Knowledge, attitude and practices of mothers on the prevention and management of Diarrhoea in children under five years, Otjiwarongo district, Otjozondjupa region, Namibia
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Date
2025
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University of Namibia
Abstract
This study aimed to assess knowledge, attitudes, and practices regarding diarrhea prevention and
management among mothers of children under 5 years in Otjiwarongo district in the
Otjozondjupa region, Namibia. The specific objectives were to assess the general knowledge,
attitudes and practices of mothers about diarrhea prevention, and management; to determine
mothers' attitudes towards diarrhea prevention and management; and to explore mothers’
practices towards the prevention and management of diarrhea in children under five years in
Otjiwarongo district, Otjozondjupa region. Employing a quantitative approach using a cross-
sectional study, the study utilized simple random sampling to select 390 mothers from
Otjiwarongo district clinics and Health Centers. Responses were analyzed using one-sample chi
square tests. The findings revealed significant gaps in knowledge and practices regarding the
prevention and management of diarrhea. Approximately 39.1% of mothers lacked understanding
of diarrhea as a condition, and 61.1% were unaware of common causes, impacting their ability to
prevent and manage diarrhea effectively. Additionally, 49.2% did not recognize the role of
hygiene, while 41.2% underestimated the importance of hand washing. Knowledge of oral
rehydration therapy (ORT) was deficient in 43.6% of the respondents. Furthermore, 40.4% did
not prioritize medical attention, and 45.6% were unaware of the benefits of exclusive
breastfeeding. Poor dietary practices were evident as 42.6% had limited knowledge about
appropriate nutrition during diarrhea episodes. Vaccination knowledge was lacking in 42.2% of
mothers, with substantial gaps in understanding proper waste disposal (42.6%) and clean water
importance (48.9%).These findings underscore the need for enhanced education and
interventions by the Ministry of Health and Social Services and the Otjozondjupa Region Health
Directorate. Strategies should include targeted mothers education programs, improved access to
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clean water, and promoting breastfeeding and vaccinations. Education on hygiene, sanitation,
and child nutrition is crucial to improve health outcomes for children under five years.
Addressing these gaps can significantly reduce the incidence of diarrheal diseases and improve
child health in this vulnerable age group
Description
A research mini-thesis submitted in partial-fulfilment of the requirement for the degree of Master of Public Health
Keywords
Mothers knowledge, Mothers attitudes, Mothers practices, Children under five years, Diarrhea, Prevention, Management, Otjozondjupa, Namibia, University of Namibia