scholarly journals Exploring Pneumonia Risk Factors in Slum and Non-Slum Areas

2021 ◽  
Vol 15 (2) ◽  
pp. 110
Author(s):  
Kartika Dwi Rohimawati ◽  
Yustini Ardillah

Background: Pneumonia remains a health concern that is the most significant contributor to the mortality of children under five years old in the world. The environment and immunization history, exclusive breastfeeding, and nutritional status become risk factors for children's pneumonia. This study aimed to analyze the risk factors for pneumonia in infants in the slum and non-slum areas of Palembang City. Methods: This study used a case-control study design. This population study was all children under five years old who lived in the slum and non-slum Areas of Palembang City. The sample in this study was 84 samples with a ratio of 1:1. Analysis data used univariate and bivariate with chi-square. Results: This study found that in slums showed 5 independent variables related to the incidence of pneumonia in children under five years old, those variables were immunization status (OR=5.2; CI 95%= 1.367-19.774), exclusive breastfeeding (OR= 5.667; CI 95%= 1.411-22.761), humidity (OR= 7.125; CI 95%= 1.309-38.771), ventilation area (OR= 5.2; CI 95%= 1.367-19.774) and occupancy density (OR= 6,9; CI 95%= 1,702-28,026). Whereas in the slums areas, there was a relationship between exclusive breastfeeding (OR= 8; CI 95%= 1.790-35.774), nutritional status(OR= 5.67; CI 95%= 1.411-22.761), humidity (OR= 6.9; CI 95%= 1.702-28.026), and exposure to cigarette smoke (OR= 5.4; CI 95%= 1.226-24.261) with the case of pneumonia in children under five years old. Conclusion: Exclusive breastfeeding and humidity are risk factors for pneumonia in children under five years old in the slum and non-slum areas of Palembang City.

2021 ◽  
Vol 3 (2) ◽  
pp. 47-54
Author(s):  
Wiji Novarianti ◽  
Muhammad Syukri ◽  
M. Dody Izhar ◽  
M Ridwan ◽  
Faisal Faisal

Introduction: Pneumonia accounts for 16 % of the causes of death in children under five including in Indonesia. This study aims to determine nutritional status, provide vitamin A capsules, and complete immunization as risk factors for pneumonia in toddlers aged 18-59 months. Methods: This study used a case-control design with 47 cases and 47 control children. The case was a toddler with pneumonia aged 18-59 months who was registered at Puskesmas Paal V Jambi City. Controls were toddlers who did not experience pneumonia with age (range ≤3 months), gender, and came from the same sub-district as the case toddler. Sampling was done by purposive technique by selecting the latest patient medical record data. Data collection was carried out by interview method in October-November 2020. Data analysis was carried out univariate and bivariate using the Chi-Square test. Results: The results showed nutritional status (p=0.023 OR=3.93 95% CI 1.29-11.96), Vitamin A capsules administration (p=0.026 OR=3.12 95% CI 1.23-7.91) is a risk factor for pneumonia in children under-five. Complete immunization is nor a risk factor for pneumonia in children under five. Conclusion: The conclusion of the study was nutritional status and vitamin A administration as risk factors for pneumonia in children aged 18-59 months.


Author(s):  
R. O. Chioma ◽  
I. Mzungu ◽  
J. B. Orpin

Escherichia coli infections and poor nutritional status have implications on the growth and development of children under five years, physically, mentally and health wise with consequences such as diarrhoea, stunting, wasting, underweight and often times leading to death, depending on their severity. This study evaluated the antibiogram of Escherichia coli O157 and Verocytotoxigenic Escherichia coli (VTEC)and the nutritional status of diarrhoeic children under five years in Kaduna State, Nigeria, using Conventional isolation methods, latex agglutination tests, VTEC-ELISA tests, Chi-square (SPSS Version 19) and WHO Antro (Version 3.2.2). Purposive sampling was used to select 350 children presenting with diarrhoea in six government hospitals within the three senatorial zones of Kaduna State. The results obtained revealed that 76(21.7%) of the 350 stool samples were positive for E. coli and 28(36.8%) were positive for E. coli O157:H7serotype and 1(1.3%) verocytotoxigenic E. coli (VTEC) serotype. High susceptibility to ciprofloxacin, chloramphenicol and high resistance to sulphamethoxazole, cefotaxime, amoxicillin, gentamicin and tetracycline by the isolates were observed. The study concluded that antibiotics have not been very effective in the treatment of E. coli-related diarrhoea, with VTEC now emerging in this part of the world, making it a serious public health issue. The study therefore recommends the implementation of programmes geared towards good hygiene, good nutrition and good health.


Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Lubis ◽  
Dwi Rita Anggraini

Diarrhea is a symptom of infection in the intestinal tract with the second death rate in the world in children under five years of age. Risk factors for the incidence of diarrhea in children under five are host factors that increase susceptibility to diarrhea, not giving exclusive breastfeeding (ASI), not giving breastfeeding for 2 years, malnutrition, measles and immunodeficiency. Breastfeeding (ASI) contains the best nutrients that match the needs of the baby and exclusive breastfeeding is carried out from birth to the first six months without any additional food or drink. Several studies have shown that the immunity content of breastfeeding is able to coat the gastrointestinal mucosa and protect the digestive tract from incoming pathogens. The aim of this study is to find out the relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 6-24 months at Puskesmas Aek Parombunan, Sibolga Selatan in 2019. The research design used was observational analytic cross-sectional with the criteria for the research sample of toddlers aged 6-24 months. The sampling technique in this study used total sampling. The research instrument was a medical record and data analysis used the chi-square test. Based on the results of the study, there was a relation between exclusive breastfeeding and the incidence of diarrhea.


2018 ◽  
Vol 10 (3) ◽  
pp. 306
Author(s):  
Fitria Nur Rahmawati

The number of  pneumonia  cases in children under five years found in Surabaya city in 2016  was 3,925 cases (40.89%). The number of  pneumonia  cases in children under five years in Kenjeran sub district was highers with 232 cases. This study was purposed to analyze the relationship between house sanitation and airborne bacterial number with pneumonia cases in children under five years old  in the Kenjeran sub district, Surabaya. This study was designed as a case control study using 12 cases and 12 controls as the samplers. This research was conducted in Kenjeran sub district  and took place from May to November 2017. Statistical test was using by chi square and multivariate logistic regression. The results of the study was that the cases of p neumonia in children under five years old were birth weight (p=0,01), nutritional status (p=0,01), sanitation house (p=0,03) and airborne bacterial number (p=0,01). Multivariate logistic regression test results showed that significant variables were nutritional status and airborne bacterial number. Nutritional status have the significance 0.04 (p <α) with OR=15,00. Airborne bacterial number  have the significance 0.04 (p <α) with OR=15,00. The conclusion of this study is nutritional status and airborne bacterial number  are associated with pneumonia under five years old. It is highly suggested to improve the quality of home health and child care.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Harriet U. Ugboko ◽  
Obinna C. Nwinyi ◽  
Solomon U. Oranusi ◽  
Fasina F. Fagbeminiyi

Diarrhoea is the passage of three or more loose or liquid stools per day or more frequent passage than is normal for an individual. Diarrhoea alters the microbiome, thus the immune system, and is a significant cause of morbidity and mortality in young children. This study evaluated the association between the risk factors and diarrhoea prevalence among children under five years in Lagos and Ogun States, located in Southwest Nigeria. Participants included 280 women aged 15–49 years and children aged 0–59 months. The study used quantitative data, which were assessed by a structured questionnaire. Data obtained were analyzed using the Statistical Package for the Social Sciences Software Version 25.0 and Microsoft Excel 2013. The relationships and/or association between variables were evaluated using Pearson's Chi Square and logistic regression tests. One hundred and eighteen (42%) of the children were male, and 162 (58%) were female. The majority of the children belonged to the age group 0–11 months (166). Age ( p = 0.113 ) and gender ( p = 0.366 ) showed no significant association with diarrhoea among the children. The majority of the mothers belonged to the age group 30–34. Multivariate analysis showed that the mother's level of education (95% CI for OR = 11.45; P = 0.0001 ) and family income (95% CI for OR = 7.61, P = 0.0001 ) were the most significant risk factors for diarrhoea among children. Mother’s educational status, mother's employment, and family income were the factors significantly associated with diarrhoea in Southwest Nigeria. The study recommends that female education should be encouraged by the right government policy to enhance the achievement of the sustainable development goal three (SDG 3) for the possible reduction of neonates and infants' deaths in Nigeria.


Author(s):  
Abdou Ganiou YESSOUFOU ◽  
Marius BIO BOUKO ◽  
Patrice SANTA KOUESSOPA ◽  
Abèbi Karimath YESSOUFOU ◽  
Adégnika Amirath ADEBO ◽  
...  

The purpose of this study is to evaluate the nutritional status of the children under five years of the Municipalities of Natitingou, Boukoumbé, and Toucountouna located in the Department of Atacora in North West Benin. It is a prospective, descriptive and analytical study in which we collected the anthropometric measurements of 600 children and submitted their mothers to a questionnaire. The results show that the three forms of undernutrition are still present with 53% of stunted children, 75% of underweight children and 26% of emaciated children. Moreover, the dietary diversity scores recorded in the surveyed households are mostly low. Determinants identified include diseases, dietary diversity, non-compliance with the principle of exclusive breastfeeding, and poor weaning practices. In sum, the very high level of stunting is indicative of chronic food insecurity. There is therefore an awakening of consciousness of the different actors involved in the fight against malnutrition for an improvement of the nutritional status of children in this area of study.


2021 ◽  
Vol 10 (4) ◽  
pp. 335-342
Author(s):  
Ami Monika Sari ◽  
Demsa Simbolon ◽  
Tetes Wahyu

Background: The direct causes of nutritional status problems are infectious diseases and inadequate intake. The prevalence of infectious diseases can be caused by children not getting complete basic immunization and not getting exclusive breastfeeding. Objective: The study aims to determine the relationship between complete basic immunization and exclusive breastfeeding with the nutritional status of underfive children in Indonesia. Methods: This study uses secondary data from Primary health research of Indonesia (Riskesdas 2018). It is an analytical study using a cross sectional study design. The sample in this study is toddlers spread across 34 provinces of Indonesia. The sampling technique in this study is the total population. The independent variables were complete basic immunization coverage and exclusive breastfeeding coverage. The dependent variable is the prevalence of nutritional status based on the index of Weight by age, body length according to age and body weight by length.Results: The results of the analysis found that the complete basic immunization coverage for underfive children in Indonesia was 56.18%, exclusive breastfeeding coverage was 39.59%, and the prevalence of underweight and severely underweight children under five (WHZ) was 16.67%, the prevalence of short and very short toddlers short (WHZ 29.68% and the prevalence of malnutrition and very poor (HAZ)  12.44%. using correlation test and linear regression with a significance degree of p≤0.05. Complete basic immunization coverage was associated with the prevalence of very underweight and underweight (p=0.005), short and very short (p=0.043), very undernourished and undernourished (p=0.000). Conclusion: There is a significant relationship between complete basic immunization and the nutritional status of children under five in Indonesia. There is no significant relationship between exclusive breastfeeding and the nutritional status of children under five in Indonesia.Key words: Complete basic Immunization; Exclusive breastfeeding;  Nutritional status; Underfive years old


2021 ◽  
Vol 9 (B) ◽  
pp. 462-467
Author(s):  
Amiruddin Amiruddin ◽  
Bustami Bustami ◽  
Anasril Anasril ◽  
Tri Mulyono Herlambang ◽  
Muhammad Husaini ◽  
...  

BACKGROUND: Stunting causes organs not to grow and develop optimally. One of the factors that indirectly influence stunting in children is the mother’s parenting style. Parenting includes the family’s ability to provide time, attention, and support in meeting the physical, mental and social needs of children growing in the family. AIM: This is to find out the nutrition parenting patterns of children who are stunted in the working area of the Health Center Pante Kuyun, Aceh Jaya Regency. METHODS: This study uses qualitative methods with a phenomenological approach. This research was conducted in the working area of Pante Kuyun Health Center, Aceh Jaya Regency. The research was carried out for 1 month, starting from August to September. The choice of research location was due to the high incidence of stunting in the area. The number of samples was determined 15 people consisting of 10 children under five who were stunted, two people as the head of the Health Center, and two community leaders from various elements. This study uses recording devices, video recording devices (camcorders), tape recorders, group discussion guidelines, and field notes. Data analysis techniques used in qualitative research include transcript analysis of interview results, data reduction, analysis, data interpretation, and triangulation. RESULTS: Stunting is closely related to the social construction of society. There are differences in social constructs that shape the parenting styles’ understanding for toddlers who are stunted. During pregnancy, most mothers follow the restrictions recommended by their parents and in-laws. The number of taboo foods to be consumed during pregnancy to breastfeeding generally comes from the food group of animal protein sources such as squid, shrimp, crab, shellfish, and so on. These foods are believed to cause the, etc., become sticky, making it difficult for the delivery process, and milk is difficult to pass. It turns out that the customs, culture, and hereditary habits that continue to be carried out influence stunting in children under five. The pattern of nutrition parenting during the postpartum, postpartum period also causes stunting. During postpartum, the culture in society prohibits food other than white rice, and the fish is only anchovies. It turns out that the lack of intake during the postpartum period up to 40 days has an impact on the health of the postpartum, postpartum mother, especially only a little breast milk, dry skin, weakness, dizziness, and even sickness. Community beliefs also influence nutritional care patterns. For infants aged 0–6 months, none of the informants’ toddlers receive exclusive; breastfeeding. Exclusive breastfeeding is not given to children due to the mother’s lack of knowledge about exclusive breastfeeding benefits. The eating habit prioritizes elders’ advice such as parents, in-laws, and religious leaders are still related to myths about health and nutrition in pregnant women and toddlers. The pattern of nutrition parenting performed by mothers for infants >6 months is not under the Indonesian Ministry of Health recommendations. In the Aceh Jaya district, mothers habitually give instant noodles as a substitute for the rice to consume toddlers. However, their mothers also have parenting styles, whereas if the working mothers provide food for toddlers, they are older siblings, grandmothers, or nieces. Inadequate care, such as improper feeding from infancy to toddlerhood, causes toddlers to suffer from illness more often due to disruption of digestion because the baby’s intestines are still vulnerable. CONCLUSION: Parenting affects toddlers who experience stunting in the working area of Pante Kuyun Community Health Center, Aceh Jaya Regency.


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