scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2019 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Health Assessment ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Age Range

Abstract BackgroundMalaria is a leading cause of morbidity and mortality among children under five in Malawi. Children from rural areas of central Malawi have high burden of malaria morbidity compared to other regions. The goals of this study were to examine the prevalence and determinants of malaria infection among children in rural areas of Dowa district in central Malawi.Methods A multistage cross-sectional study design was used to systematically sample 523 child-mother dyads from postnatal clinics. The main outcome was child positive malaria diagnostic test during postnatal clinic health assessment. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results The prevalence of malaria amongst children under five years was 35.4%. The results of multivariable analyses show that children of mothers who experienced recent intimate partner violence (IPV) were more likely to be diagnosed with malaria ( AOR : 1.88, 95% CI : 1.19-2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria ( AOR : 2.77, 95% CI : 1.24-6.19; P = 0.013) than children of mothers who attained secondary education. In addition, children in the age range of 2 to 5 months, and 6 to 11 months were less likely to be diagnosed with malaria ( AOR :0.21, 95% CI: 0.10-0.46; P = 0.000 and AOR :0.43; 95% CI: 0.22-0.85; P = 0.016, respectively) than children in the age range of 24 to 59 months.Conclusion The study found that the prevalence of malaria infection among children in the study area was comparable to that of national level. We propose that malaria control programs among children should also take into account mothers without formal education, mothers with children aged 24 to 59 months, and mothers that are experiencing IPV in the area.

scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Diagnostic Tests ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Abstract Background: Malaria is a leading cause of morbidity and mortality among children under five in Malawi. Children from rural areas of central Malawi have a high burden of malaria morbidity compared to other regions. The goal of this study was to examine the prevalence and determinants of malaria infection among children in rural areas of the Dowa district in central Malawi.Methods: A multistage cross-sectional study design was used to systematically sample 523 child‑mother dyads from postnatal clinics. A survey was administered to mothers to collect quantitative data, and rapid diagnostic tests were used to test for malaria infection in children. The main outcome was positive malaria diagnostic tests in children. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results: The prevalence of malaria among children under five years was 35.4%. The results of the multivariate analyses showed that children of mothers who experienced recent intimate partner violence (IPV) were more likely to be diagnosed with malaria (AOR: 1.88, 95% CI: 1.19–2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria (AOR: 2.77, 95% CI: 1.24–6.19; P = 0.013) than children of mothers who had received secondary education. In addition, children in the age ranges of 2 to 5 months and 6 to 11 months were less likely to be diagnosed with malaria (AOR: 0.21, 95% CI: 0.10–0.46; P = 0.000 and AOR: 0.43; 95% CI: 0.22–0.85; P = 0.016, respectively) than children in the age range of 24 to 59 months. Conclusion: The study found that the prevalence of malaria infection among children in the study area was comparable to the national level. We propose that in addition to available malaria control programs, further attention should be paid to children whose mothers have no formal education, children aged 24 to 59 months and mothers that are exposed to IPV in the area.

scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Control Programs

Abstract Background: Malaria is a leading cause of morbidity and mortality among children under five in Malawi, and especially among those from rural areas of central Malawi. The goal of this study was to examine the prevalence and determinants of malaria infection among children in rural areas of the Dowa district in central Malawi.Methods: A multistage cross-sectional study design was used to systematically sample 523 child‑mother dyads from postnatal clinics. A survey was administered to mothers and a rapid malaria infection diagnostic test was administered to children. The main outcome was positive malaria diagnostic tests in children. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results: The prevalence of malaria among children under five years was 35.4%. Results suggest that children of mothers who experienced recent intimate partner violence were more likely to be diagnosed with malaria (AOR: 1.88, 95% CI: 1.19–2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria (AOR: 2.77, 95% CI: 1.24–6.19; P = 0.013) than children of mothers who had received secondary education. Children aged 2 to 5 months and 6 to 11 months were less likely to be diagnosed with malaria (AOR: 0.21, 95% CI: 0.10–0.46; P = 0.000 and AOR: 0.43; 95% CI: 0.22–0.85; P = 0.016, respectively) than children aged 24 to 59 months. Conclusion: We found that the prevalence of malaria infection among children in the study area was comparable to the national level. In addition to available malaria control programs, further attention should be paid to children whose mothers have no formal education, children aged 24 to 59 months and children of mothers that are exposed to IPV in the area.

scholarly journals Association between wasting and food insecurity among children under five years: Findings from Nepal demographic health survey 2016

2020 ◽  
Author(s):  
Sajama Nepali ◽  
Padam Simkhada ◽  
Ian Glyyn Davies
Keyword(s):  
Food Insecurity ◽  
Health Survey ◽  
Rural Areas ◽  
Secondary Analysis ◽  
Sampling Frame ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Food Insecure Households

Abstract Background: Wasting is a consequence of food insecurity, inappropriate dietary practices, and inadequate caring and feeding practices. The present study assessed association between wasting and household food insecurity among under five years old children, along with other socio-demographic characteristics.Methods: This study is a secondary analysis of the Nepal Demographic and Health Survey 2016. The survey is cross-sectional in design with use of standardized tools. The sampling frame used is an updated version of the frame from the 2011 National Population and Housing Census. The participants were children under five years of age (n= 2414). Logistic regression was carried out to identify the odds of being wasted for children belonging to different levels of food insecure households using odds ratio and 95 percent confidence intervals. Results: The prevalence of wasting increased with the level of food insecurity, from mild (9.4%) to moderate (10.8%) and to severe (11.3%). The highest proportions of wasted children were in Province 2 (14.3%), from rural areas (10.1%), born to mothers with no education (12.4%) and from a richer quintile (11.3%). Children belonging to severe food insecure households had 1.36 (95%CI 0.72-2.57) adjusted odds of being wasted and those belonging to mild food insecure and moderately food insecure households had 1.13 (95%CI 0.65-1.97) and 1.36 (95%CI 0.72-2.57) odds of being wasted respectively. Province 1 (AOR 2.06, 95%CI 1.01-4.19) and Province 2 (AOR 2.45, 95%CI 1.22-4.95) were significantly associated with wasting.Conclusion: Considering the increment in childhood wasting as per level of food insecurity, an integrated intervention should be developed in Nepal that, 1. addresses improving knowledge and behavior of community people with respect to diet and nutrition; 2. reduce the problem of food insecurity through agricultural interventions.

scholarly journals Prevalence and trend of malaria with anemia among under-five children in Jasikan District, Ghana

2020 ◽  
Vol 4 (08) ◽  
pp. 285-291
Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Bruno Zotor
Keyword(s):  
Rural Areas ◽  
Rainy Season ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Strength Of Association

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.

scholarly journals Prevalence and trend of malaria with anemia among under-five children in Jasikan District, Ghana

2020 ◽  
Vol 4 (8) ◽  
pp. 285-291
Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Zotor
Keyword(s):  
Rural Areas ◽  
Rainy Season ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Strength Of Association

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.

scholarly journals Prevalence and trend of malaria with anaemia among under-five children in Jasikan District, Ghana

2020 ◽  
Author(s):  
William Domechele ◽  
George Pokoanti Wak ◽  
Francis Bruno Zotor
Keyword(s):  
Malaria Infection ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Age Group ◽  
Sectional Study ◽  
Public Concern ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
High Prevalence

AbstractBackgroundMalaria still remains a major killer of children under-five, claiming the life of one child every two minutes globally. More than 78% of deaths among children under-five in Africa are as a result of malaria infection. Despite the several interventions to reduce malaria and anaemia, the disease remains a global public concern as more children continue to die. This study assessed the prevalence and trend of malaria and anaemia in children under-five years from 2012 to 2016.MethodsWe conducted a descriptive cross-sectional study among children under-five with malaria and anaemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. Data were extracted from the children’s ward admission and discharge registers. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses.ResultsOut of 30082 malaria cases, 835 were with anaemia from 2012 to 2016. This study demonstrated an overall proportion of malaria with anaemia as 0.028 (28 per 1000 malaria cases). Year 2014 recorded the highest proportion (38 per 1,000 malaria cases) of malaria with anaemia cases in the district. Overall, prevalence rate of malaria and anaemia cases separately was found as 61.5% and 4.4% respectively from 2012-2016. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anaemia cases. Majority of malaria with anaemia cases 531 (63.6%) occurred in the rainy season from June to July.ConclusionThere is a high prevalence of malaria with anaemia cases among children under-five from 2012-2016. Age and seasonal variation were found to be predictors of an increase in the prevalence of malaria with anaemia.

scholarly journals Factors influencing diarrheal prevalence among children under five years in Mathare Informal Settlement, Nairobi, Kenya

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Djounfoune A. Guillaume ◽  
Osero O.S. Justus ◽  
Kabiru W. Ephantus
Keyword(s):  
Formal Education ◽  
Informal Settlement ◽  
Primary Caregivers ◽  
Simple Random Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Care Givers ◽  
Factors Influencing

Globally, diarrhoea is the second major cause of death among children under five years. The aim of the study was to establish factors influencing diarrhoeal prevalence among children under five years in Mathare Informal Settlement. Cross-sectional survey was used. Data was collected from 1st July to 1st August 2019 among primary care- givers (PCGs) of children under five years in Mathare Informal Settlement, in Nairobi, Kenya. This urban informal settlement in Kenya was purposively sampled. Simple random sampling was used to select the households and the respondents. P<0.05 was considered as statistically significant. A total of 324 primary caregivers selected from 324 households were included in the study. Fifty six point seventeen percent of the respondents were aged 25-31 years old. Prevalence of diarrhoea among children was 18.7%. Sex, relationship of the primary caregivers, number of people and children in the households were found to be statisti- cally significant with diarrhoea prevalence with p=0.008, p<0.001, p<0.001, p<0.001 respectively. One hundred and seventy one (52.78%) primary caregivers had no formal education. primary caregivers disposed of the child’s faeces in garbage in 38.89% of the cases. Education level of the primary caregivers, renting, presence of flies, fae- ces, and open garbage near or within the compound were found to be associated with diarrhoea prevalence with p<0.001, p=0.024, p<0.001, p<0.001 respectively. Several factors were found to be associated with diarrhoeal prevalence among children under five years.

scholarly journals Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia

2019 ◽  
Vol 15 (2) ◽  
pp. 160-170
Author(s):  
Demsa Simbolon ◽  
Desri Suryani ◽  
Epti Yorita
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Rural Areas ◽  
Maternal Education ◽  
Secondary Data ◽  
Young Age ◽  
Female Adolescent ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.

scholarly journals Socio-demographic and Morbidity Pattern among Under-Five Children in Rural Areas of Adilabad District of Telangana, India

2021 ◽  
Author(s):  
J Devidas ◽  
Jagatabandhu Mohapatra ◽  
Parthsarathi Dehury ◽  
Ranjit Kumar Dehury
Keyword(s):  
Rural Areas ◽  
Social Protection ◽  
Respiratory Infections ◽  
Statistical Tests ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children

Introduction: The health and well-being among children is an important parameter for the measurement of the progress of a nation, which is also most precious asset in the community for socio-economic development in long run. It is not wise to neglect the health rights of the children in the process of nation building. The under-five children are the most vulnerable group in a society in which there is lack of guarantee for adequate nutrition and social protection. The lack of essential health services ultimately leads to childhood diseases like diarrhoea, respiratory infections, and measles in various parts of India. Aim: To understand the socio-demographic and morbidity pattern among the children of under five years in a district of Telangana state, India. Materials and Methods: A cross-sectional study was undertaken by interviewing mothers with the help of a predesigned and pretested questionnaire to understand the morbidity pattern of children under five years in the rural areas of Adilabad district, Telangana, India. The study was conducted in March 2015 in 30 villages. The study assessed various determinates of morbidity by applying scientific principles. The sample size was calculated as 210. The data was analysed by using MS Excel spread sheet and Statistical Package for the Social Sciences (SPSS) software to understand the morbidity pattern. Descriptive statistical tests were done to find out the results. Results: The result confirms that 154 (73.33%) of the children under five years have several forms of morbidities. The most common morbidity was Acute Respiratory Infection (ARI) (25.71%), which is followed by worm infestation (8.09%), diarrhoea (20%), fever (7.61%), scabies (7.61%), asthma (2.3%) and seizure (fits) (1.9%) in last three months from the data collection. All these diseases are prevalent in rural areas of high concern due to the impeding morbidity and mortality. Conclusion: The ARI and diarrhoea were found to be the cause of concern among under-five children, which dominate the morbidity pattern. The factors responsible with such precarious situation were deeply entrenched conditions like illiteracy, poor socio-economic conditions, poor environmental sanitation, and increased birth order among the population.

scholarly journals Association Between Wasting and Food Insecurity Among Children Under Five Years: Findings from Nepal Demographic Health Survey 2016

2020 ◽  
Author(s):  
Sajama Nepali ◽  
Padam Simkhada ◽  
Ian Glyyn Davies
Keyword(s):  
Food Insecurity ◽  
Health Survey ◽  
Rural Areas ◽  
Secondary Analysis ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Poor Access ◽  
Food Insecure Households

Abstract Background: Wasting is a consequence of food insecurity, poor access to appropriate, inadequate caring and feeding practices. The present study assessed association between wasting and household food insecurity among under five years children, along with other socio-demographics characteristics.Methods: This study is a secondary analysis of Nepal Demographic and Health Survey 2016. The survey is cross sectional in design with use of standardized tools. The sampling frame used is an updated version of the frame from the 2011 National Population and Housing Census. The participants were children under five years of age and total children analyzed were 2414. Logistic regression was carried out to identify the odds of being wasted for children belonging to different levels of food insecure households using odds ratio and 95 percent confidence interval. Results: The prevalence of wasting increased with the level of food insecurity, from mild (9.4%) to moderate (10.8%) and to severe (11.3%). The highest proportions of wasted children were in Province 2 (14.3%), from rural areas (10.1%), born to mothers with no education (12.4%) and from a richer quintile (11.3%). Children belonging to severe food insecure households had 1.36 (95% CI 0.72-2.57) adjusted odds of being wasted and those belonging to mild food insecure and moderately food insecure households have 1.13 (95%CI 0.65-1.97) and 1.36 (95%CI 0.72-2.57) odds of being wasted respectively. Province 1 (AOR 2.06, 95%CI 1.01-4.19) and Province 2 (AOR 2.45, 95%CI 1.22-4.95) were significantly associated with wasting.Conclusion: Considering the increment in childhood wasting as per level of food insecurity, an integrated intervention should be developed in Nepal that addresses improving knowledge and behavior of community people on diet and nutrition as well as reducing the problem of food insecurity through agricultural interventions.

Sign in / Sign up

Export Citation Format

Share Document