By: C. NITHYAKALAIVANI and K.TAMIZHARASI
Child health is the most crucial factor determining the growth of children, especially during their first five years of life. In recent years, the relatively low immune response in this age group has resulted in outbreaks of diseases and infections. Self-medication involves the use of drugs without consulting a physician for the treatment or prevention of ailments. Self-medication is a potentially unsafe practice with various risks, including drug interactions, antibiotic resistance, misdiagnosis, habituation, allergic reactions, incorrect self-diagnosis, delays in seeking medical advice, and the risk of dependence and abuse. Under-five mothers may be influenced by numerous factors to engage in self-medication, and these factors need to be addressed adequately to facilitate learning. The study aims to evaluate the effectiveness of peer-led health education in enhancing knowledge about the adverse effects of self-medication among mothers of children under five. A study was conducted among 30 mothers who have children under five in selected villages of Mallur Block, Salem District. Instruments used to collect data were a demographic questionnaire and a structured interview schedule to assess knowledge on the adverse effects of self-medication. After the pretest, health education on the adverse effects of self-medication was given by a peer educator. The level of knowledge in the pretest was inadequate. 24 (80%) after intervention, the second post-test score was moderately adequate, 24 (80%). The study concludes that the practice of self-medication among mothers of under-five children is high after intervention; they gained knowledge regarding the adverse effects of self-medication, and their practice of administering self-medication was reduced to its maximum. It is necessary to raise awareness about access to healthcare systems, even for minor illnesses to ensure the health of children. Regular and ongoing health education is essential at the community level to inform people about the dangers and potential risks associated with self-medication.
Keywords: Adverse effects, self-medication, peer led health education, under-five children
Citation:
Refrences:
- Abdul Salam, Samina Waseem, Laiba Akhtar, Hafiz Abdul Manan, Muhammad Awais Bin Abdul Malik, Noman Siddique. Parental self-medication with antibiotics in Pakistan. International Journal of Pharmacy. 2023; 17(4): 228–231.
- Emili da. (2023) Cross-sectional study population based on prevalence of self-medication in children aged 0–12 years in Brazil: A population-based study. Revista Paulista de Pediatria. Jul 2023; 42: e2022137.
- Bert F, Previti C, Calabrese F, Scaioli G, Siliquini R. Antibiotics self-medication among children: A systematic review. Antibiotics. Nov 2022; 11(11): 1583.
- Asma Marzouk, Mariem Lajili. Usage of self-medication of children by parents during febrile episode. Indian Journal of Pediatrics. Dec 2023; 90(12): 1261. DOI: 10.1007/s12098-023-04753-z.
- Hockenberry MJ, Wilson D, Rodgers CC. Wong’s Essentials of Pediatric Nursing—E-Book. United States: Elsevier Health Sciences; 2021.
- Ge J, Sun X, Meng H, et al. Factors associated with self-medication in children and the decomposition of rural-urban disparities in China. BMC Public Health. 2021; 21: 2123. [Online] Available at: https://doi.org/10.1186/s12889-021-12137-1.
- Bingqing Bi. Systematic review and meta-analysis of factors influencing self-medication in children. Inquiry. Jan-Dec 2023; 60: 469580231159744. DOI: 10.1177/00469580231159744.
- Nurliana L, Chairulfakah AM, Budiyanto A. The relationship between parents’ knowledge level and rationality of drug use in drug self-medication management in children with fever in Pulomerak Banten. J Ind. Eng. Manage Res. Jan 2023; 4(1): 53–61.
- Okunola OA, Aluko MA, Aroke AA. Knowledge and perspectives in management of common childhood illnesses by caregivers to under-five children in southwestern Nigeria: Synopsis of self-medication practices. Cogent Public Health. Dec 2023; 10(1): 2178053.
- Marlow R. Textbook of Pediatric. 5th edition. Philadelphia: Elsevier; 2009.
- Khalil MA, Arshad MS, Majeed A, Imran I, Binish H, Ahmad I, Rasool MF. The parental perceptions and practices regarding self-medication among their children in Southern Punjab, Pakistan. Child Care in Practice. Jun 2023; 1–2.
- Bhat MJ, Al-Qahtani M, Badawi AS, Asiri GB, Alhmare AM, Rashid A, Altalhiyyah KS, Alwimny AA. Awareness and knowledge of antibiotic resistance and risks of self-medication with antibiotics among the Aseer region population, Saudi Arabia, 2023. Cureus. Jun 2023; 15(6): e10987.
- Saima Nizar. Parent induced self-medication among under five children: An observational cross sectional study. TAF Preventive Medicine Bulletin. 2015; 14(2): 81–86.
- Ads SE, Saied H, Melika SW. Mothers’ perceived risks and practices for over counter medications of children under five years. Tanta Scientific Nursing Journal. Mar 2023; 28(1): 169–184.
- Patel SJ, Dumra GH. Assessment of parents induced self-medication in pediatric population in rural and urban areas of Ahmedabad, Gujarat. Int. J Basic Clin. Pharmacol. May 2020; 9: 776–781.
- Thenmozhi B, Sharmil SH. Self-medication practices of the rural community people: A cross-sectional study. Indian J. Community Med. Jul 2023; 48(4): 619–622.
- Ahwinahwi US, Odili VU, Odunvbun M, Okeke AI, Soeze UE. Use of medicines in neonates and infants: A report of mothers’ practices. J Appl. Pharm Sci. Jul 2023; 13(7): 226–232.
- Vijesh Patel, Harimohan Singh. A study to assess the effectiveness of planned teaching program regarding knowledge related to ill effects of self-medication among adults in selected area of Ahmedabad. Journal of Emergency and Trauma Nursing. 2020; 1(1): 15–19.
- Misau YA, Mogere D, Mbaruk S, Usman US, Bello S, Oduwole O, Moriam C. Educational Interventions for Antibiotics Misuse and Self-Medication in Africa: A Systematic Review and Meta-Analysis [Protocol]. West Afr J Med. 2023 Jan 30;40(1):114-120. PMID: 36718718