Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia
Dehydration is a major cause of child mortality in sub-Saharan Africa. In Zambia child mortality rate from diarrhoea is 68 deaths per 1,000 live births despite implementation of child survival interventions. A descriptive quantitative study with triangulation of data collection methods and guided by...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
2021
|
| Online Access: | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/248 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Add Tag | _version_ | 1766578307146448896 |
|---|---|
| author | Benkele, Rodgers Gift |
| author_facet | Benkele, Rodgers Gift |
| author_sort | Benkele, Rodgers Gift |
| collection | DSpace |
| description | Dehydration is a major cause of child mortality in sub-Saharan Africa. In Zambia child mortality rate from diarrhoea is 68 deaths per 1,000 live births despite implementation of child survival interventions. A descriptive quantitative study with triangulation of data collection methods and guided by Donabedian’s Quality of Health Care Framework was conducted to assess management of dehydration in under-five children with Acute Gastroenteritis (AGE) in selected health centres in Zambia. The specific objectives were; to assess availability of resources (structure) in the management of dehydration in under-five children with Acute Gastroenteritis; to examine the process of management of dehydration in under-five children with Acute Gastroenteritis; to evaluate caretaker satisfaction (outcome) with care given during the management of dehydration due Acute Gastroenteritis; and to analyse associations between healthcare provider characteristics, caretaker satisfaction and case management. Simple random sampling method was used to recruit 155 nurses who answered a self-administered questionnaire and 58 who were observed; and 58 caretakers who participated in exit interviews. Data were analysed using the Statistical Package for Social Sciences (SPSS) version 24.0. Chi-square tests were used to determine significant relationships between healthcare provider characteristics, caretaker satisfaction and case management. Quality of management of dehydration due to AGE in under-five children was inadequate. Structurally, nurses and midwives had inadequate knowledge on dehydration management. Only 25.8% had knowledge that age is used to determine duration of rehydration. On process measure, only approximately 40% of the cases were well managed. Significantly in-service training improved case management (CI 95%, p=0.000). Caretaker satisfaction was significantly associated with interaction with nurses and midwives (CI 95%, p=0.000). |
| format | Thesis |
| id | oai:nkhokwe.kuhes.ac.mw:20.500.12845-248 |
| institution | My University |
| language | English |
| publishDate | 2021 |
| record_format | dspace |
| spelling | oai:nkhokwe.kuhes.ac.mw:20.500.12845-2482023-03-12T00:07:56Z Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia Benkele, Rodgers Gift Dehydration is a major cause of child mortality in sub-Saharan Africa. In Zambia child mortality rate from diarrhoea is 68 deaths per 1,000 live births despite implementation of child survival interventions. A descriptive quantitative study with triangulation of data collection methods and guided by Donabedian’s Quality of Health Care Framework was conducted to assess management of dehydration in under-five children with Acute Gastroenteritis (AGE) in selected health centres in Zambia. The specific objectives were; to assess availability of resources (structure) in the management of dehydration in under-five children with Acute Gastroenteritis; to examine the process of management of dehydration in under-five children with Acute Gastroenteritis; to evaluate caretaker satisfaction (outcome) with care given during the management of dehydration due Acute Gastroenteritis; and to analyse associations between healthcare provider characteristics, caretaker satisfaction and case management. Simple random sampling method was used to recruit 155 nurses who answered a self-administered questionnaire and 58 who were observed; and 58 caretakers who participated in exit interviews. Data were analysed using the Statistical Package for Social Sciences (SPSS) version 24.0. Chi-square tests were used to determine significant relationships between healthcare provider characteristics, caretaker satisfaction and case management. Quality of management of dehydration due to AGE in under-five children was inadequate. Structurally, nurses and midwives had inadequate knowledge on dehydration management. Only 25.8% had knowledge that age is used to determine duration of rehydration. On process measure, only approximately 40% of the cases were well managed. Significantly in-service training improved case management (CI 95%, p=0.000). Caretaker satisfaction was significantly associated with interaction with nurses and midwives (CI 95%, p=0.000). 2021-08-06T16:57:48Z 2021-11-03T06:47:05Z 2021-08-06T16:57:48Z 2021-11-03T06:47:05Z 2018-07-02 Thesis http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/248 en application/pdf |
| spellingShingle | Benkele, Rodgers Gift Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title | Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title_full | Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title_fullStr | Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title_full_unstemmed | Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title_short | Management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in Lusaka, Zambia |
| title_sort | management of dehydration in under-five children with acute gastroenteritis by nurses and midwives in selected health centres in lusaka, zambia |
| url | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/248 |
| work_keys_str_mv | AT benkelerodgersgift managementofdehydrationinunderfivechildrenwithacutegastroenteritisbynursesandmidwivesinselectedhealthcentresinlusakazambia |