Knowledge, Perception And Practices Associated With Rickets: A Comparative Case Study Of Rickets And Non-rickets Cases In Naivasha District Hospital
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Rickets is a disease that first appears in children at the age of six to twenty four months caused by a deficiency in vitamin D, calcium and phosphorus. It is characterized by bone pain, muscular tenderness, hypocalcemic tetany, delayed tooth eruptions, late closure of the fontanele, enlargement of joints, bowed legs and knock knees. The purpose is to provide information that may be useful for designing intervention and policy making. The main objective is to determine the knowledge, perceptions and practices regarding rickets in rickets and non rickets cases. A comparative cross sectional study was conducted that included 208 caregivers. Caregivers of children with rickets were 104 and caregivers of children without rickets were 104. Systematic and exhaustive sampling was conducted to select non rickets and rickets cases. A questionnaire consisting of socio demographic, knowledge, perceptions and practices was administered to the respondents. A focus group discussion and a key informant interview were conducted. The collected data were checked, validated, entered and analyzed using SPSS 16. Descriptive and inferential statistics were used. Statistical significance was tested at a p-value of < 0.05. The study findings showed that caregivers of children with rickets had a higher mean age than the caregivers of children without rickets. Children with rickets had a higher mean age than the children without rickets. Households that depend on self employment, farmer and casual labor had a higher percentage of children with rickets. The mean knowledge scores of caregivers of children with rickets were higher than the caregivers of children without rickets. The mean practice score between caregivers of children with rickets and caregivers of children without rickets were not significant. The mean perception score of caregivers with children with rickets and caregivers of children without rickets were not significant. There was a positive correlation in the knowledge and perception scores in the two groups. Caregivers of children with and without rickets had their knowledge, perception and practice scores above average. Caregivers of children with and without rickets earned less than the recommended wage salary in Kenya. There is need to create an understanding and awareness to the caregivers and in particular the mothers through maternal education. There is need to address the various issues that affect each region separately as opposed to addressing certain issues in all the regions where the problem is not significant. There is also a need to establish the prevalence of rickets in Naivasha and the country.
CitationA dissertation submitted in partial fulfillment of the requirements for the degree of Master of Science in Applied Human Nutrition in the Department of Food Science, Nutrition and Technology, Faculty of Agriculture, University of Nairobi
University of NairobiFaculty of Agriculture,