scholarly journals Proximate and socio-economic determinants of under-five mortality in Benin, 2017/2018

2020 ◽  
Vol 5 (8) ◽  
pp. e002761
Author(s):  
Sanni Yaya ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Abdul-Aziz Seidu ◽  
Eugene Kofuor Maafo Darteh ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Public Health Problem ◽  
Healthcare Services ◽  
Demographic And Health Surveys ◽  
African Countries ◽  
Economic Determinants ◽  
Under Five ◽  
Under Five Children ◽  
Risk Of Death

BackgroundGlobally, under-five mortality has declined significantly, but still remains a critical public health problem in sub-Saharan African countries such as Benin. Yet, there is no empirical information in the country using a nationally representative data to explain this phenomenon. The aim of this study was to examine how proximate and socio-economic factors are associated with mortality in under-five children in Benin.MethodsWe analysed data of 5977 under-five children using the 2017 to 2018 Benin Demographic and Health Surveys. Multivariable hierarchical logistic regression modelling technique was applied to investigate the factors associated with under-five mortality. The fit of the models were assessed using variance inflation factor and Pseudo R2. Results were reported as adjusted odds ratios (aORs). All comparisons were considered to be statistically significant at p<0.05.ResultsThe study revealed an under-five mortality rate of 96 deaths per 1000 live births in Benin. Regarding the socio-economic determinants, the risk of death was found to be higher in children born in the Plateau region (aOR=3.05; 95% CI: 1.29 to 7.64), in rural areas (aOR=1.45; 95% CI: 1.07 to 1.98) and children with ≥4 birth rank and >2 years of birth interval (aOR=1.52; 95% CI: 1.07 to 2.17). Among the proximate determinants, we found the probability of death to be higher in children whose mothers had no postnatal check-up (PNC) visits after delivery (aOR=1.79; 95% CI: 1.22 to 2.63), but there was no significant association between individual-level/household-level factors and under-five mortality.ConclusionThis study has established that socio-economic and proximate factors are important determinants of under-five mortality in Benin. Our findings have shown the need to implement both socio-economic and proximate interventions, particularly those related to PNC visits when planning on under-five mortality. To achieve this, a comprehensive, long-term public health interventions, which consider the disparity in the access and utilisation of healthcare services in Benin are key.

scholarly journals Socio-demographic and environmental factors of diarrhoea among under-five children in India

2020 ◽  
Author(s):  
Pintu Paul
Keyword(s):  
Public Health ◽  
Health Care ◽  
Environmental Factors ◽  
Health Problem ◽  
Rural Areas ◽  
Public Health Problem ◽  
Diarrhoeal Disease ◽  
Major Public Health Problem ◽  
Under Five ◽  
Under Five Children

Abstract Background Globally, diarrhoea is a second leading cause of deaths among under-five children and is a major public health problem. Despite several health care initiatives, a large proportion of under-five children are still experienced diarrhoeal diseases causes high mortality in India. This study aims to examine the socio-demographic and environmental factors of diarrhoea among children under-five in India.Methods A cross-sectional study was designed using the recent round of the National Family Health Survey (NFHS), conducted in 2015-16. A total of living children below 5 years of age were utilized for the analysis of this study. Bi-variate and multivariate logistic regression were carried out to investigate the factors of childhood diarrhoea.Results In India, about 9% under-five children experience diarrhoeal disease in the past 2 weeks. Children from rural areas (AOR: 1.05; 95% CI: 1.01, 1.09), Scheduled Tribe (AOR: 0.83; 95% CI: 0.79, 0.89) and others caste (AOR: 0.92; 95% CI: 0.88, 0.97), Muslim (AOR: 1.18; 95% CI: 1.13, 1.24), and from central (AOR: 1.61; 95% CI: 1.52, 1.70) and west region (AOR: 1.08; 95% CI: 1.01, 1.15) were significantly associated with higher likelihood of diarrhoea in past 2 weeks. Furthermore, this study also revealed that child’s stool disposal (AOR: 1.06; 95% CI: 0.98, 1.09), floor materials (AOR: 1.08; 95% CI: 1.03, 1.12) and roof materials (AOR: 1.08; 95% CI: 1.04, 1.13) of the household were found to be significant factors of childhood diarrhoea occurrence.Conclusions Diarrhoeal disease remains a serious public health problem in India. The findings of this study suggest strengthening of existing health care programs. Policy intervention should also address socio-economic vulnerabilities of mothers and children to combat the incidence of diarrhoea. In addition, provisioning of sanitation and housing facilities may help positively to control diarrhoeal disease that could eventually reduce the incidence of child mortality.

scholarly journals Diarrhea and associated factors among under five children in sub-Saharan Africa: Evidence from demographic and health surveys of 34 sub-Saharan countries

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257522
Author(s):  
Getu Debalkie Demissie ◽  
Yigizie Yeshaw ◽  
Wallelign Aleminew ◽  
Yonas Akalu
Keyword(s):  
Associated Factors ◽  
Maternal Education ◽  
Wealth Index ◽  
Water Source ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
African Countries ◽  
Under Five ◽  
Under Five Children ◽  
Sub Saharan

Introduction Diarrhea is responsible for the death of more than 90% of under-five children in low and lower-middle income countries. Regionally, South Asia and sub-Saharan Africa accounted for 88% of deaths with the same age group. Therefore, the aim of this study was to determine the prevalence and associated factors of diarrhea among children under-five years in sub-Saharan Africa. Methods The appended, most recent demographic and health survey datasets of 34 sub-Saharan African countries were used to determine the prevalence and associated factors of diarrhea among under-five children in the region. A total weighted sample of 330,866 under-five children were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of diarrhea among under five children in sub-Saharan Africa. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential factors included in the final model. Result The overall prevalence of diarrhea in this study was 15.3% (95% CI: 15.1–15.4). Those children of mothers aged 15–24 (AOR = 1.26; 95% CI: 1.23, 1.30) and 25–34 years (AOR = 1.15; 95%CI: 1.12, 1.18), those children of mothers with no education (AOR = 1.69; 95%CI: 1.57–1.82), primary education (AOR = 1.73; 95%CI: 1.61–1.86) and secondary education (AOR = 1.49; 95%CI: 1.38–1.59) had higher odds of having diarrhea. Those children from poorest (AOR = 1.14; 95%CI: 1.10, 1.19), poorer (AOR = 1.12; 95%CI: 1.08–1.17), middle (AOR = 1.06; 95%CI: 1.02, 1.10), and richer (AOR = 1.14; 95%CI: 1.04–1.12) households had higher chance of having diarrhea compared to their counterparts. Conclusion This study found that the prevalence of childhood diarrhea morbidity in sub-Saharan Africa was high. Maternal age, wealth index, maternal education, maternal occupation, age of child, time of initiation of breast feeding and time to get water source were significantly associated with diarrhea. Therefore, intervention through health education and health promotion for mothers/caretakers who are poor, less educated, and young should be designed to prevent diarrhea in the region.

scholarly journals Pneumonia remains a leading public health problem among under-five children in peri-urban areas of north-eastern Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0235818
Author(s):  
Awoke Keleb ◽  
Tadesse Sisay ◽  
Kassahun Alemu ◽  
Ayechew Ademas ◽  
Mistir Lingerew ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Urban Areas ◽  
Public Health Problem ◽  
Eastern Ethiopia ◽  
Under Five ◽  
Under Five Children ◽  
North Eastern

scholarly journals Determinants of neonatal, infant and under-five mortality in a war-affected country: analysis of the 2010 Household Health Survey in South Sudan

2018 ◽  
Vol 3 (1) ◽  
pp. e000510 ◽  
Author(s):  
Ngatho Samuel Mugo ◽  
Kingsley E Agho ◽  
Anthony B Zwi ◽  
Eliaba Yona Damundu ◽  
Michael J Dibley
Keyword(s):  
Rural Areas ◽  
South Sudan ◽  
Household Survey ◽  
Childhood Mortality ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children ◽  
Risk Of Death ◽  
Country Analysis ◽  
Urban And Rural Areas

BackgroundUnder-five children born in a fragile and war-affected setting of South Sudan are faced with a high risk of death as reflecting in high under-five mortality. In South Sudan health inequities and inequitable condition of daily living play a significant role in childhood mortality. This study examines factors associated with under-five mortality in South Sudan.MethodsThe study population includes 8125 singleton, live birth, under-five children born in South Sudan within 5 years prior to the 2010 South Sudan Household Survey. Factors associated with neonatal, infant and under-five deaths were examined using generalised linear latent and mixed models with the logit link and binomial family that adjusted for cluster and survey weights.ResultsThe multivariate analysis showed that mothers who reported a previous death of a child reported significantly higher risk of neonatal (adjusted OR (AOR)=3.74, 95% confidence interval (CI 2.88 to 4.87), P<0.001), infant (AOR=3.19, 95% CI (2.62 to 3.88), P<0.001) and under-five deaths (AOR=3.07, 95% CI (2.58 to 3.64), P<0.001). Other associated factors included urban dwellers (AOR=1.37, 95% CI (1.01 to 1.87), P=0.045) for neonatal, (AOR=1.35, 95% CI (1.08 to 1.69), P=0.009) for infants and (AOR=1.39, 95% CI (1.13 to 1.71), P=0.002) for under-five death. Unimproved sources of drinking water were significantly associated with neonatal mortality (AOR=1.91, 95% CI (1.11 to 3.31), P=0.02).ConclusionsThis study suggested that the condition and circumstances in which the child is born into, and lives with, play a role in under-five mortality, such as higher mortality among children born to teenage mothers. Ensuring equitable healthcare service delivery to all disadvantaged populations of children in both urban and rural areas is essential but remains a challenge, while violence continues in South Sudan.

scholarly journals Identifying factors determining the survival time of under-five year children in rural parts of Ethiopia

2021 ◽  
Author(s):  
Lema Abate Adulo ◽  
Samuel Getachew Zewudie
Keyword(s):  
Survival Time ◽  
Rural Areas ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Child Survival ◽  
Significant Risk ◽  
Under Five ◽  
Under Five Children ◽  
Risk Of Death ◽  
Mother Education

Abstract In Ethiopia, the remarkable progress in child survival was made. However, Ethiopia is ranked as fifth burden countries of under-five deaths, particularly in rural areas. Therefore, this study was aimed to identify determinants that causes under-five death in the rural parts of Ethiopia. Only 7301 women from rural residence who had under-five children were involved in this study. Descriptive, None-parametric and Cox proportional hazard regression analysis were used to examine the determinants associated with the under-five mortality. This study revealed that 6.5% of children were died before reaching their fifth birthday in the rural parts of Ethiopia. Sex, place of delivery, family size, Mother education, number of under-five children, contraceptive use and source of drinking water had significant effect on the survival time of under-five children. Conclusion: A significant risk factors associated with under-five mortality in rural areas were identified in this study. Children delivered at home, children from uneducated mothers, children from not using contraceptive method mothers, drink water from not piped source had higher risk of death. Giving awareness about benefits of delivering in health facility and uses of contraceptive method, improving mother education and infrastructure like sources of water, decreases mortality of under-five children.

scholarly journals Water, sanitation, and hygiene as a priority intervention for stunting in under-five children in northwest Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Ayechew Ademas ◽  
Metadel Adane ◽  
Awoke Keleb ◽  
Gete Berihun ◽  
Getu Tesfaw
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene

Abstract Background Stunting was a significant public health problem for under-five in developing countries including Ethiopia. Globally, it was estimated 21.9% or 149 million (81.7 million in Asia and 58.8 million in Africa) under-five children stunted in 2018. In East Africa, 24 million are stunted which is the highest-burden from African regions. Hence, this study aimed to assess the prevalence of stunting and its association with Water Sanitation and Hygiene (WASH) in northwestern Ethiopia. Method A community-based cross-sectional study design was conducted among 630 participants from December to mid-January 2019. From five kebeles, two were selected by a simple random sampling technique for the study. To reach study participants a systematic sampling technique was used. Data were collected by using an observational checklist, pretested questionnaire, and anthropometric measurement. Anthropometric indicator, height-for-age was determined using the current World Health Organization (WHO) growth standards. Multivariable logistic regression analysis was computed to analyze the data. From the multivariable analysis the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and P-value < 0.05 were used to declare statistical significance. Result The prevalence of stunting among under-five children was 35.6% (95%CI; 31.9–39.5%). The result from this study showed that having illiterate father and mother, give birth before marriage (single), large family size, short maternal height, unimproved drinking water source, unimproved sanitation, poor hygienic practice, having diarrhea in the previous 2 weeks before the data collection, method of child feeding, age at which complementary feeding started, frequency of feeding, not deworming and mothers who had antenatal care visit of fewer than three times were statistically associated with stunting. Conclusion In this study, stunting was an important public health problem among under-five children. It remains the same as the national average prevalence of Ethiopia. To alleviate this problem proper family planning utilization, good dietary intake, maternal and paternal education, and WASH interventions are critical.

scholarly journals Prevalence of anemia and associated risk factor among under-five children in Asella Teaching and Referral Hospital, Arsi University, Asella, Ethiopia

2020 ◽  
Author(s):  
Getahun Megersa Alemu ◽  
Shimelis Teshome Ayalneh ◽  
Bekele Gutema Waye
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Preschool Age ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Under Five ◽  
Under Five Children ◽  
Preschool Age Children ◽  
Prevalence Of Anemia

Abstract Anemia is a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood or both which results in a lowered ability of the blood to carry oxygen. According to a 2008 WHO report indicate that more than half of the world’s preschool-age children (56.3%) reside in countries where anemia is a severe public health problem. In sub-Saharan Africa, it is a severe public health problem among preschool-age children. In this region, much of the national prevalence is estimated to be above 40% among this age group. In Ethiopia, more than 44% of under-five children are anemic. Furthermore, a 2016 report national-level indicates even there was intervention the prevalence increased significantly to 72.3%. It means that the prevalence of anemia is still at the highest public health problem in Ethiopia. The Objectives of the study is to assess the prevalence of anemia and associated factors among under-five children attending the pediatrics outpatient department in Asella teaching and referral Hospital from June 2018 to October 30, 2018. An Institutional based cross-sectional study was conducted by non-probability convenience sampling technique; 338 children were selected. The results of the study showed that the overall prevalence of anemia among under-five children was 36.7%, around 21(6.2%) of them were found to be severely anemic, whereas 37 (10.9%) were moderately anemic. Factors like child’s age [AOR=2.36, 95%CI (1.18, 3.74)] and birth intervals [AOR=3.31, 95%CI (1.17, 3.6)], were associated with anemia. Anemia remains a common health problem in the study area among under-five children and further studies are needed to focus on etiologies and interventions.

scholarly journals Trends of inequalities in care seeking behavior for under-five children with suspected pneumonia in Ethiopia: evidence from Ethiopia demographic and health surveys (2005–2016)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye ◽  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Care Seeking ◽  
Health Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Index Of Inequality ◽  
Suspected Pneumonia

Abstract Background Pneumonia is a leading public health problem in under-five children worldwide and particularly in Africa. Unfortunately, progress in reducing pneumonia related mortality has been slow. The number of children with symptoms of pneumonia taken to health facilities for treatment is low in Ethiopia, and disparities among sub-groups regarding health seeking behavior for pneumonia have not been well explored in the region. This study assessed the trends of inequalities in care seeking behavior for children under five years of age with suspected pneumonia in Ethiopia. Methods Using cross-sectional data from the 2005, 2011 and 2016 Ethiopia Demographic and Health Surveys (DHS) and the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT), this study investigated the inequalities in health seeking behavior for children with suspected pneumonia. Four measures of inequality were calculated: Difference, Ratio, Slope Index of Inequality and Relative Index of Inequality. Results were disaggregated by wealth, education, residence, and sex with computed 95% Uncertainty Intervals for each point estimate to determine significance. Results The percentage of under-five children with symptoms of pneumonia who were taken to a health facility was significantly lower for children in the poorest families, 15.48% (95% UI; 9.77, 23.64) as compared to children in the richest families, 61.72% (95% UI; 45.06, 76.02) in 2011. Substantial absolute (SII = 35.61; 95% UI: 25.31, 45.92) and relative (RII = 4.04%; 95% UI: 2.25, 5.84) economic inequalities were also observed. Both educational and geographic inequalities were observed; (RII = 2.07; 95% UI: 1.08, 3.06) and (D = 28.26; 95% UI: 7.14, 49.37), respectively. Economic inequality decreased from 2011 to 2016. There was no statistically significant difference between male and female under-five children with pneumonia symptoms taken to health facility, in all the studied years. Conclusions Health care seeking behavior for children with pneumonia was lower among the poorest and non-educated families as well as children in rural regions. Policies and strategies need to target subpopulations lagging behind in seeking care for pneumonia treatment as it impedes achievement of key UN sustainable development goals (SDGs).

scholarly journals Endemicity of malaria in rural areas: A prospective longitudinal study in India

2013 ◽  
Vol 2 (2) ◽  
pp. 28-33
Author(s):  
Mohammad Athar Ansari ◽  
Iqbal Mohd Khan
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Public Health Problem ◽  
Integrated Approach ◽  
Presumptive Treatment ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Paramedical Staff ◽  
Increasing Trend ◽  
Prospective Longitudinal

The aim of the study is to assess the magnitude of the problem and certain epidemiological factors associated with malaria and examine the changing pattern of malaria through its parameters of measurement during 2009-2011. The study was carried out at the Rural Health Training Center (RHTC), under the J. N. Medical College, Aligarh Mus-lim University, Aligarh, (India) for three years from 1st January 2009 to 31st December 2011. Teams of doctors and paramedical staff regularly visited the villages. If any person was found to be suffering from fever, his/her blood was examined for the malaria parasite. Patients were given presumptive treatment and radical treatment if slides were positive. The findings of the study demonstrated that the number of malaria cases increased during the study period, but in the year 2010, a sudden upsurge was noticed. Out of 5594 patients, most of the patients seen were in the age group of 11-20 years (34.3%). P. vivax (96.2%) was the most common malaria infection in these areas. An increasing trend of malaria was seen from July to October. Most of the parameters of malaria measurement in-creased many folds in 2010 and showed a declining trend in 2011. The overall findings of the study indicated the high endemicity of malaria in the study area and demonstrated a changing pattern of malaria in the registered vil-lages as most of the parameters of malaria measurement increased. An integrated approach is needed which in-cludes mass survey or active surveillance, and appropriate drug therapy to tackle this public health problem. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15940 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 28-33

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