scholarly journals A community based study to assess the prevalence and sociodemographic factors influencing undernutrition among children aged 6 to 14 years in a rural area of Coimbatore

Author(s):  
Xavier C. Rajan ◽  
Ravishankar .

Background: Globally, malnutrition among school age children is a major public health concern. The objectives of the study were to determine the prevalence of under nutrition (thinness and stunting) among children aged 6 to 14 years in a rural area of Coimbatore district; to determine the socio-demographic factors influencing under nutrition (thinness and stunting) among these children.Methods: A community based- cross sectional study was conducted from December 2015 to July 2016 in the field practice area of PSG Rural Health Training Center Vedapatti. Out of the 14 villages in this area, five villages (clusters) were selected by cluster sampling. Data was collected from 702 children aged 6 to 14 years in these five villages using a structured questionnaire. Z score was used to calculate nutritional status. Thinness is defined as the BMI for age (BAZ) <-2SD.Stunting is defined as the Height-for-age (HAZ) <-2SD.The association of Thinness with socio-demographic factors were studied by univariate analysis. The association of Stunting with socio-demographic factors were studied by univariate analysis and logistic regression analysis.Results: The prevalence of Thinness was 15.5% (95%CI: 12.82% to 18.18%) and that of stunting was 18.8% (95%CI: 15.91% to 21.69%). In univariate analysis there was no statistically significant association between thinness and socio-demographic factors. Stunting showed statistically significant association with educational status (illiteracy) of mothers and working mothers in logistic regression analysis.Conclusions: The current study revealed that undernutrition as indicated by thinness and stunting was prevalent to some extent among these children. Stunting was significantly higher among those children whose mothers were illiterate and working. Health education and encouraging working mothers will help to solve this.

2021 ◽  
Author(s):  
Asante Koranteng Samuel ◽  
Brenyah Joseph Kwasi ◽  
Mensah Akohene Kofi ◽  
Agyei -Baffour Peter ◽  
Opoku Daniel ◽  
...  

Abstract Introduction Febrile illnesses in children and its management (especially infectious diseases) continue to result in an enormous increase in morbidity and mortality in developing countries causing a global public health concern. However, most low-middle-income countries have failed to institute systematic outcome assessment measures to ensure quality in the management of these conditions at one breadth. This study therefore aimed at assessing the quality care management of febrile illness in under five (5) in health facilities in the Atwima Kwanwoma district of Ashanti Region, Ghana.Methods The study was quantitative using a cross-sectional study design. Data were collected from 58 healthcare providers and 390 folders of children treated for febrile illnesses. Data were analyzed using STATA version 14. Univariate and multivariate analyses were performed to identify socio-demographic, patient and prescribers’ factors influencing management of febrile illness among children under 5 years. Statistical significance for all testing was set as 0.05.Results The mean age and standard deviation of the prescribers were 30.2 ± 3.4. Majority of the prescribers (65.5%) were aged between 23-30years and the rest (34.5%) between 31-37years. About 67.3% were females and the rest (32.7%) were males, more than half of the prescribers (70.7%) were married and the rest (29.3%) were single. More than half (55.6%) of patients seen were females and 44.4% were males. Most of the patients (43.8%) who presented with febrile illnesses were between 0-11 months, while 29.1% and 27.2% of them were between 1-2 years and 3-5 years respectively. The average age of children was 5.7 ± 2.3 months for those who were less than a year and 2.8±1.4 years for those between 1-5years. Patients who believed in superstition were less likely to receive quality care management of febrile illness as compared with those who did not believe in superstitions (AOR=0.50; 95% CI= 0.03-0.70).The results depict that socio-demographic factors such as age of a child and gender, influenced quality care management of febrile illness as detailed in Table 4. For instance, children below 1 year were less likely to receive quality care management of febrile illness as compared with those above 3 years (AOR=0.05; 95% CI= 0.08-0.28). Also, female children were more likely to receive quality care management of febrile illness as compared with their male counterparts (AOR=1.50; 95% CI=0.03-0.70).Conclusion The study concludes that, prescribers’ factors such as those who believed in superstition and socio-demographic factors of children such as age and gender influenced quality care management of febrile illness.Recommendations Health policy makers should promote health education to reduce the negative effects of supersitition in health care management.


Author(s):  
Aung Zaw Htike ◽  
San San Myint Aung ◽  
Win Myint Oo

Aims: To determine the knowledge on routine childhood immunization and the factors associated with it among mothers in rural area of Mon State, Myanmar during 2017. Study Design:  A community based cross-sectional study. Place and Duration of Study: Rural area of Mon State, Myanmar, between June and August 2017. Methodology: We included 302 mothers who had 18 to 23 months old children using multistage random sampling. Face-to-face interview was applied in data collection. Chi-square test and multivariate logistic regression analysis were utilized in data analysis. Results: More than three fourths of mothers (76.2%) had good knowledge level on routine childhood immunization. There was a significant association between maternal knowledge and immunization status of their children (p<0.001). Logistic regression showed that the husband’s occupation was significantly associated with maternal knowledge (p=0.02). Conclusion: Majority of mothers have good knowledge on routine childhood immunization. However, health education campaign should be intensified to improve their knowledge level, especially among mothers whose husbands are blue-collar workers.


Author(s):  
Aparajita Dasgupta ◽  
Sembagamuthu Sembiah ◽  
Bobby Paul ◽  
Ayon Ghosh ◽  
Bijit Biswas ◽  
...  

Background: Hypertension, also known as high blood pressure is a global public health concern. It is an important modifiable risk factor for cardiovascular disease and stroke. It remains silent, being generally asymptomatic during its clinical course and it accounts for a large proportion of cardiovascular deaths; lifestyle modification is the first line of intervention for all patients with hypertension, yet it was never been empirical. The aim of the study was to assess the pattern of self-care practices, if any and also to find out the factors associated with it, among the hypertensive patients in the outpatient department. Methods: A clinic-based, observational, cross-sectional study was conducted at health center under RHU & TC, Singur, which is the rural field practice area of All India Institute of Hygiene and Public Health, Kolkata among 124 hypertensive subjects. Binary logistic regression was done to find out the factors associated with the self-care practices using SPSS software. Results: In the present study, 62.9% of study participants suffering from hypertension had unfavourable self-care practices. Logistic regression showed age above 60 years (OR-3.1), primary level education (OR-5.6), poor socio economic status (OR-2.4), widow/separated (OR-3.3) and people with self-perceived poor health status (OR-2.8)had significant association with unfavourable self-care practices. After adjusting with other variables, age (AOR-2.3) and education (AOR-3.8) remained significant predictor of outcome. Conclusions: The findings revealed that the self-care practices among hypertensive patients were unfavourable in rural area. This calls for a deep need in increasing the awareness about healthy lifestyle among hypertensive patients. This study provides key elements to affect policy changes and social interventions. 


2016 ◽  
Vol 26 ◽  
pp. S354-S355
Author(s):  
M. Stoimenova ◽  
P. Chumpalova ◽  
A. Todorov ◽  
L. Tumbev ◽  
P. Kolarov ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document