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An intercultural comparison of home case management of acute diarrhea in Mexico: implications for program planners
Arch. med. res ; Arch. med. res;29(4): 351-60, oct.-dic. 1998. tab, ilus
Article em En | LILACS | ID: lil-232657
Biblioteca responsável: MX1.1
ABSTRACT
Background. The objetive was to assess the extent to which similarities in cultural beliefs and practices related to home management of diarrhea would permit general recommendations to improve the content of health care messages. Methods. We studied six communities in Mexico, covering rural and urban conditions, different ethnic groups, and different socioeconomic levels. Systematic data collection relied on open-ended, face-to-face interviews with mothers of children under 5 years of age who had an episode of diarrhea. Similarities among communities were assessed by means of a quadratic assignment procedure applied to signs, symptoms, and treatment matrices. Significant similarity among most of the communities sustained use of a global composite matrix to represent all communities. Results. We suggest specific recommendations to promote sound home management of diarrhea based on significant correlations among signs and symptoms with treatments. Signs and symptoms include those promoted by the National Program for the Control of Diarrheal Diseases(diarrhea, fever, vomiting) and others commonly mentioned by mothers (stomachache, sadness, restlessness, refusal to eat). Similarly, recommendations to use home based treatments based on beliefs related to their use may include the feeding of rice water, soups, and broth to a child who is sad, or rice-gruel and teas for a child with a fever. Conclusion. Our study supports that there are enough similarities among mothers' beliefs and practices for the care of acute diarrhea in childhood to support general recommendations at the program level
Assuntos
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Coleções: 01-internacional Base de dados: LILACS Assunto principal: População Rural / População Urbana / Doença Aguda / Características Culturais / Diarreia / Medicina Tradicional / Casas de Saúde Tipo de estudo: Guideline / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Child / Humans País/Região como assunto: Mexico Idioma: En Revista: Arch. med. res Assunto da revista: MEDICINA Ano de publicação: 1998 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: LILACS Assunto principal: População Rural / População Urbana / Doença Aguda / Características Culturais / Diarreia / Medicina Tradicional / Casas de Saúde Tipo de estudo: Guideline / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Child / Humans País/Região como assunto: Mexico Idioma: En Revista: Arch. med. res Assunto da revista: MEDICINA Ano de publicação: 1998 Tipo de documento: Article País de publicação: México