Home Management Practice And Factors Associated Wwth Mothers Modern Health Care Seeking Behavior For Childhood Diarrheal Diseases In Ginir Districtbale Zone.

Background: Diarrheal disease still remains among the leading causes of childhood morbidityrnand mortality. Despite diarrhea being a disease that is easy to prevent and treat, it causes aboutrn1.5 million under-five deaths every year. The poor outcome of diarrheal episode is mainly thernresult of improper mother’s treatment of diarrhea diseases at home and the types of treatment shernseeks.rnObjectives: To assess mother’s home management practice, prevalence of modern health carernseeking behavior and its determinant factors for childhood diarrheal illnesses in Ginir District,rnBale Zone, Oromia Regional states.rnMethods: A cross sectional study was conducted from January to February 2013 in GinirrnDistrict. The study participants were 664 mothers/caretakers who have under-five children withrndiarrhea. Data was collected using both structured and semi-structured open ended questionnaire.rnA descriptive statistics, bivarate and multivariate analyses were done using cross tabulation andrnbinary logistic regression. Qualitative data was analyzed using content analysis after exported tornopen code software.rnResults: the study showed that, majority of the mothers 291(43.8%) provide less than usual orrngave nothing to drink and only 169(25.2%) of them provide more than usual fluids asrnrecommended for their children with diarrhea. More than half of the mothers 373(59.6%)rndecreased or withhold food, and only 198(31.6%) of the children with diarrhea fed as usual.rnEven though the use of ORS is widely recommended, only 191(28.8%) of the children withrndiarrhea were given ORS. The prevalence of mother’s modern treatment seeking behavior werernfound to be low in the district, where only 246(37%) of the mothers sought modern treatment forrntheir children with diarrhea.rnHigher level of mother’s education (AOR=15.3, 95% CI=5.4, 43.5) and being a model familyrn(AOR=1.9, 95%CI=1.3, 2.8) were factors positively associated with modern treatment seekingrnbehavior. Those mothers, who live greater than five kilometers were less likely to seek modernrntreatment than those who live within five kilometers of health facility (AOR=0.27, 95%CI=0.17,rn0.44). Mothers who thought their children had severe diarrhea were 3.4 time more likely to seekrnmodern treatment compared to those who thought mild (AOR=3.43, 95%CI=1.77, 6.63) andrnmothers who related the causes of diarrhea to some Folk causes were less likely to seek modernrntreatment than those who respond did not know (AOR=0.26, 95% CI=0.16, 0.42).rnConclusions and recommendations: majority of the mothers practice inappropriate homernmanagement for childhood diarrheal diseases and the utilization of modern treatment were low inrnthe area. Mother’s educational status, model family, distance from health facility, perceivedrnseverity and perceived causes of the illness were found to be statistically significant predictors ofrnmother’s modern healthcare-seeking behavior for childhood diarrhea. Effort should be made tornimprove mother’s home management practice and mother’s modern healthcare seeking behaviorrnfor childhood diarrhea diseases.

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