scholarly journals A study to assess the effectiveness of self-instructional module on minor ailments of children among anganwadi workers

2017 ◽  
Vol 4 (8) ◽  
pp. 3037
Author(s):  
Vishal Jamra ◽  
Ramniwas Mahore ◽  
Dinesh Mohan Saxena ◽  
Anil Kumar Agarwal
Keyword(s):  
Simple Random Sampling ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Basic Knowledge ◽  
Baseline Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Post Test ◽  
Minor Ailments

Background: Anganwadi workers (AWW) are India’s primary tool against the menace of child malnourishment, infant mortality, and lack of child education, community health. The Anganwadi workers should have basic knowledge of treatment of minor ailment in under five children. Methods: This cross sectional study was conducted on 48 AWWs of selected ICDS centers of District Bhopal, Madhya Pradesh by simple random sampling method. Results: Brief structured interview and structured questionnaire techniques were used to collect responses from the AWWs. All the AWWs (48) were trained and had been rendering adequate services but they were not much reflective of the same when being questioned on the knowledge parameter. The study revealed that out of 48 AWW, more than 80% were in the age group of 25-45 years. After IMCI based training given to AWWs, their knowledge and skills for treating minor ailments under five children was significantly improved from pre-test assessment (Total score 1087 with Mean (SD) score 2.83 (1.32) to post-test assessment1392 with Mean (SD) score 3.62 (1.38). Knowledge of AWWs regarding under five children in all 8 domains of illness was changed significantly 14.1% from 50.3% in baseline survey to 64.4% in end line survey. Conclusions: As the Anganwadi worker is the key person in the programme, her education level and knowledge of minor ailments for under five children plays an important role related to her performance in the Anganwadi centre. 

scholarly journals Analisis Faktor Keteraturan Ibu dalam Menimbang Balita di Posyandu

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Under Five ◽  
Under Five Children ◽  
Chi Square Test

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.

scholarly journals Prevalence and determinants of malnutrition among under-five children in Lusaka urban, Zambia

2020 ◽  
Vol 21 (1) ◽  
pp. 1-13
Author(s):  
Emmanuel M. Musenge ◽  
Sophia Tembo ◽  
Mutinta Hankwebe ◽  
Ndonia Kahinga ◽  
Ovy Mushibwe ◽  
...  
Keyword(s):  
Binary Logistic Regression ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Simple Random Sample ◽  
Binary Logistic Regression Analysis ◽  
Interview Schedule ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
The Mean

Background: Malnutrition is a severe and persisting cause of morbidity and mortality among under-five children in Zambia. We assessed malnutrition and its determinants among under-five children in Lusaka urban, Zambia.  Methods: This cross-sectional study was conducted at Chawama, Kabwata, Chilenje and Mtendere urban clinics in Lusaka. A simple random sample of 384 under-five children were selected between February and March 2015. A structured interview schedule was used to collect data on demographic characteristics, determinants of malnutrition and anthropometric measurements. Multivariate binary logistic regression analysis was carried out using IBM® SPSS® Statistics for Windows Version 20.0 to identify determinants of malnutrition while adjusting for confounders.  Results: Of the 384 under-five children, most (51.8%) of them were male and the mean (SD) age was 13.83±10.17 months. The zH/A; zW/H; and zW/A was 68.5% and 31.5%; 95.6% and 4.4%; and 86.2% and 13.8% for normal and stunted; normal and wasted; and normal and underweight respectively. Majority (77.1%) of the children had MUAC > 12.5 cm, 16.9% had 11.5 – 12.5 cm and 6.0% had < 11.5 cm. Mother’s good nutritional practices (OR 0.50, 95% CI: 0.27 – 0.95) and MUAC > 12.5 cm (OR 0.10, 95% CI: 0.01 – 0.94; OR 0.01, 0.00 – 0.10; and OR 0.4, 0.01 – 0.19) were statistically significantly associated with stunting, wasting and underweight respectively.  Conclusion: We established varied levels of stunting, wasting and underweight and mother’s nutritional practices and MUAC predicted these levels. More information, education and communication messages to the mothers and caretakers with regard to nutritional practices are needed so that under-nutrition can be improved, to ensure healthy living for mothers, care takers and under-five children.    

scholarly journals Identification of undernutrition in under five children: Z score or a composite index of anthropometric failure?

2019 ◽  
Vol 6 (7) ◽  
pp. 3150
Author(s):  
Reena Titoria ◽  
Prabhu Ponnusamy ◽  
Sunil Mehra
Keyword(s):  
Descriptive Analysis ◽  
Composite Index ◽  
Premature Mortality ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Sustainable Development ◽  
North West ◽  
Under Five ◽  
Under Five Children

Background: Undernutrition continues to be the primary cause of ill health and premature mortality. The sustainable development goal 2 aims to end all forms of hunger by 2030 and lead towards an improvement in child health. The national data categorize the level of undernutrition as underweight, wasting and stunting. The weight for age estimates used under ICDS misses out the other forms of malnutrition. This study was conducted to assess the prevalence of undernutrition using a composite index of anthropometric failure (CIAF) and compare it with conventional indices.Methods: A community based setting and cross-sectional study design. By simple random sampling 265 under-five children residing in a marginalized community of North West district of Delhi. Interviewer administered questionnaire was used to collect information and anthropometric measurements were taken using standard operative procedures. Z scores were calculated by WHO-ANTHRO software version 3.2.2. Descriptive analysis was conducted using statistical package for social sciences version 22.Results: The prevalence of anthropometric failure by CIAF was 60.5% and based on other indices undernutrition was found as 44.5% stunting, 35.4% underweight and 26.4% wasting. MUAC detected 23.7% of undernourished. CIAF provides a better picture of undernutrition compared to other indices.Conclusions: Since CIAF is more than that estimated by any of the conventional indicators, it proves to be a better indicator in assessing the overall burden of under-nutrition in a population. Development of policies based on CIAF to reduce the burden of undernutrition may prove to be more effective. 

scholarly journals A study to assess the practices of mothers of under-five children in childhood diarrhoea in a tertiary care hospital of Northeast India

2019 ◽  
Vol 6 (4) ◽  
pp. 1614
Author(s):  
Nilratan Majumder ◽  
Dipak Kumar Dhar
Keyword(s):  
Tertiary Care ◽  
Cost Effective ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Northeast India ◽  
Care Hospital ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Care Giving

Background: Diarrhoea is one of the major causes of morbidity and mortality in under-five children. The incidence of diarrhoea has remained almost unchanged over the past few decades. A mother is the primary care-giver of a child. Therefore, one of the key factors that determine the survival of a sick-child is her attitude and practices in the event of diarrhoea. The present study was therefore undertaken to understand the different aspects of their care-giving behaviour.Methods: A hospital-based cross-sectional study was carried out in the Department of Paediatrics, Agartala Government Medical College and G. B. Pant Hospital, Agartala, Tripura, India over a period of two months. 700 mothers of under-five children attending the OPD were interviewed with a pre-designed and structured interview schedule.Results: The usage of ORS was about one-fourth. And only one-fifth out of all the participating mothers could show how to prepare ORS solution correctly. Correct practices regarding various aspects of administering ORS solution like duration of usage, frequency of administering, duration of the therapy, etc were not observed in majority of the participating mothers. A preference for home-made fluids was also noted in most of the participants. Educational level and past experience of managing a child with diarrhoea significantly affected their practices.Conclusions: Even though ORS is widely and easily available, easy to use and cost-effective, considerable work needs to be done in the context of adequate practices in its administration to a child affected by diarrhoea and increase its acceptability.

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

Pattern of Thalassemia and Hemoglobinopathies Among Anemic Under-Five Children of Northern Bangladesh: A Hospital Based Cross Sectional Study

2021 ◽  
Author(s):  
Md. Abdur Rafi ◽  
M. Morsed Zaman ◽  
Md. Golam Hossain
Keyword(s):  
Cross Sectional Study ◽  
Severe Form ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hemoglobin E ◽  
Under Five ◽  
Under Five Children ◽  
Thalassemia Minor ◽  
Different Types

Abstract Background Congenital hemoglobin defects are significant global health concern affecting more than 330,000 newborns every year. In Bangladesh more than half of the under-five children are anemic, but the contribution of hemoglobin disorders to childhood anemia is quite unexplored. Hence, the objective of the present study was to investigate the prevalence and pattern of hemoglobinopathies among anemic under-five (age 6–59 months) children visiting the hematology department of Rajshahi Medical College Hospital (RMCH). Methods This was a retrospective cross-sectional study among anemic patients aged between 6 to 59 months conducted in the hematology department of RMCH from July 2018 to June 2020. The guideline of WHO was used to define the severity of anemia. Hemoglobinopathies was measured using standard methods. Chi-square test was used to find the association between two categorical factors. Results Female and younger children included in the study were more likely to suffer from moderate to severe form of anemia compared to their counterparts. Out of 534 patients 183 were suffering from different types of hemoglobinopathies (prevalence 34.3%). E-β-Thalassemia was the most common type of hemoglobinopathy (14%) followed by Hemoglobin E trait (11%) and β-Thalassemia minor (5.6%). Prevalence of these hemoglobin disorders was comparatively higher among female and older children (p < 0.05). Patients with E-β-Thalassemia and β-Thalassemia major of our study were mostly suffering from severe form of anemia while patients with hemoglobin E trait and β-Thalassemia minor were mostly suffering from mild anemia (p < 0.01). Conclusions A remarkable number of children were suffering from severe anemia and different types of hemoglobinopathies. Gender and age group were the risk factors of anemia and hemoglobinopathies among under-five children. Health authorities of Bangladesh should especially take care of anemic children in this country.

scholarly journals A study on associated risks of smoking, alcohol and smokeless tobacco on hypertension among advocates

2019 ◽  
Vol 6 (12) ◽  
pp. 5114
Author(s):  
Shanthi Edward ◽  
Praveena Periasamy
Keyword(s):  
Life Style ◽  
Sampling Method ◽  
Simple Random Sampling ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
District Court ◽  
Cross Sectional ◽  
Healthy Life ◽  
Healthy Life Style ◽  
Study Participants

Background: Advocates, being stressed out and depressed in the law profession due to unstable work pattern, work overload and lack in coping up skills. They thrive a lot to survive in the profession. In such circumstances, lawyers may lean on alcohol or tobacco. In view of above issues, one of the main objectives of the study is to evaluate the association between use of alcohol, tobacco, smoking and hypertension among practising advocates.Methods: A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method. Data was collected using structured interview schedule and analysed using SPSS.Results: Around 263 (87.66%) study participants were non-smokers and 37 (12.33%) were tobacco smokers. Among the tobacco smokers, a majority of 24 (64.86%) were found to be hypertensives (p=0.002). In the current study among the alcohol consumers, a majority of 26 (55.32%) were hypertensives and among the non-consumers of alcohol, only 38.34% were hypertensives (p=0.044).Conclusions: Advocates being professionals are well educated, informative and aware of complications. Adoption of healthy life style practices, the prevalence of hypertension may be reduced among the advocate community. Life style modifications such as cessation of smoking, alcohol and tobacco should be adopted. Promotive activities like arrangement of health camps in the court, health education, counselling on self-care, stress bursting leisure time activities would reduce the dependency on tobacco and alcohol.

scholarly journals ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malnourished Children ◽  
Coimbatore District

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.

scholarly journals Diarrheal Diseases in Under-Five Children and Associated Factors among Farta District Rural Community, Amhara Regional State, North Central Ethiopia: A Comparative Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yilkal Tafere ◽  
Bedilu Abebe Abate ◽  
Habtamu Demelash Enyew ◽  
Amsalu Belete Mekonnen
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Diarrheal Diseases ◽  
Open Defecation ◽  
Cross Sectional ◽  
North Central ◽  
Central Ethiopia ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Background. Diarrheal diseases are the major cause of morbidity and mortality among under-five children in low- and middle-income countries including Ethiopia. One of the national initiatives to reduce its burden is an implementation of an open-defecation-free program. However, information related to the comparison of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free. Hence, this study assessed the magnitude of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free areas of Farta District, North Central Ethiopia. Methods. A community-based comparative cross-sectional study was conducted among 758 households (378 in open-defecation-free and 380 in non-open-defecation-free kebeles) who have under-five children using a structured questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression was used to analyze factors associated with diarrheal diseases in the district. Results. Overall, 29.9% of children had diarrheal diseases in the last two weeks prior to the study. The magnitude of diarrheal diseases among under-five children living in open-defecation-free and non-open-defecation-free residents was 19.3% and 40.5%, respectively. Lack of functional handwashing facilities (AOR: 11, 95% CI (8.1–29.6)), improper excreta disposal (AOR: 3.84, 95% CI (2.15–5.65)), and residing in non-open-defecation-free areas (AOR: 2.4, 95% CI (1.72–3.23)) were factors associated with diarrheal diseases. Conclusions. The prevalence of diarrhea among children residing in open-defecation-free areas was lower than that among children those who resided in non-open-defecation-free areas. Lack of functional handwashing facilities, residing in non-open-defecation-free areas, and improper excreta disposal were significantly associated with diarrheal diseases in the district. Strengthening health promotion on non-open defecation, maintaining functional handwashing facilities, and preparing additional handwashing facilities are necessary. Continuous engagement of the community health extension workers is recommended, sustaining the implementation of open-defecation-free programs in the district.

scholarly journals Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study

2019 ◽  
Vol 13 ◽  
pp. 117863021989680
Author(s):  
Zemichael Gizaw ◽  
Ayenew Addisu ◽  
Mulat Gebrehiwot
Keyword(s):  
Parasitic Infection ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infection ◽  
Cross Sectional ◽  
Intestinal Parasitic Infections ◽  
Under Five ◽  
Under Five Children ◽  
Health Supervision

Background: Soil-transmitted helminths and protozoan parasitic infections are endemic throughout the world. The problem of intestinal parasitic infection is higher among developing countries where children are the most vulnerable groups. Although health information related to parasitic infections is available globally, it is often limited in rural setups in least developed countries. This study was, therefore, conducted to assess socioeconomic predictors of intestinal parasitic infections among under-five children in rural Dembiya, Northwest Ethiopia. Methods: This cross-sectional study was conducted among 224 randomly selected households with under-five children. We used questionnaire to collect data and direct stool examination to identify intestinal parasitic infections. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and P < .05 was used to identify socioeconomic predictors of parasitic infections. Results: We found that 25.4% (95% CI = [20.2, 31.1]) under-five children had intestinal parasitic infection. Ascaris lumbricoides was the leading infection, which accounted 44 of 224 (19.6%). The prevalence of childhood intestinal parasitic infections was higher among households with no members whose education level is secondary and above (AOR = 3.36, 95% CI = [1.23, 9.17]). Similarly, intestinal parasitic infections were statistically associated with presence of 2 under-five children in a household (AOR = 3.56, 95% CI = [1.29, 9.82]), absence of frequent health supervision (AOR = 3.49, 95% CI = [1.72, 7.09]), larger family size (AOR = 2.30, 95% CI = [1.09, 4.85]), and poor household economic status (AOR = 2.58, 95% CI = [1.23, 5.41]). Conclusions: Significant proportion of children was infected with intestinal parasitic infection in rural Dembiya. Educational status of family members, number of under-five children in a household, health supervision, family size, and wealth index were statistically associated with parasitic infections. Provision of anthelmintic drugs, health supervision, and health education targeted with transmission and prevention of infections are recommended.

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