Abstract:
Background: Using disposable baby diapers is a common practice among mothers. However,
improper use or inadequate knowledge about disposable diapers can lead to significant health
issues for babies, such as diaper dermatitis, and exposure to harmful toxins.
Objectives: To assess the knowledge and practices on the usage of disposable baby diapers among
mothers with children under five-years-old in Galle District, Sri Lanka
Methods: A cross-sectional study was conducted among 290 mothers selected through systematic
random sampling in selected maternal and child health (MCH) clinics located in the Galle district,
Sri Lanka. Data were collected using a pre-tested, investigator-administered questionnaire. Data
were analysed using SPSS version 26.0, with descriptive statistics, independent sample t-test and
one-way ANOVA.
Results: Among the 290 participants, 36.6% were aged 25-30 years and 37.6% had completed
education up to Advanced Level. Of the sample 71% were housewives and 89% of participants
had a monthly income above 25,000 LKR. About 53.8% used disposable diapers for their children
under one year of age and 77.9% primarily used them for convenience while traveling. In addition,
33.8% used only one diaper per day. Of the total, 85.9% relied on social media for information
regarding disposable diapers. Moreover, 96.9% demonstrated a high level of knowledge
concerning diaper usage. The study revealed improper practices; 17.2% never check expiry date,
7.9% did not change a soiled diaper for over three hours. 43% did not use barrier cream or
ointment to prevent diaper rash. Statistically significant associations were found between the level
of knowledge and age (p<0.01), educational background (p<0.001), and occupation (p<0.01).
Conclusions: Although the majority of mothers demonstrated adequate knowledge regarding the
use of disposable diapers, the study revealed several improper practices. Therefore, targeted health
awareness sessions on proper diapering practices are recommended to safeguard the health and
wellbeing of babies.
