AIEPI y prácticas maternas frente a la diarrea y resfriado común en afrodescendientes del caribe colombiano.

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Bibliographic Details
Title:	AIEPI y prácticas maternas frente a la diarrea y resfriado común en afrodescendientes del caribe colombiano.
Alternate Title:	IMCI and the maternal practice of African descendants' living on the Colombian Caribbean coast regarding the common cold and diarrhea.
Authors:	Díaz-Cárdenas, Shyrley¹, Arrieta-Vergara, Katherine¹, Ramos-Martínez, Ketty¹
Source:	Revista de Salud Pública. jul2013, Vol. 15 Issue 4, p555-564. 10p.
Subjects:	DIARRHEA in children, COMMON cold in children, PUBLIC health, COMMON cold prevention, DIARRHEA
Geographic Terms:	COLOMBIA
Abstract (English):	Objective Evaluating maternal practice regarding diarrhoea and the common cold. Methods This was a cross-sectional descriptive study which was conducted on the island of Barú, near Cartagena, Colombia. It involved 127 mothers of African descent and their 138 children aged less than 5 years of age; convenience sampling was used. The Integrated Management of Childhood Illness (IMCI) instrument was used for the survey during a one-day healthcare session. The prevalence of diarrhoea and the common cold during the 7 days immediately before the survey were estimated, as were maternal practice regarding these and the occurrence of other risks and protective factors; a history of breastfeeding, complementary feeding and vaccination was compiled. Descriptive statistics were used and the Chi² test was used for ascertaining the significance of the relationships between variables. Results Diarrhoea prevalence was 71.7 % (64-79 95 %CI), this being lower for girls aged 2 months to 5 years-old (p = 0,02) and common cold prevalence was 99.2 % (97-100 95 %CI), this being higher in girls aged older than 2 months (p=0.004). 86.9 % (81-92 95 %CI) of the mothers did not know how to identify warning signs for these diseases, 84.9 % (78-90 95 %CI) of the practices were inadequate and 73.3% of the mothers took their children to a doctor as their first line medical practice (p=0.05). Conclusions Efforts must be increased regarding the implementation of the IMCI strategy in vulnerable communities, through effective channels of communication and innovative ways to reduce child morbidity and mortality indices, thereby promoting the island's social development. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo Evaluar prácticas maternas realizadas frente a diarrea y resfriado común. Método Estudio Descriptivo transversal realizado en la Isla de Barú, Cartagena de Indias, Colombia con 127 madres de 138 niños menores de 5 años, afro descendientes, elegidas por conveniencia. Se aplicó instrumento de investigaciones operativas en AIEPI (encuestas) durante una jornada de salud. Se estimó prevalencia de diarrea y resfriado en los últimos 7 días, y prácticas maternas frente a estas, ocurrencia de otros factores de riesgo y protectores: historia de lactancia materna, alimentación complementaria y vacunación. Se realizó estadísticas descriptivas y significancia de relaciones entre variables mediante prueba χ² Resultados Se encontró prevalencia de diarrea del 71,7 % (IC95 %; 64-79) menor para niñas de 2 meses a 5 años (p=0,02), resfriado común del 99,2 % (IC 95 %; 97-100) más en niñas mayores de 2 meses (p= 0,004); 86,9 % (IC95 %; 81-92) de las madres no saben identificar los signos de alarma de estas enfermedades, 84, 8 % (IC95 %; 78-90) de las prácticas fueron inadecuadas y el 73,3 % llevan los niños al médico como primera práctica (p= 0,05). Conclusiones Es necesario aumentar esfuerzos en la implementación de la estrategia AIEPI en comunidades vulnerables, a través de vías de comunicación efectivas e innovadoras para disminuir índices de morbimortalidad infantil promoviendo el desarrollo social de la Isla. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective Evaluating maternal practice regarding diarrhoea and the common cold. Methods This was a cross-sectional descriptive study which was conducted on the island of Barú, near Cartagena, Colombia. It involved 127 mothers of African descent and their 138 children aged less than 5 years of age; convenience sampling was used. The Integrated Management of Childhood Illness (IMCI) instrument was used for the survey during a one-day healthcare session. The prevalence of diarrhoea and the common cold during the 7 days immediately before the survey were estimated, as were maternal practice regarding these and the occurrence of other risks and protective factors; a history of breastfeeding, complementary feeding and vaccination was compiled. Descriptive statistics were used and the Chi² test was used for ascertaining the significance of the relationships between variables. Results Diarrhoea prevalence was 71.7 % (64-79 95 %CI), this being lower for girls aged 2 months to 5 years-old (p = 0,02) and common cold prevalence was 99.2 % (97-100 95 %CI), this being higher in girls aged older than 2 months (p=0.004). 86.9 % (81-92 95 %CI) of the mothers did not know how to identify warning signs for these diseases, 84.9 % (78-90 95 %CI) of the practices were inadequate and 73.3% of the mothers took their children to a doctor as their first line medical practice (p=0.05). Conclusions Efforts must be increased regarding the implementation of the IMCI strategy in vulnerable communities, through effective channels of communication and innovative ways to reduce child morbidity and mortality indices, thereby promoting the island's social development. [ABSTRACT FROM AUTHOR]
ISSN:	01240064