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Effectiveness of the WHO Combination Treatment Regimen in the Management of Dehydration as a Panacea to Diarrhoea Prevention in Under-Five Children in Oyo State

Oyewumi, Zaccheus Opeyemi and Okafor, Ngozi Anthonia and Adegoke, Juliet Ifeoluwa and Anokwuru, Rafiat (2023) Effectiveness of the WHO Combination Treatment Regimen in the Management of Dehydration as a Panacea to Diarrhoea Prevention in Under-Five Children in Oyo State. International Journal of Nursing, Midwife and Health Related Cases, 9 (1). pp. 37-51. ISSN 2397-0758 (Print), 2397-0766(Online)

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Abstract

This study assessed the effectiveness of WHO combination treatment regimen in diarrhoea prevention through dehydration management amongst under-five children attending primary health care centres in Oyo State, Nigeria. The study used a quasi-experimental design consisting of a pre- and post-test for a single group. Sixty people who met the inclusion criteria were selected at random throughout the admissions process. Children with diarrhoea between the ages of 3 months and 60 months who met the inclusion and exclusion criteria and were hospitalised at the designated PHC Centres were the study's participants. Recovery rates at 24 hours, 2 weeks, and 4 weeks post-intervention were used to evaluate the efficacy of the combined therapy regime using a standardised instrument of the WHO observational check-list. Descriptive and inferential statistics were used to analyse the data. The results of this study demonstrate that the median ages of the participants range from 13 to 24 months (21; 35.0%), 3 to 12 months (18; 30.0%), 25 to 36 months (12; 20.0%), and 36 to 60 months (9; 15.0%). There are a total of 32 men and 28 females in this sample (53.3% vs 46.7%). However, upon arrival (Baseline), 47 individuals (78.3%) were already somewhat dehydrated. However, within 24 hours post-intervention, the majority of subjects (46, or 76.6%) no longer showed any signs of dehydration. After two weeks of intensive monitoring during home visits, the situation had improved significantly, with the vast majority (52, or 86.7%) of participants displaying no signs of dehydration. After 4 weeks of home visits, all 60 participants (100%) were found to be well hydrated upon re-examination. Dehydration status improved significantly after 24 hours, 2 weeks, and 4 weeks post-intervention, suggesting the combination of WHO-ORS and zinc is extremely effective in the treatment of diarrhoea in children younger than five. Therefore, PHC health professionals should use a combination of therapies rather than relying on just one to treat dehydration.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Depositing User: Professor Mark T. Owen
Date Deposited: 13 Jun 2023 06:52
Last Modified: 13 Jun 2023 06:52
URI: https://tudr.org/id/eprint/1871

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