scholarly journals Trends and factors associated with acute respiratory infection among under five children in Zambia: evidence from Zambia's demographic and health surveys: 1996-2014

2020 ◽  
Vol 36 ◽  
Author(s):  
Nelia Langa Mulambya ◽  
Francis Hamaimbo Nanzaluka ◽  
Ntazana Nana Sinyangwe ◽  
Mpundu Makasa
Keyword(s):  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

scholarly journals A Multilevel Analysis Factors Associated With Diarrhea Among Under-five Children in Ethiopia Using 2016 EDHS Data: Individual and Community Level Factors.

2021 ◽  
Author(s):  
Mekasha Demeke Getnet ◽  
Esubalew Tesfahun
Keyword(s):  
Health Surveys ◽  
Maternal Education ◽  
Community Level ◽  
Demographic And Health Surveys ◽  
High Morbidity ◽  
Childhood Diarrhea ◽  
Individual Level ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Abstract Background: Despite numerous attempts, diarrhea remains one of the leading causes of death among children under the age of five around the world. Globally, diarrhea is the second prominent cause of death in children next to pneumonia. Every year, there are 1.7 billion children who develop diarrhea and at least 525,000 die from diarrhea. In low- and middle-income countries such as Ethiopia, diarrhea still remains one of the health problems due to its high morbidity and mortality. This study was conducted identify factors associated with diarrhea at community (cluster) level and individual level.Objectives: To assess individual and community level factors of childhood (0–59months) diarrhea in Ethiopia by using the 2016 Ethiopian Demography and Health surveys (EDHS) data, 2020. Methods: A cross-sectional secondary analysis of data pooled from 2016 Ethiopian Demographic and Health Surveys (EDHS) data was used. The analysis was done using Stata version 14.2. A multilevel logistic regression model was used to identify independent predictors of childhood diarrhea. Odds ratio with 95% CI was used in identifying the association between dependent and independent predictors Result: The prevalence of diarrhea in Ethiopia based on EDHS 2016 was 11.78%.The odds of diarrhea among children reside in rural area were 1.84 times more likely to develop diarrhea (AOR=1.82; 95% CI: 1.52-2.16) as compared to urban dwellers. Those children aged between 13 and 24 months were 2.2 times more likely to have diarrhea than (AOR=2.2, 2.15-2.98) their older counter parts (48-59 months). The measure of variation was also assessed by using ICC, MOR, and DIC with the result of 10.08, 1.56 and 316.18 respectively.Conclusion: Our findings identified that childhood diarrhea was affected by not only individual level factors but also community-level factors. At the individual level (age of the women, number of under five children in the households, age of the child, number of family members, maternal education, and the number of under-5 children) and the community-level, place of residence were significant factors associated with childhood diarrhea in Ethiopia.

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 Risk factors of acute respiratory infections among under five children attending public hospitals in southern Tigray, Ethiopia, 2016/2017

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sielu Alemayehu ◽  
Kalayou Kidanu ◽  
Tensay Kahsay ◽  
Mekuria Kassa
Keyword(s):  
Risk Factors ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Public Hospitals ◽  
Cow Dung ◽  
Acute Respiratory Infections ◽  
Under Five ◽  
Under Five Children ◽  
Maternal Literacy

Abstract Background Acute Respiratory infection accounts for 94,037000 disability adjusted life years and 1.9 million deaths worldwide. Acute respiratory infections is the most common causes of under-five illness and mortality. The under five children gets three to six episodes of acute respiratory infections annually regardless of where they live. Disease burden due to acute respiratory infection is 10–50 times higher in developing countries when compared to developed countries. The aim of this study was to assess risk factors of acute respiratory infection among under-five children attending Public hospitals in Southern Tigray, Ethiopia 2016/2017. Methods Institution based case control study was conducted from Nov 2016 to June 2017. Interviewer administered structured questionnaire was used to collect data from a sample of 288 (96 cases and 192 controls) children under 5 years of age. Systematic random sampling was used to recruit study subjects and SPSS version 20 was used to analyze the data. Bivariate and multivariate analysis were employed to examine statistical association between the outcome variable and selected independent variables at 95% confidence level. Level of statistical Significance was declared at p < 0.05. Tables, figures and texts were used to present data. Result One hundred sixty (55.6%) and 128 (44.4%) of the participants were males and females respectively. Malnutrition (AOR = 2.89; 95%CI: 1.584–8.951; p = 0.039), cow dung use (AOR =2.21; 95%CI: 1.121–9.373; p = 0.014), presence of smoker in the family (AOR = 0.638; 95% CI: 0.046–0.980; p = 0.042) and maternal literacy (AOR = 3.098; 95%CI: 1.387–18.729; p = 0.021) were found to be significant predictors of acute respiratory infection among under five children. Conclusion According to this study maternal literacy, smoking, cow dung use and nutritional status were strongly associated with increased risk of childhood acute respiratory infection. Health care providers should work jointly with the general public, so that scientific knowledge and guidelines for adopting particular preventive measures for acute respiratory infection are disseminated.

scholarly journals Prevalence of acute respiratory infection among under-five children in urban and rural areas of puducherry, India

2015 ◽  
Vol 6 (1) ◽  
pp. 3 ◽  
Author(s):  
SGanesh Kumar ◽  
Anindo Majumdar ◽  
Veera Kumar ◽  
BijayNanda Naik ◽  
Kalaiselvi Selvaraj ◽  
...  
Keyword(s):  
Respiratory Infection ◽  
Rural Areas ◽  
Acute Respiratory Infection ◽  
Under Five ◽  
Under Five Children ◽  
Urban And Rural Areas

scholarly journals Determinants of acute respiratory infection among under-five children in rural Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amanuel Mengistu Merera
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Regression Model ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Logistic Regression Model ◽  
P Value ◽  
Under Five ◽  
Under Five Children ◽  
Rural Ethiopia

Abstract Introduction In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 to 33.5%. The goal of this study was to determine the risk factors for acute respiratory infection in children under the age of five in rural Ethiopia. Methods A cross-sectional study involving 7911 children under the age of five from rural Ethiopia was carried out from January 18 to June 27, 2016. A two stage cluster sampling technique was used recruit study subjects and SPSS version 20 was used to extract and analyze data. A binary logistic regression model was used to identify factors associated with a childhood acute respiratory infection. The multivariable logistic regression analysis includes variables with a p-value less than 0.2 during the bivariate logistic regression analysis. Adjusted odds ratios were used as measures of effect with a 95% confidence interval (CI) and variables with a p-value less than 0.05 were considered as significantly associated with an acute respiratory infection. Results The total ARI prevalence rate among 7911 under-five children from rural Ethiopia was 7.8%, according to the findings of the study. The highest prevalence of ARI was found in Oromia (12.8%), followed by Tigray (12.7%), with the lowest frequency found in Benishangul Gumuz (2.4%). A multivariable logistic regression model revealed that child from Poor household (AOR = 2.170, 95% CI: 1.631–2.887), mother’s no education (AOR = 2.050,95% CI: 1.017–4.133), mother’s Primary education (AOR = 2.387, 95% CI:1.176–4.845), child had not received vitamin A (AOR = 1.926, 95% CI:1.578–2.351), child had no diarrhea (AOR = 0.257, 95% CI: 0.210–0.314), mothers not working (AOR = 0.773, 95% CI:0.630–0.948), not stunted (AOR = 0.663, 95% CI: 0.552–0.796), and not improved water source (AOR = 1.715, 95% CI: 1.395–2.109). Similarly, among under-five children, the age of the child, the month of data collection, anemia status, and the province were all substantially linked to ARI. Conclusions Childhood ARI morbidity is a serious health challenge in rural Ethiopia, according to this study, with demographic, socioeconomic, nutritional, health, and environmental factors all having a role. As a result, regional governments, healthcare staff, and concerned groups should place a priority on reducing ARI, and attempts to solve the issue should take these variables into account.

scholarly journals Bayesian Multilevel Analysis of Determinants of Acute Respiratory Infection in Children under the Age of Five Years in Ethiopia

2020 ◽  
Author(s):  
Amanuel Merera ◽  
Tilahun Asena ◽  
Mebratu Senbeta
Keyword(s):  
Drinking Water ◽  
Vitamin A ◽  
Respiratory Infection ◽  
Prevalence Rate ◽  
Acute Respiratory Infection ◽  
Wealth Index ◽  
Household Wealth ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children

Abstract Background: Acute respiratory tract infection (ARI) is a leading cause of morbidity and mortality in children under the age of five years in the world. ARIs, principally pneumonia, account for approximately 1.9 million (1.6 - 2.2 million) deaths globally in children under the age of five years in Ethiopia. Among these deaths majority occur in the developing world. The share for low and middle-income countries takes the highest indeed. In Ethiopia, the prevalence rate of ARI was 7% according to 2016 EDHS estimates. Method: Bayesian multilevel approach was employed to assess possible factors associated with the prevalence of acute respiratory infection (ARI) among under-five children in Ethiopia. The data was collected from 10,641 children under the age of five years out of which 9,918 children were considered in this study. Result: The ARI prevalence rate for children under five years was estimated as 8.4%, which was slightly higher than the estimated prevalence level of the country. The highest proportion of the prevalence of ARI was observed for children whose mothers had no education. The major health, environmental and nutritional related background characteristics of the proportion of children who had ARI varied from one region to another. The highest prevalence of ARI was observed in Tigray (15.31%) followed by Oromia (14.40%) as opposed to the low prevalence which was recorded in Benishangul Gumuz (2.58%). The utilization of vitamin A was analyzed and the results shows that about 43.10% who received vitamin A had the lowest proportion on the prevalence of ARI (7.75%) compared to not having vitamin A. About 11.13% of under-five children had Diarrhea with the highest prevalence of ARI (24.64%) and the highest prevalence of ARI was observed for the child whose source of drinking water were unprotected/unimproved (9.39%). Conclusion: The age of the child, household wealth index, mother educational level, and vitamin A supplement, history of diarrhea, maternal work, stunting and source of drinking water were found to be significantly affecting the prevalence of ARI among children under five years. Furthermore, the study revealed that there is a significant variation of incidence of ARI between and within the regions of Ethiopia. Attention should be given to those predictor variables while planning to increase the health status of children in Ethiopia.

scholarly journals Determinants of Acute Respiratory Infection among Under-Five Children in Rural Ethiopia

2021 ◽  
Author(s):  
Amanuel Mengistu Merera
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Regression Model ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Logistic Regression Model ◽  
P Value ◽  
Under Five ◽  
Under Five Children ◽  
Rural Ethiopia

Abstract Introduction: In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 % to 33.5 %. The goal of this study was to determine the risk factors for acute respiratory infection in children under the age of five in rural Ethiopia. Methods: A cross-sectional study involving 7,911 children under the age of five from rural Ethiopia was carried out from January 18 to June 27, 2016. A two stage cluster sampling technique was used recruit study subjects and SPSS version 20 was used to extract and analyze data. A binary logistic regression model was used to identify factors associated with a childhood acute respiratory infection. The multivariable logistic regression analysis includes variables with a p-value less than 0.2 during the bivariate logistic regression analysis. Adjusted odds ratios were used as measures of effect with a 95% confidence interval (CI) and variables with a p-value less than 0.05 were considered as significantly associated with an acute respiratory infection. Results: The total ARI prevalence rate among 7,911 under-five children from rural Ethiopia was 7.8%, according to the findings of the study. The highest prevalence of ARI was found in Oromia (12.8 %), followed by Tigray (12.7 %), with the lowest frequency found in Benishangul Gumuz (2.4 %). A multivariable logistic regression model revealed that child from Poor household (AOR=2.170, 95% CI: 1.631-2.887), mother’s no education (AOR=2.050,95% CI: 1.017-4.133), mother’s Primary education (AOR=2.387, 95% CI:1.176-4.845), child had not received vitamin A (AOR=1.926, 95% CI:1.578-2.351), child had no diarrhea (AOR=0.257, 95% CI: 0.210-0.314), mothers not working (AOR=0.773, 95% CI:0.630-0.948), not stunted (AOR=0.663, 95% CI: 0.552-0.796), and not improved water source (AOR=1.715, 95% CI: 1.395-2.109). Similarly, among under-five children, the age of the child, the month of data collection, anemia status, and the province were all substantially linked to ARI. Conclusions: Childhood ARI morbidity is a serious health challenge in rural Ethiopia, according to this study, with demographic, socioeconomic, nutritional, health, and environmental factors all having a role. As a result, regional governments, healthcare staff, and concerned groups should place a priority on reducing ARI, and attempts to solve the issue should take these variables into account.

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