The Evaluation of Diarrheal and Acute Respiratory Disease Controls in Child under 5 years at Community level in Lamphun Province, 2004

Abstract

               The purpose of this study was to evaluated the control of diarrhea disease and the acute respiratory disease in children under 5 years. According to the World Health Organization (WHO) strategy. 900 children in 60 villages were selected by Cluster Sampling technique. Data were collected through questionnaires and analyzed by using SPSS for windows. The study found that diarrhea mobility was 2.17 episode I child I year. The household caretaker's knowledge according to the 3 effective rules of management at home, found that there were 35.8%. In the part of behavior of caretakers concerning the diarrhea prevention was found that 37.7% of drinking water was not clean. The rate of breast feeding among the under four month children was 34.3 %. About hand - washing before preparing food or milk for children and after defecation were 12.7, 16.5%. And the rate of proper clearing out of children's feces was 91.3%. The treatment for children who got the diarrhea disease by being taken to government hospitals, health centers, private hospitals and clinics were 40.0,33.3 and12.0 %. The liquid food that the sick children got is the oral dehydration salt ORS 92.0%. It was found that the percent of sick children who got the antibiotic and the antidiarrheal drug were 30.7, 18. 7%. The most distributing place of the antibiotic and antidiarrheal drug were private hospitals or clinics, which was 48.6 %. For the controlling of the children's acute respiratory disease the study showed that the respiratory disease mobility was 9.97 episode I child I year. The knowledge of the important symptoms of pneumonia and the symptoms that the caretakers should take the children to health facilities immediately, found that 16.2 % For the behaviors of disease prevention, it was found that the problems of smoking in household areas or sometime found 37.5 20.0%.The process of preventing the spreading of disease when coughing or sneezing and the separating a child from the patient were 2.2 and 49.1 %. For the curing of a sick child whether common cold or pneumonia, it was found that most of them were taken to health centers and private clinics at the rate of 44.9 and 22.0 %. Most of them were diagnosed to be common cold for 88.1 % while they got antibiotic 34.5 %. And about the proper homecare for sick children, for example, how to take care for the children who got fever, cough and running nose I inconvenient breath, it was found that the rate was only 93.5, 88.1 and 86.1 while the given criteria was 80 %. According to the study, it is suggested that there should be promoted the public health advertisement emphasizing on the knowledge and self-care for people who cure the household common cold children, how to choose the safe and proper drug, the symptoms of pneumonia that should seek the proper treatment.