scholarly journals Navigating uncertain illness trajectories for young children with serious infectious illness: a mixed-methods modified grounded theory study.

2021 ◽  
Author(s):  
Sarah Jane Neill ◽  
Lucy Bray ◽  
Bernie Carter ◽  
Damian Roland ◽  
Enitan D Carrol ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Mixed Methods ◽  
Young Children ◽  
Help Seeking ◽  
Social Rules ◽  
Factors Affecting ◽  
Children Under Five ◽  
Under Five ◽  
Core Category ◽  
Infectious Illness

Infectious illness is the biggest cause of death in children due to a physical illness, particularly in children under five years. If mortality is to be reduced for this group of children, it is important to understand factors affecting their pathways to hospital. The aim of this study was to retrospectively identify organisational and environmental factors, and individual child, family, and professional factors affecting timing of admission to hospital for children under five years of age with a serious infectious illness (SII). Methods An explanatory modified grounded theory mixed methods design was used in collaboration with parents. Two stages of data collection were conducted: Stage 1, interviews with 22 parents whose child had recently been hospitalised with a SII and 14 health professionals (HPs) involved in their pre-admission trajectories; Stage 2, focus groups with 18 parents and 16 HPs with past experience of SII in young children. Constant comparative analysis generated the explanatory theory. Findings The core category was Navigating uncertain illness trajectories for young children with serious infectious illness. Uncertainty was prevalent throughout the parents and HPs stories about their experiences of navigating social rules and overburdened health services for these children. The complexity of and lack of continuity within services, family lives, social expectations and hierarchies provided the context and conditions for childrens, often complex, illness trajectories. Parents reported powerlessness and perceived criticism leading to delayed help-seeking. Importantly, parents and professionals missed symptoms of serious illness. Risk averse services were found to refer more children to emergency departments. Conclusions Parents and professionals have difficulties recognising signs of SII in young children and can feel socially constrained from seeking help. The increased burden on services has made it more difficult for professionals to spot the seriously ill child.

FACTORS AFFECTING STUNTING AMONG CHILDREN UNDER FIVE YEARS OF AGE IN BANYUWANGI, EAST JAVA

2020 ◽  
Author(s):  
Endah Kusuma Wardani ◽  
◽  
Nurul Eko Widiyastuti ◽  
Lutvia Dwi Rofika ◽  
Wahyu Adri Wirawati ◽  
...  
Keyword(s):  
Factors Affecting ◽  
Children Under Five ◽  
Under Five

scholarly journals Predictors of Parental Barriers to Reduce Excessive Child’s Screen Time Among Parents of Children Under Five Years of Age in Selangor: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Elliza Mansor ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli
Keyword(s):  
Young Children ◽  
Screen Time ◽  
Parental Attitudes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Parental Attitude ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Parental Barriers

BACKGROUND Globally, there is an increasing prevalence of excessive screen time exposure among young children, including Malaysia. Parents are advised to limit this exposure but there are barriers for many of them to follow this recommendation. To date, there is a lack of studies on the factors that cause these parental barriers. OBJECTIVE This study aimed to determine the parental barrier towards the reduction of excessive child’s screen time and its predictors among parents of children under five years old in Petaling District, Selangor. METHODS A cross-sectional study was conducted from April 2019 to June 2020 among 789 parent-child dyads attending child health clinics in Petaling District, Selangor. Validated self-administered questionnaires were used to capture information on sociodemographic factors, parental influences, child-related factors, environmental factors, and parental barriers. Stratified sampling with probability proportionate to size was employed. Data were analysed with IBM SPSS version 25. Descriptive analysis and bivariate analysis were performed before multiple linear regression was used to identify the predictors of parental barriers. RESULTS The overall mean score of parental barriers was 3.51 ± 0.83, indicating that the average numbers of barriers experienced by parents were more than three. The multivariate analysis showed that the predictors of parental barriers included monthly household income (adjusted β: -0.031, 95% CI: -0.048 to -0.015), parents who worked in public sectors (adjusted β: 0.178, 95% CI: 0.063 to 0.292), positive parental attitude on screens (adjusted β: 0.684, 95% CI: 0.576 to 0.793), parents’ low self-efficacy to influence child’s physical activity (adjusted β: -0.318, 95% CI: -0.432 to -0.204), and child’s screen time (adjusted β: 0.042, 95% CI: 0.024 to 0.061). CONCLUSIONS The strongest predictor of the parental barriers to reduce excessive child’s screen time was the positive parental attitude on screen time. Thus, future intervention strategies should aim to foster correct parental attitudes towards screen time activities among young children.

scholarly journals Prevalence and determinants of intimate partner violence against mothers of children under-five years in central Malawi

2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Mohammad Nuruzzaman Khan ◽  
Liam Riley
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Intimate Partner Violence ◽  
Young Children ◽  
Sexual Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Children Under Five ◽  
Under Five ◽  
Controlling Behavior

Abstract Background: Intimate partner violence (IPV) against women is a pervasive and significant public health problem. The phenomenon is linked to adverse health effects for women and children. Mothers of young children in Malawi can be particularly at risk because of gender-based power imbalances. The objectives of this study were to examine the prevalence and the risk factors of IPV perpetrated by the current or recent partner against mothers of children under five years of age in rural Malawi.Methods: A multistage cross-sectional study design was used. A sample of 538 mothers of young children was randomly selected from postnatal clinics in Dowa district. The WHO's Violence against women instrument was used to collect data. Logistic regressions were used to determine risk factors that were associated with IPV against mothers. Results: The prevalence of IPV controlling behavior, psychological, physical, and sexual violence were 74.7%, 49.4%, 43.7% and 73.2% respectively. In multivariate analyses, mothers whose partners had extra marital affairs were more likely to experience controlling behavior (AOR: 4.97, 95% CI: 2.59-8.55, P<0.001), psychological (AOR: 2.14, 95% CI: 1.486-3.472, P<0.001) and physical (AOR: 2.29, 95% CI: 1.48-3.94, P<0.001) violence than mothers whose partners did not have extra marital affairs. Mothers whose partners consume alcohol were more likely to experience sexual violence (AOR: 2.00, 95% CI: 1.17-3.41, P<0.001) than mothers whose partners did not drink. Finally, mothers who spent more than 30 minutes drawing water were at greater risk of experiencing IPV than mothers who spent less than 30 minutes.Conclusion: This study found a significantly higher prevalence of IPV against mothers in rural Malawi compared to the national prevalence. Programs aimed at reducing the partners’ potential risk behaviors identified in this study are recommended. Public health programs that support increased household access to safe water are also recommended to help mitigate IPV against mothers.

Factors Affecting Stunting among Children Under Five Years of Age in Banyuwangi, East Java

2020 ◽  
Author(s):  
Endah Kusuma Wardani ◽  
◽  
Nurul Eko Widiyastuti ◽  
Lutvia Dwi Rofika ◽  
Wahyu Adri Wirawati ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Supplementary Feeding ◽  
Energy Deficiency ◽  
Factors Affecting ◽  
Children Under Five ◽  
Under Five ◽  
Chronic Energy Deficiency ◽  
History Of

ABSTRACT Background: Stunting, chronic malnutrition, results from the exposure of the fetus and young child to nutritional deficiency and infectious disease. In Indonesia, 30.8% of children were stunted, in which 26.2% was in East Java and 8.1% Banyuwangi Regency. This study aimed to investigate the factors affecting stunting among children under five years of age in Banyuwangi, East Java. Subjects and Method: This was a cross-sectional study conducted at Klatak and Wonosobo Community Health Centers, Central Java. a sample of 60 children under five years of age was selected for this study. The study variables were child’s gender, maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. The frequency distribution data were reported descriptively. Results: The majority of stunted children under study were male (53.3%). Most of the women were at age 20 to 34 years during pregnancy (58.3%). As many as 73.3% mothers were low educated. Most of the mothers were housewives (85%). 78.3% of women took iron supplement during pregnancy. Most of the children did not have the history of chronic energy deficiency (60%). Most of the children received exclusive breastfeeding (61.7%) and supplementary feeding (65%). Only a few children had the history of infectious disease (6.7%). Conclusion: The characteristics of subjects under study vary with maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. Keywords: stunting, children under five years of age, factors Correspondence: Endah Kusuma Wardani. Midwifery Program, School of Health Sciences Banyuwangi. Jl. Letkol Istiqlah No. 109, Banyuwangi, East Java, 68422. Email: [email protected]. Mobile: +6282257193736. DOI: https://doi.org/10.26911/the7thicph.03.80

scholarly journals Epidemiology of COVID-19 infection in young children under five years: A systematic review and meta-analysis

Vaccine ◽  
2020 ◽  
Author(s):  
Mejbah Uddin Bhuiyan ◽  
Eunice Stiboy ◽  
Md. Zakiul Hassan ◽  
Mei Chan ◽  
Md. Saiful Islam ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Children ◽  
Meta Analysis ◽  
Children Under Five ◽  
Under Five

scholarly journals IMPLEMENTASI PROGRAM PERBIKAN GIZI MASYARAKAT KATEGORI BALITA BERSTATUS GIZI KURANG DI KELURAHAN SUNGAI MALANG KABUPATEN HULU SUNGAI UTARA

2019 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Reno Affrian
Keyword(s):  
Family Care ◽  
Improvement Program ◽  
Environmental Aspect ◽  
Factors Affecting ◽  
Children Under Five ◽  
Under Five ◽  
Urban Village ◽  
Postal Services ◽  
Care Pattern ◽  
The Government

Based on Basic Health Research (RKD) and Toddler Operations in North Hulu Sungai Utara, nutritional problems are less increasing in the last three years, 2015 less than 17.32% malnutrition, 2016 less than 20.54% and nutrition prevalence less by 24%. Less nutritional problems in Hulu Sungai Utara Regency are included in the categorization of serious public health problems due to nutritional prevalence above 20%. mapping of the poor urban village region donated the most under-five children under five, namely 537 children under five. Based on the results of the research that the implementation of nutrition improvement program for under-fives under-nutrition category in urang sub-district in the northern river upstream district has not run well enough, it is known from: 1. Environmental aspect in the form of community economic environment and family care pattern, 2. Target group, some program implementers are not yet fully aware of the targets set by the government nationally, 3. Program activities, activities carried out only as routine activities ie immunization activities and postal services yando, 4.Pengelolaan Management and Pengawasa, not fully run well it diliat still lack inter-sectoral coordination, factors affecting nutrition improvement program for under-fives under-fives category in poor urban village influenced by several factors 1. Policy Size and Objectives 2. Resources, 3. Characteristics of implementing agents, 4. Attitudes / implementers, 5. Intercommunications organization and activities of the implementer, 6. Economic, social and political environment.

Technology Resources and Software Recommended for Young Children and Teachers and Evaluating Web Sites

2010 ◽  
pp. 217-232
Author(s):  
Lee Allen ◽  
Sally Blake ◽  
Candice Burkett ◽  
Rene Crow ◽  
Andrew Neil Gibbons ◽  
...  
Keyword(s):  
Young Children ◽  
Web Sites ◽  
Preschool Age ◽  
The Internet ◽  
Children Under Five ◽  
Under Five ◽  
Software Market ◽  
Technology Resources

Technology is being designed for children of all ages, even as young as nine months (Morrison, 2007). The software market is growing rapidly for children from infant to preschool age, with programs for children under five representing the fastest-growing educational softwarea area (Morrison 2007). The Internet provides access to a great collection of resources available for young children and teachers. The following pages may be of interest to educators of young children. There are web sites included for software and articles of interest related to issues concerning technology and young children selected by all authors of our book.

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