Authors : Bernardita Rowena D. Maravilla

Volume/Issue : Volume 11 - 2026, Issue 3 - March

Google Scholar : https://tinyurl.com/ms68fvxv

Scribd : https://tinyurl.com/4v4nnj6b

DOI : https://doi.org/10.38124/ijisrt/26mar285

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Abstract : Acute Respiratory Infection (ARI) remains a leading cause of morbidity and mortality among children, particularly in low- and middle-income communities where gaps in health knowledge and care-seeking behaviors persist. This study aimed to assess the knowledge, attitudes, and practices (KAP) of parents in the management of children with ARI in Naga City and to determine the relationship between parental profile and their KAP, as well as the factors influencing these behaviors. A descriptive research design was employed involving 391 parents or guardians of children diagnosed with ARI, selected through random sampling from all 27 barangay health centers in Naga City. Data were collected using a validated researcher-made questionnaire and analyzed using descriptive statistics, weighted mean, and chi-square test of independence. Findings revealed that parents were generally knowledgeable about ARI symptoms and prevention, demonstrated positive attitudes toward seeking medical care, and reported acceptable practices in home management and healthcare utilization. However, variations in KAP were significantly associated with selected demographic factors such as age, educational attainment, and family income. Based on the results, the study recommends strengthening communitybased health education programs, enhancing parental awareness of danger signs, and improving access to primary healthcare services. A proposed intervention plan was developed to further enhance parental knowledge, attitudes, and practices in managing childhood ARI in Naga City.

Keywords : Acute Respiratory Infection, Parental Knowledge, Attitudes and Practices, Child Health, Community Health.

References :

1. World Health Organization. (2022). Pneumonia in children. https://www.who.int/news-room/fact-sheets/detail/pneumonia
2. UNICEF. (2019). Fighting for breath: A call to action to stop children dying from pneumonia. United Nations Children’s Fund. https://www.unicef.org
3. Santos, M. (2021). Pneumonia in children in the Philippine setting: Epidemiology, risk factors, and interventions. Pediatric Infectious Disease Society of the Philippines Journal, 22(2). https://www.pidsphil.org
4. Reñosa, M. D. C., Tan, A. G., Kamigaki, T., Tamaki, R., Landicho, J. M., Alday, P. P., Tallo, V. L., & Oshitani, H. (2020). Health-seeking practices of caregivers and determinants in responding to acute respiratory infection episodes in Biliran Island, Philippines. Journal of Global Health Reports, 4, e2020020. https://doi.org/10.29392/joghr.4.e2020020
5. Philippine Statistics Authority. (2017). Philippine demographic and health survey 2017. PSA and ICF. https://psa.gov.ph
6. Selvi, A., & Vaithilingam, S. (2024). Childhood pneumonia in low- and middle-income countries: A systematic review of prevalence, risk factors, and healthcare-seeking behaviors. Cureus, 16(3), e38586234. https://doi.org/10.7759/cureus.38586234
7. Goni, M. D., Naing, N. N., Hasan, H., Wan-Arfah, N., Deris, Z. Z., Arifin, W. N., & Baaba, A. A. (2020). Development and validation of knowledge, attitude and practice questionnaire for prevention of respiratory tract infections among Malaysian Hajj pilgrims. BMC Public Health, 20(1), 189. https://doi.org/10.1186/s12889-020-8269-9
8. Li, Y., Zhang, Y., Wang, J., & Liu, X. (2025). A comparative analysis of the effects of knowledge-attitude-practice nursing on mental state, sleep quality, and self-efficacy in cancer patients. Supportive Care in Cancer, 33(4), 1234–1242. https://doi.org/10.1007/s00520-025-07654-3
9. Bhalla, K., Gupta, A., Nanda, S., Mehra, S., & Verma, S. (2019). Parental knowledge and common practices regarding acute respiratory infections in children admitted in a hospital in rural setting. Journal of Family Medicine and Primary Care, 8(9), 2928–2932. https://doi.org/10.4103/jfmpc.jfmpc_439_19
10. Albayrak, A., Karakaş, N. M., & Karahalil, B. (2021). Evaluation of parental knowledge, attitudes and practices regarding antibiotic use in acute upper respiratory tract infections in children under 18 years of age: A cross-sectional study in Turkey. BMC Pediatrics, 21, 554. https://doi.org/10.1186/s12887-021-03020-4
11. Narain, J. P., et al. (2012). Global burden of acute respiratory infections and pneumonia in children. The Indian Journal of Pediatrics, 79(Suppl 1), S3–S9.
12. Khan, K., Nazar, G., & Ullah, S. (2022). Knowledge, attitudes, and practices of parents on acute respiratory tract infection in children under five years: A cross-sectional study. Journal of Development and Social Sciences, 3(II), 45. https://doi.org/10.47205/jdss.2022(3-II)45
13. Tabuzo, A., Lareza, M. F., Razal, C., Mendoza-Bayos, P., & Vera, Z. III. (2023). Home-based management of acute upper respiratory tract infections in preschoolers of Virac, Catanduanes: Analysis of caregivers' knowledge. International Journal of Nursing and Health Sciences, 7(5). https://doi.org/10.35654/ijnhs.v7i5.833
14. Santiago, R., & Santos, M. (2021). Community-based interventions in preventing childhood pneumonia in urban Philippines. Philippine Journal of Health Research and Development, 25(2), 85–92.
15. Reyes, L. U., Payawal, R. P., Flestado, C. L. P., Magalong, J. R. S., Co, R. J. O., Sevilla, P. P., & Alvarez, L. V. (2018). Knowledge and preventive practices on respiratory infections among Filipino caregivers. Asia Pacific Journal of Public Health, 30(6), 512–520.
16. Garcia, R., & Lopez, T. (2020). Determinants of healthcare-seeking behavior among mothers of children with respiratory infections in Metro Manila. Philippine Journal of Nursing, 90(1), 34–41.
17. Quinto, P., & Manalo, S. (2016). Maternal knowledge and management of childhood respiratory illnesses in rural Luzon. Journal of Community Health Nursing, 33(3), 150–158.
18. Cruz, J. C., Perez, C. Z., Cabrera, M. C. S., et al. (2022). Factors associated with self-medication of antibiotics by caregivers in pediatric patients attending the emergency department: A case-control study. BMC Pediatrics, 22, 520. https://doi.org/10.1186/s12887-022-03572-z