scholarly journals Community-based training of medical students is associated with malaria prevention and treatment seeking behaviour for children under 5 years in Uganda: a study of MESAU-MEPI COBERS in Uganda

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
James Henry Obol ◽  
Peter Akera ◽  
Pamela Atim Ochola ◽  
Wilfred Arubaku ◽  
Hussein Oria ◽  
...  
Keyword(s):  
Medical Students ◽  
Malaria Prevention ◽  
Treatment Seeking ◽  
Community Based ◽  
Prevention And Treatment ◽  
Children Under 5

Studies on asymptomatic malaria, prevention and treatment seeking behaviours in Abeokuta, south-west Nigeria

2018 ◽  
Vol 39 (1) ◽  
pp. 8 ◽  
Author(s):  
H.O. Mogaji ◽  
O.N. Adekunle ◽  
O.A. Surakat ◽  
S.O. Bankole ◽  
A.S. Oluwole ◽  
...  
Keyword(s):  
Malaria Prevention ◽  
Treatment Seeking ◽  
Asymptomatic Malaria ◽  
South West ◽  
Prevention And Treatment

scholarly journals Determinants of Malaria Prevention and Treatment Seeking Behaviours of Pregnant Undergraduates Resident in University Hostels, South-East Nigeria

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Anthonia Ukamaka Chinweuba ◽  
Noreen Ebelechukwu Agbapuonwu ◽  
JaneLovena Enuma Onyiapat ◽  
Chidimma Egbichi Israel ◽  
Clementine Ifeyinwa Ilo ◽  
...  
Keyword(s):  
Malaria Infection ◽  
Health Behaviours ◽  
Malaria Prevention ◽  
Structured Interview ◽  
Self Report ◽  
Treatment Seeking ◽  
Prevention Measures ◽  
Cross Sectional ◽  
University Campuses ◽  
Prevention And Treatment

This cross-sectional descriptive survey investigated determinants of malaria prevention and treatment seeking behaviours of pregnant undergraduates resident in university hostels, South-East Nigeria. Purposive sampling was used to enrol 121 accessible and consenting undergraduates with self-revealed and noticeable pregnancy residing in twenty-three female hostels of four university campuses in Enugu State, Nigeria. Structured interview guide developed based on reviewed literature and WHO-recommended malaria prevention and treatment measures was used to collect students’ self-report data on malaria preventive health behaviours, sick role behaviours, and clinic use using mixed methods. The WHO-recommended malaria prevention measures were sparingly used. Some believed that pregnancy does not play any role in a woman’s reaction to malaria infection. Only 41 (50.6%) visited a hospital for screening and treatment. Thirty-four (28.1%) used antimalaria medicine bought from chemist shop or over-the-counter medicines, while 33 (27.3%) used untreated net. The students were more likely to complete their antimalaria medicine when they were sick with malaria infection than for prevention (p=0.0186). Knowledge, academic schedule, cultural influence on perception and decision-making, and accessibility of health facility were key determinants of the women’s preventive and treatment seeking behaviours. Health education on malaria prevention and dangers of drug abuse should form part of orientation lectures for all freshmen. University health centres should be upgraded to provide basic antenatal care services.

scholarly journals Personal Orientation: The Silent Player in Efforts to Improve Treatment Seeking-Behavior Regarding Malaria in Uganda

2020 ◽  
Vol 5 (5) ◽  
pp. 61-66
Author(s):  
Ahimbisibwe B Frank ◽  
Matagi Leon ◽  
Senkumba Mohamed ◽  
Atuhaire Privah
Keyword(s):  
Malaria Prevention ◽  
Treatment Seeking ◽  
Mortality And Morbidity ◽  
Improve Treatment ◽  
Strategic Objective ◽  
Prevention And Treatment ◽  
Seeking Behavior ◽  
Causes Of Mortality ◽  
Personal Orientation ◽  
Related Mortality

Uganda government and development partners have engaged in various communication activities and programs with a view to change people’s behaviors regarding malaria, mobilize communities and create an enabling environment for sound health practices. However, malaria has remained one of the leading causes of mortality and morbidity in Uganda. All players in the communications effort against malaria had a goal of reducing malaria-related mortality and morbidity by 70% by 2015. It was not clear whether this was achieved since another strategic objective proposed in 2015 was that at least 85% of the population should undertake correct practices in malaria prevention and treatment by 2017.

scholarly journals Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (15) ◽  
pp. 7844
Author(s):  
Delaram Ghodsi ◽  
Nasrin Omidvar ◽  
Bahareh Nikooyeh ◽  
Roshanak Roustaee ◽  
Elham Shakibazadeh ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Meta Analysis ◽  
Eastern Mediterranean Region ◽  
Child Malnutrition ◽  
Z Score ◽  
Community Based ◽  
Nutritional Status Of Children ◽  
Children Under 5

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.

User fees removal and community-based management of undernutrition in Burkina Faso: what effects on children’s nutritional status?

2021 ◽  
pp. 1-12
Author(s):  
David Y Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde ◽  
Kate Zinszer
Keyword(s):  
Burkina Faso ◽  
Household Survey ◽  
Community Level ◽  
User Fees ◽  
Nutrition Status ◽  
Control Group ◽  
Community Based ◽  
Sahel Region ◽  
Intervention District ◽  
Children Under 5

Abstract Objective: To examine the effect of an intervention combining user fees removal with community-based management of undernutrition on the nutrition status in children under 5 years of age in Burkina Faso. Design: The study was a non-equivalent control group post-test-only design based on household survey data collected 4 years after the intervention onset in the intervention and comparison districts. Additionally, we used propensity score weighting to achieve balance on covariates between the two districts, followed by logistic multilevel modelling. Setting: Two health districts in the Sahel region. Participants: Totally, 1116 children under 5 years of age residing in 41 intervention communities and 1305 from 51 control communities. Results: When comparing children living in the intervention district to children living in a non-intervention district, we determined no differences in terms of stunting (OR = 1·13; 95 % CI 0·83, 1·54) and wasting (OR = 1·21; 95 % CI 0·90, 1·64), nor in severely wasted (OR = 1·27; 95 % CI 0·79, 2·04) and severely stunted (OR = 0·99; 95 % CI 0·76, 1·26). However, we determined that 3 % of the variance of wasting (95 % CI 1·25, 10·42) and 9·4 % of the variance of stunting (95 % CI 6·45, 13·38) were due to systematic differences between communities of residence. The presence of the intervention in the communities explained 2 % of the community-level variance of stunting and 3 % of the community-level variance of wasting. Conclusions: With the scaling-up of the national free health policy in Africa, we stress the need for rigorous evaluations and the means to measure expected changes in order to better inform health interventions.

scholarly journals Comparison of anthropometric indicators to predict mortality in a population-based prospective study of children under 5 years in Niger

2019 ◽  
Vol 23 (3) ◽  
pp. 538-543 ◽  
Author(s):  
Kieran S O’Brien ◽  
Abdou Amza ◽  
Boubacar Kadri ◽  
Beido Nassirou ◽  
Sun Y Cotter ◽  
...  
Keyword(s):  
Cluster Randomized Trial ◽  
Population Based ◽  
Community Based ◽  
Anthropometric Indicators ◽  
Arm Circumference ◽  
Cluster Randomized ◽  
Mid Upper Arm Circumference ◽  
Height For Age ◽  
Weight For Age ◽  
Children Under 5

AbstractObjective:In the present study, we aimed to compare anthropometric indicators as predictors of mortality in a community-based setting.Design:We conducted a population-based longitudinal study nested in a cluster-randomized trial. We assessed weight, height and mid-upper arm circumference (MUAC) on children 12 months after the trial began and used the trial’s annual census and monitoring visits to assess mortality over 2 years.Setting:Niger.Participants:Children aged 6–60 months during the study.Results:Of 1023 children included in the study at baseline, height-for-age Z-score, weight-for-age Z-score, weight-for-height Z-score and MUAC classified 777 (76·0 %), 630 (61·6 %), 131 (12·9 %) and eighty (7·8 %) children as moderately to severely malnourished, respectively. Over the 2-year study period, fifty-eight children (5·7 %) died. MUAC had the greatest AUC (0·68, 95 % CI 0·61, 0·75) and had the strongest association with mortality in this sample (hazard ratio = 2·21, 95 % CI 1·26, 3·89, P = 0·006).Conclusions:MUAC appears to be a better predictor of mortality than other anthropometric indicators in this community-based, high-malnutrition setting in Niger.

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