Factors associated with the use of the ORS-ZINC kit among diarrheic children under five in Benin

Authors

  • Mingnimon Alphonse AFFO Centre de Formation et de Recherche en matière de Population (CEFORP), Université d’Abomey-Calavi (UAC)
  • Gbetonhoun Bernard HOUETCHENOU Centre Béninois de la Recherche Scientifique et de l'Innovation (CBRSI)
  • Justin DANSOU Ecole Nationale de Statistique, de Planification et de Démographie (ENSPD), Université de Parakou (UP), Bénin
  • Fabrice Armel Sètondji DJOSSOU Société Béninoise pour l’approvisionnement des produits en santé (SoBAPS SA)
  • Jacques SAIZONOU Institut Régional de Santé Publique Comlan Alfred Quenum (IRSP/CAQ), Université d’Abomey-Calavi (UAC), Bénin

Keywords:

Factor, ORS-Zinc, Diarrhea, Child, Benin

Abstract

The ORS-Zinc kit is recognised as an effective treatment for diarrhoea, but its use remains low, especially among children under five years of age, where diarrhoeal diseases are the leading cause of death in developing countries. The present investigation aims to study the use of the ORS-Zinc kit in cases of diarrhoea among children under five in Benin. It results from the exploitation of data from the 2017/18 Benin Demographic and Health Survey. The analyses were based on a sample of 1342 children under five years of age who had diarrhoea in the last two weeks preceding the survey. After conducting a descriptive analysis (univariate, bivariate and multivariate), an explanatory analysis was conducted. The results indicate that the explanatory factors for the use of the ORS-Zinc kit among diarrhoea-stricken children under five years of age are: the father's involvement in health-related decision-making, the mother's level of education, her religion, her exposure to the media and the type of recourse in case of diarrhoea. These results suggest a strengthening of dialogue between spouses for effective health decision making in the household; the multiplication of awareness campaigns for the population on the importance of using health services with a particular emphasis on social marketing of the ORS-Zinc kit. Measures aimed at universal schooling could help.

References

Ahmed S. et al (2018). Burden and Risk Factors of Antimicrobial Use in Children Less Than 5 Years of Age with Diarrheal Illness in Rural Bangladesh. Am J Trop Med Hyg. 2018 Jun;98(6):1571-1576. doi: 10.4269/ajtmh.17-0988. Epub 2018 Apr 26. PMID: 29714159; PMCID: PMC6086147.

Atia et Buchman (2009). Oral rehydration solutions in non-cholera diarrhea: a review. Am J Gastroenterol 2009; 104: 2596-2604.

Awasthi S (2006). Zinc supplementation in acute diarrhea is acceptable, does not interfere with oral rehydration, and reduces the use of other medications: a randomized trial in five countries. Journal of Pediatric Gastroenterology and Nutrition, 2006, 42(3):300–5.

Ayyanat, J. A. et al. (2018). LiST modelling with monitoring data to estimate impact on child mortality of an ORS and zinc programme with public sector providers in Bihar, India. BMC Public Health, 18(1), 103. https://doi.org/10.1186/s12889-017-5008-y

Baya B (1998). Instruction des parents et survie de l'enfant au Burkina Faso : cas de Bobo-Dioulasso/ Banza Baya. - Paris : Centre français sur la Population et le Développement, 1998. - 27p. - (Les Dossiers du CEPED ; no 48).

Bocquier P. (1996). L'analyse des enquêtes biographiques à l'aide du logiciel STATA. Paris : CEPED, (4), 220p. (Documents et Manuels du CEPED ; 4). ISBN 2-87762-093-X https://www.documentation.ird.fr/hor/fdi:010007142

Caldwell J. (1979). Education as a factor in mortality decline. An examination of Nigerian data; in Population Studies, vol.3, n°2, pp.395-413.

Cleland J G. et Van Ginneken J K (1988). Maternal education and child survival in developing countries. The search for pathways of influence, Social Science and Medicine, vol. 27, no 12, pp.1357-1368.

Diaby A et al. (2015). Prise en charge de la diarrhée de l’enfant avec SRO à faible osmolarité et le zinc dans les régions de Dakar, Diourbel et Saint Louis au Sénégal. Rev. CAMES SANTE Vol.3, N° 2, Décembre 2015 pp 79-84.

Diaby A et al. (2014). Connaissances, attitudes et pratiques des bénéficiaires et des prestataires de soins dans la prise en charge de la diarrhée avec SRO à faible osmolarité et le zinc dans les districts pilotes de Joal, Kolda et Fatick au Sénégal. Rev. CAMES SANTE Vol.2, N° 2, Décembre 2014 pp 72-78.

Faye Birane Sylvain Landry & Lugand Majeres Maud (2021). Participatory research for the development of information, education, and communication tools to promote intermittent preventive treatment of malaria in pregnancy in the Democratic Republic of the Congo, Nigeria, and Mozambique. Malar J, 2021, 20, 223.

INSAE, et ICF, (2019). Cinquième Enquête Démographique et de Santé du Bénin 2017-2018, Rockville, Maryland, 575p.

Jaramillo-Mejía, M. C. et al. (2018). Determinantes de la mortalidad infantil en Colombia. Path Análisis [Determinants of infant mortality in Colombia. Path Analysis]. Revista de salud publica (Bogota, Colombia), 20(1), 3–9. https://doi.org/10.15446/rsap.V20n1.39247

Jensen, A. et al. (2019). Risk factors of post-discharge under-five mortality among Danish children 1997-2016: A register-based study. PloS one, 14(12), e0226045. https://doi.org/10.1371/journal.pone.0226045

LeFevre, A. E. et al. (2016). Diarrhea no more: does zinc help the poor? Evidence on the effectiveness of programmatic efforts to reach poorest in delivering zinc and ORS at scale in UP and Gujarat, India. Journal of global health, 6(2), 021001. https://doi.org/10.7189/ jogh.06.021001

Lewis, R C. et Boom B H (1983). The Marketing Aspects of Service Quality, in Emerging Perspectives on Services Marketing, L. Berry, G. Shostack, and G. Upah, eds., Chicago: American Marketing, 99-107.

MacDonald V. et K. Banke (2010). Assurer l’accès au zinc pédiatrique pour le traitement de la diarrhée au moyen du secteur privé à Madagascar : Résultats et leçons apprises. Bethesda, MD, USA : Projet Marketing social plus pour la lutte contre les maladies diarrhéiques : désinfection de l’eau au point d’utilisation et traitement au zinc (POUZN), Abt Associates Inc. et Population Services International.

MacDonald, V. et al. (2010). Un partenariat public-privé pour l’introduction du zinc pour le traitement de la diarrhée au Bénin : Résultats et leçons apprises. Document de base pays. Bethesda, MD, USA. Projet Marketing social plus pour la lutte contre les maladies diarrhéiques : désinfection de l’eau au point d’utilisation et traitement au zinc (POUZN), Abt Associates Inc. et Population Services International.

Mainz J (2003). Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care. 2003 Dec;15(6):523-30. doi: 10.1093/intqhc/mzg081. PMID: 14660535.

Martinot A et al. (2004). Freins à l’application des recommandations : l’exemple des solutions de réhydratation orale. Archives de Pédiatrie. 2004 juin;11(6):712-3.

Mukherjee, A. et al. (2019). Determinants of infant mortality in rural India: An ecological study. Indian journal of public health, 63(1), 27–32. https://doi.org/10.4103/ijph.IJPH_59_18

OMS (2017). Principaux repères sur les maladies diarrhéiques, https://www.who.int/fr/ news-room/fact-sheets/detail/diarrhoeal-disease.

OMS (2007). Mise en application des nouvelles recommandations pour la prise en charge clinique des cas de diarrhée. Genève, Organisation mondiale de la Santé, 2006.

OMS et UNICEF (2004). Prise en charge clinique de la diarrhée aiguë. Genève/New York, Organisation mondiale de la Santé/UNICEF, 2004.

OMS (1946). Préambule de la Constitution de l'Organisation Mondiale de la Santé telle qu'adoptée par la Conférence Internationale de la Santé, New York, 19-22 Juin, 1946. https://apps.who.int/gb/bd/PDF/bd47/FR/constitution-fr.pdf?ua=1

Podewils et al, (2004). Acute infectious diarrhea among children in developing countries. Seminars in Pediatric Infectious Diseases, 2004, 15(3):155–68.

Richard J. (2001). Accès et recours aux soins de santé dans la sous-préfecture de Ouessè (Bénin), Thèse de Doctorat en Géographie de la population, Université de Neuchâtel, 1064p.

Sanjeeb S et al. (2019). Knowledge And Practice On Childhood Diarrhea Among Mothers Having Children Under Five Years Of Age In Madhuban, Sunsari, Nepal. International Journal of Advanced Research and Publications ISSN: 2456-9992 pp 20-24. Volume 3 Issue 12, December 2019 www.ijarp.org http://www.ijarp.org/published-research-papers/dec2019/Knowledge-And-Practice-On-Childhood-Diarrhea-Among-Mothers-Having-Children-Under-Five-Years-Of-Age-In-Madhuban-Sunsari-Nepal-.pdf

Suh et al. (2010). Recent advances of oral rehydration therapy (ORT). Electrolyte Blood Press 2010; 8: 82-6.

Teshale et al. (2020). Factors associated with zinc utilization for the management of diarrhea in under-five children in Ethiopia. BMC Public Health. 2020 Sep 24;20(1):1447. https://doi.org/10.1186/s12889-020-09541-4

Tsala Dimbuene et al. (2018). Women's education and utilization of maternal health services in africa: a multi-country and socioeconomic status analysis. Journal of biosocial science, 50(6), 725–748. https://doi.org/10.1017/S0021932017000505

Trommlerová S. K. (2020). When children have children: The effects of child marriages and teenage pregnancies on early childhood mortality in Bangladesh. Economics and human biology, 39, 100904. https://doi.org/10.1016/j.ehb.2020.100904

Verret Galceran S (2012). Analyse des pratiques des parents d'enfants de moins de deux ans, en cas de diarrhée aiguë. Thèse de doctorat en médecine. Université Paris Diderot - Paris 7 Faculté De Médecine. 176p.

Yeshaw Y. et al. (2020). Zinc utilization and associated factors among under-five children with diarrhea in East Africa: A generalized linear mixed modeling. PLoS ONE 15(12): e0243245. https:// doi.org/10.1371/journal.pone.0243245

Published

2022-11-09

How to Cite

AFFO, M. A., HOUETCHENOU, G. B., DANSOU, J., DJOSSOU, F. A. S., & SAIZONOU, J. (2022). Factors associated with the use of the ORS-ZINC kit among diarrheic children under five in Benin. Revue Africaine Des Sciences Sociales Et De La Santé Publique, 4(2), 225-237. Retrieved from https://revue-rasp.org/index.php/rasp/article/view/257

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