Erratum to: The management of the faeces passed by under five children: an exploratory, crosssectional research in an urban community in Southwest Nigeria

Background: Immunization is the single most costeffective preventive health intervention which saves the lives of 2 -3 million children annually. Theunsatisfactory immunization coverage numbers have unsurprisingly resulted in abysmal child mortality figures across the country. This study aims to assess mother’s knowledge and immunization utilization among underfives in an urban community. Methods: A descriptive crosssectional study was carried out among 232 mothers of under- five children in an urban community in Lagos State. A multistage sampling technique was used to select the respondents. A semistructured interviewer administered questionnaire was used as the survey tool for data collection and a checklist for sighted immunization cards. The entry and analysis of the data was done using EPI – Info Version 7.2.1.0 software computer program. Chi square was used to test association. A p-value of <0.05 was considered statistically significant. Results: All respondents were aware of immunization. Just over half (53.9%) of the respondents had good knowledge about immunization. Less than half (42.5%) of the under-five children were fully immunized. The vaccines most missed were oral polio and pentavalent vaccines. There was a statistically significant association between knowledge of mothers and the immunization status of their children (p<0.05). Conclusion: The results indicate that mothers with good knowledge of different aspects of immunization were more likely to have fully vaccinated children. It is recommended that health workers enlighten mothers on the benefit of each vaccine. Key words: Immunization, Underfive, Utilization, Vaccination, Knowledge

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Utilization of Insecticide Treated Nets and Health Seeking Behavior for fever among Children under Five in Southwest Nigeria

10.21203/rs.3.rs-1079937/v1 ◽

2021 ◽

Author(s):

Melford Esuabom ◽

Mabel Kamweli Aworh ◽

Chukwuma David Umeokonkwo ◽

Muhammad Shakir Balogun ◽

Eniola Bamgboye ◽

...

Keyword(s):

Effective Means ◽

Care Seeking ◽

Insecticide Treated Nets ◽

Health Seeking ◽

Health Seeking Behavior ◽

Under Five ◽

Under Five Children ◽

Itn Use ◽

Seeking Behavior ◽

Southwest Nigeria

Abstract BackgroundMalaria remains a burden globally with the WHO African region accounting for 94% of the overall disease burden and deaths in 2019. Nigeria alone accounted for 27% of total malarial cases and 23% of deaths. Insecticide-treated nets (ITN) use and receiving early care for fever represent the most cost-effective means of malaria prevention and control. In this study, we assessed the utilization of ITNs in households with under-five children in Southwest Nigeria, the health-seeking behavior of their caregivers for fever, and associated factors.MethodsThis was a secondary data analysis of the 2018 Nigeria Demographic and Health Survey. Analysis was restricted to under-five children residing in Southwest Nigeria. Multivariate analysis using logistic regression was conducted to determine factors associated with utilization of ITNs and care-seeking for fever in under-five children. Complex samples command of SPSS (Version 23) was used to account for survey sampling design.ResultsOf 2,281 under-five children in households with at least one ITN, 67.6% (1542) slept under an ITN the night before the survey. Predictors of ITN use were the age of child (<12 months), wealth index (poorest), number of nets in a household (2 or more), and number of household members (1-3). Of the 4,153 under-five children, 8.7% (360) had fever, and advice or treatment was sought for 72.4% (261). Predictors of good health-seeking behavior were the age of a child <12 months (AOR=2.81, 95% CI = 1.08-7.31), mothers’ education, and state of residence. Mothers who had secondary education were less likely to report care-seeking than those with higher education (AOR = 0.43, 95% CI = 0.19-0.98). Mothers from Osun, Ekiti, and Lagos state were less likely to seek care than those from Ogun state.ConclusionWe found that the utilization of insecticide-treated nets and seeking of care for fever in under five years of age in Southwest Nigeria were below the National Malaria Strategic Plan goal of 80% and 100% respectively. The state governments of Osun, Ekiti, and Lagos should develop strategies to improve ITN use and early seeking of care for fever in under-five children.

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