scholarly journals Malaria infection and anemia status in under-five children from Southern Tanzania where seasonal malaria chemoprevention is being implemented

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260785
Author(s):  
Richard O. Mwaiswelo ◽  
Bruno P. Mmbando ◽  
Frank Chacky ◽  
Fabrizio Molteni ◽  
Ally Mohamed ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Socioeconomic Factors ◽  
Low Socioeconomic Status ◽  
Malaria Infection ◽  
Bed Net ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Seasonal Malaria Chemoprevention

Background Malaria and anemia remain major public health challenges in Tanzania. Household socioeconomic factors are known to influence these conditions. However, it is not clear how these factors influence malaria transmission and anemia in Masasi and Nanyumbu Districts. This study presents findings on malaria and anemia situation in under-five children and its influencing socioeconomic factors in Masasi and Nanyumbu Districts, surveyed as part of an ongoing seasonal malaria chemoprevention operational study. Methods A community-based cross-sectional survey was conducted between August and September 2020. Finger-prick blood samples collected from children aged 3–59 months were used to test for malaria infection using malaria rapid diagnostic test (mRDT), thick smears for determination of asexual and sexual parasitemia, and thin smear for parasite speciation. Hemoglobin concentration was measured using a HemoCue spectrophotometer. A structured questionnaire was used to collect household socioeconomic information from parents/caregivers of screened children. The prevalence of malaria was the primary outcome. Chi-square tests, t-tests, and logistic regression models were used appropriately. Results Overall mRDT-based malaria prevalence was 15.9% (373/2340), and was significantly higher in Nanyumbu (23.7% (167/705) than Masasi District (12.6% (206/1635), p<0.001. Location (Nanyumbu), no formal education, household number of people, household number of under-fives, not having a bed net, thatched roof, open/partially open eave, sand/soil floor, and low socioeconomic status were major risks for malaria infection. Some 53.9% (1196/2218) children had anemia, and the majority were in Nanyumbu (63.5% (458/705), p<0.001. Location (Nanyumbu), mRDT positive, not owning a bed net, not sleeping under bed net, open/partially open eave, thatched window, sex of the child, and age of the child were major risk factors for anemia. Conclusion Prevalence of malaria and anemia was high and was strongly associated with household socioeconomic factors. Improving household socioeconomic status is expected to reduce the prevalence of the conditions in the area.

scholarly journals Nutritional status of under- five children in a city of Maharashtra: a community based study

2017 ◽  
Vol 4 (4) ◽  
pp. 1171 ◽  
Author(s):  
Laxmikant Purohit ◽  
Priyanka Sahu ◽  
Lata B. Godale
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Birth Order ◽  
Maternal Education ◽  
Sampling Technique ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Under Nutrition

Background: Children are considered to be the backbone of any nation. Nutritional problems among children cause major morbidity and mortality in India. India is home to the largest number of underweight and stunted children in the world. Aim and objectives: 1) To assess prevalence of underweight, stunting and wasting among under-five children 2) To study factors associated with underweight, stunting and wasting among under-five childrenMethods: It was community based descriptive cross sectional study conducted during January 2010 to December 2011 at Urban Health Center of the Department of Preventive and Social Medicine catering approximately 27000 populations. 650 under- fives residing in urban field practice area were included in the study with the help of Stratified random sampling technique. Data was analyzed using SPSS software 16 version and OpenEpi Software Version 2.3.Results: 40.46% under five children were stunted, 38.15% were underweight, and 16% were wasted. The difference observed between stunted and normal study subjects with reference to type of family, education of mother, birth weight and birth order were statistically significant. The proportion of under- five children with underweight showed significant association with their age, socioeconomic status, education mother, birth weight and birth order. Proportion of under-five children with SAM and MAM decreased significantly with increase in education status of mother. Significantly higher proportion of under-five children with birth weight less than 2.5 kg and higher birth order were grouped as SAM and MAM.Conclusions: Maternal education, birth weight and birth order of children were significantly associated with all three types of under nutrition i.e. underweight, stunting and wasting. Proportion of children with underweight increases significantly with increase in age and decrease in socioeconomic status. There was no religion wise or gender wise variation in proportion of children with under nutrition was reported among study subjects.

scholarly journals A Study to Assess Knowledge Regarding Prevention and Home Care Management of Diarrhea among Mothers of Under-Five Children Attending a Tertiary Level Hospital, Thiruvananthapuram, Kerala

2021 ◽  
Vol 6 (3) ◽  
pp. 466-471
Author(s):  
Ancey K Toby ◽  
Aruna R ◽  
Avani Anil
Keyword(s):  
Home Care ◽  
Care Management ◽  
Sampling Technique ◽  
Research Approach ◽  
Knowledge Level ◽  
Diarrheal Diseases ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Aim: To find out the knowledge level of mothers of under five children regarding prevention and home care management of diarrhea and develop educational intervention to provide them adequate information regarding management. Objectives: i) To assess the knowledge of mothers regarding prevention and home care management of diarrhea. ii) To find out the association between knowledge level of mothers regarding prevention and homecare management of diarrhea and selected socio-demographic variables. Method: A quantitative research approach-descriptive cross-sectional survey design was adopted. 80 samples were selected for the study by using purposive sampling technique. Results: It was found that 72.5% of mothers had average knowledge and 6.25% of mothers had poor knowledge regarding prevention and homecare management of diarrhea. After calculation of chi square values, it is identified that there is a statistically significant association between knowledge of mothers and their educational status. Conclusion: The finding of this study showed that the knowledge level of mothers was unsatisfactory about the prevention and home care management of under-five diarrheal diseases. Therefore, health education, dissemination of information, and community conversation should plan and implement to create a positive attitude and practice towards the better prevention and management of under-five diarrheal diseases. Keywords: diarrhea, mothers, under-five children.

scholarly journals Childhood Sanitation Practices and Incidence of Diarrhea in Slum Communities With Implications for Community-Based Education in Less Developed Countries

2020 ◽  
Author(s):  
Akpovire B Oduaran ◽  
Okechukwu Stephen Chukwudeh
Keyword(s):  
Low Income ◽  
Developed Countries ◽  
Less Developed Countries ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Education ◽  
Under Five ◽  
Under Five Children ◽  
Slum Dwellers

Abstract Background Diarrhoea is a major cause of mortality among under-five children, especially in less developed countries. Previous studies on childhood diarrhoea have largely focused on biomedical methods with little attention given to community-based approach to reduce the prevalence of the disease in the slums, classified in literature among areas of high diarrhoea incidence. The key question is does childhood sanitation practices influence the incidence of diarrhea? This study, was therefore, designed to examine the association between childhood sanitation practices and incidence of diarrhea using community-based approach.Methods The value beliefs and planned behavior theories were adopted as framework, while cross-sectional survey was use to elicit data from 900 mothers of under-five children who had lived in the study locations for at least 12 months preceding the research and 10 In-depth interviews was conducted.Results There was a positive significant association between defecating with unimproved toilet facilities (χ2=42.167, p<0.05), cleaning buttocks with inappropriate materials (χ2=4.274, p<0.05), disposing faeces around household environments (χ2=10.542, p<0.05), and childhood diarrhea. The odds was higher among children whose mothers had no education (OR=1.560), widow (OR=5.542), poor (OR=1.556), and children that defecates with unhygienic toilet facilities (OR=7.806).Conclusion Community perceptions interact with poverty to influence unhygienic toilet practices in the slums. This has negative health implications on the lives of low-income and vulnerable slum dwellers. Thus, community-based education on improved sanitary practices is necessary to reduce diarrhoea prevalence.

scholarly journals Under the Threat of an Epidemic: People with Higher Subjective Socioeconomic Status Show More Unethical Behaviors

2021 ◽  
Vol 18 (6) ◽  
pp. 3170
Author(s):  
Ting Wang ◽  
Xue Wang ◽  
Tonglin Jiang ◽  
Shiyao Wang ◽  
Zhansheng Chen
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Psychological Impact ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
Perceived Severity ◽  
Subjective Socioeconomic Status ◽  
Unethical Behaviors ◽  
The Relationship

This research focused on the psychological impact of an epidemic. We conducted a cross-sectional survey and two empirical experiments to examine how an epidemic would influence unethical behaviors and how the effect differs in people of different subjective socioeconomic statuses. These studies consistently demonstrated that subjective socioeconomic status moderates the relationship between an epidemic and unethical behaviors. Specifically, the perceived severity of an epidemic positively predicts the unethical behaviors of people with a high socioeconomic status, but it does not predict the unethical behaviors of people with a low socioeconomic status. These findings elucidate the effects of epidemics and bring theoretical and practical implications.

scholarly journals Social factors of under-five mortality in rural Agra

2017 ◽  
Vol 4 (10) ◽  
pp. 3735
Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Sampling Technique ◽  
Acute Respiratory Tract Infection ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
The Government

Background: Very limited recent data is available on the causes of child deaths in India.Most of the available studies do not accurately reflect the socio factors related to these deaths. Identifying and assessing the factors affecting the child mortality could be the first step in planning to reduce the mortality and promoting the society health and life expectancy. Therefore the present study was undertaken to find out the socio factors of deaths among children under 5 years of age. Methods: The present cross-sectional survey was conducted among under five children and their parents residing within the selected villages in a community Development Block Sainyan, District Agra using Multistage random sampling technique. Participatory learning action technique was used. Data was analyzed and presented in form of percentages. Results: Diarrhoea was the most common cause of under five children mortality followed by acute respiratory tract infection and pyrexia. Delay in recognition of problem followed by delay in decision making at family level, delay in seeking of health provider and delay in arranging transport were the main social causes of deaths. Most children were attended by local rural medical practitioners both at initial and terminal stages of illness. Conclusions: Efforts to prevent diarrhoea and acute respiratory tract infection must be intensified. Awareness about the services provided by the government and their utilization should be strengthened. 

scholarly journals Risk factors for acute severe pneumonia in under five children

2019 ◽  
Vol 6 (3) ◽  
pp. 949
Author(s):  
Neerupam Gupta ◽  
Naine Bhadrala
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Severe Pneumonia ◽  
World Health ◽  
Healthy Children ◽  
Low Literacy ◽  
Low Socioeconomic ◽  
Under Five ◽  
Under Five Children

Background: Acute severe pneumonia is the leading cause of death in children below five years of age. India tops in the list amongst the 15 countries having a high incidence of childhood pneumonia with 43 million episodes of pneumonia annually. Identification of modifiable risk factors of acute severe pneumonia can help in reducing the burden of disease.Methods: A hospital-based case control study was undertaken to determine risk factors associated with acute severe pneumonia in under-five children. A case definition of acute severe pneumonia as given by world health organization (WHO) was used for cases. Healthy children attending Pediatrics outpatient Department for immunization during study period were enrolled as controls. Details of potential risk factors in cases and controls were recorded in pre-designed proforma. 732 children including 366 cases and 366 controls were enrolled in the study.Results: On stepwise logistic regression analysis it was found that low  literacy status of the mother (OR:9.46; 95%CI:7.31-19.0); inappropriate immunization for age (OR:38.04; 95%CI 14.59-110.18);cooking fuel other than liquid petroleum gas (OR:3.79; 95%CI: 2.40-6.78); low socioeconomic status (OR: 6.12; 95%CI: 2.42-35.48); overcrowding (OR:1.21; 95%CI: 1.03- 2.21) and upper respiratory infection in family (OR:5.08; 95%CI: 3.79-7.67) were the significant contributors to the occurrence of acute severe pneumonia in children under five years.Conclusions: Low literacy status of mother, incomplete immunization status, use of fuel other than LPG, low socioeconomic status, overcrowding, family history of URTI emerged as risk factors for occurrence of acute severe pneumonia in under five children.

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