scholarly journals Knowledge of integrated management of childhood illnesses community and family practices (C-IMCI) and association with child undernutrition in Northern Uganda: a cross-sectional study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
David Mukunya ◽  
Samuel Kizito ◽  
Tonny Orach ◽  
Regina Ndagire ◽  
Emily Tumwakire ◽  
...  
Keyword(s):  
Integrated Management ◽  
Cross Sectional Study ◽  
Northern Uganda ◽  
Sectional Study ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Childhood Illnesses ◽  
Family Practices

scholarly journals Clinical Assessment of Integrated Management of Childhood Illnesses (Imci) Given by Professionals Trained Between 2012 and 2015 in Colombia: A Cross-Sectional Study

2021 ◽  
Author(s):  
Jovana Alexandra Ocampo Cañas ◽  
Andrés Mauricio García Sierra ◽  
Yaira Yohanna Pardo Mora ◽  
Diana Sofía Rios Oliveros ◽  
Álvaro José Ayala Galvis ◽  
...  
Keyword(s):  
Infant Mortality ◽  
General Practitioners ◽  
Integrated Management ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Correct Evaluation ◽  
Cross Sectional ◽  
Danger Signs ◽  
Childhood Illnesses ◽  
Basic Care

Abstract Background In Colombia, official statistics indicate that infant mortality by 2020 would reach 7.22 per thousand live births. Prevalent and preventable diseases represent 70% of total infant mortality, so strategies such as Integrated Management of Childhood Illnesses (IMCI) are still relevant for the country. This research seeks to establish whether the professionals trained in IMCI between 2011 and 2015 apply the strategy in the prevention and care of children under 5 years of age. Methods A cross-sectional study was carried out in general practitioners, nurses and pediatricians who had some level of training in the IMCI strategy between 2012 and 2015. A survey based on the basic competences established in the framework of the IMCI strategy was used: evaluate, classify, and treat and, in addition, the basic care registry component was incorporated. Results Skills in the IMCI Strategy were observed in 259 consultations for children. 229 children were between 2 months and 5 years old, 30 children were between 0 and 2 months old (84.4% vs 11.6%, respectively). 51.4% of the evaluations were carried out in the Public Health Service Provider Institutions (HPIs) compared to 48.6% (126/259) in the private HPI. In children from 0 to 2 months, 92% of general practitioners, 82.58% of nurses, and 59.39% of pediatricians correctly assessed danger signs. In children from 2 months to 5 years, the health professional who best evaluated the danger signs was the pediatrician with a 70% correct evaluation, followed by nurses and general practitioners with a 65% correct evaluation. Conclusions Pediatricians were shown to perform better on the IMCI strategy in children 2 to 5 years of age. However, in the 0–2-month age group, general practitioners and nurses outperformed pediatricians on the IMCI strategy

scholarly journals Predictors of Health Seeking Behaviours for Common Childhood Illnesses in Poor Resource Settings in Zambia, A Community Cross Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Golden Apuleni ◽  
Choolwe Jacobs ◽  
Patrick Musonda
Keyword(s):  
Health Care ◽  
Marital Status ◽  
Cross Sectional Study ◽  
Education Level ◽  
Child Health Services ◽  
Sectional Study ◽  
Health Seeking ◽  
Cross Sectional ◽  
Seek Health Care ◽  
Childhood Illnesses

Background: Developing countries, including Zambia, account for larger share of child morbidities and mortalities due to common childhood illnesses. Studies on wider determinants of behaviour pertaining to treatment seeking for childhood febrile illnesses in poor resource settings are limited. This study investigated health seeking behaviours of mothers in poor resource settings of Zambia and identified associated factors.Methods: Secondary data from a community cross sectional study design from the Health for the Poorest Population (HPP) Project was analysed between March and May 2019. Data was collected between May and August, 2013. It was collected by means of administering a structured questionnaire from the mothers of under-five children. The survey took place in Samfya and Chiengi of Luapula province while in Northern Province, Luwingu and Mungwi were settled for. A total of 1 653 mothers of under 5 years who had an episode of diarrhoea, malaria, pneumonia or a combination of any of them not more than 14 days before the interview were included in the study. A sample size was arrived at using A Lot Quality Assurance Sampling (LQAS) method. In order to determine the associations between respondent's demographic characteristics and health seeking behaviour, chi square test of independence was carried out. Multivariable logistic regression was also done to identify predictors of health seeking behaviours for common childhood illnesses in children aged <5 years old in poor resource settings.Results: Among the mothers interviewed, 64.6% were married while 35.4% were unmarried. Their mean age was 32 years. Mothers who took their sick children to the health facilities for the purpose of seeking health care for their child for either of the illnesses accounted for 75.2%, [95% CI: 0.62–0.96], while 24.8% did not seek health care for their sick child. Factors typically associated with health seeking behaviours were mothers' marital status [aOR = 0.74; 95% CI: 0.58–0.94], and mothers ‘education level [aOR = 1.47; 95% CI: 1.13–1.92].Conclusion: It was established in this study that health care seeking behaviours for these common childhood illnesses in poor resource settings was relatively high and could be predicted by mother's education level and mothers' marital status. Integrating interventions targeted at increasing utilisation of maternal and child health services with basic education to women and moral support counselling to families may potentially maximise health seeking behaviours in marginalised communities.

Knowledge and practice of handwashing with soap among mothers of children aged under 11 in some mountainous provinces in Vietnam, 2019

2021 ◽  
Vol 31 (4) ◽  
pp. 92-99
Author(s):  
Tran Quynh Anh ◽  
Le Thi Huong Ly ◽  
Nguyen Thi Lien Huong
Keyword(s):  
Associated Factors ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Childhood Illnesses ◽  
Diary Method ◽  
Knowledge And Practice ◽  
Handwashing With Soap ◽  
Hoa Binh

Handwashing with soap (HWWS) practice among mothers is critical in preventing childhood illnesses. This study aims to describe HWWS knowledge and practice among mothers of children aged under 11 and associated factors. This cross-sectional study was conducted on 319 mothers in 4 provinces in Vietnam, namely Dien Bien, Tuyen Quang, Hoa Binh, and Dak Lak, representing the region Northern Mountains and Central Highlands 2019. Knowledge of HWWS is measured through questionnaire interviews. HWWS practice is measured by the “Sticker Diary” method. Results show that while the proportion of mothers with knowledge on HWWS after defecation/toilet/using latrine is 84.6%, only 19.4% of mothers said that they need to HWWS after cleaning a child’s bottom/child’s feces, 17.6% before feeding children, and 39.2% HWWS before cooking/serving food. Less than 50% of mothers practice washing their hands with soap at critical times. The study shows a signifcant association between attributes such as educational level, occupation, economic status, and knowledge of HWWS. The study also fnds an association between the ethnic group, fnancial situation, knowledge, and practice HWWS among mothers of children under age 11.

Colostrum Avoidance Practice among primigavida Mothers in Urban Northwest Ethiopia. A Cross-Sectional Study

2020 ◽  
Author(s):  
Tilksew Ayalew ◽  
Eden Asmare
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Childhood Illnesses ◽  
Complete Form ◽  
Strength Of Association

Abstract Background: Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants’ growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers Method: A community- based cross-sectional study was conducted from March to April 2016 among (n=398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05.Results: Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%).Married mothers (OR=4.52, p<0.05), employed mothers (OR=3.46, p<0.05), mothers underwent normal delivery (OR=5.20, p<0.05) and mothers who initiated breastfeeding within 1 hr. (OR=2.79, p=0.05) were less likely to discard colostrum.Conclusion: The current study revealed that colostrum was discarded by 8.8 % of premiparious mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within one hour were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase optimal breastfeeding among premiparious mothers.

scholarly journals Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study

2020 ◽  
Vol 48 (1) ◽  
Author(s):  
David Mukunya ◽  
Beatrice Odongkara ◽  
Thereza Piloya ◽  
Victoria Nankabirwa ◽  
Vincentina Achora ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Northern Uganda ◽  
Sectional Study ◽  
Neonatal Hypoglycemia ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
Child Age

Abstract Background Neonatal hypoglycemia is the most common endocrine abnormality in children, which is associated with increased morbidity and mortality. The burden and risk factors of neonatal hypoglycemia in rural communities in sub-Saharan Africa are unknown. Objective To determine the prevalence and risk factors for neonatal hypoglycemia in Lira District, Northern Uganda. Methods This was a community-based cross-sectional study, nested in a cluster randomized controlled trial designed to promote health facility births and newborn care practices in Lira District, Northern Uganda. This study recruited neonates born to mothers in the parent study. Random blood glucose was measured using an On Call® Plus glucometer (ACON Laboratories, Inc., 10125 Mesa Road, San Diego, CA, USA). We defined hypoglycemia as a blood glucose of < 47 mg/dl. To determine the factors associated with neonatal hypoglycemia, a multivariable linear regression mixed-effects model was used. Results We examined 1416 participants of mean age 3.1 days (standard deviation (SD) 2.1) and mean weight of 3.2 kg (SD 0.5). The mean neonatal blood glucose level was 81.6 mg/dl (SD 16.8). The prevalence of a blood glucose concentration of < 47 mg/dl was 2.2% (31/1416): 95% CI 1.2%, 3.9%. The risk factors for neonatal hypoglycemia were delayed breastfeeding initiation [adjusted mean difference, − 2.6; 95% CI, − 4.4, − 0.79] and child age of 3 days or less [adjusted mean, − 12.2; 95% CI, − 14.0, − 10.4]. Conclusion The incidence of neonatal hypoglycemia was low in this community and was predicted by delay in initiating breastfeeding and a child age of 3 days or less. We therefore suggest targeted screening and management of neonatal hypoglycemia among neonates before 3 days of age and those who are delayed in the onset of breastfeeding.

Association of Sitting Time and Physical Activity With CKD: A Cross-sectional Study in Family Practices

2012 ◽  
Vol 60 (4) ◽  
pp. 583-590 ◽  
Author(s):  
Nilesh Bharakhada ◽  
Thomas Yates ◽  
Melanie J. Davies ◽  
Emma G. Wilmot ◽  
Charlotte Edwardson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cross Sectional Study ◽  
Sitting Time ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Practices

scholarly journals Double Burden of Malnutrition (DBM) and Anaemia under the Same Roof: A Bangladesh Perspective

2018 ◽  
Author(s):  
Sumaiya Mamun ◽  
Christopher Guy Nicholas Mascie-Taylor
Keyword(s):  
Drinking Water ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Demographic Health Survey ◽  
Sectional Study ◽  
Double Burden ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Double Burden Of Malnutrition ◽  
Maternal Overweight

Double burden of malnutrition (DBM) and anaemia is a growing concern in developing countries. 5,763 mother-child pairs were selected from a cross-sectional study (Bangladesh Demographic Health Survey, 2011) to examine DBM and anaemia in households. Overweight mothers had stunted (24.5%), underweight (19.8%), wasted (9.3%) and anaemic (51.7%) children. Region and drinking water were positively associated with both DBM and anaemia (p &lt; 0.001). Father&rsquo;s occupation and wealth index were positively associated with DBM (p &lt;0.001) only. More policies and awareness programmes are needed to address the coexistence of child undernutrition and maternal overweight/obesity and anaemia in the same household.

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