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Knowledge, attitude and practice of home management of diarrhea among under-five children in East Africa: A systematic review and meta-analysis

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  • Biruk Beletew Abate
  • Alemu Birara Zemariam
  • Addis Wondimagegn
  • Gebremeskel Kibret Abebe
  • Freweyni Gebreegziabher Araya
  • Ayelign Mengesha Kassie
  • Molla Azmeraw Bizuayehu

Abstract

Introduction: Diarrhea is particularly prevalent in low-income or marginalized populations because these groups have less access to clean water sources, hygienic conditions, and healthcare. Dehydration due to electrolyte and fluid loss is the main cause of deaths associated with diarrhea. An especially important factor in this death from dehydration is the caregivers’ knowledge, attitude, and diarrhea management techniques. While a number of research have been done on managing diarrhea at home, the results tend not to be consistent. This systematic review and meta-analysis aimed to assess the pooled estimate of knowledge, attitude and practice of home-based management of diarrhea in East Africa. Methods: Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was used to search articles from electronic databases (Cochrane library, Ovid platform (Medline, Embase, and Emcare), Google Scholar, CINAHL, PubMed, and institutional repositories in East Africa countries. The last search date was on 01/06/ 2023 Gregorian Calendar. The authors extracted year of publication, country, study design, knowledge level, attitude level and practice level of home-based management of diarrhea. A weighted inverse variance random-effects model was used to estimate the pooled prevalence of knowledge, attitude and practice of home-based management of diarrhea. Subgroup analysis was done by country, and sample size. Publication bias and sensitivity analysis were also done. Results: A total of 19 articles with (n = 7470 participants) were included for the final analysis. From the random-effects model analysis, the pooled prevalence of good practice, good knowledge and favorable attitude towards home based management of diarrhea in East Africa was found to be 52.62% (95% CI: 45.32%, 59.92%) (95% CI: I2 = 78.3%; p

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  • Biruk Beletew Abate & Alemu Birara Zemariam & Addis Wondimagegn & Gebremeskel Kibret Abebe & Freweyni Gebreegziabher Araya & Ayelign Mengesha Kassie & Molla Azmeraw Bizuayehu, 2024. "Knowledge, attitude and practice of home management of diarrhea among under-five children in East Africa: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-14, February.
    • Handle: RePEc:plo:pone00:0298801
    DOI: 10.1371/journal.pone.0298801
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    References listed on IDEAS

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    1. Ayelign Mengesha Kassie & Biruk Beletew Abate & Mesfin Wudu Kassaw & Teshome Gebremeskel Aragie & Bonsa Amsalu Geleta & Wondimeneh Shibabaw Shiferaw, 2020. "Impact of knowledge and attitude on the utilization rate of cervical cancer screening tests among Ethiopian women: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-22, December.
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