SURVEY ON KNOWLEDGE, ATTITUDE AND PRACTICES ON DIARRHEA AMONG THE
RESIDENTS OF TREVI, MAKATI
A. Demographic Profile of Respondents:
1. Age of the participants: _______________________
2. Education level:
No any formal education
illiterate
Primary/ Secondary
Matric
Inter
Graduate
Other
3. Mother occupation: _____________________________________
4. Total Number of children: __________________________
B. Housing & Sanitation Conditions:
6. Source of Water supply:
Boring water / Well water
Tanker supply water
Tap water inside
Hand pump
None
7. Taste of water:
Fresh water
Salty water
Mixed water
C. Diarrhea Episodes in Children:
8. Since last one year does your child suffer from diarrhea?
Yes No
9. If yes, what was the age of children when he had diarrhea?
Less than 6 month 12 to 17 month
6 to 11 month 18 to 23 month
1. Participant Name: (Optional) __________________
2. Do you have any child?
Yes No
Don’t know (if Yes Proceed, otherwise the participant is not eligible for participation)
1. Knowledge about Diarrheal diseases:
1. Do you think the diarrheal diseases can be transmitted from because of drinking
contaminated water?
-1 Yes
- 0 No
2. Do you think diarrheal diseases can be spread because of lack of sanitary measures?
-1 Yes
- 0 No
3. Do you think filter machine or filtering water by placing clothe help in reducing the
incidence of diarrheal diseases?
- 1 Yes
- 0 No
4. Do you think diarrhea can be prevented in infants and children via exclusive breast
feeding?
- 1 Yes
- 0 No
5. Do you know use of any chemical can disinfect the water contaminants?
- 1 Yes
- 0 No
6. Do you think that bottle feeding can be a factor for diarrhea morbidity among children
under 2 year of age?
- 1Yes
- 0 No
7. Do you think that vaccination can help in the prevention of diarrheal diseases?
- 1 Yes
- 0 No
8. Do you know about method of ORS (Oral Rehydration Solution) preparation?
- 1 Yes
- 0 No
9. Do you think that use of banana is useful in reducing the electrolyte imbalance in
diarrhea?
- 1 Yes
- 0 No
10. Do you think that use of yogurt is act as probiotic in diarrhea?
- 1 Yes
- 0 No
11. Do you think that eating food with dirty hands can cause diarrhea?
- 1 Yes
- 0 No
12. Do you think abstinence from food in diarrhea can prevent further episodes of
diarrhea ?
- 1 Yes
- 0 No
2. Attitude for Diarrheal Disease & its Prevention:
1. It is good to keep children hand clean always
- 1 Yes
- 0 No
2. Need to wash hands with soap after going to latrine
- 1 Yes
- 0 No
3. Wash hands before eating is a healthy practice for the prevention of diarrhea
- 1 Yes
- 0 No
4. Breast feeding is useful for preventing diarrheal episodes among children under 2 years
- 1 Yes
- 0 No
5. Boiled water is useful for preventing diarrheal episodes
- 1 Yes
- 0 No
6. We need to give bottle milk to children in boiled water for preventing diarrheal episodes
- 1Yes
- 0 No
3. Practices for Preventive Measure for Diarrheal Diseases:
1. Do you breast fed your children?
- 1 Yes
- 0 No
2. Do you bottle fed your children?
- 1Yes
- 0 No
3. Do you use Cow milk to your children for feeding?
- 1 Yes
- 0 No
4. Do you use formula milk you your children for feeding?
- 1Yes
- 0 No
5. Do you boil water before drink?
-1 Yes
- 0 No
6. Do you boil bottle feeders?
-1 Yes
- 0 No
7. Do you boil bottle feeders before every feed?
-1 Yes
- 0 No
8. Do you abstain all types of food in diarrhea?
-1 Yes
- 0 No
9. Do you filter water by use of muslin cloth?
- 1 Yes
- 0 No
10. Do you use any chemical e.g. chlorine tablets etc in tank for killing water germs?
- 1 Yes
- 0 No
11. Do you wash your hands before eating foods?
- 1 Yes
- 0 No
12. Do you use banana in diarrhea?
- 1 Yes
- 0 No
13. Do you use yogurt in diarrhea management?
- 1 Yes
- 0 No
14. Do you wash your hands after passing stools?
- 1 Yes
- 0 No
15. Do you use ORS in case of diarrhea?
- 1 Yes
- 0 No
16. Have you vaccinated your child against typhoid vaccine?
- 1 Yes
- 0 No
17. Have you vaccinated your child against rotavirus induce diarrhea?
- 1 Yes
- 0 No
18. I always remind the children to wash hands before and after eating
- 1 Yes
- 0 No
19. I wash hands after bathing children
- 1 Yes
- 0 No
20. I wash my hands after changing diapers
- 1 Yes
- 0 No
21. I do not wash hands before touching children
- 1 Yes
- 0 No
