Abstract

Introduction: In India the vicious cycle between diarrhea and undernutrition has not yet been broken. Undernutrition predisposes to infection of gastro-intestinal system. Once the child suffers from undernutrition it is very difficult to come out of this vicious cycle. Objective: The study was done to study the social profile and risk factors of diarrheal diseases in under-five children. Methods: The study was carried out on hundred under five year old diarrhea cases in rural area of Saharanpur from September to December 2018. The social, cultural, economic and environmental factors were recorded along with physical measurements by house to house visits on pretested and suitably modified proforma. The analysis was done using MS Excel software and EPI Info. Results: Among them sixty one children were found to be suffering from undernutrition. The undernourished children had also suffered greater number of times from respiratory tract infections and diarrhea in the past one year. Overcrowding was observed in majority of the houses. Diarrhea was observed to be more in children of illiterate mothers and lower socio-economy groups. The process of giving oral rehydration therapy and home available fluids was found to be faulty in majority of households. Conclusion: Providing additional nutrition to undernourished children, proper use of oral rehydration therapy and home available fluids should be explained to mothers. The risk factors identified for diarrhea like bottle feeding, lack of hand washing and unhealthy food hygiene practices can be avoided by health education of the mothers in resource-poor health care setting.

Highlights

  • In India the vicious cycle between diarrhea and undernutrition has not yet been broken

  • The present study revealed that the incidence of diarrhea is inversely proportional to literacy status of the mother

  • Nutritional status of a child is an important factor which determines the recurrence of diarrheaand respiratory infections

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Summary

Introduction

In India the vicious cycle between diarrhea and undernutrition has not yet been broken. The undernourished children had suffered greater number of times from respiratory tract infections and diarrhea in the past one year. Conclusion: Providing additional nutrition to undernourished children, proper use of oral rehydration therapy and home available fluids should be explained to mothers. In India the vicious cycle between diarrhea and under-nutrition, poor environmental sanitation, over crowding, improper excreta disposal, contaminated drinking water, ignorance towards oral rehydration therapy all have contributed in making diarrhea a significant public health problem. Undernutrition is one of the most important underlying cause of morbidity and mortality in under five year old children in India as they are the most vulnerable to its effect because of rapid growth. Diarrheal diseases are very important cause of undernutrition in children under five years old.

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