Kambia | Tonkolili | Pujehun | Kailahun | ||
---|---|---|---|---|---|
Diarrhea Causes | |||||
1.0 Contamination | |||||
1.1 Insects transferring germs through bites or landing on food | Flies (transfer material from feces to food/nipple) | F, C | C, M | M, M | C |
Worms (in child’s stomach) | F | ||||
1.2 Exposure to contaminated physical environment | Playing in dirt, child playing with own feces, sharing a toilet with an individual who has diarrhea | F | |||
Exposure to contaminated food and utensils (uncooked meat or fish, uncovered food, eating food off the ground) | F, C | M, C | |||
Exposure to contaminated drinking water | M, F, C | C, F | F, C | M, F, C | |
M, M, C | M, M | ||||
Exposure to contaminated nipple (sweaty, dirty) | F | ||||
1.3 Poor hygiene | Handfeeding | C | M | M, C | |
Unwashed hands of either child or mother (without mention of handfeeding) | |||||
Wearing dirty clothes (child) | C | ||||
2.0 Spoiled Breastmilk | |||||
2.1 Exposure to contaminated breast milk | Contamination due to sexual relations | M, C | M, F, C | M, F, C | |
M | |||||
Contamination due to overheated milk in breasts/contaminated breast | M, C, | M. F | C | F | |
M | |||||
Contamination due to a mother breastfeeding while pregnant/menses | M | ||||
Contamination due to eating foods considered inappropriate for breast feeding mothers | M | F, M | |||
3.0 Action of External Agents | Malevolent Sprits, witches, angry ancestors, the will of God | M | F | C | C |
M, M | |||||
4.0 Imbalance | |||||
4.1 Dietary | Eating too much of a certain food or a bad mix of food | M, M, | M | M | |
A sudden change in child’s diet (i.e. children eating new foods when they begin being cared for by grandmothers) | F, C | ||||
M | |||||
Weaning | C | C |