关键词: child health management child mortality community-acquired pneumonia community-based intervention health-seeking behaviour information maternal awareness pneumonia prevention respiratory issues

来  源:   DOI:10.7759/cureus.58159   PDF(Pubmed)

Abstract:
BACKGROUND: Respiratory ailments, encompassing a spectrum of disorders, are a leading cause of mortality and morbidity in children, with pneumonia being particularly significant, accounting for 16% of child mortality. To ensure timely engagement with healthcare services, it is imperative to instill awareness through Information, Education, and Communication (IEC) initiatives targeting mothers of children under five. The primary objective of this pilot study is to assess the feasibility of a community-based intervention on health-seeking behaviour, knowledge, and practice measures concerning the management and prevention of pneumonia in children.
METHODS: The pilot study mirrored the main study\'s procedures in two villages, Bhuvanahalli and Gavanahalli, each randomly assigned as either an experimental or a control group. We selected 12 mothers with children under the age of five who had community-acquired pneumonia, employing a straightforward random technique, with six mothers from each group. These mothers were interviewed using a structured questionnaire focusing on health-seeking behaviour, knowledge, and practices related to the management and prevention of pneumonia. Mothers in the experimental group received a community-based intervention, specifically an educational set focusing on health-seeking behaviour, knowledge, and practice measures concerning the management and prevention of pneumonia in children, while those in the control group continued with their routine practices. We collected post-test data from the mothers in both groups at the 2nd, 4th, and 6th months of the intervention. The data analysis was conducted using the IBM SPSS Statistics for Windows, Version 28 (Released 2021; IBM Corp., Armonk, New York) software. The Mann-Whitney test and Kruskal-Wallis analyses indicated a notable and statistically significant shift in health-seeking behaviour, knowledge, and practices pertaining to the management and prevention of pneumonia in children as a result of the community-based educational intervention implemented in the experimental group (P<0.05).
CONCLUSIONS: Community-based intervention is crucial to preventing mortality and morbidity in children. The findings of the pilot study affirm its feasibility and lay a strong foundation for further investigation and implementation.
摘要:
背景:呼吸系统疾病,包括一系列的疾病,是儿童死亡率和发病率的主要原因,肺炎尤其严重,占儿童死亡率的16%。为了确保及时参与医疗保健服务,必须通过信息灌输意识,教育,和针对五岁以下儿童的母亲的沟通(IEC)倡议。这项试点研究的主要目的是评估以社区为基础的干预措施对寻求健康的行为的可行性,知识,并实施有关儿童肺炎管理和预防的措施。
方法:试点研究反映了两个村庄的主要研究程序,Bhuvanahalli和Gavanahalli,每个随机分配为实验组或对照组。我们选择了12名母亲,她们的孩子年龄在5岁以下,患有社区获得性肺炎,采用简单的随机技术,每组有六名母亲。这些母亲使用结构化问卷进行了访谈,重点是寻求健康的行为,知识,以及与肺炎的管理和预防有关的做法。实验组的母亲接受了基于社区的干预,特别是一个专注于寻求健康行为的教育系统,知识,并实施有关儿童肺炎管理和预防的措施,而对照组的人继续他们的常规做法。我们在第2天收集了两组母亲的测试后数据,第四,干预的第6个月。数据分析使用IBMSPSSStatisticsforWindows进行,版本28(2021年发布;IBMCorp.,Armonk,纽约)软件。Mann-Whitney检验和Kruskal-Wallis分析表明,寻求健康的行为发生了显着且具有统计学意义的变化,知识,通过实施社区教育干预,实验组在儿童肺炎的管理和预防方面的实践(P<0.05)。
结论:基于社区的干预措施对于预防儿童死亡率和发病率至关重要。试点研究的结果肯定了其可行性,为进一步调查和实施奠定了坚实的基础。
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