Effectiveness of pamphlets on knowledge and practice regarding oral rehydration among mothers of under five children

Rina Kumari, Somesh Raju, Pragati Sharma, Raunak Verma, Prashant Pratap


Background: Diarrhoea is a major cause of morbidity and mortality among under-five children. Correct knowledge regarding oral rehydration therapy (ORT) helps prevent morbidity and mortality due to diarrhoea. Our objective was to assess the awareness, knowledge and practice of mothers of under-five children regarding ORT and home management of diarrhoea and effectiveness of pamphlets regarding knowledge and practices of oral rehydration therapy.

Methods: A pre-experimental (one group pre-test & post-test) quantitative study conducted at King George’s Medical University, Lucknow, U.P. Subjects selected by purposive sampling technique and pre-test and post test conducted after explain nature of study and distribution of pamphlets containing information about diarrhoea and ORS.

Results: Pre-test knowledge score of subjects regarding diarrhoea and oral rehydration showed that 64 percent of mothers having moderately adequate knowledge and 36 percent were having inadequate knowledge. Post-test knowledge score showed Significant improvements, 72.72 percent of subjects having adequate knowledge and 27.27 percent of subjects having moderately adequate knowledge and results were highly significant. Pre-test score of mothers regarding practice of oral rehydration therapy showed that majority (45.45%) of subjects having inadequate knowledge, 41.81% of subjects having moderately adequate knowledge and only 12.72% of mothers having adequate knowledge. Post-test score ct showed significant improvement in their practice regarding diarrhoea and ORS.

Conclusion: Mothers were having moderately adequate knowledge about diarrhoea and dehydration. Although most of them could prepare commercially available packets of the O.R.S, but they could not prepare the O.R.S at home. Teaching of mothers about signs of dehydration and preparing and using O.R.S can help to reduce the mortality and morbidity of under five children.


Diarrhoea, Under-five, Oral rehydration, Knowledge, Practice

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Ghai OP. Essential Pediatrics. 8th ed. New Delhi: CBS; 2013;293.

Pahwa S, Kumar GT, Toteja GS. Performance of a community-based health and nutrition-education intervention in the management of diarrhoea in a slum of Delhi, India. J Health Popul Nutr. 2010;28(6):553-9.

Alkizim F, Matheka D, Muriithi A. Childhood diarrhoea: failing conventional measures, what next? Pan Afr Med J. 2011;8:47.

Hockenberry MJ, Wilson D, Wong’s Essential of pediatric nursing. Elsevier Publication. 8th edition: 820-822.

Ketsela T, Asfaw M, Belachew C. Knowledge and practice of mothers/care-takers towards diarrhoea and its treatment in rural communities in Ethiopia. Ethiop Med J. 1991;29(4):213-24.

Chongbanyatcharoen P. Acute diarrhea's recommendations on oral rehydration therapy and feeding. J Med Assoc Thai. 2005;88(1):30-4.

World Health Report, shaping the future, Rotavirus and Severe Childhood Diarrhea, world health organization. 2006;12(2):304-6.

Seyal T, Hanif A. Knowledge, attitude and practices of the mothers and doctors regarding feeding, oral rehydration solution (ORS) and use of drugs in children during acute diarrhoea. Annals King Edward Med Coll. 2009;15(1):38-41.

Merali HS, Morgan MS. Diarrhoeal knowledge and preventative behaviors among the caregivers of children under 5 years of age on the Tonle Sap Lake, Cambodia. RRTM. 2018;9:35-45.

Ansari M, Ibrahim MIM, Shankar PR. A survey of mothers' knowledge about childhood diarrhoea and its management among a marginalised community of Morang, Nepal. AMJ. 2011:4(9):474-9.

Rokkappanavar K, Nigudgi SR, Shreeshail G. A study on knowledge and practice of mothers of under-five children regarding management of diarrhoea. International J Community Medicine Public Health. 2016;3(3):705-10.

Kumar P, Vikas Chaudhary , Titi Xavier Mangalthil. A study to assess the effectiveness of a structured teaching programme on knowledge regarding the oral rehydration therapy in management of diarrhoea among mothers of under five children IOSR-JNHS. 2014;3(2):15-7.

Rajendra GK, Gautam NL, Devendra JK. Study of Knowledge of Mothers Regarding use and Preparation ORS in Acute Diarrhoea. J Evolution Medical Dental Sciences. 2015;4(20);3457-61.

Hemant J, Subhash B. Knowledge & Attitude towards oral rehydration therapy among mothers of under-five children of South Rajasthan, India", Int J contemporary Pediatris'. 2016;3(2):394-7.

Muthulakshmi M, Gopalakrishnan S. Use of oral rehydration solution by mothers of under-five children in a rural area of Kancheepuram district, Tamil Nadu: a KAP study. Int J Community Med Public Health 2017;4:4326-32.

Rishi RK, Bodakhe SH, Tailang M. Patterns of use of oral rehydration therapy in Srinagar (Garhwal), Uttaranchal, India. Trop Doct. 2003;33:143-5.