scholarly journals Prevalence of diarrhoeal pathogens among children under five years of age with and without diarrhoea in Guinea-Bissau

2021 ◽  
Vol 15 (9) ◽  
pp. e0009709
Author(s):  
Sointu Mero ◽  
Suvi Timonen ◽  
Tinja Lääveri ◽  
Sandra Løfberg ◽  
Juha Kirveskari ◽  
...  
Keyword(s):  
Low Income ◽  
Health Centre ◽  
Age Groups ◽  
Giardia Duodenalis ◽  
Enteric Bacteria ◽  
Older Children ◽  
Children Under Five ◽  
Under Five ◽  
Guinea Bissau ◽  
Norovirus Gii

Background Childhood diarrhoea, a major cause of morbidity and mortality in low-income regions, remains scarcely studied in many countries, such as Guinea-Bissau. Stool sample drying enables later qPCR analyses of pathogens without concern about electricity shortages. Methods Dried stool samples of children under five years treated at the Bandim Health Centre in Bissau, Guinea-Bissau were screened by qPCR for nine enteric bacteria, five viruses, and four parasites. The findings of children having and not having diarrhoea were compared in age groups 0–11 and 12–59 months. Results Of the 429 children– 228 with and 201 without diarrhoea– 96.9% and 93.5% had bacterial, 62.7% and 44.3% viral, and 52.6% and 48.3% parasitic pathogen findings, respectively. Enteroaggregarive Escherichia coli (EAEC; 60.5% versus 66.7%), enteropathogenic E. coli (EPEC; 61.4% versus 62.7%), Campylobacter (53.2% versus 51.8%), and enterotoxigenic E. coli (ETEC; 54.4% versus 44.3%) were the most common bacterial pathogens. Diarrhoea was associated with enteroinvasive E. coli (EIEC)/Shigella (63.3%), astrovirus (75.0%), norovirus GII (72.6%) and Cryptosporidium (71.2%). The only pathogen associated with severe diarrhoea was EIEC/Shigella (p<0.001). EAEC was found more frequent among the infants, and EIEC/Shigella, Giardia duodenalis and Dientamoeba fragilis among the older children. Conclusions Stool pathogens proved common among all the children regardless of them having diarrhoea or not.

scholarly journals Stunting on children under five years on family of beneficiary family hope program in Wonogiri district, Central Java

2018 ◽  
Vol 5 (7) ◽  
pp. 2735
Author(s):  
Titus Priyo Harjatmo ◽  
Maria Poppy Herlianty ◽  
Antonius Sri Hartono
Keyword(s):  
Nutritional Status ◽  
Age Groups ◽  
Health Sector ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Transfer Program ◽  
Infants And Toddlers ◽  
Children Under Five ◽  
Under Five ◽  
Conditional Cash Transfer Program

Background: The nutritional status of infants and toddlers is one indicator of public nutrition, and even has developed into one of the indicators of health and welfare. Basic Health Research (Riskesdas) in 2013 showed that 37,2% children under five suffering from nutritional status is stunting. One of the efforts that have been made by the Indonesian government to reduce malnutrition in infants and toddlers is through a program that is integrated with the health sector namely Conditional Cash Transfer Program (Program Keluarga Harapan). The specific objectives were to identify the characteristics of families recieve Conditional Cash Transfer Program and analysis stunting children under five years in families receiving Conditional Cash Transfer Program in Baturetno subdistric, Wonogiri district.Methods: The study was conducted in the subdistrict of Baturetno, Wonogiri district and has collected a total of 112 infants of families Conditional Cash Transfer Program participants. Sampling of children under five years was done purposively. This study was conducted from July to August 2017.Results: The proportion of children who stunting quite high at 33.0% higher than the results of the Nutritional Status Monitoring in 2016 amounted to 27.5%. If stunting is associated with the age group of stunting problems occur in all age groups in the amount of 31.3% in under 23 months and 34.3% at 23 months upwards of 31.3% children under five short, as much as 25.0% children under five are overweight according to height (weight for height) is normal and thus potentially becoming obese.Conclusions: The implementation of weight monitoring should be monitored the height of children under five in the hope family program.

scholarly journals Prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia 2018: A cross sectional study

2020 ◽  
Author(s):  
Sisay Shine ◽  
Sindew Muhamud ◽  
Solomon Adnew ◽  
Alebachew Demelash ◽  
Makda Abate
Keyword(s):  
Low Income ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Debre Berhan

Abstract Background: Diarrhea is responsible for 525,000 children under-five deaths and 1.7 billion cases globally and is the second leading cause of death among children under-five every year. It is a major public health problem in low income countries like Ethiopia. The main aim of this study was to assess the prevalence of diarrhea and associated risk factors among children under-five in Debre Berhan Town, Ethiopia. Methods: A community-based cross-sectional study was conducted in 420 parent or caretaker/children pairs in Debre Berhan town between 13–18 April 2018. A multi-stage sampling strategy was used to select the study participants. Data were collected using pre-tested and structured questionnaires. Data were entered in Epi-info computer software version 3.5.1 and exported to SPSS Window Version-16 for analysis. Adjusted odds ratio with 95% confidence intervals were used to assess the level of significance. Results: The two week prevalence of diarrhea among children under-five was 16.4% (69/351). Children aged 7-11 months (adjusted odds ratio (AOR): 4.2, 95% confidence interval (CI): 1.2 - 15.3), being the second-born child (AOR: 3.9, 95%CI: 1.8 - 8.5), not vaccinated against rotavirus (AOR: 10.3, 95%CI: 3.2 - 91.3) and feeding children by hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of diarrhea. Conclusions: This study revealed that the two weeks period prevalence of diarrhea among children under-five years was 16.4%. Education programs on the importance of vaccination against rotavirus, increasing breast feeding frequency with complementary food after six months and the critical points of hand washing are recommended.

scholarly journals Analisis partisipasi ibu balita dalam pemanfaatan Posyandu di wilayah Puskesmas Kota Banda Aceh

2020 ◽  
Vol 1 (2) ◽  
pp. 185
Author(s):  
Siti Fatimah ◽  
Asnawi Abdullah ◽  
Amin Harris
Keyword(s):  
Child Health ◽  
Group Discussion ◽  
Health Centre ◽  
Development Programs ◽  
Policy Makers ◽  
Children Under Five ◽  
Under Five ◽  
Child Health Centre ◽  
Banda Aceh

Background: Public participation generally seen as a form of health behavior is the participation of mothers of children under five in the of Maternal & Child Health Centre it program. Its is a form of integrated services organized for and by the community with work programs from related agencies to then obtain basic health services, decrease maternal and child mortality rates and for the achievement of Small Prosperous Happy Families (KKBS).Purpose: The study aims to analyze the coverage of weighing children under five to Maternal & Child Health Centre (D/S) in the area of the Banda Aceh City Health Center.Method: This research is a qualitative study with a descriptive approach conducted with a Focus Group Discussion (FGD) of 3 main informants, 4 implementing informants and 7 policy makers in the lowest D / S region (Lampaseh Puskesmas area) and 3 main informants, 4 implementing informants and 8 informants policy makers in the highest D/S region (Kopelma Darussalam Puskesmas area).Results: The results of this study found that the availability of facilities is still limited, the role of cadres is still low (not yet able to carry out development programs), the role of the gampong government is still lacking in supporting the implementation and improvement of posyandu visits, policy makers do not fully understand that the conditions in posyandu are a big responsibility from the village, and in practice in the field there has not been an effort to monitor and evaluate the extent of the implementation of the posyandu by the health department.Conclusion: The cadres' low knowledge of development programs in an effort to increase community motivation for posyandu visits. Suggestions for implementing of Maternal & Child Health Centre activities to provide an understanding of how to implement a Maternal & Child Health Centre, improve competence, provide suggestions for development programs and for policymakers.

scholarly journals An ongoing large outbreak of measles in Merseyside, England, January to June 2012

2012 ◽  
Vol 17 (29) ◽  
Author(s):  
R Vivancos ◽  
A Keenan ◽  
S Farmer ◽  
J Atkinson ◽  
E Coffey ◽  
...  
Keyword(s):  
Young Adults ◽  
Age Groups ◽  
Children Under Five ◽  
Under Five ◽  
Large Outbreak

From 1 January to 30 June 2012, 359 confirmed and 157 probable cases of measles were reported in Merseyside, England. The most affected age groups were children under five years and young adults from 15 years of age. Most cases have been sporadic. There have been few outbreaks in nurseries; however, no outbreaks have been reported in schools. Of the cases eligible for vaccination, only 3% of the confirmed cases were fully immunised.

scholarly journals Determinant of stunting among children under five years old in Wukirsari Village, Cangkringan Subdistrict, Sleman, Yogyakarta

2019 ◽  
Vol 3 (1) ◽  
pp. 53
Author(s):  
Vika Indah Rahayu ◽  
Nugroho Susanto ◽  
Ayu Fitriani
Keyword(s):  
Low Income ◽  
Cognitive Abilities ◽  
Family Income ◽  
Test Results ◽  
Chi Square ◽  
Internal Factors ◽  
Children Under Five ◽  
Under Five ◽  
Maternal Nutritional Status ◽  
Chi Square Test

Background: One of the biggest nutritional problems in Indonesia is stunting. Children under five years old with stunting are more susceptible to disease and having reduced cognitive abilities. Stunting can be caused by several factors, such as from both external and internal factors. Objective: To find out the determinants of the incidence of stunting among children under five years old in Wukirsari Village, Cangkringan sub district, Sleman, Yogyakarta. Methods: This study was conducted in 23 subvillages in Wukirsari Village in February 2019 with a case control design. This study involved 100 children under five years old with 50 cases and 50 controls. Maternal nutritional status during pregnancy, mothers’ education, family income, and posyandu visit were collected using a questionnaire. Data were analyzed using Chi Square test. Results: There was no correlation between mother’s education and posyandu visit with stunting incidence (p>0.05). There was a correlation between family income with stunting incidence (p=0.00). Family who had low income were 6.526 times more likely to have stunted children. Conclusion: There was a significant correlation between family income with stunting incidence.

scholarly journals Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention–A Randomised before and after Trial

2020 ◽  
Vol 17 (8) ◽  
pp. 2648 ◽  
Author(s):  
Tracy Morse ◽  
Elizabeth Tilley ◽  
Kondwani Chidziwisano ◽  
Rossanie Malolo ◽  
Janelisa Musaya
Keyword(s):  
Low Income ◽  
Diarrhoeal Disease ◽  
Control Group ◽  
Food Hygiene ◽  
Children Under Five ◽  
Under Five ◽  
Cluster Group ◽  
Point Reduction ◽  
Before And After ◽  
The Impact

Diarrhoeal disease in children under five in low income settings has been associated with multiple environmental exposure pathways, including complementary foods. Conducted from February to December 2018 in rural Malawi, this before and after trial with a control used diarrhoeal disease as a primary outcome, to measure the impact of a food hygiene intervention (food hygiene + handwashing) relative to a food hygiene and water, sanitation and hygiene (WASH) intervention (food hygiene + handwashing + faeces management + water management). The 31-week intervention was delivered by community-based coordinators through community events (n = 2), cluster group meetings (n = 17) and household visits (n = 14). Diarrhoeal disease was self-reported and measured through an end line survey, and daily diaries completed by caregivers. Difference-in-differences results show a 13-percentage point reduction in self-reported diarrhoea compared to the control group. There were also significant increases in the presence of proxy measures in each of the treatment groups (e.g., the presence of soap). We conclude that food hygiene interventions (including hand washing with soap) can significantly reduce diarrhoeal disease prevalence in children under five years in a low-income setting. Therefore, the promotion of food hygiene practices using a behaviour-centred approach should be embedded in nutrition and WASH policies and programming.

scholarly journals Incidence and Causes of Injury Deaths among Children under Five Years of Age in El-Giza -Egypt: مدى انتشار وأسباب الإصابات المميتة بين الأطفال الذين تقل أعمارهم عن 5 سنوات في الجيزة – مصر

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Ahmed Mohmed Gad Allah
Keyword(s):  
Child Health ◽  
Rural Areas ◽  
Traffic Accidents ◽  
Age Groups ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Crude Mortality Rate ◽  
Cause Of Deaths ◽  
One Year

  Objectives: To study the incidence and causes of injury mortality among children under the age of five years in El-Giza. Setting: The study was conducted in El-Giza, Egypt, the second largest city with a population of ~ 8.7 million for 2017. It comprises urban and semiurban settlements. Methods: A descriptive epidemiological study, which obtained information about all deaths using a questionnaire from 197 Health Centres for one year, 2017. Subjects were residents who died from unintentional and intentional injuries. Results: The overall under fives crude mortality rate was 3.1 per1000. The number of children deaths from injuries was 309(8.7% of all deaths), more among males than females (31.5 υ 23.1 per 100 000). Those under 1 had the highest rate, 32.7 per 100 000. The top three causes of deaths were traffic accidents (31.7%), falls (18.8%), and drowning (11%). Conclusions: Injury is the common cause of deaths among children under five years of age in El-Giza. Because all age groups and both sexes are victims of injuries, and most unintentional injuries are preventable, they must be considered as a priority health problem in El-Giza. More studies are needed in rural areas of Egypt. Recommendations: It is important that child health community in Egypt and in other developing countries enhances its focus on injury as a child health issue and integrate injury prevention efforts in child health policies and programmers.   ، ،

scholarly journals The Effectiveness of Training on Improving the Ability of Health Cadres in Early Detection of Stunting in Toddlers

2021 ◽  
Vol 9 (E) ◽  
pp. 373-377
Author(s):  
Rina Tampake ◽  
Ros Arianty ◽  
Selvi A . Mangundap ◽  
Baiq Emy ◽  
Hanum Sasmita
Keyword(s):  
Risk Factors ◽  
Early Detection ◽  
Health Centre ◽  
P Value ◽  
Test Results ◽  
Public Health Centre ◽  
Children Under Five ◽  
Under Five ◽  
Post Test ◽  
Effectiveness Of Training

AIM: This study aimed to determine the effectiveness of training in improving health cadres’ ability in early detection and risk factors of stunting in toddlers. METHODS: The research method used was a quasi-experimental non-randomized pre- and post-test only control design. The independent variable was cadre training. The training was conducted through learning activities on health cadres using lecture method, question and answer method, and brainstorming accompanied by training booklets/modules and demonstrations. The dependent variable was knowledge, attitudes, and skills in detecting stunting and risk factors for stunting in children under-five. There were 53 health cadres as samples scattered in the Tomini Community Health Center with the purposive sampling technique. The data analysis technique used was a parametric statistical paired sample t-test. RESULTS: Training of health cadres effectively increased health cadres’ ability to detect stunting and risk factors for stunting in children under-five. The different test results for each variable that showed the pre-post-test p-value for knowledge, attitudes, and health cadres’ skills were 0.000, smaller than the significance level of 0.05 (p < 0.05). Besides, the mean score of each variable obtained after training for health cadres was more significant than before training, including knowledge 17.392 >12.264, attitudes 33.603 >27.226, and skills 90.019 >62113. Those are means that cadres’ training effectively increased the knowledge, attitudes, and skills of health cadres in detecting stunting and risk factors for stunting in children under-five. CONCLUSION: Training of health cadres effectively increases the knowledge, attitudes, and skills of health cadres about early detection and risk factors of stunting in the working area of Tomini Public Health Centre, Parigi Moutong Regency.

scholarly journals Genetic Diversity and Epidemiology of Genogroup II Noroviruses in Children with Acute Sporadic Gastroenteritis in Shanghai, China, 2012-2017

2019 ◽  
Author(s):  
Lijuan Lu ◽  
Huaqing Zhong ◽  
Menghua Xu ◽  
Liyun Su ◽  
Lingfeng Cao ◽  
...  
Keyword(s):  
Genetic Diversity ◽  
Genetic Analysis ◽  
Acute Gastroenteritis ◽  
Dominant Role ◽  
Phylogenetic Analyses ◽  
Age Groups ◽  
Detection Rates ◽  
Children Under Five ◽  
Under Five ◽  
Paediatric Age

Abstract Background Noroviruses (NoVs) are considered an important cause of acute gastroenteritis (AGE) across all age groups, especially in children under five years of age. We investigated the epidemiology of noroviruses in outpatient children from the Children’s Hospital of Fudan University in Shanghai, China. Methods Stool specimens were collected between January 2012 and December 2017 from 1433 children under five years of age with acute gastroenteritis. All samples were analysed by conventional reverse transcription-polymerase chain reaction (RT-PCR) for genogroup II NoVs amplifying both the RNA-dependent RNA polymerase (RdRp) and partial capsid genes. The Norovirus Genotyping Tool v.2.0 (https://www.rivm.nl/mpf/typingtool/norovirus/) was used for genotyping the strains, and phylogenetic analyses were conducted by MEGA 6.0. Results From 2012 to 2017, GII NoVs were detected in 15.4% (220/1433) of the samples, with the highest detection rate in children aged 7-12 months (19.2%, 143/746). The seasons with the highest prevalence of GII NoVs infection were autumn and winter . Based on genetic analysis of RdRp, GII.Pe (74.5%%, 137/184) was the most predominant RdRp genotype from 2013 to 2017, while GII.P4 played a dominant role in 2012 (55.6%, 21/36). Among the capsid genotypes, the most prevalent NoV genotype from 2012 to 2017 was GII.4 (73.6%, 162/220). On the basis of genetic analysis of RdRp and capsid sequences, the strains were clustered into 19 RdRp/capsid genotypes, and 12 of them were discordant, such as GII.Pe/GII.4-Sydney_2012, GII.P12/GII.3, GII.P7/GII.6, GII.Pe/GII.3, and GII.P16/GII.2. Starting with 2013, GII.Pe/GII.4-Sydney_2012 had completely replaced the pandemic GII.P4-2006b/GII.4-2006b subtype and was detected in children across all age groups. Conclusions The present study shows high detection rates and the genetic diversity of circulating NoV GII genotypes in paediatric AGE samples from Shanghai. The findings emphasize the importance of continuous molecular surveillance of emerging NoV strains.

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