scholarly journals Prevalence of ‘at risk’ under five children in a rural area of central India: a cross sectional study

Author(s):  
Mohd Junaid ◽  
A. R. Deoke

Background: Children constitute the most vulnerable section of the community. The health status of children serves as sensitive indicator of overall health of entire community. The major causes of deaths in the age group 0-5 years are preventable. At Risk group is a group of individuals in whom the frequency of risk factors is more than the other groups. It is therefore necessary to identify particularly those 'At Risk' and provide them with efficient paediatric services, because it is these 'At Risk' babies, which contribute so largely to perinatal, neonatal and infant mortality.Methods: A community based cross sectional study was carried out in a rural area of Nagpur during period of December 2010 to May 2012 to identify prevalence of At Risk under five children and associated demographic, socioeconomic and environmental factors. Sample size taken was 400. By systematic sampling method every 14th house was selected for the study. Epi info software was used for analysis.Results: In the study we found that the prevalence of ‘At Risk’ children were 70.5%. A total of 71.6% male children were ‘At Risk’ as compared to 68.9% female children. Significant association of ‘At Risk’ children was found with education of parents, type of family, socioeconomic status, housing, overcrowding and ventilation.Conclusions: Special provisions of health care facilities for under five children, need based training to the health care providers and necessary information, education & communication campaigns are need of the hour to bring down infant morbidity and mortality.

Author(s):  
Shailendra Meena ◽  
D. M. Saxena ◽  
Vishal Bankwar ◽  
Pratibha Meena

Background: In our country the state of under-nutrition was recognized/diagnosed too late or not at all, and therefore the effort to alleviate undernutrition was also delayed. The timely recognition of “at risk” children (showing growth faltering/decline) liable for undernutrition can avert wasting; stunting and prevent severe malnutrition due to concomitant infections and other complications.Methods: A community based cross-sectional study was carried out in urban and rural area of Bhopal district, Madhya Pradesh, among under-5 children attending anganwadi centres. All the children enrolled among selected urban and rural AWCs were taken as study population. Primary information regarding “at risk” children (showing growth faltering/growth decline) was obtained by reviewing last one year growth monitoring records available.Results: There were total 10 anganwadi centres visited and growth monitoring record of last one year was analysed. There were total 1230 children enrolled in anganwadi centres under study. As per the available record we found that 416 (33.82%) of the total children enrolled in the anganwadi centres under study were “at risk” of malnutrition. The magnitude of at risk children was almost double in the urban area (43.24%) as compare to the rural area (23%). This difference was found statistically significant. Gender wise distribution of “at risk” children shows that there is marginal difference in the magnitude of “at risk” status among boys (34.57%) and girls (33.06%) and similar difference was found in urban and rural anganwadi centres under study.Conclusions: The study conclude that children belong to 2 to 4 year age group are “at risk” of under nutrition. Both the genders are equally susceptible of under nutrition though children belong to urban area had more risk as compare to rural area.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu

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.


2021 ◽  
Author(s):  
Md. Abdur Rafi ◽  
M. Morsed Zaman ◽  
Md. Golam Hossain

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.


2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

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.


2020 ◽  
Vol 29 (4) ◽  
pp. 582
Author(s):  
EmmanuelObiora Izuka ◽  
ObinnaChinedu Nwafor ◽  
JosephTochukwu Enebe ◽  
IfeanyichukwuJude Ofor ◽  
ChineloElizabeth Obiora-Izuka ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document