Results: Out of the 200 parent’s majority of the respondents (69%) were mothers. There was very little difference in percentage of respondents that disagreed with notion that antibiotics must be administered in any case of fever (43.3%). 42.3% mentioned that antibiotics were always necessary in ARI. Most common symptoms to visit pediatrician included cough (23.4%), followed by ear pain (18.1%) and nasal discharge (12.9%). 17.5% of parents never questioned the pediatricians if antibiotic administration was necessary and more than 2/3rd of the parents declared that pediatricians provided sufficient information regarding diagnosis and therapy.
A Descriptive study was carried out among the secondary high school children (8 th STD) Azad high school, Kasegaon from August to September 2011 to find out the level of knowledge, attitude and practice of children & their parents about acute diarrhoeal diseases. The mother was specifically selected for the study because she is primary caretaker of her children and her family. She is the one who spends maximum time with children and plays important role in inculcating health knowledge, attitude and practice in them. If the child had single parent i.e. father then the father would have been considered for the study but in current study no such child was found without mother.
Child-rearing is the process of promoting and supporting the physical, emotional, social and intellectual development of a child from infancy to adulthood. In India around 2% has mild level of intellectual disability and 0.5% severe level, In kerala prevalence is around 1%. Intellectual Disability is an important public health issue because of its significant prevalence and the need for extensive support services.A descriptive study to assess the knowledge, attitude and practice of parents having children with intellectual disabilities regarding child rearing was conducted in special schools in Thrissur district, Kerala.The participants were either of the parents of children aged between 5-15 years. Data collection was done using KAP questionnaire and scoring system done by Ad Hoc classification.Results: Majority of the children were in the age group of 10-15 years with mean age of 11.7 + 2.8.years and among them 61.9 % were males. The mean knowledge score was 7.35 + 1.10, attitude score was 21.31+ 3.96 and practice score was 7.90 + 1.72.CONCLUSION: Parent’s education, occupation and socio economic status had a significant role in determining their child rearing practices which in turn will lead better child development.
A cross-sectional question based survey was conducted in the pediatric department of a peripheral hospital in Pune, Maharashtra from parents of under five children, presenting for any consultation from July 2018 to December 2018. All patients belonged to the same socioeconomic status as our hospital being a service hospital. Questions were formulated in three domains namely knowledge, attitude and practice among parents about fever from previous scientific publications. A pilot study was conducted initially among 50 parents to assess their feasibility of understanding and answering the questionnaire, and based on the feedback received, the language and wordings of the questions were changed to make more user friendly. 21 questions with response option of Yes/no, agree/disagree and Likert Scales were used as appropriate for each question. The responses were entered in excel sheet and analysis was based on simple descriptive statistics with frequency and percentage as applicable. A review of the existing literature suggested a sample size of > 600 parents to be sufficient to generalize the response with the population. 7, 8 Anticipating 10% population will not complete the
The study results of respondents’ behaviour towards antibiotics usage showed, more than one third (35.1%) requested an antibiotic from their clinicians for common cold. Moreover, 32.6% of respondents sought other clinicians to prescribe antibiotics when their primary clinician did not do so. About 43.5 % (n=104) of respondents gave their children antibiotics without medical consultation (table 5). Out of which 58.77% (n=61) of parents gave self-medication to their children mostly because of repeated similar attacks and over the counter acquisition of antibiotics. While, 33.7% (n=35) would administer left over antibiotics to their children. Almost eight percent (7.7%, n= 8)) of respondents reported self- medication because of lack of money for consultation. About 62% of respondents knew that antibiotics regimen should be completed. Yet, 80.5% reported that they would stop antibiotics when the symptoms are improving. A weak correlation was noted between knowledge (statement 14) and behavior attitude (statement 29) in this area (r = 0.45, p < 0.001). Improper practice of antibioticuse was significantly common among low-income group, younger age (18-30 years old), and primary school (Table 5).
The study revealed that Post graduate students of Pediatric and in India have the knowledgeregarding patient’s gag, but their attitude and practice toward the management of the children with gag-reflex is less. Gag is reflected as one of the hurdles in rendering patients accurate A wide variability of management approaches have been designated till date and these should be used to suit the necessities of individual patients. In of patients with gag reflex it is essential to take a clear history of the problem. This evidence will qualify the clinician to measure the severity of the problem and therefore choices on an ideal technique to use. Each case will requisite to be evaluated individually as the scheme needs to be adapted to that particular patient's requirements. The gagging problems require an empathetic attitude via ng solutions by a knowledgeable
Control of acute respiratory infections (ARI) is a major problem of public health in developing countries. Effective health education programs are required to be designed in accordance with knowledge, attitude and practice (KAP) of society. The purpose of this study was to investigate the KAP of mothers in children’s acute respiratory infections. This was a cross-sectional study conducting on 255 mothers. The data were collected through using interviewer-administered questionnaire in Dec 2010. The most common treatment adopted by mothers for ARI in children was syrups and cold pills (22%). The mean value of mother’s practice and the mean scores of their knowledge and attitude were high. Performance score of mothers with young children with ARI and last source of their information and knowledge and attitude scores were correlated with mother’s age and nationality (Persian or Afghan). Significant relationship was not found between the mother’s attitude and performance. On the other hand, attitude and performance were not related to the mother’s education level and occupation. The knowledge and attitude of mothers were high and their practice was good toward ARI. Since mothers practice is related to their source of information, the designing of educational programs with regard to mothers practice is useful to improving their practice.
Questionnaire included influence of elders in the family, awareness about high population growth, various methods of family planning, birth spacing, pregnancy termination and motivation for spreading this awareness. Authors assessed their attitude about birth spacing and family planning/ contraception. Authors also asked them if gender of their first baby was important for their decision. Authors asked them if they wanted stricter laws to prevent female feticide and their support for 2 child norms. Authors also asked them if they feared contraceptive side effects.
The year 2018 marked 100 years since the devastating influenza pandemic of 1918-1919 which resulted in the death of an estimated 50 million people. Indore reported the first swine flu death of 2018 in India. Knowledge of causative agent, symptoms, mode of transmission and prevention of Influenza A is essential to know for individual protection as well as to control the spread of the disease in community. Role of parents/guardians are important to prevent swine flu infection among the children.
We noticed a relatively low prevalence of adequate knowledge in our sample population based on overall knowledge score on dengue. However, the attitude towards the illness was good. As we know, despite adequate attitude, good knowledge about the disease and its transmission is required to adopt suitable preventive practices and seek early medical attention. In order to achieve adequate preventive practices, education of the people, particularly from rural and illiterate background is important. This can be done by increasing emphasis on direct community visit based awareness programmes along with mass media.
Results: Diarrhoea is more common in less than 2 years of age with males are affected more than females and more cases are seen from rural areas. Diarrhoeal diseases are more common in the lower educated group and low socioeconomic status families with prevalence of overcrowding. 47% mothers had knowledge about diarrhoea, 52% about the aetiology and 58% about risk factors of diarrhoea. Regarding role of breastfeeding in diarrhoea 48% mothers had good knowledge and regarding adverse effects of bottle feeding 56% mothers were aware. In this study only 34% of mothers were aware of assessment of danger signs and dehydration and 27% about treatment of dehydration. 33% mothers had good knowledge on sanitary latrine and safe drinking water uses in prevention and treatment of diarrhoea. Regarding preparation of ORS only 19% mothers had good knowledge, 65% mothers had average knowledge.
ABSTRACT: Introduction: Antibiotics are used to perish the growth of bacteria. Undesirable use of antibiotics is presently common all over the world. Parent’s knowledge and attitudes towards antibiotics play a vital role in the success of treatment process. Due to lack of knowledge, sometimes antibiotics are badly used for the treatment of infection. Study aims to evaluate the knowledge, attitude and practices regarding antibiotics use among parents for their children. Methodology: A cross-sectional study design was adapted, using convenient sampling technique in different areas of Lahore, Pakistan during the period June -2017 to November- 2017 by using a self-administrated questionnaire, involving 400 participants. Those mothers or fathers were included which had children under 5 years of age. Results: Results showed that 92(23%) of the respondents had poor knowledge, 252(63%) had moderate knowledge and 44(11%) had good knowledge. Significant associations were found between knowledge statements and age, number of children, education and spouse education. Significant associations were also found between attitude statements and age, gender, number of children, education and spouse education. Whereas significant associations were found between practice statements and gender, number of children, education and spouse education. Significant association was found between knowledge about antibiotics & education level (P <.001), and also between attitude about antibiotics & education level (P=0.005). Conclusion: The survey revealed that there is a diversity of public awareness about antibiotics and microbiological resistance on the basis of socio-demographic factors. The misuse of antibiotics is an important issue in public health which affects the society and individual people .
To measure the knowledge, attitude and perceived practices about antibiotic usage and antibiotic resistance among Para-medical staffs working in a medical college & tertiary care hospital. This is a cross-sectional quantitative questionnaire based study in which four forty one paramedical staffs were given a 25 item pretested self-administered questionnaire. The survey questions focused on key topics related to antibioticknowledge, attitude and perceived practices pertaining to antibiotic usage. The response rate was 100%. Majority of participants were less than 30 years of age and graduates. They demonstrated good knowledge of antibiotic resistance (82%) and side effects (91%). However, there was general misconception regarding indication of antibiotic treatment with only 17.1% agreeing that antibiotics have no role against viruses. The overall attitude was poor as 66% expected antibiotic prescription for short duration fever and common cold. An alarming 93% anticipated treatment with antibiotics for ear infection in children. Among the participants nurses and pharmacists had 4 times better knowledge about antibiotics as compared to other paramedical staffs. There was no significant association between antibiotic prescription patterns and trust over doctors. Majority of participants’ knowledge towards antibiotic resistance and side effects were above par. Still, their attitude and practices concerning usage is poor and outcome based education like frequent CME’s and awareness campaign could be an effective approach to bridge the gap between from knowledge to practice.
This reported indicates that participants had a past history with diarrhoeal disease and 32.7% had no received information about diarrhoeal disease, prevention and control. In the past reported showed that growth of rural Bangladeshi children aged 6-35 months was examined in relation to the history of diarrhoea in 1772 3-month intervals. Weight gain and linear growth were lower in intervals with a history of diarrhoea than in intervals without diarrhea. These findings suggest that the effect of diarrhoea on growth is transient and that efforts to control diarrhoea are unlikely to improve children's nutritional status in the long term (Briend et al., 1989). This recent, the questionnaire with the past history of diarroeal occurred, useful for screening of risk people in rural community. The most of represents had a fair level of knowledge and moderate attituderegarding diarrhoeal disease, causes of disease, sign and symptom, and prevention and control. In addition, the lowest of scores was found in the question “Garbage disposal is prevented diarrhoeal disease and related vectors mainly rat and flies”, and followed “Diarrhoeal disease caused by ingested contaminated food and drinking water. This result indicates that diarrhea can be increased Table 3. Knowledge, attitude, and practiceregarding diarrhoea
The main contributors to the development of resist- ance in children are paediatricians and parents. Parental beliefs and expectations are important factors in deter- mining whether an antibiotic is prescribed. When parents panic about acute illnesses, it leads to more frequent paediatric physician visits for URTIs and, sub- sequently, unnecessary antibioticuse [19–22]. Therefore, numerous reports have evaluated the factors related to antibiotic overuse. These factors consist of knowledge, attitudes and beliefs regardingantibioticuse [23–25], be- haviours [26, 27], patient treatment satisfaction, patient- doctor communication, and patient experiences with antibiotics [25–28]. Proper public knowledge and atti- tude toward antibiotics is an important factor in rational antibioticuse and therefore minimizing development of antibiotic resistance . Unfortunately, the pressure imposed on physicians to meet patients’ expectations is a major contributing factor for physicians to prescribe antibiotics for viral URTI [24, 30]. Therefore, parental knowledge, attitude and practice toward antibioticuse in URTI in their children is of great value [24, 31].
Fever may be a sign of both infectious and non-infectious disorders, occurs commonly in children and makes their parents unduly worried and panic as they perceived it a danger ailment. There are numerous myths and fallacy among parents related to fever management in children Objectives Study aimed to identify the parent’s knowledgeregarding childhood fever and understanding of belief and attitude in the management of fever. Methods: A descriptive hospital based cross sectional study carried out among parents whose children under age 6 years were admitted to pediatric wards of a public sector teaching hospital in Peshawar with different medical conditions. Results: More than (93%) person were wrong about normal body temperature. About (37%) don’t know about causes of fever where (90%) parents detect fever through tactile method, about (57%) parents don’t know about appropriate body part for placing thermometer to record accurate temperature and large number of parents (40%) visit chemist for treatment after detecting fever in their kids, about (37%) brought their children to hospitals and only (13%) of total treat their children for fever at home Conclusion: Parent’s knowledge about fever and its home management was found poor in the study. Need is there to educate parents about proper assessment, detecting, recording of fever and safe practicing of fever management at home
In terms of attitude, changes have to be brought as just 20.3% of the respondents discerned antibiotics are not needed for fever of one day and as little as 13.6% knew that antibiotics do not speed up recovery from cold. Similarly less than one fourth (21.5%) considered ear infection in children always doesn’t require antibiotic treatment and 22.2% had children receiving antibiotic more than six times in the past year. Such observations obviously display the patient’s strong influence for prescribing antibiotics by the physician. 16 To decrease indiscriminate antibioticuse patients should be rightly educated about the hazards and limited benefits of such use, and clinicians should consider appropriate responses to the patient pressures to prescribe antibiotics.
On multivariate regression, the results show that the higher the educational level of parents, the higher level of their antibioticknowledge; this is comparable to the results of many other studies. 26–30 The possible reason might be that parents with higher levels of education have more access to knowledge and information. Furthermore, par- ents with higher educational levels have more opportu- nities to learn about the use of antibiotics. On the other hand, parents with lower educational levels have fewer opportunities to acquire knowledge on and information about antibioticuse. In our study, the respondents with higher income are shown to have a higher level of anti- biotic knowledge, which is similar to the ﬁ ndings of a previous study. 27 Compared with parents from TQ and GY, the rate of correct answers to questions related to knowledge of antibioticuse among parents from HC is the lowest. We found that the rate of correct answers from parents in TQ was lower than that of GY, which might be due to the fact that HC community has more immigrant communities compared to GY.
Methods: A cross-sectional study was conducted in vaccination clinics in two rural Chinese counties. Primary caregivers (the child ’ s parents in 97% of cases) visiting these clinics for the vaccination of their young children were given a 55-item structured questionnaire to collect information on the parents ’ knowledge and attitudes regarding when, why, and how to use antibiotics and on their practices of purchasing antibiotics and medicating children. Results: Of the 854 participating primary caregivers, 79% thought antibiotics could cure viral infections, and half believed that antibiotics could shorten the duration of upper respiratory tract infection. Parents reported a median of two hospital visits for their children during the previous 6 months, equal to the median number of antibiotic prescriptions received from physicians. Sixty-two percent of the parents had self-medicated their children with antibiotics. Living in rural villages (Adj OR = 1.643, 95% CI: 1.108 – 2.436), raising more than one child (Adj OR = 2.174, 95% CI: 1.485 – 3.183), increasing age of child (Adj OR = 1.146, 95% CI: 1.037 – 1.266), purchasing antibiotics without a prescription (Adj OR = 6.264, 95% CI: 4.144 – 9.469), storing antibiotics at home (Adj OR = 2.792, 95% CI: 1.961 – 3.975) and good adherence to physicians ’ advice (Adj OR = 0.639, 95% CI: 0.451 – 0.906) were independently associated with self-medicating behavior.
resistant bacteria due to unthoughtful and indiscriminate use of antibiotic is a major issue which is affecting healthcare delivery throughout the world. Available literature highlights the necessity of rationalization of antimicrobial therapy in developing countries. onal questionnaire based study was conducted after the approval from Institutional ethics committee over the time of one month at Acharya Vinoba Bhave Rural Hospital (AVBRH) Sawangi (Meghe) he experts, which consisted of three parts. They included questions regardingknowledge, attitude and practice of post graduate students about antibioticuse Post graduate students of all three years working in Each post graduate student was explained the objectives of the study and their willingness to participate in the study were obtained. After the briefing, questionnaire was distributed and the respond to the questions completely and anonymously. Completed responses were Medical education should include strategies to change the attitude and Medical professionals should be tailored with a sense of responsibility that, as prescribers, their responsibility pertains not only to the patients benefit and