Prevalence of anemia and its associated factors among children under five years of age attending at Guguftu health center, South Wollo, Northeast Ethiopia

Background. Globally, about 47.4% of children under five are suffering from anemia. In Ethiopia, 60.9% of children under two years are suffering from anemia. Anemia during infancy and young childhood period is associated with poor health and impaired cognitive development, leading to reduced academic achievement and earnings potential in their adulthood life. However, there is scarcity of information showing the magnitude of iron deficiency anemia among young children in Ethiopia. Therefore, this study aimed at assessing prevalence and associated factors of iron deficiency anemia among children under two (6–23 months).Methods. Institution based cross-sectional study was carried out from March to May, 2014, at Tsitsika Health Center in Wag-Himra Zone, Northeast Ethiopia. Systematic random sampling technique was employed. Automated hemoglobin machine was used to determine the hemoglobin level. Socioeconomic and demographic data were collected by using a pretested and structured questionnaire. Binary logistic regression analysis was used to identify associated factors and odds ratio with 95% CI was computed to assess the strength of association.Results. Total of 347 children participated in this study. The overall prevalence of anemia was 66.6%. In multivariate logistic regression analysis, male sex (AOR = 3.1 (95% CI: 1.60–5.81)), 9–11 months of age (AOR = 9.6 (95% CI: 3.61–25.47)), poor dietary diversity (AOR = 3.2 (95% CI: 1.35–7.38)), stunting (AOR = 2.7 (95% CI: 1.20–6.05)), diarrhea (AOR = 4.9 (1.63–14.59)), no formal education (AOR = 2.6 (95% CI: 1.26–5.27)), early initiation of complementary food (AOR = 11.1 (95% CI: 4.08–30.31)), and lowest wealth quintile (AOR = 3.0 (95% CI: 1.01–8.88)) were significantly associated with anemia.Conclusion. The overall prevalence of anemia among children who aged 6–23 months has sever public health importance in the study area. Integrated efforts need to be prioritized to improve health as well as appropriate infant and young child feeding practice among children under.

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Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia

BMC Pediatrics ◽

10.1186/s12887-021-02762-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tarikuwa Natnael ◽

Mistir Lingerew ◽

Metadel Adane

Keyword(s):

Acute Diarrhea ◽

Urban Areas ◽

Odds Ratio ◽

Associated Factors ◽

Multivariable Analysis ◽

Water Sources ◽

Children Under Five ◽

Under Five ◽

Under Five Children ◽

Study Participants

Abstract Background Diarrheal disease is still one of the most common causes of mortality and morbidity in children under five in developing countries, including Ethiopia. Lack of specific data on the prevalence of acute diarrhea and associated factors among under-five children in the semi-urban areas of Gelsha, found in northeastern Ethiopia’s South Wollo zone, remains a major gap. Therefore, this study was designed to provide data that is important for proper planning of intervention measures to reduce the problem in this area. Methods A community-based cross-sectional study was conducted among 340 systematically selected children under five in semi-urban areas of Gelsha from January to March 2019. The data was collected using a structured questionnaire and an observational checklist. Bivariable (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) were employed using binary logistic regression model with 95% CI (confidence interval). Variables with a p-value < 0.05 from the multivariable analysis were declared as factors significantly associated with acute diarrhea. Result The prevalence of acute diarrhea among children under five in the study area was 11% (95%CI: 7.8–14.3%). About two-thirds (63.60%) of study participants used water from improved sources. About half (54.90%) of study participants practiced poor handwashing and 45.10% practiced good handwashing. We found that factors significantly associated with acute diarrhea were a child’s age of 12–23 months (AOR = 4.68, 95% CI: 1.45–1.50), the presence of two or more under-five children in the house (AOR = 2.84, 95% CI: 1.19–6.81), unimproved water sources (AOR = 2.97, 95% CI: 1.28–6.87) and presence of feces around the pit hole/slab/floor of the latrine (AOR = 3.34, 95% CI: 1.34–8.31). Conclusion The prevalence of acute diarrhea among children under five was relatively high. To reduce the problem, various prevention strategies are essential, such as the provision of health education to mothers/caregivers that focuses on keeping sanitation facilities clean and child care, and construction of improved water sources. Furthermore, implementing a strong health extension program, advocating an open defecation-free environment, and practicing a community-led total sanitation and hygiene approach might be helpful to sustainably reduce childhood diarrhea.

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Seizures in Children under Five in a Pediatric Ward: Prevalence, Associated Factors and Outcomes

Open Journal of Pediatrics ◽

10.4236/ojped.2021.114058 ◽

2021 ◽

Vol 11 (04) ◽

pp. 627-635

Author(s):

Abdoul Karim Doumbia ◽

Oumou Koné ◽

Guédiouma Dembélé ◽

Adama Dembelé ◽

Oumar Coulibaly ◽

...

Keyword(s):

Associated Factors ◽

Children Under Five ◽

Pediatric Ward ◽

Under Five

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Efektivitas Pemberian Makanan Tambahan (PMT) Pemulihan Pada Status Gizi Balita di Wilayah Kerja Puskesmas Simomulyo, Surabaya

Amerta Nutrition ◽

10.20473/amnt.v4i1.2020.58-64 ◽

2020 ◽

Vol 4 (1) ◽

pp. 58

Author(s):

Arum Sekar Rahayuning Putri ◽

Trias Mahmudiono

Keyword(s):

Nutritional Status ◽

Health Center ◽

Supplemental Feeding ◽

Cross Sectional ◽

Significance Level ◽

Supplementary Food ◽

Children Under Five ◽

Under Five ◽

Before And After ◽

Nutritional Status Of Children

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus. Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.

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Seizure in Children Under Five Presenting With Pneumonia in a Critical Care Ward in Bangladesh: Prevalence, Associated Factors, and Outcome

The Pediatric Infectious Disease Journal ◽

10.1097/inf.0000000000003068 ◽

2021 ◽

Vol 40 (5) ◽

pp. 389-393

Author(s):

Mohammod Jobayer Chisti ◽

Shafiqul Alam Sarker ◽

KM Shahunja ◽

Abu Sadat Mohammad Sayeem Bin Shahid ◽

Sharifuzzaman ◽

...

Keyword(s):

Critical Care ◽

Associated Factors ◽

Children Under Five ◽

Under Five ◽

Care Ward

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Analisis Faktor Predisposing Terhadap Pemanfaatan Posyandu Balita di Wilayah Kerja Puskesmas Tegal Binangun Kota Palembang

Jurnal Epidemiologi Kesehatan Komunitas ◽

10.14710/jekk.v6i1.8126 ◽

2021 ◽

pp. 181-190

Author(s):

Citrasari Syarkowi ◽

Misnaniarti Misnaniarti ◽

M. Zulkarnain

Keyword(s):

Public Health ◽

Data Collection ◽

Health Center ◽

Maternal Employment ◽

Employment Status ◽

Knowledge Level ◽

Children Under Five ◽

Public Health Center ◽

Under Five ◽

Level Variable

Background: The proportion of Posyandu utilization by infants decreases with age of the child. Tegal Binangun Puskesmas has the lowest coverage of posyandu visits (D / S), amounting to 66.30% of 41 puskesmas in Palembang..Methods: An analytical research was conducted with cross sectional design in December 2019 - February 2020. The population of the study was 1,909 children under five years old in the working area of Tegal Binangun Public Health Center in Palembang. The research sample was mothers of toddlers 12 - 59 months in the working area of the Tegal Binangun Public Health Center in Palembang. 189 samples were selected by proportional random sampling. Data collection instruments are data collection papers that contain research variables. Data is taken from questionnaires about respondents' predisposing factors and direct observation of posyandu register books and KIA books. Data were analyzed using chi-square and logistic regression.Result: 153 respondents (81%) with low use of posyandu (0 - 7 times). Statistical tests showed that the age variable <30 years (p = 001. PR = 3,464), variable number of children under five (p = 0.041, PR = 3.509), under five age variables (p = 0.029, PR = 2.806), mother employment status variable ( p = 0.030, PR = 4.675), the mother's last education variable (p = 0.033, PR = 2,421), the mother's knowledge level variable (p = 0,000, PR = 9,100), and the mother's attitude variable (p = 0.005, PR = 3,077) . The knowledge level variable is the most dominant variable influencing the use of posyandu by toddlers aged 12-59 months. The researcher suggests that increasing the participation of all sectors in optimizing the implementation of posyandu.Conclusion : There is a relationship between maternal age, number of toddlers, toddler age, maternal employment status, last education, mother's level of knowledge and mother's attitude towards the use of posyandu

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Kualitas Fisik Rumah Dengan Kejadian Pneumonia Pada Balita

JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan ◽

10.31964/jkl.v16i2.196 ◽

2019 ◽

Vol 16 (2) ◽

pp. 809

Author(s):

Tri Nindia ◽

Imam Santoso ◽

Juanda Juanda

Keyword(s):

Health Center ◽

Acute Respiratory Tract Infection ◽

Retrospective Case ◽

Chi Square ◽

Physical Quality ◽

Children Under Five ◽

Under Five ◽

Lighting Conditions ◽

Case Comparison ◽

Relationship Of

Abstrack : Physical Quality Density Of Houses With The Incedents Of Pneumonia In Children Under Five. Toddler pneumonia is an acute respiratory tract infection that is inflammation or irritation in one or both lungs, caused by infection. An illness is said to be acute if it has lasted ± 14 days. The purpose of this study was to determine the relationship of physical quality of houses (lighting, temperature, and humidity) and occupancy density with the incidence of pneumonia in children under five in Kecamatan Astambul, Kabupaten Banjar. Analytical research design with approach retrospective ( case control study ) in case comparison: control 1: 1. The sample of cases in this study were all houses of pneumonia patients 25 houses in the Astambul Health Center area in November 2018 - January 2019. Data analysis used chi-square test.The results of the research statistic showed that the lighting conditions (p 0.321>α 0.05) had no relationship, the temperature conditions (p 0.244 >α 0.05) had no relationship, and the condition of humidity (p 1.00>α 0.05) have no relationship with the incidence of pneumonia in infants.It is expected that counseling from Astambul public health center to society so they can increase knowledge and awareness about the requirements of a healthy home and pay attention to the health of their home environment.

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FAKTOR–FAKTOR YANG MEMPENGARUHI TUMBUH KEMBANG ANAK (USIA 4-6 TAHUN) DI 6 PAUD DESA KUALA DUA WILAYAH KERJA PUSKESMAS SUNGAI DURIAN

Sel Jurnal Penelitian Kesehatan ◽

10.22435/sel.v8i1.4701 ◽

2021 ◽

Vol 8 (1) ◽

pp. 24-38

Author(s):

Muhammad Arif Hendrawan ◽

Andri Dwi Hernawan ◽

Ismael Saleh

Keyword(s):

Child Development ◽

Health Center ◽

Random Sampling ◽

Developmental Disorders ◽

Chi Square ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Child Development Disorders ◽

Nutritional Status Of Children

Berdasarkan data situasi dan analisis gizi di Indonesia pada tahun 2017, status gizi balita diukur dengan indeks tinggi badan per umur (TB/U). Provinsi dengan persentasebalita pendek dan sangat pendek terbesar adalah Kalimantan Barat (32,5%) dan terendah adalah Sumatera Selatan (14,2%). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi tumbuh kembang anak usia 4-6 tahun di desa kuala 2 wilayah kerja Puskesmas Sungai Durian. Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Populasi dalam penelitian ini berjumlah 242 orang. Sampel dalam penelitian ini berjumlah 69 orang anak usia 4-6 tahun, diambil menggunakan random sampling serta menggunakan uji statistik chi-square. Hasil penelitian menunjukan faktor yang berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U, yaitu riwayat ASI eksklusif (p=0,004) berat badan lahir rendah (BBLR) (p=0,003), imunisasi dasar (p=0,000), penyakit infeksi (p=0,000). Sedangkan faktor yang tidak berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U yaitu usia saat hamil (p=0,103). Serta terdapat hubungan yang signifikan antara pertumbuhan anak berdasarkan indikator TB/U dengan perkembangan anak (p=0,000).Saran kepada Puskesmas Sungai Durian untuk melakukan kegiatan sosialisasi di masyarakat serta membuat program khususnya tentang pentingnya deteksi dini gangguan tumbuh kembang anak, sehingga diharapkan dapat mengatasi gangguan tumbuh kembang anak di wilayah kerja puskesmas. According to the Indonesian ministry of health, 2017 the nutritional status of children under five as measured by the height per age index, the province with the largest proportion of short and very short children under five is West Kalimantan (32.5% ) and the lowest was South Sumatra (14.2%). The purpose of this study was to determine the factors that influence the growth and development of children aged 4-6 years in Kuala Village 2, the working area of Sungai Durian Health Center. This study was an observational analytic study with a cross sectional design. The population in this study was probably 242 people. The sample in this study may be 69 children aged 4-6 years, taken using random sampling and using chi-square test statistics. The results showed the factors associated with growth based on the indicator of height / age, namely a history of exclusive breastfeeding (p = 0.004), low birth weight (LBW) (p=0.003), basic immunization (p=0.000), infectious diseases (p = 0.000). Meanwhile, the factor that was not related to children's growth based on the indicator of height / age was the age at pregnancy (p = 0.103). As well as the significant relationship variable between children's growth based on the indicator of height / age with child development (p=0.000) It is suggested to Sungai Durian Public Health Center to carry out socialization activities in the community and create a program specifically on the importance of early detection of child developmental disorders, so that it is hoped that it can overcome child development disorders in the working area of the puskesmas.

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Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207580 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7580

Author(s):

Perpetua Modjadji ◽

Josephine Mashishi

Keyword(s):

South Africa ◽

Birth Weight ◽

Associated Factors ◽

Cross Sectional Study ◽

Health Care Facilities ◽

School Education ◽

Limpopo Province ◽

Cross Sectional ◽

Children Under Five ◽

Under Five

Despite years of interventions intended to reduce child malnutrition in South Africa, its negative effects, stunting in particular, persist mainly among children under five years old living in under-resourced regions. A cross-sectional study was conducted to determine the prevalence of malnutrition and associated factors among 404 children under age five attending childcare services with their mothers in selected healthcare facilities of Limpopo Province, South Africa. Anthropometry, socio-demographics and obstetric history were collected. Height-for-age, weight-for-age and body mass index-for-age Z-scores were used to determine stunting, underweight and thinness among children, respectively. Logistic regression analyses were performed to generate the factors associated with malnutrition. Stunting (45.3%) was the prevalent form of malnutrition among children under age five, affecting boys (51.7%) more than girls (38.8%) and children aged 12–23 months (62.4%) more than those <11 months old (40.1%), in addition to the overall prevalence of underweight (29.0%) and thinness (12.6%). Boys had increased odds of stunting (adjusted odds ratio, AOR = 2.07, 95% CI: 1.26–3.41, p = 0.004) and underweight (AOR = 2.17, 95% CI: 1.32–3.57, p = 0.002) than girls. Children aged 12–23 months were more likely to be stunted (AOR = 4.79, 95% CI: 2.36–9.75, p ≤ 0.0001) than children aged ≤11 months. Delayed introduction of solid foods increased the odds of stunting (AOR = 5.77, 95% CI: 2.63–12.64, p ≤ 0.0001) and underweight (AOR = 2.05, 95% CI: 1.08–3.89, p = 0.028). Children with normal birth weight were less likely to be thin (AOR = 0.42, 95% CI: 0.19–0.92, p = 0.029) and underweight (AOR = 0.34, 95% CI: 0.17–0.68, p = 0.003) than children who had low birth weight. Children whose mothers had obtained secondary school education (AOR = 0.39, 95% CI: 0.16–0.97, p = 0.044), and Grade 12 or post-Grade 12 education (AOR = 0.32, 95% CI: 0.12–0.83, p = 0.020) were less likely to be stunted than were children of mothers who had only primary school education. Suboptimal complementary feeding predisposed children to stunting and underweight. National nutrition programs should be context-specific to improve the introduction of complementary foods among children, especially in the remote and poor areas.

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Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016

Anemia ◽

10.1155/2020/7580104 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Yeshimebet Gebereselassie ◽

Mesganaw BirhanSelassie ◽

Tadesse Menjetta ◽

Jemal Alemu ◽

Aster Tsegaye

Keyword(s):

Public Health ◽

Health Problem ◽

Associated Factors ◽

Public Health Problem ◽

Referral Hospital ◽

University Teaching ◽

Southern Ethiopia ◽

Under Five ◽

Hawassa University ◽

Prevalence Of Anemia

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

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