The Journal of Health, Population and Nutrition
Vol. 31, No. 3, 2013, pp. 321-329
Bioline Code: hn13038
Full paper language: English
Document type: Research Article
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 31, No. 3, 2013, pp. 321-329
© Copyright 2013 - The Journal of Health, Population and Nutrition
Caretakers’ Perception towards Using Zinc to Treat Childhood Diarrhoea in Rural Western Kenya|
Otieno, George A.; Bigogo, Godfrey M.; Nyawanda, Bryan O.; Aboud, Frances; Breiman, Robert F.; Larson, Charles P. & Feikin, Daniel R.
Zinc treatment for diarrhoea can shorten the course and prevent future episodes among children worldwide.
However, knowledge and acceptability of zinc among African mothers is unknown. We identified
children aged 3 to 59 months, who had diarrhoea within the last three months and participated in a
home-based zinc treatment study in rural Kenya. Caretakers of these children were enrolled in two groups;
zinc-users and non-users. A structured questionnaire was administered to all caretakers, inquiring about
knowledge and appropriate use of zinc. Questions on how much the caretakers were willing to pay for
zinc were asked. Proportions were compared using Mantel-Haenszel test, and medians were compared using
Wilcoxon Rank Sum test. Among 109 enrolled caretakers, 73 (67%) used zinc, and 36 (33%) did not.
Sixty-four (88%) caretakers in zinc-user group reported satisfaction with zinc treatment. Caretakers in the
zinc-user group more often correctly identified appropriate zinc treatment (98%-100%) than did those in
the non-user group (64-72%, p<0.001). Caretakers in the zinc-user group answered more questions about
zinc correctly or favourably (median 10 of 11) compared to those in the non-user group (median 6.3 of
11, p<0.001). Caretakers in the zinc-user group were willing to pay more for a course of zinc in the future
than those in the non-user group (median US$ 0.26, p<0.001). Caretakers of children given zinc recently
had favourable impressions on the therapy and were willing to pay for it in the future. Active promotion
of zinc treatment in clinics and communities in Africa could lead to greater knowledge, acceptance, and
demand for zinc.
Acceptability; Community treatment; Diarrhoeal disease; Zinc; Kenya
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