Skip to main content

Advertisement

Log in

Prevalence, risk factors and treatment practices in diarrhoeal diseases in south India

  • Regular Article
  • Published:
Environmental Health and Preventive Medicine Aims and scope

Abstract

Objectives

This study was done to determine the risk factors, management practices and awareness about diarrhoea.

Methods

It was a cross sectional study done in a semi urban and rural areas of South Canara district of India in February 2013. A total of 167 households (575 study population) chosen systematic randomly were visited and one adult member in each house was interviewed. The houses were also inspected to assess the living conditions.

Results

Mean age of study population was 31.1 ± 20.2 years. The period prevalence of diarrhoea was 69 (12 %). Commonest associated symptoms in cases of diarrhoea were fever 30 (43.4 %) followed by abdominal cramps 29 (42 %). Nearly half of the cases with diarrhoea 34 (49.3 %) did not take any medications. Commonest treatment taken was allopathic medicines 26 (37.8 %) followed by home remedies 8 (22.9 %). Age ≤10 years (p < 0.001) was associated with risk of developing diarrhoea using binary logistic regression analysis. Among the 167 participants, awareness level about the disease was poor among 16 (9.6 %) and moderate among 149 (89.2 % participants). Awareness level was more among females (p = 0.001) and literate participants (p = 0.013). One hundred and sixteen (69.5 %) participants were not aware of any sign or symptom of dehydration other than loose stools. Majority of the participants 138 (82.6 %) preferred home remedies as the initial management of diarrhoea. Misconception about fluid restriction in diarrhoea was stated by 12(7.2 %) participants.

Conclusion

Public education program on proper feeding and management practices is required to address the various issues identified and for containment of diarrhoea cases in future.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Government of India, National Health Profile 2011 (Jan-Dec.), DGHS, Central Bureau of Health Intelligence, Ministry of Health and Family Welfare, New Delhi; 2011.

  2. Ahs JW, Wenjing T, Lofgren J, Forsberg BC. Diarrhoeal diseases in low and middle-income countries. Open Infect Dis J. 2010;4:113–24.

    Google Scholar 

  3. Diarrhoeal disease. (2013) World Health Organization. Retrieved from: http://www.who.int/mediacentre/factsheets/fs330/en/ [Cited on 2013 Sep 7].

  4. International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS; 2007.

  5. Banerjee B, Hazra S, Bandyopadhyay D. Diarrhoea management among under fives. Indian Pediatr. 2004;41:255–60.

    CAS  PubMed  Google Scholar 

  6. Jones TF, McMillian MB, Scallan E, et al. A population-based estimate of the substantial burden of diarrhoeal disease in the United States; FoodNet, 1996–2003. Epidemiol Infect. 2007;135:293–301.

    Article  CAS  PubMed  Google Scholar 

  7. Stanly AM, Sathiyasekaran BWC, Palani G. A population based study of acute diarrhoea among children under 5 years in a rural community in south India. Sri Ramachandra J Med. 2009;1:1–7.

    Google Scholar 

  8. Khatun A, Rahman SS, Rahman H, Hossain S. A cross sectional study on prevalence of diarrhoeal disease and nutritional status among children under 5-years of age in Kushtia, Bangladesh. Sci J Public Health. 2013;1:56–61.

    Article  Google Scholar 

  9. Shah MS, Ahmad A, Khalique N, Afzal S, Ansari MA, Khan Z. Home-based management of acute diarrhoeal disease in an urban slum of Aligarh, India. J Infect Dev Ctries. 2012;6:137–42.

    Article  PubMed  Google Scholar 

  10. Sutariya S, Talsania N, Shah C. Study of prevalence of diarrhoeal diseases amongst under five population. Indian J Community Med. 2011;2:96–9.

    Google Scholar 

  11. de Wit MA, Koopmans MP, Kortbeek LM, et al. Sensor, a population-based cohort study on gastroenteritis in the Netherlands: incidence and etiology. Am J Epidemiol. 2001;154:666–74.

    Article  PubMed  Google Scholar 

  12. Do TT, Bui TT, Molbak K, Phung DC, Dalsgaard A. Epidemiology and aetiology of diarrhoeal diseases in adults engaged in wastewater-fed agriculture and aquaculture in Hanoi. Vietnam. Trop Med Int Health. 2007;12(Suppl 2):23–33.

    PubMed  Google Scholar 

  13. Hou FQ, Wang Y, Li J, Wang GQ, Liu Y. Management of acute diarrhea in adults in China: a cross-sectional survey. BMC Public Health. 2013;13:41.

    Article  PubMed  PubMed Central  Google Scholar 

  14. UNICEF. Management Practices for Childhood Diarrhea in India: Survey of 10 Districts. New Delhi; 2009.

  15. Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM Jr. Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis. 2005;5:42–52.

    Article  PubMed  Google Scholar 

  16. Zafar M. Knowledge and attitude towards and preventive practices relating to diarrhea among mothers under five years of Children: findings of a cross-sectional study in Karachi, Pakistan. J Infect Dis Ther. 2014;2:126.

    Google Scholar 

  17. Pahwa S, Kumar GT, Toteja GS. Performance of a community-based health and nutrition-education intervention in the management of diarrhoea in a slum of Delhi, India. J Health Popul Nutr. 2010;28:553–9.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

We authors thank Ms. Ralf Rundgren Graves, Director Regional Institutes, FAIMER, Philadelphia, USA and Manipal University Press, Manipal, India for their help in language edition of this manuscript. We also thank the participants for their enthusiasm and cooperation for participation. No source of funding was acquired for this study. This manuscript has been read and approved by all the authors and the requirements for authorship as stated earlier in this document have been met and each author believes that this manuscript represents honest work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nitin Joseph.

Ethics declarations

Source of funding

None.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Joseph, N., Suvarna, P., Hariharan Bharadwaj, S. et al. Prevalence, risk factors and treatment practices in diarrhoeal diseases in south India. Environ Health Prev Med 21, 248–257 (2016). https://doi.org/10.1007/s12199-016-0521-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12199-016-0521-7

Keywords

Navigation