direct link with the prevention and control of diarrhoea. Male gender with high income positively influences the treatment-seeking behaviour. Mother's education and hand-washing practice have direct influence in child health. Hand-washing practices with soap which are protective are influenced by the cultural beliefs. Involvement of community health volunteers increases the access to the health system, thereby reducing the diarrhoeal burden in the community.

Conclusion: Age, gender, hand-washing behaviour, nutritional status of children, education of mothers, water and sanitation, healthcare services, cultural and societal values and income of the household were identified determinants for diarrhoea in under-five children of Nepal.

No MeSH data available.


Related in: MedlinePlus

Dahlgren and Whitehead’s social model of health. This model explains the social theory of health mapping the relationship between the individual and the environment leading to health and disease
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Fig1: Dahlgren and Whitehead’s social model of health. This model explains the social theory of health mapping the relationship between the individual and the environment leading to health and disease

Mentions: A rapid literature review was done for exploring the eco-social and behavioural determinants of diarrhoea in under-five children of Nepal. The review was done from June 2015 to October 2015. In literature searches, we did not find a review in the context of Nepal. With limited time and resources at hand, the rapid review method was chosen as we wanted to summarise the findings of Nepal in order to contribute to the teaching and learning activities for medical and public health students at the community level regarding childhood diarrhoea. The reference model chosen for this review is the Dahlgren and Whitehead model [10] (Fig. 1). The model was chosen, as it has stratified various determinants, which gives space for the exploration of diarrhoea as a disease of public health importance.Fig. 1


Eco-social and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of the existing literature.

Budhathoki SS, Bhattachan M, Yadav AK, Upadhyaya P, Pokharel PK - Trop Med Health (2016)

Dahlgren and Whitehead’s social model of health. This model explains the social theory of health mapping the relationship between the individual and the environment leading to health and disease
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940696&req=5

Fig1: Dahlgren and Whitehead’s social model of health. This model explains the social theory of health mapping the relationship between the individual and the environment leading to health and disease
Mentions: A rapid literature review was done for exploring the eco-social and behavioural determinants of diarrhoea in under-five children of Nepal. The review was done from June 2015 to October 2015. In literature searches, we did not find a review in the context of Nepal. With limited time and resources at hand, the rapid review method was chosen as we wanted to summarise the findings of Nepal in order to contribute to the teaching and learning activities for medical and public health students at the community level regarding childhood diarrhoea. The reference model chosen for this review is the Dahlgren and Whitehead model [10] (Fig. 1). The model was chosen, as it has stratified various determinants, which gives space for the exploration of diarrhoea as a disease of public health importance.Fig. 1

Bottom Line: Male children have better access to healthcare services.Hand-washing practices with soap which are protective are influenced by the cultural beliefs.Involvement of community health volunteers increases the access to the health system, thereby reducing the diarrhoeal burden in the community.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

ABSTRACT

Background: While diarrhoea is the second major killer among the under-five children in the world with an estimation of 760,000 deaths annually, it stands as a major killer in Nepal with an annual incidence of 500 per 1000 under-five children with diarrhoea. Diarrhoea is responsible for a wide range of morbidity and mortality among children in Nepal. The objective of this review work is to identify the eco-social and behavioural determinants of diarrhoea among the under-five children of Nepal.

Methods: A literature review was conducted using the Dahlgren and Whitehead model (1991) between June and October 2015. PubMed, Nepal Journals online and Google Scholar were used to search for literature published between 1989 and July 2015 using defined keywords.

Results: Children of age group 6-23 months are at higher risk, as supplementary diets are introduced to the children from the age of 6 months. Male children have better access to healthcare services. Malnourished children also have a higher chance of developing persistent diarrhoea. Provision of safe water and sanitation has direct link with the prevention and control of diarrhoea. Male gender with high income positively influences the treatment-seeking behaviour. Mother's education and hand-washing practice have direct influence in child health. Hand-washing practices with soap which are protective are influenced by the cultural beliefs. Involvement of community health volunteers increases the access to the health system, thereby reducing the diarrhoeal burden in the community.

Conclusion: Age, gender, hand-washing behaviour, nutritional status of children, education of mothers, water and sanitation, healthcare services, cultural and societal values and income of the household were identified determinants for diarrhoea in under-five children of Nepal.

No MeSH data available.


Related in: MedlinePlus