scholarly journals Occurrence of Diarrheal diseases among under-five children and associated socio-demographic and household environmental factors: An Investigation Based on National Family Health Survey-4 in Rural India

Author(s):  
Jay Saha ◽  
Sabbir Mondal ◽  
Pradip Chouhan

Abstract Background: Diarrheal disease is a major population health problem that is the leading reason for mortality and morbidity among children aged 0-59 months in rural India. Therefore, the rationale of this study was to identify the socio-demographic, environmental predictors associated with diarrhea among under-five children in rural India. Methods: A total of 188,521 living children (0-59 months) were utilized from the National Family Health Survey-4, 2015–2016. Bivariate and binary logistic regression analysis was carried out from the available NFHS-4 data for selected socio-demographic and environmental predictors to identify the relationship of occurrence of diarrhea using STATA 13.1. Results: In rural India, children aged 12-23 months [AOR: 0.897, 95% CI (0.876, 0.983)], 24-35 months [AOR: 0.579, 95% CI (0.543, 0.617)], 36-47 months [AOR: 0.394, 95% CI (0.367, 0.424)], 48-59 months [AOR: 0.313, 95% CI (0.289, 0.339)] were significantly less likely to suffer diarrheal disease. Female children [AOR: 0.897, 95% CI (0.859, 0.937)], children belonged to Scheduled Tribe [AOR: 0.811, 95% CI (0.755, 0.872)], Other Backward Classes [AOR: 0.902, 95% CI (0.851, 0.956)] were less likelihood to experience diarrhea significantly. Diarrhea disease was also significantly more likely to occur among Muslim children [AOR: 1.217, 95% CI (1.128, 1.313)], other religion [AOR: 1.163, 95% CI (1.062, 1.272)] children in central region [AOR: 1.510, 95% CI (1.410, 1.617)], east region [AOR: 1.077, 95% CI (1.002, 1.157)], and west region [AOR: 1.201, 95% CI (1.095, 1.317)], children with low birth weight [AOR: 1.135, 95% CI (1.074, 1.149)], undernourished [AOR: 1.097, 95% CI (1.038, 1.197)], improper stool disposal [AOR: 1.061, 95% CI (1.002, 1.124)], and rudimentary roof materials [AOR: 1.113, 95% CI (1.048, 1.182)]. Conclusions: In the rural part of India, diarrhea has occurred frequently now. The different socio-demographic and environmental factors are influencing this disease. For reducing the vulnerability of diarrhea the socio-demographic and environmental factors should be improved or monitoring by effective community education. The government and different NGOs should focus on improved drinking water sources, sanitation facility which may reduce the vulnerability of the disease.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Balhasan Ali ◽  
Shekhar Chauhan

An amendment to this paper has been published and can be accessed via the original article.


2020 ◽  
Vol 7 (11) ◽  
pp. 2157
Author(s):  
Sankar Goswami ◽  
Rituparna Acharjee ◽  
Sanku Dey

Background: Childhood anaemia is a major public health threat that can increase susceptibility to infections, risk of mortality together with serious degrading consequences on cognitive and physical development. The aim was to examine the prevalence of anaemia in children aged under-five years in Assam, India, exploring 2015-2016 National Family Health Survey (NFHS-4) data.Methods: Statistical analysis is performed on the cross-sectional data of 10,309 children from 2015-2016 National Family Health Survey (NFHS-4), using binary logistic regression model, to assess the significance of some risk factors of child anaemia. Anaemia was diagnosed by WHO cut-off points on hemoglobin level.Results: The prevalence of child anaemia was 35.7 per cent in Assam, India, with mean haemoglobin concentration 11.36 gm/dl (95% CI, 11.32-11.38); male and female being equaled proportionately anaemic. Out of 27 districts in Assam, the highest prevalence was found in Dibrugarh (52.2 per cent), followed by Nalbari (46.7 per cent) and Darrang (45.6 per cent); and the least prevalence was found in Karbi-Anglong (24.4 per cent). The findings indicate that rural children and lower age-groups were at greater risk of anaemia. Higher birth order, low level of maternal education, low level of maternal nutrition and non-intake of iron supplements during pregnancy increased the risk of anaemia among children (p<0.05).Conclusions: The findings suggest a need for proper preventive measures to combat child anaemia. Rural population should be given special attention. Maternal education, nutrition, and birth control measures should be priorities in the programs.


2021 ◽  
Vol 6 (2) ◽  
pp. e003717
Author(s):  
Phuong Hong Nguyen ◽  
Rasmi Avula ◽  
Lan Mai Tran ◽  
Vani Sethi ◽  
Alok Kumar ◽  
...  

ObjectivesExisting health and community nutrition systems have the potential to deliver many nutrition interventions. However, the coverage of nutrition interventions across the delivery platforms of these systems has not been uniform. We (1) examined the opportunity gaps between delivery platforms and corresponding nutrition interventions through the continuum of care in India between 2006 and 2016 and and (2) assessed inequalities in these opportunity gaps.MethodsWe used two rounds of the National Family Health Survey data from 2005 to 2006 and 2015–2016 (n=36 850 and 190 898 mother–child dyads, respectively). We examine the opportunity gaps over time for seven nutrition interventions and their associated delivery platforms at national and state levels. We assessed equality and changes in equality between 2006 and 2016 for opportunity gaps by education, residence, socioeconomic status (SES), public and private platforms.ResultsCoverage of nutrition interventions was consistently lower than the reach of their associated delivery platforms; opportunity gaps ranging from 9 to 32 percentage points (pp) during the pregnancy, 17 pp during delivery and 9–26 pp during childhood in 2006. Between 2006 and 2016, coverage improved for most indicators, but coverage increases for nutrition interventions was lower than for associated delivery platforms. The opportunity gaps were larger among women with higher education (22–57 pp in 2016), higher SES status and living in urban areas (23–57 pp), despite higher coverage of most interventions and the delivery platforms among these groups. Opportunity gaps vary tremendously by state with the highest gaps observed in Tripura, Andaman and Nicobar islands, and Punjab for different indicators.ConclusionsIndia’s progress in coverage of health and nutrition interventions in the last decade is promising, but both opportunity and equality gaps remained. It is critical to close these gaps by addressing policy and programmatic delivery systems bottlenecks to achieve universal coverage for both health and nutrition within the delivery system.


2019 ◽  
Vol 15 (4) ◽  
Author(s):  
Tarun Shankar Choudhary ◽  
Akanksha Srivastava ◽  
Ranadip Chowdhury ◽  
Sunita Taneja ◽  
Rajiv Bahl ◽  
...  

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