scholarly journals Prevalence and Factors Associated With Stunting Among Children Aged 6-59 Months in Kabale District, Uganda

2021 ◽  
Author(s):  
Musa Kasajja ◽  
Elizabeth Nabiwemba ◽  
Henry Wamani ◽  
Saul Kamukama
Keyword(s):  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nutrition Security ◽  
Sanitation And Hygiene ◽  
Nutritional Status Of Children ◽  
Mid Upper Arm Circumference ◽  
Age Category ◽  
Kabale District

Abstract Background: Despite of the global efforts undertaken to improve nutrition, malnutrition still continues to be a serious public health concern. Malnutrition in its various forms has been closely associated to major causes of illness, disability and death. Malnutrition in the form of childhood stunting has therefore been identified as a significant hindrance to human development. The aim of this study was to assess the nutritional status of children aged 6–59 months and determine factors associated with stunting among children in Kabale district. Methodology: A cross sectional study was conducted among 640 children, aged 6–59 months selected using both simple random and systematic random sampling techniques. Interview administered questionnaires were used to collect household data whereas anthropometric data was collected using a height board, digital weighing scales and Mid Upper Arm Circumference (MUAC) Tapes. Data was analyzed using STATA version 12.0 and ENA for SMART, 2011. Results: The overall prevalence of stunting among children 6-59 months was 41.1%. Factors independently associated with stunting included; age of the child (children in the age category of 36-47months APOR=0.38; 95% CI 0.18-0.79 and those in the age category of 24-35months APOR=0.42; 95% CI 0.19-0.88), major source of food for the household that is children from households in which mothers indicated market as the major source of food (APOR=0.67; 95% CI 0.48-0.94) and disposal of child stool that is children whose stool was put/ rinsed in a latrine (APOR=0.41; 95% CI: 0.23-0.74) as well as those that whose stool was thrown in garbage (APOR= 0.29; 95% CI: 0.12-0.72). Conclusion: The prevalence of stunting among children aged 6-59 months in Kabale district was high. Practices/ factors independently associated with stunting among children aged 6-59months included; age of the child, major source of food for the household and disposal of child stool. Addressing these factors requires a proper mix of both community and health based interventions. There is also need to strengthen on strategies for reducing stunting like; sanitation and hygiene as well as food and nutrition security within rural households.

scholarly journals Prevalence of Stunting among 6-59 Months Children and its Association with Water, Sanitation and Hygiene Practice in Urban Slums of Kathmandu, Nepal

2020 ◽  
Vol 42 (3) ◽  
pp. 76-81
Author(s):  
Sarswoti Singh ◽  
Nil P Dhital ◽  
Rajan Paudel ◽  
Dipak K Sah ◽  
Arjun Hamal ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Study Data ◽  
Urban Slums ◽  
Health Concern ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Sanitation And Hygiene ◽  
Critical Public Health ◽  
Childhood Stunting ◽  
Purification Of Water

Introduction Childhood malnutrition is a critical public health concern in Nepal. Slums are supposed to have poor water, sanitation and hygiene practices. This study has aimed to examine association between water, sanitation and hygiene (WASH) variables and stunting among 6 to 59 months children of slums of Kathmandu metropolitan city. MethodsDescriptive cross-sectional study design was employed where 335 households were included in the study. Data were collected using standard questionnaire and observation checklist. Weight and height of children were taken using seca digital weighing scale and wooden height board of UNICEF respectively. Anthropometric analysis was done using WHO Anthro version 3.2.2 software and other statistical analysis was conducted using SPSSversion 22 software. ResultsThe prevalence of stunting was 23%. Four out of five household (80%) in slum used to drink water from unimproved source. Absence of handwashing station (AOR=2.109, 95% CI:1.05-3.27) and absence of water storage covering (AOR=2.46, 95% CI: 1.16–5.23) were found to be significantly contributing to stunting status. ConclusionThis study highlights the importance of good WASH practices, and the potential of WASH interventions, to contribute for the improved childhood stunting living in urban slums in Nepal. Also, the findings recommend the need of strategies on purification of water, improvement of toilets, behaviour change and awareness related activities to improve the stunting among children.

scholarly journals Retrospective Analysis of Metabolic Syndrome: Prevalence and Distribution in Executive Population in Urban Pakistan

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Niloufer Sultan Ali ◽  
Ali Khan Khuwaja ◽  
Adnan-ur-Rahman ◽  
Kashmira Nanji
Keyword(s):  
Metabolic Syndrome ◽  
Health Care Providers ◽  
Final Analysis ◽  
Analysis Data ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Providers ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

Background. Metabolic Syndrome (MetS) is a major public health concern. Objective. The aim of this study was to estimate the frequency of MetS, its components, and factors associated with MetS amongst apparently healthy individuals in Pakistan. Methods. A retrospective cross-sectional study was conducted at the executive Clinics of Aga Khan Hospital, Pakistan. Medical records of patients aged ≥18 years visiting the clinics from July 2011 to December 2011 were consecutively reviewed. Records in which either MetS components data or 10% of overall data was missing were excluded. A total of 1329 participants’ records was included in final analysis. Data was analyzed using SPSS version 19 and multivariable logistic regression was used to identify the factors associated with MetS. Results. A total of 847 (63.7%) participants had MetS; mean age of the participants were 47.6 ± 11.6 years. About 70.4% were males and 29.6% were females. Approximately 70% of participants had BMI ≥25 kg/m2. MetS was associated with male gender (AOR = 2.1; 95% C.I: 1.6–3.2) and history of diabetes among parents (AOR = 3.0; 95% C.I: 1.6–6.0). Conclusion. This study shows that a large proportion of population has MetS and is overweight or obese. This requires urgent interventions on part of health care providers’ especially family physicians. Educating masses about life style factors can make a difference. Further researches on this issue are warranted.

scholarly journals Prevalence and Associated Factors of Utero-Vaginal Prolapse in AddisAbaba, Ethiopia: A Cross-Sectional Study.

2021 ◽  
Author(s):  
Zelalem Mekuria ◽  
Abdu Mengesha ◽  
Girma Seyoum
Keyword(s):  
Risk Factors ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Health Concern ◽  
Uterovaginal Prolapse ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.

scholarly journals Prevalence and Associated Risk Factors for Anaemia Among Pregnant Women Attending Ante-Natal Clinic, Eswatini

2021 ◽  
Author(s):  
Rumbidzai Dodzo ◽  
Ropo Ebenezer Ogunsakin ◽  
Themba G. Ginindza
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Health Concern ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Factors Associated ◽  
Anaemia In Pregnancy ◽  
Associated Risk Factors

Abstract Background: Anaemia is one of the most common nutritional deficiency diseases observed globally and it affects about a third of the world’s population. Anaemia in pregnant women is a worldwide public health concern that has severe consequences for both mothers and infants, including maternal death and foetal and infant mortality. In Low-income countries (LICs), 25% of indirect maternal mortality and 30% of neonatal deaths are due to anaemia in pregnancy. Therefore, this study aimed to determine the prevalence of anaemia and assess associated factors among pregnant women attending ante-natal care (ANC) clinic in the Kingdom of Eswatini, which might help for screening, prevention and treatment of anaemia and ultimately prevent its adverse effects. Method: A total of 550 pregnant women between 15 and 49 years from three health facilities were randomly enrolled using a cross-sectional study design, from January to March 2021. Non-probability sampling approach was used to select the appropriate study unit. A face-toface interview was done using a structured questionnaire to collect data. Multiple logistic regression was performed to assess the factors associated with anaemia among the women.Results: The overall anaemia prevalence among pregnant women was 43.1% (95% CI: 38.947.3). The mild, moderate and severe cases of anaemia were 21.3% (95%CI: 17.9-24.9); 21.1% (95%CI: 17.8-24.7) and 0.7% (95%CI: 0.2-1.9), respectively. The prevalence of anaemia was high among women aged 20-24 (11.1%, 95%CI: 8.6-14.0) and 25-29years (11.1%, 95%CI: 8.6-14.0). Factors associated with anaemia included living in the urban area (OR=1.8, 95%CI: 1.19-2.72, p=0.005) and having anaemia 6 months before pregnancy (OR=4.64, 95%CI: 1.1518.71, p=0.031). Additionally, gestational age at first ANC also was positively associated with anaemia: 3rd trimester (OR=10.42, 95%CI: 4.27-25.4, p<0.001) and 2nd trimester (OR=1.62, 95%CI: 1.02-2.60, p=0.043) Conclusion: Anaemia remains prevalent among pregnant women in Eswatini. Thus, a comprehensive anaemia prevention program would be justified and could lower the country’s burden of anemia.

scholarly journals ASSESSING FACTORS ASSOCIATED WITH OBSERVED LEVELS OF ADHERENCE TO ANTIRABIES PEP VACCINE AMONG ANIMAL BITE VICTIMS IN MACHAKOS LEVEL FIVE HOSPITAL

2016 ◽  
Vol 1 (1) ◽  
pp. 1-15
Author(s):  
Alice N Gichohi ◽  
Dr. Yeri Kombe ◽  
Dr.Peter Mwaniki ◽  
Dr.Joseph Mutahi ◽  
Anne G Macharia
Keyword(s):  
Sample Size ◽  
Quantitative Methods ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Health Concern ◽  
County Government ◽  
Cross Sectional ◽  
Factors Associated ◽  
Qualitative And Quantitative Methods ◽  
Vaccine Schedule

Purpose: The purpose of this study was to determine factors associated with observed levels of adherence to ant rabies PEP vaccine among animal bite victims in Machakos level five hospital.Methodology: The study used Cross sectional study design. It utilized both qualitative and quantitative methods. Data was collected by use of semi-structured questionnaires, physical examination sheet and key informant interview. The study population was victims of animal bites who revisited the health facility for the scheduled PEP vaccine. Random Sampling was used to select the revisiting animal bite victims until a sample size of 68 was achieved. Purposive sampling was used to select health care workers directly involved in management of animal bite victims until a sample size of three was achieved. Quantitative data was analyzed using SPSS version 20 and excel computer programs. Qualitative data was analyzed by content analysis. Binary logistic regression and multivariate regression was done.Results: The study findings established that knowledge of rabies significantly affects the level of adherence to antirabies PEP vaccine. At least 48.50% of the respondents admitted that they have no knowledge of rabies and 75% had no knowledge of prevention of rabies. The study also found out that affordability of the cost of PEP vaccine is statistically associated with adherence to anti-rabies PEP vaccination.Unique contribution to theory, practice and policy: The study concluded that: the level of adherence and the overall awareness not only of anti-rabies PEP vaccine, the follow-up of victims to check on the completion of the anti-rabies PEP vaccine schedule but also the management of wounds before visiting health facilities among animal bite victims in MKS L5 Hospital is low, thus a major public health concern both to the community and the county government.

scholarly journals Factors Associated With Malaria Vaccine Uptake in Sunyani Municipality, Ghana

2021 ◽  
Author(s):  
Dennis Tabiri ◽  
Jean Claude Romaric Pingdwindé Ouédraogo ◽  
Priscilla Nortey
Keyword(s):  
Adverse Reaction ◽  
Malaria Vaccine ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Health Concern ◽  
Cross Sectional ◽  
Factors Associated ◽  
Ordinal Logistic Regression Analysis ◽  
Child Welfare Clinic

Abstract Introduction: Malaria has and continues to be a major disease of public health concern affecting several million people worldwide. WHO started a pilot study on a malaria vaccine (RTS,S) in Ghana and two other countries in 2019. This study aimed at assessing the factors associated with uptake of the vaccine in the Sunyani Municipality of Ghana.Methods: The study was a cross-sectional study employing a quantitative approach. Stratified sampling technique was used to select respondents. A structured questionnaire was administered to parents/caregivers with children eligible to have taken the first three doses of the malaria vaccine by December 2019. The Child Welfare Clinic (CWC) cards of the eligible children were also inspected. Ordinal logistic regression analysis was done to determine the association between the independent variables and full vaccine uptake.Results: Uptake of RTS,S 1 was 94.1%. However, this figure reduced to 90.6% for RTS,S 2, and 78.1% for RTS,S 3. Children with a parent who had been educated up to the tertiary level had 4.72 [AOR: 4.72, 95%CI: 1.27 – 17.55] increased odds of full uptake as compared to those who completed secondary education. Parents whose children had experienced fever as an adverse reaction were more likely to send their kids for the malaria vaccine as compared to those who children had ever suffered abscess as an adverse reaction [AOR: 2.27, 95%CI: 1.13 – 5.10]. Children with parents who thought vaccines were becoming too many for children had 71% [AOR: 0.29, 95%CI: 0.14 – 0.61] reduced odds of full uptake as compared to those who thought otherwise.Conclusion: Uptake of RTS,S 1 and RTS,S 2 in Sunyani Municipality meets WHO’s target coverage for vaccines, however, RTS,S 3 uptake does not. Furthermore, there is a growing perception amongst parents/caregivers that vaccines are becoming too many for children which negatively affects uptake.

scholarly journals Breastfeeding and complementary feeding practices and nutritional status of children under 5 years in a tribal community of Nandurbar district, Maharashtra

2018 ◽  
Vol 5 (9) ◽  
pp. 3982
Author(s):  
Sanika R. Patil ◽  
Murlidhar P. Tambe ◽  
Malangori A. Parande ◽  
Aditi M. Patil ◽  
Rigved V. Jeurkar
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Complementary Feeding ◽  
Preventive Intervention ◽  
Cross Sectional Study ◽  
Tribal Community ◽  
Cross Sectional ◽  
The People ◽  
Nutritional Status Of Children ◽  
Mid Upper Arm Circumference

Background: Breastfeeding is the single most effective preventive intervention for improving the survival of children. Hence, the purpose of this research study to capture the firsthand breastfeeding perceptions and practices and nutritional status of children in tribal community of Nandurbar district (Maharashtra, India).Methods: This was community based cross-sectional study carried out on parents of 100 children. A house to house survey was conducted and either one or both the parents were interviewed regarding ‘Early initiation of breastfeeding, exclusive breastfeeding and complementary feeding’ using a pretested, predesigned questionnaire after obtaining written informed consent. Every child below 5 years went through anthropometric measurements like mid upper arm circumference (MUAC), length/height and weight and was categorized as normal/MAM/SAM. The data was analyzed using Microsoft Excel and ENA (Emergency Nutrition Assessment) for SMART software.Results: 85% mothers were aware of right breastfeeding practices but only 30% babies received breastfeeding within first hour of birth and 72% children were exclusively breastfed till 6 months. Practice of healthy breast feeding was significantly associated with education of mother and awareness of breast feeding. It was found that prevalence of malnourishment was more among children not receiving exclusive breast feeding.Conclusions: The importance of breastfeeding is not well recognized by the people living in tribal area as there was a gap between knowledge and practice. There were various medical, social and psychological barriers for breastfeeding. Doctors, family members, television and ASHA have majorly contributed in spreading awareness.

scholarly journals Maternal factors of low birth weight babies in an antenatal care hospital in Bangladesh

2020 ◽  
Vol 5 (4) ◽  
pp. 271-279
Author(s):  
Musammet Rasheda Begum ◽  
Soma Chowdhury Biswas
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Hospital ◽  
Gestational Length ◽  
Cross Sectional ◽  
Average Birth Weight ◽  
National Public Health ◽  
Mid Upper Arm Circumference

Low birth weight (LBW) has been considered as the strongest predictor of child morbidity and mortality. The goal of this study was to inspect the socio-demographics and nutritional status of mother and its impact on neonatal birth weight. A cross-sectional study was conducted among 85 mothers with third trimester’s pregnancy period of age between 17 to 35 years in maternal health care centers at Chittagong, Bangladesh. Average age of mothers was 24 04 years and age at marriage it was 18 03 years. Height and MUAC of the respondents were 153 5.37 cm and 25.53 3.09 cm respectively. Half of participants suffered from anemia (Hb level <11 g/dL). Average birth weight was 2759.7 561.42 g. The preterm birth was 10.6% and about 22.35% babies delivered by C section. Twenty eight percent of offspring were born with low birth weight (LBW), among the LBW babies, 11.76 % were born at home and 16.47 % at hospital. Maternal height (AOR: 2.79; 95% CI: 1.02-8.44), Mid Upper Arm Circumference (MUAC) (AOR 2.73; 95% CI 1.03-8.01) and gestational age (AOR 8.92, 95% CI: 1.76-45.16) were significantly associated with LBW of babies after adjusting the education level of mothers. The proportion of LBW was not negligible which still national public health concern in Bangladesh. Proper nutrition and monitoring on gestational length might minimize small size babies. Asian J. Med. Biol. Res. June 2019, 5(4): 271-279

scholarly journals Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil

2017 ◽  
Vol 11 (07) ◽  
pp. 563-570 ◽  
Author(s):  
Beatriz Coronato-Nunes ◽  
Deiviane Aparecida Calegar ◽  
Kerla Joeline Lima Monteiro ◽  
Lauren Hubert-Jaeger ◽  
Elis Regina Chaves Reis ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Giardia Intestinalis ◽  
Northeastern Brazil ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nutritional Status Of Children ◽  
Great Public Health

Introduction: The present study aimed to determine the prevalence and factors associated with Giardia intestinalis infection, verifying its impact on the nutritional status of children in northeastern Brazil. Methodology: A cross-sectional study was conducted to obtain parasitological, sociodemographic, and anthropometric data in two municipalities in the states of Piauí and Ceará, northeastern Brazil. Results: Prevalence of giardiasis was 55/511 (10.8%). G. intestinalis was more frequent in people living in poverty (30/209 [14.4%], p = 0.041), performing open evacuation (26/173 [15%], p = 0.034), and drinking rainwater stored in cisterns (9/56 [16.1%], p = 0.005). The proportion of stunting and being underweight in children infected with G. intestinalis was significantly higher than that in uninfected children (5/23 [21.7%] vs. 10/179 [5.6%], p = 0.017, OR = 4.69, 95% confidence interval [CI] = 1.44–15.25 and 5/23 [21.7%] vs. 13/179 [7.3%], p = 0.038, OR = 3.54, 95% CI = 1.13–11.09, respectively). Infection with G. intestinalis remained significantly associated with stunting and being underweight after adjustment for poverty, municipality, sex, and age in a logistic regression multivariate model. Conclusions: In rural areas in northeastern Brazil, giardiasis has acquired great public health importance in the soil-transmitted helminths control era, impacting the nutritional status of children and requiring new approaches to diagnosis and treatment and translational research that could generate applicable solutions at the community level.

scholarly journals Prevalence of Schistosoma mansoni and soil transmitted helminths and factors associated with uptake of preventive chemotherapy among school children in Sengerema District in north-western Tanzania

2016 ◽  
Vol 18 (1) ◽  
Author(s):  
Florah Bukindu ◽  
Domenica Morona ◽  
Humphrey D. Mazigo
Keyword(s):  
Schistosoma Mansoni ◽  
School Children ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Preventive Chemotherapy ◽  
Cross Sectional ◽  
Soil Transmitted Helminths ◽  
Factors Associated ◽  
At Risk Populations ◽  
North Western

Background: The control of intestinal schistosomiasis and soil transmitted helminths (STH) in Tanzania focuses on reducing morbidities through the treatment of infected and at risk populations, especially schoolchildren with praziquantel (PZQ) and albendazole (ALB). However, in some areas, the uptake of interventions is low. The objective of this study was to determine factors associated with the uptake of preventive chemotherapy and, secondarily, the prevalence of Schistosoma mansoni and soil-transmitted helminths' infections in Sengerema District of north western Tanzania.Methods: This cross-sectional study was conducted among 625 randomly selected school children aged 8-18 years from Sengerema district. A questionnaire was used to collect information on the reported uptake of PZQ/ALB. Single stool samples were collected, processed and examined for the presence of eggs pf S. mansoni and soil-transmitted helminths using Kato Katz technique.Results: The self-reported uptake of preventive chemotherapy was 95.6% (95%CI; 92.78-98.49). Provision of food (AOR= 25.25, 95%CI: 5.28-120.49, p<0.001) and information about the anti-helminthic drug prior to taking it (AOR =14.24, 95%CI: 3.23-62.72, p<0.001) were associated with a high reported uptake of preventive chemotherapy. The overall prevalence of S. mansoni and geometrical mean of eggs per gram (EPG) of faeces were 36.64% (95%CI: 21.55 -62.29) and 229.47 EPG (202.73-259.86). The prevalence of STH was 10.88% (95%CI; 7.52-15.75).Conclusion: The high reported uptake of preventive chemotherapy was associated with provision of food and information about the drugs prior to their administration. However, S. mansoni and soil-transmitted infections are still a public health concern in the study area. Integrating health education in mass drug administration campaigns will allow provision of other complementary public preventive measures to reduce the burden of these infections.

Sign in / Sign up

Export Citation Format

Share Document