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American Journal of Public Health Research. 2016, 4(1), 28-37
DOI: 10.12691/ajphr-4-1-5
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Utilization of Oral Rehydration Therapy in the Management of Diarrhea in Children among Nursing Mothers in Odukpani Local Government Area of Cross River State, Nigeria

Osonwa Kalu O.1, , Eko Jimmy E.2, and Ema S.2

1Department of Sociology, Faculty of Social Sciences, University of Calabar, Calabar, Nigeria

2Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria

Pub. Date: January 16, 2016

Cite this paper:
Osonwa Kalu O., Eko Jimmy E. and Ema S.. Utilization of Oral Rehydration Therapy in the Management of Diarrhea in Children among Nursing Mothers in Odukpani Local Government Area of Cross River State, Nigeria. American Journal of Public Health Research. 2016; 4(1):28-37. doi: 10.12691/ajphr-4-1-5


The purpose of this study was to determine the utilization of Oral Rehydration Therapy (ORT) in the management of diarrhea in children among nursing mothers in Odukpani Local Government Area of Cross River State, Nigeria. A structured questionnaire was designed to generated data from 200 respondents using multi-staged sampling technique. Data collected from the respondents were analsyed using IBM SPSS version 20.0 and presented in tables and charts. The result obtained from this study showed that most respondents 65(32.5%) were aged 25-29 years followed by 45(22.5%) 30-34 years and 36(18.0%) 20-24 years. About 170(85.0%) respondents were married while 14(7.0%) were single. Respondents were predominantly Christians 181(90.5%) and had attained secondary education 51(25.5%). Major sources of livelihood as indicated by the respondents were farming 51(25.5%), trading 44(22.0%) and civil service 42(21.0%). Income level per month for 47(23.5%) were between N6,000-N15,000 and about 46(23.0%) earned N16,000-N30,000, 31(15.5%) N5,000 and less, 12(6.0%) N31,000-N50,000 and 11(5.5%) N50,000 and above. Most study participants had good knowledge of dirrahoea disease and 124(62.0%) were aware of ORS, but a knowledge gap was noticed in ORS composition and method of preparation. Out of 69(34.5%) respondents who reported that their children had suffered from diarrhea in the past two years, only 30(43.5%) had used ORS to manage diarrhea cases in children. Reasons for non-usage of ORS/SSS among nursing mothers were majorly lack of awareness of ORS/SSS (52.4%), lack of information on ORS/SSS composition and preparation (16.6%) and ORS not readily available (6.9%). Knowledge of diarrhea and ORS has a significant influence on utilization of ORS among nursing mothers (P < 0.05). Hence, health workers need to educate mothers on the benefits of using ORS in the management of diarrhea in children.

oral rehydration salt nursing mothers diarrhoea children Odukpani LGA

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[1]  WHO. Fact sheets on Diarrheal disease. 2013; Retrieved from
[2]  UNICEF. Launch of hand washing campaign in Abuja. 2010; Retrieved from
[3]  Grant JP. Diarrhoeal disease; a strategy for the 90s.The state of the World Children. UNICEF; 1993; p. 22-3.
[4]  Adimora GN, Ikefuna AN, Ilechukwu G. Home management of childhood diarrhoea: Need to intensify campaign. Nigerian Journal of Clinical Practices; 2011; 14(2): 237-241.
[5]  Chudi A, Ebube N., Chinwe M., Ijezie N. Mother’s perception, attitude and practices regarding management of childhood diarrhea with Oral rehydration salts (ORS) in UNTH. Journal of the University of Nigeria Medical Students; 2011; 3(1):45-52.
[6]  Gao W, Yan H, Wang D, Dang S. Oral rehydration salt use and its correlates in low-level care of diarrhea among children under 36 months old in rural Western China. BMC Public Health; 2013; 13:238.
[7]  Martinez H, Bojalil B., Guiscafr H. Promotion of oral rehydration therapy comparing a home-made rice-powder gruel and oral rehydration salts. 2013 Retrieved from:
[8]  Sillah F, Ho HJ, Chao JC. The use of oral rehydration salt in managing children under 5 y old with diarrhea in the Gambia: knowledge, attitude, and practice. Nutrition; 2013; 29(11-12): 1368-73.
[9]  Sodemann m., Jakobsen m. S., Mølbak k, Martins c., Aaby P. Management of Childhood Diarrhea and Use Of Oral Rehydration Salts in a Suburban West African Community. Am. J. Trop. Med. Hyg., 1999; 60(1). 167-171.
[10]  Ajuwon AJ, Agbolade MO, Dipeolu IO.Knowledge and Use of Oral Rehydration Therapy among Mothers of under-five children in a Military Barrack in Ibadan, Nigeria. African Journal of Biomedical Research; 2015;18(1): 237-248.
[11]  Tobin EA, Isah EC, Asogun DA Caregivers’ knowledge about childhood diarrhea management in a rural community in South-south Nigeria. International Journal of Community Research;2014; 3(4): 93-99.
[12]  Saltzman H., Warren A., Lloyd S. Limitation of health education: Barriers to oral rehydration use among Ghanaian mothers. The Journal of Global Health; 2013; 1(3):122-131
[13]  Muir S. Factors influencing the maternal use of oral rehydration solution in the home treatment of childhood diarrhea in West Java, Indonesia. Masters Thesis, Memorial University of Newfoundland. 2002.
[14]  National population commission. Projected population of Calabr South Local Government Area of Cross River State, Nigeria; 2006; Retrieved on January 14, 2012 from http//
[15]  Araoye M. O .Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publishers. 2003.
[16]  Olakunle J. M. Odili V. U., Kamaldeen A. Buhari M. Assessment of mothers’ knowledge of home management of childhood diarrhea in a Nigerian setting. IJPRBS;2012; 1(4): 168-184.
[17]  Neilsen M., Hoogvorst A., Konradsen F., Mudasser M., Van der Hoek W. Childhood diarrhea and hygiene: Mothers’ perceptions and practices in the Punjab, Pakistan: Working paper 25. Colombo, Sri Lanka: International Water Management Institute; 2001.
[18]  Othero D. M., Orago A. S., Groenewegen T., Kaseje D.O., Otengah P. A. Home management of diarrhea among under-five in a rural community in Kenya: Household perception and practices. East African Journal of Public Health; 2008; 5(3):142-146.
[19]  Shah, MS Ahmad, A, Khalique, N Afzal, S Ansari, MA Khan Z. Home-based management of acute diarrhoeal disease in an urban slum of Aligarh, India. Infect DevCtries ; 2012; 6(2):137-142.
[20]  Amare D, Dereje B, Kassie B, Tessema M, Mullu G, Alene B., Ayele A. Maternal Knowledge and Practice Towards Diarrhoea Management in Under Five Children in FenoteSelam Town, West Gojjam Zone, Amhara Regional State, Northwest Ethiopia. J Infect Dis Ther2014;2: 182.
[21]  Uwaezuoke SN, Tagbo BN, Okoro BA. Knowledge and Utilization of Oral Rehydration Therapy (ORT) among Mothers in Enugu, Nigeria: A Health Facility Survey. Orient Journal of Medicine; 2003; 15(1&2): 45-48.
[22]  Oladipo A.R Falana A.O; Adegoke O; Sambo A; Kungu J. Caregiver’s knowledge, attitudes and practices on the utilization of Zinc and LO -ORS for diarrhoeal treatment in Northern Nigeria. Micronutrients Initiative; 2014 vol 1, pp 1.