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  • Title: Fluid intake and feeding practices during diarrhoea in Odukpani, Nigeria.
    Author: Edet EE.
    Journal: East Afr Med J; 1996 May; 73(5):289-91. PubMed ID: 8756028.
    Abstract:
    This study was designed to determine the fluid intake and feeding practices among under five year old children during episodes of diarrhoea. Fluid intake was low. The average amount of salt-sugar solution (SSS) and WHO/UNICEF recommended oral rehydration solution (ORS) formula drank within the preceding 24 hours of diarhoea was 368 mls and 274 mls respectively. Only 54.0% and 43.3% of children received same or more food and fluid respectively as compared with before the diarrhoea. Less than half of the children continued breastfeeding. Targeted health education, with emphasis on these findings, are recommended for improving fluid and food intake in the home management of diarrhoea. A household survey of fluid intake and feeding practices during episodes of acute diarrhea in Nigerian children under 5 years of age indicates a need for community education on the home management of diarrhea. The 1994 study, part of a survey aimed at providing baseline data for the design of a diarrhea disease control program in southeast Nigeria's Odukpani local government area, encompassed 5296 children from 3070 households. Mothers whose children experienced a diarrhea episode in the 24 hours preceding the survey were interviewed. The sugar-salt solution use rate in the previous 24 hours was 35.4% (average amount, 368 ml). The oral rehydration solution use rate was 49.2% (average amount, 274 ml). 6% of children were given an increased amount of fluid during the diarrhea episode, 37.3% received the same amount, and 48.2% were given less fluid than before the onset of illness. 5.0% received more food, 49.0% received the same amount, and 32.2% received less food during diarrhea than before becoming ill; the remaining 13.8% stopped feeding. Only 40.1% of children who were still breast feeding were nursed during the episode. Education of care givers should emphasize the importance of continuous liberal dietary intake, including breast feeding, during and after diarrhea.
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