Use Of Feeding Bottle Research Articles

Association of parental level of education and child factors on length-for-age indicator among socially vulnerable children aged 6-24 months from a Brazilian state using structural equation modelling.

This cross-sectional study employs structural equation modelling (sEM) to explore both direct and indirect effects of parental level of education and child individual factors on the length-for-age outcomes in children aged 6-24 months assisted by the Bolsa Família Program in the State of Alagoas. A total of 1448 children were analysed by the sEM technique. A negative standardised direct effect (sDE) of the children's younger age (sDE: -0·06; P = 0·017), the use of bottle feeding (sDE: -0·11; P < 0·001) and lack of a minimum acceptable diet (sDE: -0·09; P < 0·001) on the length-for-age indicator was found. Being female (SDE: 0·08; P = 0·001), a higher birth weight (SDE: 0·33; P < 0·001), being ever breastfed (sdE: 0·07; P = 0·004) and a higher level of parental education (SDE: 0·09; P < 0·001) showed a positive SDE effect on the child's length-for-age. The model also demonstrated a negative standardised indirect effect (SIE) of the sweet beverage consumption (SIE: -0·08; P = 0·003) and a positive effect of being ever breastfed (SIE: 0·06; P = 0·017) on the child's length-for-age through parental level of education as a mediator. This research underscores the crucial role of proper feeding practices and provides valuable insights for the development of targeted interventions, policies and programmes to improve nutritional well-being and promote adequate linear growth and development among young children facing similar challenges.

Barriers to exclusive breastfeeding in first 6 months of life in infants born in a tertiary care center in Hyderabad

Background: Exclusive breast feeding during first 6-months has been proven to ensure growth and development of children. The habit of Exclusive breast feeding is often overlooked by mothers due to various factors. Therefore, this study aims to identify the barriers to Exclusive Breast Feeding. Methods: This is a prospective study conducted from August 2018 to October 2020 in a tertiary care hospital in Hyderabad among 155 mothers with neonate to 6 months old infants. Data was collected through face-to-face interview using premade questionnaire and a predetermined sample size of 155 was considered. Results: The prevalence of exclusive breast feeding was 20%. The barriers to exclusive breastfeeding practice were identified as lower socio-economic status (59.4%), Lack of formal education (52.9%), lack of counselling about breast feeding (10.3%), early return to work (32.2%), poor family support (49.03%), 22-25years mean age group (36.7%) , use of bottle feeding (16.3%) and pacifiers (12.2%). It was also observed that mothers experienced difficulties such as cracks (2.58%) and suction problems (2.58%) currently, and breast pain (2.58%) previously. Conclusions: Promoting education of women especially in lower socio-economic sector and emphasizing need of avoiding complementary feeding rather counselling women regarding importance of exclusive breastfeeding during first 6-months and negative impact of early return to work, and providing health care for the difficulties faced during breastfeeding and encouraging family support are recommendations to improve exclusive breastfeeding practice.

CHILD FEEDING PRACTICE, SANITATION HYGIENE, AND OTHER FACTORS OF DIARRHEA IN CHILDREN AGED 6-23 MONTHS IN INDONESIA: ANALYSIS OF IDHS 2017

Diarrhea remains one of the major contributors of under five children mortality worldwide. IDHS 2017 data show that 6-23 month-old children have the highest diarrhea prevalence. The objective of this research is to analyze the association of child feeding practices (early initiation of breastfeeding, continued breastfeeding, bottle feeding, MDD, MMF, MAD); sanitation hygiene (source of drinking water, treatment of drinking water, toilet facility, handwashing facility); healthcare utilization factors (immunization status, vitamin A in the last 6 months); and socio-demographic factors (maternal age, maternal education, maternal working status, economic status, residence) with diarrhea incidence in 6-23 month-old children in Indonesia. This cross-sectional study included a total of 4,030 children aged 6-23 months from IDHS 2017. Chi-square test and multiple logistic regression were applied to analyze factors associated with diarrhea. It was found that the prevalence of diarrhea was 19.8% in 2017. Bivariate analysis shows that diarrhea was significantly associated with continued breastfeeding, bottle feeding, toilet facility, source of drinking water, maternal age, economic status, and place of residence. Furthermore, multivariate analysis results in some variables have a statistically significant association with diarrhea, which are the use of bottle feeding, non-improved toilet facility, maternal age 15-29 years, and low maternal education. The dominant factor associated with diarrhea was toilet facility (OR=1.500, 95% CI 1.262-1.784). Healthy latrines utilization, cleaning baby bottle properly, and enhancing health education for mothers are pivotal to prevent diarrhea and maintain children’s health at 6-23 months.

Poor Quality Diets Characterized by Low-Nutrient Density Foods Observed in One-Quarter of 2-Year-Olds in a High Resource Setting

BackgroundYoung children have high nutritional requirements relative to their body size, making healthy diets critical for normal growth and development. ObjectiveWe aimed to integrate analysis of dietary patterns among 2-y-old children with indicators of dietary quality, micronutrient status, and body weight status. MethodsData from the 2-y follow-up of the Cork BASELINE Birth Cohort included dietary assessment using a 2-d weighed food diary, vitamin D and iron status biomarkers, and anthropometry (n = 468). K-means cluster analysis identified predominant dietary patterns based on energy contributions and associations with nutrient intakes and status and body weight were investigated. ResultsFour dietary patterns emerged: “Cows’ milk” (unmodified cows’ milk: 32% of total energy (TE)); “Traditional” (wholemeal breads, butter, fresh meat, fruit); “Low Nutrient Density (LND) foods” (confectionary, processed meat, convenience foods) and “Formula” (young child formula: 23%TE). The LND pattern was associated with excessive free sugar intake (14%TE) and salt intake (153% of daily limit). No differences in patterns of overweight were observed between the 4 groups; however, the LND group had 3-fold higher odds of being underweight [aOR (95% CI): 3.2 (1.2, 8.5)]. Children consuming >400ml/d of cows' milk or formula exhibited lower dietary variety, fewer family-type meals, and continued use of feeding bottles (75% and 81%, respectively, vs. 35-37% in the other groups). ConclusionsUnhealthy eating habits are common among young children. Dietary guidance to support families to provide healthy diets needs to maintain currency with eating habits and focus on food choices for meals, snacks, and beverages.

Knowledge, Attitude and Practice of Female Nurses on Complementary Feeding in a Tertiary level Hospital of Bangladesh

Introduction: Inadequate knowledge on nutritious foods and feeding practices are determinant of malnutrition rather than lack of food. Health professionals particularly nurses pass long contact time with the mothers, so positive attitude among them can be used in motivating mothers for infant and young child feeding. There is little data available in this regard, therefore evaluation of nurses’ knowledge, attitude and practice on complementary feeding is very important. This study was conducted among the female nurses in a tertiary level hospital of Bangladesh to find out the knowledge, attitude and practice of complementary feeding to their own under-2 children. Methods: The descriptive study was carried out at Dhaka Medical College Hospital between September 2014 and August 2015. Total 95 nurses having children from 6 months up to 2 years of age were enrolled as sample. Results: It showed that 63.1% of the nurses had good understanding on complementary feeding. But 46.3% of them did not know the duration correctly and 27.4% considered infant formula as the complementary food. Almost all had the positive attitude but 28.4% stated that distraction during feeding is needed. Among the respondents, 97% strongly agreed about the importance of complementary feeding but 67.4% of the nurses introduced complementary food before 6 months of age. Only 58.9% of them continued breast feeding up to 2 years. Conclusion: The study reflects that although most of the nurses have adequate knowledge and positive attitude towards complementary feeding but deviation was noted in timely Introduction of complementary food and use of feeding bottle. This indicates clear disparity between knowledge and practice of the female nurses. J Bangladesh Coll Phys Surg 2022; 40: 87-92

A study to identify the influencing factors for the use of bottle feeding among the mothers of under-five children's in the selected areas of Nagpur city

A study to identify the influencing factors for the use of bottle feeding among the mothers of under-five children's in the selected areas of Nagpur city

A study to identify the influencing factors for the use of bottle feeding among the mothers of under five children's in the selected areas of Nagpur city

A study to identify the influencing factors for the use of bottle feeding among the mothers of under five children's in the selected areas of Nagpur city

Dietary Habits Dietary Habits and Oral Health Practices among Children with Early Childhood Caries and Caries Free Children: A Case-Control Study

Background: Dietary habits and practices affect dental health. Objective: To determine the dietary habits and oral health practices among children with early childhood caries and caries-free children. Methodology: Study Design: Case-control study. Study setting and duration: Department of Operative Dentistry and Oral Pathology HBS Medical and Dental College, Islamabad, from November 2018 to September 2021. Sample of 212 children (106 cases, 106 controls) having either sex, ages between 2 to 5 years with minimum of 12 erupted teeth (including lost) were enrolled in this study. Children's clinical examination was done on dental chair using explorer and mouth mirror. Current study focused on the relationship between oral practices, feeding habits, and early childhood caries. Results: Two hundred and twelve children, 90 (42.45%) male were included. Among these 106 were caries-free and 106 had early childhood caries. Children having early childhood caries (ECC) were mostly firstborn, 72.38% in contrast with children without ECC, 55.24%. (p=0.005). Mean of the decayed, missing, and filled teeth (DMFT) of children with early childhood caries was 5.2 (3.9). A greater number of children with ECC were observed to visit the dental doctor as compared to children without ECC (31.3% vs. 7.54%; p=0.0001). Brushing was observed in 61.32% of children having ECC and in children without ECC it was 69.81%, p=0.71. Conclusion: In this study, the use of bottle feeding among children with early childhood caries, along with delay in starting oral practices in the form of dentists visits and first birth orders was significantly associated with the development of Early Childhood Caries.

Factors associated with breastfeeding in the first year of life in Cruzeiro do Sul, Acre

Abstract Objectives: to investigate the factors associated with continued breastfeeding (BF). Methods: All the parturients at a local maternity from July 2015 to June 2016 were invited to participate in a cohort study in Cruzeiro do Sul, Acre. Data on socioeconomic, demographic, obstetric and neonatal of the babies were obtained for the interview. Multiple Poisson regression models with robust variance were used to estimate the prevalence ratio (PR) and 95% confidence intervals (95%CI). Results: among the 1551 mothers contacted, 305 lived in the rural area, leaving 1,246 eligible mothers living in urban area. For the 1-year cohort follow-up, 74 non-twin babies were assessed. Most of the mothers reported to have mixed skin color (79%), are over 21 years old (72°%o), more than 10 years of schooling (72%&gt;) and with unpaying job (54%). The children’s age ranged from 10 to 15 months. The frequency of continued breastfeeding was 69,4%&gt; (95%oCI=66.0-72.6). The factors negatively associated with continued breastfeeding were the use of bottle feeding (PR=1.44; CI95%&gt; =1,33-1.56) and pacifier (PR=2.54; CI95%&gt; =1.98-3.27), after adjusting for maternal age and socioeconomic variables. Conclusion: the frequency of continued breastfeeding in Cruzeiro do Sul was higher than the national estimates, but below the WHO recommendations for breastfeeding up to two years of age.

Determinants of growth measurements in rural Cambodian infants: a cross-sectional study.

BackgroundInappropriate feeding and hygiene practices and poor environment are associated with malnutrition. We aimed to investigate the contributions of feeding, hygiene practices and recent illness to the nutritional status of rural Cambodian infants and any sex-specific differences.MethodsIn a cross-sectional study, nested within an ongoing birth cohort, trained fieldworkers conducted anthropometry and collected information from the main caregiver during home visits. Multivariable linear regression was used to investigate associations with nutritional status as length-for-age z-scores (LAZ) and weight-for-length z-scores (WLZ).ResultsA total of 156 children, 87 (55.8%) male, ages 0–11 months were enrolled. The prevalence of acute malnutrition (WLZ <−2) in males and females was 2.3% (2/87) and 5.8% (4/69), respectively, and 23.0% (20/87) of males and 14.5% (10/69) of females were stunted (LAZ <−2). WLZ but not LAZ decreased with age. WLZ was independently negatively associated with increasing age (β-coefficient −0.14 [95% confidence interval {CI} −0.20 to −0.08], p<0.001), and regular use of feeding bottles (β-coefficient −0.46 [95% CI −0.83 to −0.10], p=0.014), and positively with handwashing with soap (β-coefficient 0.40 [95% CI 0.05 to 0.75), p=0.027).ConclusionsThe prevalence of acute malnutrition was low, but stunting was prevalent without evidence of a sex difference. Non-linear growth faltering was associated with increasing age and hygiene/feeding practices.

Expectation of parental control and the maintenance of bottle-feeding in childhood

ObjectiveTo investigate association between parental locus of control (belief of individuals about what or who has control of the events of their lives) and bottle feeding habits among children from 3 to 5 years of age. MethodologyParental locus of control validated in Brazil, and semi-structured questionnaire to obtain sociodemographic, health, and oral habit behaviors was applied to mothers of 992 preschool children. Outcome variable “use of feeding bottle” was studied according to the time of its use (≤36 months and >36 months). Simple logistic regression models were adjusted and raw odds ratios were estimated for variables of distal blocks, which contemplated parental locus of control, socioeconomic characteristics of family, and maternal habits. In the intermediate block, the variables for conditions of the child's birth and place of health care attendance during the prenatal period and early childhood were included. In the proximal block, the time of breastfeeding and pacifier use were reported. Variables were analyzed from the distal to the proximal block, and the individual analyses that presented p≤0.20 remained in each model; included in the subsequent block were the variables with p≤0.10, because this was a study of prevention. ResultsLonger time of feeding bottle use was associated with the internal parental locus of control, mothers older than 31 years of age, white race, premature children, who used pacifiers and are treated in the private health system. ConclusionsChildren who maintained the habit of feeding bottle use for a longer time were those whose mother presented an internal locus of control.

Evaluation of complementary feeding knowledge and behavior of mothers with children between four-twenty four months

Aim: Complementary feeding is important for growth in infancy. In this study, we aimed to determine the knowledge of complementary feeding of mothers who take their children to our hospital and to evaluate the effects of mother’s and baby’s characteristics on complementary feeding. Material and Method: Between December 2018 and February 2019, 259 mothers who admitted to our hospital were included in the study. Mothers’ knowledge and behavior about complementary feeding were questioned. Results: The mean age of 259 mothers was 28.71 ± 5.09 years old. 94 (36.3%) of the participants introduced complementary feeding before six months. The mean time to introduce complementary feeding was 5.67 ± 0.84 months. Complementary feeding was introduced with 48.6% yoghurt, 17.8% fruit puree and 17% soup. The most frequent reason for early onset was the weight gain of the baby and the decrease in breast milk. A significant difference was found between the monthly income of the family, smoking and working of the mother, and early initiation of complementary feeding. The use of feeding bottles and/or pacifiers was also associated with early onset of complementary feeding. Conclusion: Mothers’ time to introduce complementary feeding varies. Mothers should be given more education about complementary feeding for healthy development of babies.

Pathway analysis of time of pacifier use by children whose mothers are hearing-impaired or have normal-hearing

The lack of mothers' understanding and information can increase their anxiety and lead to unhealthy behaviors, such as pacifier-use, in their children. This study aimed to perform pathway analysis of pacifier use by children whose mothers were hearing impaired or had normal hearing. A cross-sectional study was conducted with 116 Brazilian mothers (29 hearing impaired and 87 with normal hearing). Mothers were interviewed about socioeconomic factors and their children's pacifier use habits. They also completed the deaf or hearing versions of the Brazilian Beck Anxiety Inventory. The pathway analysis was used to determine the effects of different variables in the two groups. The child pacifier use pathway among hearing mothers was associated with a long duration of pacifier use (P=0.005), bottle-feeding use (P=0.004), and mothers who had maternity leave (P=0.004). The child pacifier use pathway among mothers who were deaf was associated with premature birth (P=0.025) and a short duration of pacifier use (P=0.005). Mothers who were deaf were also more anxious than those who have normal hearing (P=0.002). Children of normal hearing mothers used a pacifier for a longer duration than the children of mothers who were deaf. Time of pacifier use was also directly affected by bottle-feeding and maternity leave. These findings provide important information about the cultural path of pacifier use taken by families that had members with and without hearing impairment.

Common Complementary Feeding Practices Among Under-Five Children: The Case of Zambia

Introduction In the past several decades, Zambia has suffered high levels of under nutrition particularly stunting among children below 5 years of age. Although appropriate complementary feeding practices are reported to reduce child deaths by 6%, they have not received the adequate attention from programme officers and caregivers in terms of implementation. Objectives The objective was to investigate issues surrounding the common complementary feeding practices practised by caregivers of children below five years in health facilities and areas where high rates of malnutrition admission come from. Design A cross sectional research using both qualitative and quantitative methods. The study used mostly proportions based mostly on global indicators on complementary feeding. Qualitative data was also analysed according to themes of global complementary feeding indicators Setting The study was conducted in five hospitals, namely Arthur Davison, Solwezi Central, Kabwe and Livingstone General, and University Teaching Hospital. Subjects The target populations were mothers whose children were admitted for malnutrition and those with children 0-59 months living in communities with the highest number of malnourished cases admitted to selected hospitals Results About45.2% (190) of caregivers introduced liquids before six months of age and 7.6% (32) after 6 months attributing child thirst, medication and advice from health worker as the main reasons. Slightly above half (54.2% of 224) of mothers/caregivers used cups to feed their babies. The use of feeding bottles was still common (8.2% of 34). Responsibility to feed the child is mostly left to the mother (86.4%, 362). In addition, children were being feed about 2.67 (SD 0-72) per day. Conclusions Child feeding practices were still poor. This contributes to poor child growth and health. More interventions should be planned to improve child care behaviour.

Prevalence and determinants of the use of pacifiers and feedingbottle: a study in Southwest Bahia

Abstract Objectives: to assess the use of pacifier and feedingbottle and their determinants in children from a municipality of Southwest Bahia. Methods: a cross-sectional study was performed with 354 children younger than 12 months old. The event was categorized in: exclusive use of pacifier, exclusive use of feeding bottle,use of pacifier and feeding bottle, and not use any of them. Multinomial analysis with logistic regression was applied, and those who did not use any artificial nipples were thereference variable. Results: it was observed that 11.9% of the children exclusively used pacifiers, 21.2% only use bottles and 32.8% used both of them. The following factors were associated with the exclusive use of pacifiers: low maternal schooling level (eight or less years of education), lack of previous experience with breastfeeding, difficulty in postpartum breastfeeding, and lack of incentive to breastfeeding in puericulture. The exclusive use of feeding bottle was associated with unmarried mothers, aged 35 years old or older, and with less years of education (eight or less years). Women who worked outside home and had difficulty in breastfeeding had greater chance of giving both artificial nipples to the children. Conclusions: the findingspresent different featuresrelated to the exclusive or combined use of pacifiers and feeding bottles, being important to direct health professionals conducts towards mothers’ orientation.

Feeding Practices of Potential Risk to Dental Caries in Early Childhood and its Relationship with Sociodemographic Variables and Prematurity

Objective: To verify the relationship of feeding practices of potential risk to dental caries in early childhood with sociodemographic variables, prematurity and Neonatal Intensive Care Unit admission (NICU). Material and Methods: Data from medical records of infants and preschool children, including feeding practices (breastfeeding, bottle feeding, feeding during sleep, introduction and frequency of sugar use), sociodemographic variables, prematurity and NICU admission were collected. Chi-square, Fisher and Maximum Likelihood Ratio tests were used. Results: The number of medical records was 222 in the age group of 01-45 months. Breastfeeding was not present in 66.7% of preterm infants (p=0.003) and 66.1% of infants admitted at NICU (p=0.011). The use of feeding bottle occurred in 58.4% of infants whose mothers work / study; 58.4% of preterm infants and 60.9% of children admitted at NICU (p<0.001). Feeding during sleep occurred in 70.5% of infants aged 1-24 months (p<0.001); 51.4% were single children (p=0.010) and 76.7% did not attend daycare centers (p=0.003). The introduction of sugar occurred in 60.6% in the age group of 01-24 months. The use of sugar more than 3x / day occurred in 52.6% of infants aged 25-45 months (p=0.003) and; 51.8% with mothers whose schooling corresponded to elementary school (p=0.039). Conclusion: Among caries-risk feeding practices, there was relationship between breastfeeding and prematurity and NICU admission; use of feeding bottle and mothers who worked and / or studied, prematurity and NICU admission; feeding during sleep and younger children, single child and those who did not attend daycare centers; and higher frequency of sugar use and older infants, and maternal schooling corresponding to elementary school.

Breastfeeding and infant/young child feeding in Nepal

Background: Under nutrition being a major problem in Nepal, it is necessary to meet the minimum dietary standard which is essential for growth and development of young children, so promotion of infant and young child feeding practices among children is important intervention.Methods: A descriptive, cross sectional study was conducted among mothers of children of Bardia and Kailali districts of under 2 years and data was collected using the pre-tested questionnaire.Results: The study shows 30.3 percent of the mothers initiated breastfeeding within an hour of birth, 47.9 percent gave colostrums, 25.5 percent were practicing exclusive breastfeeding at 6 or more months,60 percent mothers fed anything else as prelacteal feed before breast feeding, 60 percent of mothers started complementary feeding between 3-6 months, 47.9 percent of mothers used anything from a bottle with a nipple yesterday or last night, 74.8 percent of mothers were currently breast feeding their children, 58 percent used iodized salt and 70.05 percent revealed that their child received Vit A within last six months.Conclusions: The present study showed that late initiation of breast feeding and practice of prelacteal feeds among home delivered mothers being high. The frequency of complementary feeding ranged was less and early/late weaning are still widely prevalent, use of bottle feeding is high, use of iodized salt is still low. There is a need to educate the mothers regarding proper infant/child feeding practices.

Analysis of the strengths and weaknesses of the Programs, Policies and Practices of Infant Feeding in Ecuador

Adequate nutrition during the first two years is important and ensures an adequate development in the human being. The following research evaluates the Global Strategy for Infant and Young Child Feeding (IYCF) for children under 5 years old, hosted by Ecuador in 2002. The tool applied was established by the Asia Group of The International Baby Food Action Network (IBFAN), which was called the World Breastfeeding Trends Initiative (WBTi). WBTi establishes a framework for assessing the compliance that a country has made in implementing the Global Strategy, helps key stakeholders plan and make decisions at various levels of action, and identifies the strengths and weaknesses of their policies and programs. The tool was applied in 23 key stakeholders from the main cities of the country and from the governmental and private sectors who were working actively for the Nutrition of Ecuadorian children. They were selected on the basis of their position and experience in the program evaluated and their willingness to participate. According to WBTi, Ecuador’s level of compliance is Low. Three of the ten indicators that evaluated policies and programs scored critically; likewise, two of the five indicators that evaluated practices were scored with a critical score. The deficiencies in complying with the National Policies, Programs, and Coordination showed an important impact on their overall compliance, which, together with a short duration of breastfeeding and the extensive use of bottle feeding, significantly affect the Infant and Young Child Feeding.

Association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding

ObjectiveTo investigate the association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding. MethodA cross-sectional study was conducted with 427 babies/mothers. Socio-demographic, perinatal data, and information about the use of artificial nipples (pacifier and/or bottle) were collected through a questionnaire. The breastfeeding aspects regarding position, affectivity, sucking behavior, baby responses, and breast anatomy were evaluated through observation during breastfeeding. The chi-squared test and the multiple linear regression analysis were used to investigate the association between the variables. ResultsThe aspects of breastfeeding that showed higher percentages of the category “poor” were sucking behavior (22.5%) and position (22.2%). The group of infants who used pacifiers and/or bottle showed higher percentages in the poor and fair categories when compared with the good category for all five breastfeeding aspects evaluated (p<0.001). The linear regression analysis revealed that the increase in the number of unfavorable behaviors regarding position, affectivity, sucking behavior, and baby responses were independently associated with both pacifier and bottle use (β positive, p<0.05), while breast anatomy was independently associated only with bottle use. ConclusionThe findings suggest that the use of pacifiers and/or bottle-feeding may be associated with unfavorable behaviors during breastfeeding, especially the use of bottle-feeding.

Risk factors, pre-presentation management and clinical state of children with diarrhoea presenting in a community cottage hospital

Diarrhoael disease ranks second as the cause of under -five mortality worldwide and is particularly important in the developing world. Risk factors include water source, poor human and domestic waste disposal, poor hand washing and breastfeeding practices. Outcome depends on appropriate oral rehydration therapy, continued feeding and rational use of drugs. This work was designed to identify ongoing risk factors for diarrhoae presenting in a Cottage Hospital serving a well-defined catchment community in the Niger Delta region of Nigeria. It also aimed at identifying modalities of treatment before presentation at the hospital, clinical state at presentation and outcome of treatment on the children. A prospective study recruiting all children admitted for diarrhoae disease in the hospital between January and June 2016. Sociodemographic data, risk factors, place and modalities of prepresentation management, clinical state on admission and outcome were recorded. Simple proportions, percentages and tables were used to analyze the data using stata 10 (stata corp. Texas). Fifty-four children representing 11.11% of 468 paediatric admissions to the hospital in the period were admitted into the study. The age range was 3 – 96months (median 11 months; 1QR 6 – 18 months). Identified risk factors were lack of Exclusive Breastfeeding (85.19%), use of feeding bottles (20.37%), questionable or poor sources of water (92.59%), poor hand washing practices with; 33.62% not washing hands always before feeding child and 35.91%, not always washing hands after cleaning infant/child’s faeces. Most of the children (35 or 64.82%) first presented at Patent Medicine Stores and 38 or 70.37% had some oral fluids. While 9 (16.67%) had dysentery 31(57.41) had anti-microbials and 18 (33.33%) had anti-emetics. Twelve (33.33%) of the children had severe dehydration and 2(3.70%) had extrapyramidal crisis from use of anti-emetics. None died, but one child developed cortical damage from hypoglycaemia. Diarrhoae is an important children problem in this catchment community. Major risk factors are lack of exclusive breastfeeding, unsatisfactory hand washing practices, questionable water sources and use of feeding bottles. These children are largely mismanaged at patent medicine stores before presentation at hospital. Provision of potable water should be a priority in this and similar communities. Good hygiene practices and Exclusive Breast Feeding(EBF) should be consistently taught in ante-natal clinics and immunization centres. Training and retraining of patent medicine dealers is essential.