Knowledge, Attitudes, and Practices of Health Personnel in the Management of Diarrhea: Case of the Logone and Chari Department, Far North Cameroon

Overview

Journal Pan Afr Med J

Date 2024 Dec 16

PMID 39677544

Authors

Landry Beyala

Collins Buh Nkum

Charlette Nangue

Aude Nanfak

Etienne Guenou

Ketina Hirma Tchio-Nighie

Jerome Ateudjieu

Affiliations

Soon will be listed here.

Abstract

Introduction: management of diarrheal diseases is presented in the Integrated Management of Childhood Illnesses (IMCI) document, but is not standardized in adults. The objective of this study is to assess the knowledge, attitudes, and practices (KAP) of healthcare personnel with regard to the management of diarrhea.

Methods: a descriptive cross-sectional study was conducted among health care givers in health facilities in four (4) health districts (HDs) of Logone and Chari Department of Far North Cameroon in 2016. Consenting participants, selected exhaustively in the health facilities, responded individually to a semi-structured questionnaire administered face to face on a smartphone Open Data Kit (ODK) format. Statistical analyses of the data allowed us to highlight frequencies and proportions of variables such as the definition of diarrhea, the causes of diarrhea, diagnostic techniques and methods, and the management of these diseases.

Results: a total of 77 professionals participated in this study, of whom 56% were nurse assistants, 22% were nurses, and 5% were physicians; 78% of them knew the World Health Organization (WHO) definition of diarrhea. Twenty-two (29%) reported having IMCI and 82% of them practiced it. Seventy-seven (100%) reported they administered a rehydration solution according to the dehydration status of the first-line patient. Metronidazole (23%), amoxicillin (17%), and cotrimoxazole (14%) are the antimicrobials frequently prescribed in children less than 5 years of age.

Conclusion: health care providers in Logone and Chari Department have different opinions regarding diarrheal diseases as well as on the management of its diseases. To improve the management of diarrhea, it would therefore be important to set up a standard document for the management of its diseases while ensuring its implementation by health professionals.

References

. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018; 18(11):1211-1228. PMC: 6202444. DOI: 10.1016/S1473-3099(18)30362-1. View

Schiller L . Management of diarrhea in clinical practice: strategies for primary care physicians. Rev Gastroenterol Disord. 2008; 7 Suppl 3:S27-38. View

Martinot A, Pruvost I, Aurel M, Hue V, Dubos F . [Improvement in the management of acute diarrhoea in France?]. Arch Pediatr. 2007; 14 Suppl 3:S181-5. DOI: 10.1016/s0929-693x(07)80025-x. View

Carvajal-Velez L, Amouzou A, Perin J, Maiga A, Tarekegn H, Akinyemi A . Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis. BMC Public Health. 2016; 16:830. PMC: 4991040. DOI: 10.1186/s12889-016-3475-1. View

Chi N, Nyasa R, Jane-Francis A . Knowledge, attitude and practices of community health workers on managing and preventing childhood malaria and diarrhea in Fako Division, South West Region, Cameroon; A mixed method study. PLOS Glob Public Health. 2023; 3(2):e0001093. PMC: 10021294. DOI: 10.1371/journal.pgph.0001093. View

Cezard J, Bellaiche M, Viala J, Hugot J . [Medication in infectious acute diarrhea in children]. Arch Pediatr. 2007; 14 Suppl 3:S169-75. DOI: 10.1016/s0929-693x(07)80023-6. View

Ndou A, Lebese R, Tshitangano T, Damian J . A Descriptive Cross-Sectional Assessment of Caregivers' Knowledge and Practices Regarding the Prevention and Management of Diarrhea among Children under the Age of Five in Thulamela B Clinics, South Africa. Int J Environ Res Public Health. 2021; 18(18). PMC: 8471854. DOI: 10.3390/ijerph18189452. View

Buisson Y . [Diarrhea, a problem of public health]. Med Trop (Mars). 2001; 61(3):205-9. View

Kosek M, Bern C, Guerrant R . The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bull World Health Organ. 2003; 81(3):197-204. PMC: 2572419. View

10.

Wolde D, Tilahun G, Kotiso K, Medhin G, Eguale T . The Burden of Diarrheal Diseases and Its Associated Factors among Under-Five Children in Welkite Town: A Community Based Cross-Sectional Study. Int J Public Health. 2022; 67:1604960. PMC: 9596767. DOI: 10.3389/ijph.2022.1604960. View

11.

Nkwi P . Perceptions and treatment of diarrhoeal diseases in Cameroon. J Diarrhoeal Dis Res. 1994; 12(1):35-41. View

12.

Benson 3rd A, Ajani J, Catalano R, Engelking C, Kornblau S, Martenson Jr J . Recommended guidelines for the treatment of cancer treatment-induced diarrhea. J Clin Oncol. 2004; 22(14):2918-26. DOI: 10.1200/JCO.2004.04.132. View

13.

Martinot A, Pruvost I, Aurel M, Dubos F . [Severity assessment of acute diarrhoea]. Arch Pediatr. 2006; 13(11):1466-70. DOI: 10.1016/j.arcped.2006.08.004. View

14.

Schiller L, Pardi D, Sellin J . Chronic Diarrhea: Diagnosis and Management. Clin Gastroenterol Hepatol. 2016; 15(2):182-193.e3. DOI: 10.1016/j.cgh.2016.07.028. View

15.

. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Infect Dis. 2017; 17(9):909-948. PMC: 5589208. DOI: 10.1016/S1473-3099(17)30276-1. View

16.

Uhlen S, Toursel F, Gottrand F . [Treatment of acute diarrhea: prescription patterns by private practice pediatricians]. Arch Pediatr. 2004; 11(8):903-7. DOI: 10.1016/j.arcped.2004.04.020. View

17.

Einterz E, Bates M . Causes and circumstances of death in a district hospital in northern Cameroon, 1993-2009. Rural Remote Health. 2011; 11(3):1623. View

18.

Kabew Mekonnen G, Mengistie B, Sahilu G, Mulat W, Kloos H . Caregivers' knowledge and attitudes about childhood diarrhea among refugee and host communities in Gambella Region, Ethiopia. J Health Popul Nutr. 2018; 37(1):24. PMC: 6249824. DOI: 10.1186/s41043-018-0156-y. View