scholarly journals Prevalence and determinants of antenatal tetanus vaccination in Sudan: a cross-sectional analysis of the Multiple Indicator Cluster Survey

2022 ◽  
Vol 50 (1) ◽  
Author(s):  
Sagad Omer Obeid Mohamed ◽  
Esraa Mohammed Ahmed

Abstract Background Tetanus vaccination is an indispensable component of the antenatal care (ANC) and is considered one of the most effective and protective measures against tetanus deaths. However, data on antenatal tetanus vaccination in Sudan are scarce. We aimed to explore the level of antenatal tetanus vaccination and to identify the influencing factors in a nationally representative population sample. Methods We used the latest available data (2014) of the Sudan Multiple Indicator Cluster Survey (MICS), developed by the United Nations Children’s Fund (UNICEF). We assessed the level of antenatal tetanus vaccination among women of childbearing age who gave at least one birth preceding the survey and defined adequate antenatal tetanus vaccination according to the World Health Organization (WHO) recommendations. Data analysis was performed using descriptive statistics, bivariate analysis, and multivariate logistic regression analysis. Results The total number of women of childbearing age involved in this analysis was 5433. Most of the participants (28.6%) were 25–29 years old, and vast majority of them (73.7%) live in rural areas. The prevalence of mothers who had adequate tetanus vaccination was 60.0%. Antenatal tetanus vaccination was significantly associated with higher level of mothers’ education (AOR = 1.70, 95% CI 1.25–2.32), higher household wealth index (AOR = 1.89, 95% CI 1.41–2.54), having four or more ANC visits (AOR = 1.49, 95% CI 1.30–1.71), and living in areas with low intensity of armed conflicts (AOR = 1.34, 95% CI 1.14–1.57). Conclusions Socioeconomic status had a significant impact on adequate antenatal tetanus vaccination. The results indicate the existence of variable rates and unequal access to tetanus vaccination among women of childbearing age in Sudan.

1970 ◽  
Vol 7 (2) ◽  
pp. 85-89
Author(s):  
Muhammad Irfan ◽  
Syed Mustansir Hussain Zaidi ◽  
Hira Fatima Waseem

Background: Diarrhea founds to be the major cause of morbidity and mortality in children less than five years. Various factors are associated with diarrhea but socio-demographic factors are the main key elements, which associated with diarrhea. Methods: This study was examined association of socio-demographic factors with diarrhea in children less than five years of age of Sindh, Pakistan, using data from the Multiple Indicator Cluster Survey (MICS) conducted from January 2014 to August 2014. Data were collected for 18,108 children in whom 16,449 children had complete data of demographic variables being included in the analysis. Bivariate analysis was done using Pearson's Chi square test and multivariate analysis being done using binary logistic regression. Results: We found increased risk of diarrhea among children lives in rural areas while household wealth index quintile was also associated with diarrhea. Children in the poor, middle and fourth wealth index quintiles being at increased risk of diarrhea compared to children in the richest wealth index quintile. The highest risk of diarrhea was found for the child having mother with no education as well as children aged 12-23 months. Conclusion: Age of child, mother education and wealth index found significant with diarrhea while Male children, child aged 12-23 months, child with no mother education, child from rural areas and child from poor households found with high risk of diarrhea.


Heliyon ◽  
2021 ◽  
Vol 7 (5) ◽  
pp. e07111
Author(s):  
Ahmed Abdus Saleh Saleheen ◽  
Sharmin Afrin ◽  
Samia Kabir ◽  
Md. Jakaria Habib ◽  
Maliha Afroj Zinnia ◽  
...  

Heliyon ◽  
2020 ◽  
Vol 6 (12) ◽  
pp. e05727
Author(s):  
Nutifafa Eugene Yaw Dey ◽  
Emmanuel Dziwornu ◽  
Kwabena Frimpong-Manso ◽  
Henry Ofori Duah ◽  
Pascal Agbadi

2021 ◽  
Author(s):  
Laura V. Sánchez-Vincitore ◽  
Arachu Castro

AbstractIntroductionThe association between sociodemographic factors, such as poverty, lack of maternal schooling, and being male at birth, and childhood developmental delay and poor educational outcomes has been established in the Dominican Republic. However, moderating factors present or introduced in families to buffer the effects of such factors on childhood development are still unknown.MethodsWe conducted a secondary analysis of the 2014 Multiple Indicator Cluster Survey for the Dominican Republic, a national household survey focused on maternal and child health and development. The first aim of our study was to determine if a sociodemographic model predicted early childhood development. The second aim was to determine if a psychosocial model (including family childrearing practices, discipline, and early childhood stimulation) predicted early childhood development above and beyond the sociodemographic model.ResultsWe found that both models predicted childhood development significantly, but that the psychosocial model explained 5% more variance than the sociodemographic model. The most relevant sociodemographic predictors were socioeconomic position and mother’s education, which uniquely explained 21% and 17% of the early childhood development variance, respectively. The most salient psychosocial predictors of early childhood development were: 1) attendance to an early childhood education program, which uniquely explained 15.0% of the variance; 2) negative discipline, which uniquely explained 12.4% (negative impact); 3) the number of children’s books at home, which uniquely explained 12.0%; and 4) stimulating activities at home, which uniquely explained 5%.ConclusionThese results have multiple implications for social programs that aim to improve children’s developmental potential in contexts of poverty. Although the results show a protective effect of psychosocial factors, sustainable and large-scale intervention should not be limited to just buffering effects, but to actually solve the underlying problem which is that poverty prevents children from reaching their developmental potential.


2017 ◽  
Vol 7 (1) ◽  
pp. 129-139
Author(s):  
Simon Mariwah ◽  
Joshua Amo-Adjei ◽  
Prisca Anima

This paper investigates antecedents to demand for household sanitation in Ghana. We employed a sequential, mixed-method approach, relying on the 2011 Ghana Multiple Indicator Cluster Survey (MICS) and primary qualitative data generated from individual and group interviews. The aim was to ascertain the role of household assets (measured by household wealth) in access to improved sanitation in Ghana. The study found that although wealth positively influenced household ownership of improved sanitation, the effect is strongly noticed only at the pinnacle of wealth quintiles (the richest households). From the qualitative data, we find that, beyond poverty, a mix of cultural, social, political and economic nuances influenced and somehow perpetuate low access to improved sanitation in Ghanaian households. We therefore surmise that means targeting of the poor and application of social marketing of sanitation in both rural and urban areas can help trigger awareness and demand for improved sanitation in Ghana.


2020 ◽  
Author(s):  
Max Ebengho Bokelo

En juin 2006, une étude analytique transversale de séroprévalence au Virus de l’Immunodéficience Humaine (VIH) a été initiée au sein du Centre Nutritionnel Thérapeutique (CNT) de l’Hôpital Général de Référence (HGR) de Wangata dans la Province de l’Equateur en République Démocratique du Congo (RDC). Le but de cette enquete était de chercher les possibles signaux existants de l’Infection à VIH sur terrain de malnutrition sévère auprès des enfants de Mbandaka, en collaboration avec la Coordination Provinciale de l’Equateur du Programme National de Lutte contre le VIH-Sida (CP-PNLS). Cette étude s’est basée sur les résultats obtenus suite aux tests volontaires qualitatifs, en se servant de l’algorithme décisionnel de laboratoire du PNLS de 2006 en RDC, qui veut que ces 42 personnes sur lesquelles notre analyse s’est axée soient classifiées dans la catégorie 2. L’étude a tablé sur au moins 2 tests rapides de dépistage, dont le Détermine, un test sensible et l’Oraquick comme test spécifique. Les résultats obtenus suggèrent que deux enfants de sexe féminin sur les 23 filles en compte avaient un statut sérologique positif, et deux autres également présentaient un résultat indéterminé. La prévalence instantanée était donc de 4,76% pour les enfants malnutris de juin 2006 au CNT de Wangata. Par ailleurs, le Ministère du Plan et de la Reconstruction (MPR) (2018) via le Multiple Indicator Cluster Survey 2001 rapportait une séroprévalence de 6,1% pour la ville de Mbandaka. Ces deux prévalences restent inférieures à 10% et tournent autour des résultats précédents de prévalence tant provinciale que Nationale qui était de plus ou moins 5% (MPR, 2018). Selon Gerstman (2015) dans les choix statistiques tabulaires, il est établi lors de cette étude que les résultats au test sont repartis de façon homogène dans les deux sexes, car avec 1,734 de probabilité calculée comme X², cette valeur étant inférieure à 7,879 de probabilité tabulaire. Par contre les résultats dépendent étroitement du type de test utilize, parce que le CHI-carré (X²) d’indépendance supérieur ou égal à 18,869 est moins significatif que le petit p 0,005 à 7,879 .


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