Prevalence and determinants of stunting among preschool and school-going children in the flood-affected areas of Pakistan

Abstract Stunting is a significant public health problem in low- and middle-income countries. This study assessed the prevalence of stunting and associated risk factors of stunting among preschool and school-going children in flood-affected areas of Pakistan. A cross-sectional study was conducted by visiting 656 households through multi-stage sampling. Respondent’s anthropometric measurements, socio-demographic information and sanitation facilities were explored. A logistic regression model was used to determine determinants of stunting, controlling for all possible confounders. The overall prevalence of stunting in children was 40.5%, among children 36.1% boys and 46.3% of girls were stunted. The prevalence of stunting in under-five children was 50.7%. Female children (OR=1.35, 95% CI:0.94-2.0), children aged 13-24 months (OR=6.5, 95% CI: 3.0-13.9), mothers aged 15-24 years (OR=4.4, 95% CI: 2.6-7.2), joint family (OR=2.1, 95% CI: 1.4-3.0) did not have access to improved drinking water (OR=3.3, 95% CI: 1.9-5.9), and the toilet facility (OR=2.8, 95% CI, 1.9-4.3), while the children from district Nowshera (OR=1.7, 95% CI: 0.9-3.2) were significantly (P<0.05) associated in univariate analysis. The regression model revealed that child age, maternal age, family type, quality of water, and toilet facility, were the significant (P<0.05) factors contributing to child stunting in the flood-hit areas. Identification of key factors might be helpful for policymakers in designing comprehensive community-based programs for the reduction of stunting in flood-affected areas. In disasters such as flood, the detrimental consequences of the stunting problem could be even more on children. Evidence-based education and care must be provided to the families in the flood-affected regions to reduce the stunting problem. The determinants of stunting should be targeted by making comprehensive policies regarding proper nutrition, livelihood, clean water, and sanitation facilities in flood-hit regions.

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Assessing Knowledge on Clubfoot Among Parents Having Children with Clubfoot Deformity

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v14i1.22882 ◽

2015 ◽

Vol 14 (1) ◽

pp. 42-46 ◽

Cited By ~ 1

Author(s):

Zobaer Alam ◽

Md Monoarul Haque ◽

Md Rijwan Bhuiyan ◽

Md Shahinoor Islam ◽

Monirul Haque ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Public Health Problem ◽

Educational Status ◽

Cross Sectional Study ◽

Childhood Disability ◽

Care Providers ◽

Cross Sectional ◽

Middle Income ◽

Level Of Knowledge

Background: The burden of childhood disability as a public health problem in developing countries remains relatively unrecognized. One out of 750 children born in the world suffer from club foot among them 80% are in low and middle income countries. Most of these babies have limited access to receive effective treatment for their clubfoot due to lack o knowledge, awareness and some barriers. We actually dont know the level of knowledge of parents who have child with clubfoot deformity. The purpose of this study was to assess the level of knowledge of parents who have children with clubfoot during clubfoot treatment. Materials and Methods: This cross sectional study was conducted among 102 parents who have children with clubfoot deformity during its treatment in a selected clinic. The samples were selected purposively from the clinics where clubfoot treatment was given and face to face interview was done by using semi-structured questionnaire. Results: The mean (±SD) age of the respondents were 24.7 (±6.0) years where 87.3% (n=89) respondents ware female and 59.8 %(n=61) respondents educational status ware up to primary level. About 44.1% respondents started treatment of their child within 6 months of birth and 33% within 6 to 12 months where 57% (n=58) respondents are referred by health care professional to this clinics. About 93.1% of parents (n=95) said that they knew nothing about clubfoot deformity before their child was diagnosed where 97% are aware after diagnosis of their child. About 93.1% respondents knew the best time for treatment initiation where 59.8% respondents know the correct follow up time of clubfoot management. In case of knowledge of parents roles in the treatment of clubfoot about 91.2%, parents have knowledge weekly visit for treatment and 86.3% know the plaster care where 52.9% (n=54) parents have lack of knowledge about how to use the brace Conclusion: There is need to improve the communication skills of clinicians/health care providers offering treatment to children with clubfoot at the Clinics. Need to share information with the parents about the condition. Finally, there is need to emphasize of educating parents about plaster care and how to use brace. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22882 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 42-46

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Prevalence and risk factors for myopia among school children in Aba, Nigeria

African Vision and Eye Health ◽

10.4102/aveh.v76i1.369 ◽

2017 ◽

Vol 76 (1) ◽

Cited By ~ 4

Author(s):

Uchenna C. Atowa ◽

Alvin J. Munsamy ◽

Samuel O. Wajuihian

Keyword(s):

School Children ◽

Refractive Error ◽

Age Groups ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Level Of Education ◽

Multi Stage ◽

Significant Difference

Aim: To study the prevalence of myopia among school children in Aba, Nigeria.Methods: This cross-sectional study was conducted in public and private (primary and secondary) schools. A multi-stage random sampling technique was used for selecting participants aged between 8 and 15 years from 12 schools in Aba, Nigeria. Data were analysed for 1197 children who underwent a comprehensive eye examination. The children were divided according to the following criteria: age groups (group 1 [8–11 years] or group 2 [12–15 years]), gender (male or female), level of education (primary or secondary) and type of school (public or private). Myopia was defined as spherical equivalent refraction (SER) ≤ -0.50 D in the poorer eye.Results: The prevalence of myopia was estimated to be 2.7%. Of the 96 children with refractive error, 78.1% were uncorrected. In using logistic regression analysis, risk of developing myopia was associated with older age groups (odds ratio [OR]: 1.20; 95% confidence interval [CI], 0.16–9.11; p < 0.010) and higher level of education (OR: 1.73; 95% CI, 1.05–2.86; p < 0.030). There was no significant difference in myopia prevalence between male and female children (p = 0.89).Conclusion: Although the prevalence of myopia and overall prevalence of refractive error in school children in Aba were low, the high prevalence of uncorrected refractive error is a significant public health problem. An effective and sustainable children’s vision screening programme is needed to prevent visual impairment and blindness.

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The pattern of suicide poisoning cases in the Tertiary care Centre in Chengalpet district, Tamil Nadu, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212611 ◽

2021 ◽

Vol 8 (7) ◽

pp. 3512

Author(s):

R. Swaminathan Veerasamy ◽

V. Pragadeesh Raja ◽

T. Muthukumar ◽

A. Kalaivani

Keyword(s):

Tamil Nadu ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Tertiary Care Centre ◽

Important Public Health Problem ◽

Cross Sectional ◽

Middle Income ◽

Middle Socioeconomic Status ◽

Socio Demographic Factors

Background: Suicide is an important public health problem, every year 800000 people due to suicide, Suicide is the third leading cause of death in 15-19-year-old only. Most (79%) of the suicide happened in low and middle-income countries. Among them consuming poisoning is 25.8%. In India 2019 incidence of suicides 10.4 per one lakh (1,00,000) of population. Tamil Nadu is the state of India sharing most of the suicide deaths, second position (9.7%) in 2019 next to Maharashtra (13.6%).Methods: This is a Hospital-based cross-sectional study, this study was conducted among suicide patients who consumed poison by using nonprobability, consecutive sampling. A pretested questionnaire was administered, and information regarding socio-demographic factors, type of poisoning, and outcome of poisoning was obtained. Statistical analysis was done through Statistical package for social sciences (SPSS) version 21.Results: Of 111 suicide poisoning patients admitted, were female (50.5%) and the majority were from a rural area (70.3%). Among suicidal, tablet poisoning was predominant (27.7%), followed by Organophosphorus poisoning (26.8%) and rat killer poisoning (17.1%). The major reason for suicidal poisoning was family problems (58.6%), and the majority of Suicidal poisoning was more among the age group of 11–30 years (67.6%) and middle socioeconomic status (50.5%). The majority of patients were admitted to the hospital with median days of 2 days (range 1-12). Among 111 patients 109 are cured and discharged and death of 2 cases.Conclusions: Suicides are avoidable and preventable deaths, there are so many measures are there in individuals levels particularly high-risk persons and community level also. So many poisoning cases are tablets and organophosphorus so to take steps for reducing access for that like legislative measures and regulations. Early identification of the mentally disturbed persons and to give counselling.

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Prevalence and risk factors for diabetes mellitus among tuberculosis patients in Moshi Municipal Council, Kilimanjaro Tanzania

East African Health Research Journal ◽

10.24248/eahrj.v5i1.658 ◽

2021 ◽

Vol 5 (1) ◽

pp. 69-74

Author(s):

Patrick L. Mabula ◽

Kelly I. Kazinyingi ◽

Edwin Christian Chavala ◽

Victor Mosha ◽

Sia E. Msuya ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Centre ◽

Public Health Problem ◽

Cross Sectional Study ◽

Health Facilities ◽

Cross Sectional ◽

Middle Income ◽

Glucose Testing ◽

Municipal Council ◽

Tb Treatment

Background: Diabetes Mellitus (DM) is a worldwide public health problem and its prevalence has been rising rapidly in low and middle income countries (LMICs) including Tanzania. According to WHO report 2015, DM is ranked number six as a leading cause of death worldwide. Strong evidence suggests that DM may be associated with Tuberculosis (TB) and could affect TB treatment outcomes. Tanzania is among the 22 countries that have a high burden of TB and currently facing increased epidemic of DM. The increasing diabetes prevalence may be a threat to TB control and counteract strategies to end TB by 2030 as proposed by WHO. Objective: To determine proportion of TB patients who are co-infected with DM in Moshi municipal council, Kilimanjaro Tanzania. Methodology: This study was a hospital based cross-sectional study conducted in April to July 2018 at 4 health facilities; Mawenzi Regional Referral hospital, St. Joseph District Designated hospital, Pasua Health center and Majengo Health centre in Moshi municipal. The study included adults aged 18 years and above attending either of the 4 health facilities for TB care. The study included newly diagnosed and those who were on TB treatment. Interviews were conducted followed by blood glucose testing. Data was entered and analysed using SPSS Results: A total of 153 TB patients were enrolled, their mean age was 42.5 (±14.75) years and 46 (30.1%) were females. The prevalence of DM among TB patients in this study was 9.2%. Factors associated with TB-DM comorbidity were: age (OR 4.43, 95% CI: 1.18-16.55), HIV status (OR 3.88, 95% CI: 1.06-14.11), and family history of DM (OR 6.50, 95% CI 0.67-25.56). Conclusion: One in ten patients with TB had confirmed DM. There is a need for future studies to assess if DM influences TB treatment and outcomes in this setting.

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Prevalence of violence and associated factors among Youth in Northwest Ethiopia: Community-based Cross-sectional study.

10.21203/rs.3.rs-17582/v2 ◽

2020 ◽

Author(s):

Alehegn Bishaw Geremew ◽

Abebaw Addis Gelagay ◽

Telake Azale Bisetegn ◽

Yohannes Ayanaw Habitu ◽

Solomon Mekonen Abebe ◽

...

Keyword(s):

Logistic Regression ◽

Regression Model ◽

Associated Factors ◽

Logistic Regression Model ◽

Public Health Problem ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia. Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66). Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence

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Epidemiology and factors associated with diarrhoea among children under five years of age in the Engela District in the Ohangwena Region, Namibia

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v12i1.2361 ◽

2020 ◽

Vol 12 (1) ◽

Author(s):

Maria F. Bauleth ◽

Honore K. Mitonga ◽

Lusia N. Pinehas

Keyword(s):

Informal Settlement ◽

Acute Diarrhoea ◽

Public Health Problem ◽

Epidemiological Data ◽

Cross Sectional Study ◽

Cross Sectional ◽

Middle Income ◽

Face To Face ◽

Factors Associated ◽

Middle Income Countries

Background: Diarrhoea remains a public health problem and an important cause of morbidity and mortality amongst children, mainly in low- and middle-income countries. In Namibia, the national prevalence of diarrhoea was 17%; it was responsible for 5% of all deaths in children under 5 years old and is the second leading cause of death.Aim: The purpose of this study was to assess the epidemiology and factors associated with acute diarrhoea amongst children less than 5 years of age in Engela district in the Ohangwena region, Namibia.Setting: The study was conducted in Ohangwena Region in Namibia which extends east to west along the borders of the southern part of Angola.Methods: A cross-sectional study was conducted. A structured questionnaire was administered through face-to-face interviews. Descriptive statistics were used to describe the socio-demographic and epidemiological data of diarrhoea and logistic regression analysis was used to determine the factors associated with the prevalence of diarrhoea.Results: The study found a prevalence of 23.8% for diarrhoea in the 2 weeks period preceding the survey amongst children aged under 5 years. The prevalence of diarrhoea was statistically significantly associated with children (p 0.05). The strongest predictor of the prevalence of diarrhoea was the residential area ‘informal settlement’, with an odds ratio of 36.42. This implies that children living in the informal settlement are 36.42 times at risk of contracting diarrhoea as compared to those living in other residential areas.Conclusion: epidemiology; factors; diarrhoea; under-5 years children; Engela district; Ohangwena region; Namibia.

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Prevalence and correlates of food insecurity among Lebanese households with children aged 4–18 years: findings from a national cross-sectional study

Public Health Nutrition ◽

10.1017/s1368980018003245 ◽

2018 ◽

Vol 22 (2) ◽

pp. 202-211 ◽

Cited By ~ 12

Author(s):

Lamis Jomaa ◽

Farah Naja ◽

Samer Kharroubi ◽

Nahla Hwalla

Keyword(s):

Public Health ◽

Food Insecurity ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Cross Sectional Survey ◽

Anthropometric Measures ◽

Cross Sectional ◽

Middle Income ◽

Households With Children

AbstractObjectiveFood insecurity (FI) is a major public health problem in Lebanon, a small middle-income country with the highest refugee per capita concentration worldwide and prolonged political and economic challenges. The present study aimed to measure the prevalence and sociodemographic correlates of household FI and to explore the association of household FI with anthropometric measures of children and their mothers.DesignCross-sectional survey (2014–2015).SettingLebanon.ParticipantsNationally representative sample of Lebanese households with 4–18-year-old-children and their mothers (n1204).ResultsFI prevalence (95 % CI), measured using the Arabic-translated, validated Household Food Insecurity Access Scale, was found to be 49·3 (44·0, 54·6) % in the study sample. Mild, moderate and severe FI were found in 7·0 (5·5, 9·2) %, 23·3 (20·1, 26·8) % and 18·9 (14·9, 23·5) % of households, respectively. Multiple regression analysis showed that low maternal and paternal education, unemployment and crowding were significant correlates of household FI (P<0·05). No significant associations were observed between FI and anthropometric measures of children and their mothers, after adjusting for other socio-economic correlates. Food-insecure households reported various mechanisms to cope with food shortage, such as reducing the number of meals/d (49·6 %), borrowing food (54·4 %), spending savings (34·5 %) and withdrawing children from schools (8·0 %).ConclusionsFI exists among a remarkable proportion of Lebanese households with children. Correlates of household FI should be considered when designing social welfare policies and public health programmes to promote more sustainable, resilient and healthier livelihoods among vulnerable individuals.

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Mitigating Strategies and its Challenges of COVID-19 Pandemic in Ogun State, Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.01.art007 ◽

2021 ◽

Vol 9 (1) ◽

pp. 71-81

Author(s):

Oni, Olawale Bashir-Ud-Deen

Keyword(s):

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Mitigation Strategies ◽

Definitive Treatment ◽

Major Public Health Problem ◽

Cross Sectional ◽

Ogun State ◽

Multi Stage ◽

Social Gathering

Globally, coronavirus disease (COVID-19) is a major public health problem due to its high virulence associated with communities spreading with no definitive treatment and untimely death. Various perceptions have been associated with the COVID-19 pandemic. This study assessed the perception of mitigating strategies and its challenges regarding COVID-19 among residents in Ogun State, Nigeria. A descriptive cross-sectional study design using a multi-stage sampling technique was used to solicit information from 2400 respondents in Ogun State, Nigeria. Data were collected using an interviewer-administered questionnaire from 4th to 15th October 2020. Descriptive statistics were employed for data analysis. Findings of this study revealed that avoidance of social gathering (23.5%), the use of face masks (23.3%), and cleaning of hands with sanitizer (22.7) were the most common mitigation strategies adopted by the respondents in the study area, although full adherence was low. The most strategies to prevent the transmission of COVID-19 were suggested by the respondents. These strategies included regular quarantining affected person(s), practicing basic measures, and going to the hospital with 21.5%, 20.6%, and 19.7% respectively. The results also showed that going to Churches and Mosques, inconvenient time of using face masks and restriction from social gathering and clubbing during COVID-19 pandemic were the most challenges faced in the study area. This study concludes that there should be more provision of medical supplies and palliatives for individuals, health education, the enforcement of preventive measures, and free testing and treatment should receive much recognition.

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A cross sectional study to assess the infrastructure and logistics available at Anganwadi centres in a rural area

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193456 ◽

2019 ◽

Vol 6 (8) ◽

pp. 3364

Author(s):

Anas Ahmad Khan ◽

Danish Imtiaz

Keyword(s):

Rural Area ◽

Central Government ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Multi Stage ◽

Anganwadi Worker ◽

Toilet Facility ◽

Social Profiles

Background: ICDS is running from about last four decades in our Country sponsored by Central Government. For achievements of ICDS objectives Anganwadi Centres need to be well equipped in infrastructure and logistics as they are the main source of services provided under ICDS. To find out available infrastructure and logistics at Anganwadi Centers (AWCs), to study the bio-social profiles of Anganwadi Worker (AWWs) and to assess the factors affecting the organizing ‘matriya samiti’ meeting by AWWs at AWCs.Methods: A cross sectional observational study conducted in a rural area of district Bareilly in 22 Anganwadi Centres selected by multi-stage sampling technique. Selected Anganwadi Centres were visited and selected Anganwadi workers and beneficiaries were interviewed.Results: Majority of AWCs were having pucca type of construction but only 18% were having toilet facility. 60% of AWCs were having regular supply of supplementary nutrition, 72% of AWCs do not have any cooking utensils, around 55% were having growth charts, only 32% were having complete non formal pre-school education kit, less than 40% were having complete medicine kit and only 13% were having referral slips.Conclusions: Most of the AWCs were not having adequate infrastructure and logistics as requires.

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Prevalence of Diabetes and Associated Risk Factors among a Group of Prisoners in the Yaoundé Central Prison

Journal of Diabetes Research ◽

10.1155/2020/5016327 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Sylvain Raoul Simeni Njonnou ◽

Jérôme Boombhi ◽

Martine Claude Etoa Etoga ◽

Aimée Tiodoung Timnou ◽

Ahmadou Musa Jingi ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Sedentary Lifestyle ◽

Univariate Analysis ◽

International Diabetes Federation ◽

Public Health Problem ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Cross Sectional

Background. Diabetes is a public health problem worldwide, associated with increased morbidity and mortality. According to the International Diabetes Federation (IDF) 2017 data, around 425 million people worldwide suffer from diabetes. This number is expected to increase to 629 million in 2045. Various occidental studies reported the increased prevalence and lower control of diabetes among prisoners. However, there is no data on the characteristics of inmates with diabetes in sub-Saharan Africa. Methods. A cross-sectional study among incarcerated detainees from the Yaoundé Central Prison was conducted from January to July 2017. Diabetes was defined according to the American Diabetes Association (ADA) criteria. Analyzed variables included phenotypic characteristics, lifestyle, the reason for detention, the sentence severity, and the length of detention. Results. We recruited 437 inmates (344 men) with an average age of 37.0 (95% CI: 35.9-38.3) years. The most frequent age group was 20 to 39 years with 281 (64.7%) inmates, and the mean prison stay was 29.1 (95% CI: 25.7-32.8) months. The prevalence of diabetes in the Yaoundé Central Prison was 9.4%. The main cardiovascular risk factors were a sedentary lifestyle (91.1%), hypertension (39.6%), smoking (31.6%), and alcohol consumption (28.1%). Hypertension (p=0.005), obesity (p=0.0006), smoking (p=0.04), sedentary lifestyle (p=0.04), major crime (p=0.007), and minor crime (p=0.003) were associated with diabetes in univariate analysis. In multivariate analysis, only obesity and sedentary lifestyle were associated with diabetes. Conclusion. Diabetes prevalence in the Yaoundé Central Prison was high, at 9.4%, compared to that in the general population. It was associated with other classical cardiovascular risk factors and factors linked to the sentence (minor and major crimes). This trial is registered with CE00617/CRERSHC/2016.

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