scholarly journals Predictors of low birth weight babies born in tribal tertiary health care setting: a cross sectional study

Author(s):  
Thakre S. B. ◽  
Thakre S. S. ◽  
Kaware A. C. ◽  
Adikane H.

Background: A baby’s weight at birth is a strong indicator of maternal and newborn health and nutrition. Strategies to reduce prevalence of LBW are important in order to achieve the third Sustainable Development Goals (SDG 3)-reduce child mortality. With this background the present study was undertaken to estimate proportion of LBW babies born at tribal tertiary health care institution and to find out predictors of the LBW among babies.Methods: The present cross sectional study was undertaken at tertiary health care setting. We restricted analyses to singleton live births, and following an initial descriptive summary of the deliveries, logistic regression analysis was conducted to investigate the association of various factors.Results: Our results show proportion of LBW was 17.84% in babies born at tribal tertiary health care setting. There is no significant difference of LBW in different socio-demographics of the mother. However; significant difference was observed in tribal and non-tribal women and women with low literacy lever; wherein significant predictors were related to utilization of antenatal care (ANC), ICDS services, etc. Statistical significance was ascertained based on a p<0.05.Conclusions: In this study; significant predictors were low maternal education, <4 ANC visits, inadequate consumption iron and folic acid, low hemoglobin percent level, and no additional diet at ICDS during current pregnancy. It has also provided basic information pertinent to quality of ANC care and it influence on LBW. Findings of this study are useful for maternal and child health policy makers, practitioners and those who provide health care during pregnancy

2021 ◽  
Vol 15 (1) ◽  
pp. 56
Author(s):  
DeliaBasil Dsouza ◽  
KennethXavier Da Silva ◽  
VonRichard Mascarenhas ◽  
PrajothNarayan Kankonkar ◽  
FrederickSatiro Vaz ◽  
...  

2017 ◽  
Vol 58 (4) ◽  
pp. 427-436 ◽  
Author(s):  
Jonna F. van Eck van der Sluijs ◽  
Lars de Vroege ◽  
Annick S. van Manen ◽  
Cees A.Th Rijnders ◽  
Christina M. van der Feltz-Cornelis

2021 ◽  
Author(s):  
Aklilu Tesfaye ◽  
Gudina Egata

Abstract Background: Undernutrition is one of the major public health problems affecting children in developing settings. Despite impressive interventions such as productive safety net program (PSNP) in Ethiopia, there is paucity of information on the prevalence of stunting and its predictors among children aged 6-59 months born to beneficiaries and non-beneficiaries of the program in Ethiopia. Methods: Community based comparative cross sectional study design was used among randomly selected 1555 children aged 6 to 59 months from households using and not using PSNP respectively in Meta distinct from 5th-20th of March, 2017. Data were collected using pre-tested structured questionnaire. Measuring board was used to measure the length/height of the children. Length/height for age z-score was generated using world Health Organization (WHO) Anthros version 3.2.2. Descriptive statistics was used to describe all relevant data. Bivariable and Multivariable logistic regression analyses were used to predictors of the outcome variable. Odds ratio along with 95% confidence interval were estimated to measure the strength of the association. Level of statistical significance was declared at p-value less than 0.05. Result: The prevalence of stunting was 47.7%, 95% CI: (44.1%, 51.5%) among children from PSNP beneficiary households and 33.5%, 95% CI: (29.9%, 36.9%) from non-PSNP households respectively. Lack of maternal education [AOR = 3.39; 95% CI: (1.12, 5.11)], lack of women’s empowerment [AOR= 3.48; 95% CI: (2.36, 5.12)], non-attendance of antenatal care fourth visit [AOR= 4.2, 95% CI (2.5, 6.8)], practicing hand washing [AOR= 0.46; 95% CI: (0.28, 0.76)], childhood illness [AOR= 8.41; 95%CI: (4.58, 12.76)], non-exclusive breastfeeding [AOR= 3.6; 95% CI: (2.30, 4.80)], low dietary diversity score [AOR= 4.7; 95% CI (3.0, 7.40)] , and child ‘s age between 24 to 59 months [AOR = 3.2; 95% CI (1.6, 6.3)] were predictors of stunting. Conclusions: The prevalence of stunting was high among children from PSNP households in the study area. Stunting was significantly associated with maternal socio-demographic and obstetric and child related factors. Therefore, empowering women on household’s issues and improving infant and young child feeding practices could reduce the magnitude of stunting and its impacts on child health.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Oyetundun Fausat Afolabi ◽  
Sabastine Ndubisi Esomonu

Pain, being the clinical trademark of Sickle Cell Disease (SCD), impacts negatively on clinical outcome in children. However, little is known regarding parental home pain management in children with SCD. We aimed to determine the parental awareness, use and perceived efficacy of pain relief techniques for children with SCD. This is a cross-sectional study involving 80 parents of children with SCD seen at General Hospital, Bwari, North-Central Nigeria. An interview-based, structured questionnaire was used to obtain information on socio-demographic characteristics, clinical history, parental awareness, use and perceived effectiveness of pain relief techniques. Data analysis was with SPSS version 20. Seventy-six (95.0%) respondents were aware of available pain relief technique(s) in SCD. Fifty-four (67.5%) respondents used pain relief techniques, 33 (61.1%) of whom used multiple pain relief techniques. The most commonly used drugs and Complementary and Alternative Medicine (CAM) were nonsteroidal anti-inflammatory drugs (47.0%) and massage (36.0%) respectively. Thirty-three (61.1%) respondents perceived their selected techniques as effective. A higher proportion (27.3%) of the children with multiple hospitalizations used multiple pain relief techniques when compared with 4.8% who used drugs alone (p=0.038). However, there was no significant difference based on age, gender, maternal education, genotype, age at diagnosis, pain episodes, regularity of routine drugs and packed cell volume of the children and pain relief techniques used (p>0.05). This study found high parental awareness and utilization of home pain relief techniques for children with SCD. The use of multiple pain relief techniques was influenced by multiple hospitalizations of the children.


Author(s):  
Geetika Gupta ◽  
Sabita Yograj ◽  
Anil K. Gupta ◽  
Bhavna Langer ◽  
Mumtaz Goni ◽  
...  

Background: Artificial sweeteners have skyrocketed the market in the last decade and there are unlimited products available today that contain them. They are often projected as one of the easy and effortless method of cutting down calories and have gained importance in the community. They are being used as one of the dietary tools to control or prevent weight gain not only in diabetic adults but also in young healthy adults and children. There is a need to examine any possible contribution of these substances on body weight and BMI of an individual.Methods: A cross sectional study was conducted among randomly selected healthy non-diabetic subjects of both sexes in the age group 18-35 years. Those with history of intake of artificial sweeteners in the last one year (in the form of pellets or diet soda) were considered as study group and equal no of non-users were taken as comparison group for study purpose. A pretested semi structured questionnaire prepared in English language was used to collect information. Variables such as height, weight and body mass index were noted. Data was analyzed using SPSS (version 20.0).Results: There was a statistically significant difference between the two groups in terms of weight and BMI (p=0.003 and 0.002 respectively). The mean weight and BMI was more in those subjects who had consumed more than one serving of diet can per day. Sweeteners in pellet form failed to show any statistical significance association between frequency of use and BMI.Conclusions: The study suggested of a possible association between the use of artificial sweeteners and BMI. Young adults need to be sensitized about various safe weight management techniques and healthy lifestyle, rather than resorting to methods like intake of artificial sweeteners.


2021 ◽  
Vol 15 (6) ◽  
pp. 1944-1947
Author(s):  
Fatima Ehsan ◽  
Ayesha Ehsan ◽  
Wajahat Ullah Khan ◽  
Rizwan Masud ◽  
Hamad Hanif ◽  
...  

Childhood diarrheal disease is the second leading cause of death globally. All over the world, children below five years of age experience, on average, 3.2 episodes of diarrhea per year. Objectives: To explore an association of maternal education with childhood diarrhea in Pakistan. Study Design: Cross sectional study. Methodology: This study was conducted from Aug 2016 to Jan 2017 in Combined Military Hospital (CMH), Peshawar following approval from ethical review board. Total children under study were 363 aged 2 to 5 years, amid whom 121 were acute diarrhea cases and 242 were healthy controls leading to cases control ratio as 1:2. Data collection was done through semi structured questionnaire asked from mothers. Statistical analysis: Data was analyzed by SPSS software, version 22. To compare the association of maternal education with acute diarrhea, chi square test was applied at 5% level of significance. Statistical significance was taken at p value <0.05. Results: In present study, there was significant association between formal education of mothers and acute diarrhea with a highly statistically significant association (p < 0.001) observed showing increased proportion of childhood diarrhea, with increasing levels of education in mothers. Conclusion: We concluded that a significant increase in childhood diarrhea with higher levels of maternal education refutes the commonly observed finding. We need to further probe the underlying causes to minimize this high observed morbidity. Key Words: Maternal Education, Child Health and Safety and Acute Childhood Diarrhea


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