Analysis on the association between the mothers’ knowledge, attitude, practices and the incidence of acute respiratory infection in children under 5 years old in the rural Nam Dinh, Vietnam

Authors

  • Tung Le Chair of the committee, Nam Dinh University of Nursing, Nam Dinh city, Nam Dinh, Vietnam
  • Hoa The Faculty of Nursing and Midwifery, Nam Dinh University of Nursing, Nam Dinh city, Nam Dinh, Vietnam
  • Hang Thj Hai Duong Medical Technical University, Hai Duong city, Vietnam
  • Trieu Thi Thu Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang city, Vietnam

DOI:

https://doi.org/10.62992/deqw5v46

Keywords:

Acute respiratory infection, Attitude, Knowledge, Mothers having children under 5 years old, Practices

Abstract

Background: The knowledge, attitude and practices of mothers in caring for their children play an important role in prevention of acute respiratory infection.

Objectives: The study aimed to identify the association between the mothers’ knowledge, attitude and practices in prevention and caring for children with acute respiratory infection and the incidence of acute respiratory infection in children under 5 years old in the rural Nam Dinh, Vietnam.

Methods: A descriptive cross-sectional study was conducted on 389 among mothers and their children under 5 years old with a simple random sampling technique in rural Nam Dinh, Vietnam from July 2020 to September 2021. Using logistic regression and Odds Ratio (OR) with definition level α=0.05 for analysis of variables

Results: Unsatisfactory KAP of mothers in prevention and caring for children with ARI accounted for high percentage. In addition, the incidence of ARI in children under 5 years old remained high at 47.0% (183/389 children). The study revealed the association between the mothers’ attitude, practices and the incidence of ARI in their children. This difference was statistically significant with P< 0.05. Specifically, analysis results showed that mothers' practices are significantly related to the incidence of ARI in children with OR= 2.5; 95%CI= 1.6-3.9 and P< 0.001.

Conclusion: The mothers’ knowledge, attitude and practices in prevention and caring for their children with ARI were low. In addition, the incidence of ARI in under-five children was high. There was an association between the mothers’ attitude, practices and the incidence of ARI in children under 5 years old. Moreover, there was a significant association between the mothers’ practices and the incidence of ARI in children

References

Bhavsar S, Sarkar A. Assessment of common childhood diseases in 1-5 yr age group children and determination of knowledge, health care practices & health seeking behavior of parents in Jamnagar district. Global Journal for Research Analysis. 2017.

Honglei H, Readon CI, Evelyn G, et al. Discovery and Validation of Biomarkers to Guide Clinical Management of Pneumonia in African Children. Oxford Journals. 2014;58(12):1707-15.

Ghimire P, Gachhadar R, Piya N, et al. Prevalence and factors associated with acute respiratory infection among under-five children in selected tertiary hospitals of Kathmandu Valley. PLOS ONE. 2022;17(4):e0265933.

Gyawali M, Rama P, Safala M, et al. Knowledge on acute respiratory infection among Mothers of under five year children of Bhaktapur District, Nepal. International Journal of Scientific and Research Publications. 2016;6(02):85-9.

Alluqmani MF, Aloufi AA, Abdulwahab AM, AlShathri AA, AlShehri MS, Hawsawi SI, et al. Knowledge, attitude and practice of mothers on acute respiratory infection in children under five years in Saudi Arabia, 2017. The Egyptian Journal of Hospital Medicine. 2017;69(2):1959-63.

Ramani VK, Pattankar J, Puttahonnappa SK. Acute Respiratory Infections among Under-Five Age Group Children at Urban Slums of Gulbarga City: A Longitudinal Study. Journal of clinical and diagnostic research : JCDR. 2016;10(5):Lc08-13.

Wognin AS, Konan LL, Laure Essis EM. Associated Factors of Respiratory Diseases in Community Settings in Attécoubé Lagoon, Côte d'Ivoire, January-February 2022. International Journal of Health & Medical Research. 2023;2(11):414-23.

Tazinya A, Gregory EH, Lawrence TM. Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon. BMC Pulmonary Medicine. 2018;18(7).

Maria-Regina AC, Cristiana MNC, Ferrero F, Fátima MA, Simon NC. Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children. Archives of Disease in Childhood. 2011;96:58-61.

WHO. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. Geneva: World Health Organization; 2014.

Patwari AK, Raina N. Integrated Management of Childhood Illness (IMCI): a robust strategy. The Indian Journal of Pediatrics. 2002;69(1):41-8.

Saeed EAM, Awadalla H. Knowledge, Attitude, and Practice among Mothers of Under-Five Children about Acute Lower Respiratory Tract Infections a Locality in Khartoum Urban Area, Sudan. Journal of Environmental Science and Public Health. 2020;4(4):455-68.

Shivaprakash NC, Kutty DN. Magnitude of acute respiratory infections in 6 months - 6 years in a Rural hospital BG Nagara: a cross sectional study. International Journal of Pediatric Research. 2017;4(3):226-32.

Mutalik A, Raje VV. Study to assess the knowledge, attitude, and practice about acute respiratory infections among school going children and their parents in rural Maharashtra. International Journal of Medical Science and Public Health. 2017;6(11):1584-7.

Saeed EAM, Awadalla H. Knowledge, Attitude, and Practice among Mothers of Under-Five Children about Acute Lower Respiratory Tract Infections in a Locality in Khartoum Urban Area, Sudan. Journal of Environmental Science and Public Health. 2020;4(4):455-68.

Tunny IS, Soamole I, Wibowo SA, et al. Effect of Health Education on Mothers’ Knowledge in the Prevention of Acute Respiratory Infection in Toddlers in Waimital Village, Maluku. Jurnal Ners. 2020;15(Special issue 02):188-92.

Gamtessa LC, Seid SS. The Knowledge and Practice of Mothers Caring for their Children with Acute Respiratory Infection among those attending the Under-Five Unit at Bedele Hospital, Southwest Ethiopia. Clinics in Mother and Child Health. 2021;18(7):1-4.

Koranath RA, Nair A. Awareness and healthcare seeking behavior regarding acute respiratory infections among mothers of under five children in rural Tamil Nadu: A hospital based cross sectional study. Journal of Current Research in Scientific Medicine. 2024;10(1):55-61.

Khan K, Nazar G, Ullah S. Knowledge Attitudes, and Practices of Parents on Acute Respiratory Tract Infection in Children Under Five Years: A Cross Section Study. Journal of Development and Social Sciences. 2022;3(2):474-84.

Shtayyat KF, Abu-Baker NN. Knowledge, Attitude, and Practice toward Antibiotic use with Acute Respiratory Infection among Parents of Children under Five Years. The Open Nursing Journal. 2023;17:e187443462305100.

Bhatti ZI, Nawaz K, Ali M, et al. Effectiveness of Educational Interventions on Knowledge Towards Prevention of Acute Respiratory Tract Infection among the Mothers of Under Five Year Children. PJMHS. 2020;14(3):672-4.

Chand V, Masoud M. Perception of mothers about Acute Respiratory Infections (ARIs) and risk factors affecting children Under 5 Years (U5Ys) in Fiji. Journal of Pediatric Nursing. 2022;65:44-54.

Downloads

Published

31-08-2025

Issue

Section

Original Article

Categories

How to Cite

1.
Analysis on the association between the mothers’ knowledge, attitude, practices and the incidence of acute respiratory infection in children under 5 years old in the rural Nam Dinh, Vietnam. IJPHAP [Internet]. 2025 Aug. 31 [cited 2025 Nov. 16];4(9):77-88. Available from: https://ijphap.com/index.php/home/article/view/127