scholarly journals Are children on track with their routine immunisation schedule in a fragile and protracted conflict state of South Sudan?

Author(s):  
Israel Oluwaseyidayo Idris ◽  
Janet Tapkigen ◽  
Germaine Kabutaulaka ◽  
Gabriel Omoniyi Ayeni ◽  
Francis Ifeanyi Ayomoh ◽  
...  

Abstract Objectives The objective of this study was to assess if children aged 0–23 months in a conflict-affected state of South Sudan were on track with their immunisation schedule and to identify predisposing factors that affected this study population from being on track with their routine immunisation schedule. Design Community-based cross-sectional study using a semi-structured questionnaire. The binary outcome of interest was defined as being on or off track with routine vaccination schedule. Multivariable logistic regression was used to analyse for the association between the predisposing factors surveyed and being off track with one’s routine immunisation schedule. Setting Rural communities in four counties (Rumbek Centre, Rumbek North, Rumbek East and Wulu) of the Western Lakes state in South Sudan during January 10, 2020 to June 10, 2020. Participants We surveyed 428 children aged 0–23 months and their mothers/caregivers who lived in either of the four counties in the Western Lakes State. Participants were selected using random ballot sampling. Results More than three-quarters of the children surveyed (75.5%) were off track with their vaccination schedule. Children with an immunisation card had 71% reduced odds of being off track with their immunisation (AOR = 0.29; 95% CI 0.10–0.83, p-value = 0.021) compared to children without immunisation cards. Children who reside near health facilities and do not require transportation to facilities had 87% reduced odds of being off track with their immunisation compared to those who lived far and required transport to facilities. Giving an adequate immunisation notice before conducting immunisation outreach visits to communities was also associated with reduced odds (AOR = 0.27; 95% CI 0.09–0.78. p-value = 0.016) of children being off track with their immunisation. Conclusion This study revealed that most children were off track with their vaccination schedule in South Sudan, which is not only influenced by maternal characteristics but mainly by community- and state-level immunisation service delivery mechanisms. Interventions to improve child immunisation uptake should put these contextual characteristics into high health agenda consideration.

2021 ◽  
Author(s):  
Israel Oluwaseyidayo Idris ◽  
Janet Tapkigen ◽  
Germaine Kabutaulaka ◽  
Gabriel Omoniyi Ayeni ◽  
Francis Ifeanyi Ayomoh ◽  
...  

Abstract Objectives The objective of this study was to assess if children aged 0-23 months in a conflict-affected state of South Sudan were on track with their immunisation schedule and to identify predisposing factors that affected this study population from being on track with their routine immunisation schedule. Design Community-based cross-sectional study using a semi-structured questionnaire. The binary outcome of interest was defined as being on or off track with routine vaccination schedule. Multivariable logistic regression was used to analyse for the association between the predisposing factors surveyed and being off track with one’s routine immunisation schedule. Setting Rural communities in four counties (Rumbek Centre, Rumbek North, Rumbek East and Wulu) of the Western Lakes state in South Sudan during January 10, 2020 to June 10, 2020.Participants We surveyed 428 children aged 0-23 months and their mothers/caregivers who lived in either of the four counties in the Western Lakes State. Participants were selected using random ballot sampling. Results More than three-quarters of the children surveyed (75.5%) were off track with their vaccination schedule. Children with an immunisation card had 71% reduced odds of being off track with their immunisation (AOR=0.29; 95% CI 0.10 – 0.83, p-value=0.021) compared to children without immunisation cards. Children who reside near health facilities and do not require transportation to facilities had 87% reduced odds of being off track with their immunisation compared to those who lived far and required transport to facilities. Giving an adequate immunisation notice before conducting immunisation outreach visits to communities was also associated with reduced odds (AOR=0.27; 95% CI 0.09 – 0.78. p-value=0.016) of children being off track with their immunisation.Conclusion This study revealed that most children were off track with their vaccination schedule in South Sudan, which is not only influenced by maternal characteristics but mainly by community- and state-level immunisation service delivery mechanisms. Interventions to improve child immunisation uptake should put these contextual characteristics into high health agenda consideration.


2017 ◽  
Vol 82 (5) ◽  
pp. 806 ◽  
Author(s):  
Bolatito Oluwabiyi ◽  
Oyetunde T. Oyeyemi ◽  
Adetayo Olorunlana ◽  
Nofisat Omiyeniyi ◽  
Ayomide Koleosho

2021 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI

Abstract Background: The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its predicting factors, especially the quantity of biofilm. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of bracket, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.25 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement".Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The predisposing factors for this pathology during fixed orthodontic treatment were conventional metal brackets (p = 0.021), mouth breathing (p = 0.040), male gender (p = 0.035), thick periodontal phenotype (p = 0.043), elastomeric ligations (p = 0.007), duration of treatment (p = 0.022) and presence of plaque (p = 0.004). After achievement of the logistic regression, only two factors remained related to gingival enlargement: metallic brackets (OR:3.5, 95% CI:1.1- 10.55) and duration of treatment (OR:2.03, 95% CI:1.01-4.08). The amount of plaque would not be directly related to the development of gingival increase during orthodontic treatment. Conclusions: Among the predisposing factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.Trial registration: Cross-sectional study.


2021 ◽  
Vol 33 (1) ◽  
pp. 102-114
Author(s):  
S.N. Esomonu ◽  
E.N. Ossai ◽  
A.T. Onajole

Background: Malaria is a life-threatening parasitic disease caused by the plasmodium parasite and women and under-five children are more prone to its adverse consequences. The use of insecticide-treated nets (ITNs) is recommended to reduce malaria burden in endemic communities. The study aimed to determine knowledge of malaria and utilization of insecticide-treated nets (ITNs) amongst mothers of under-five children in rural communities of Nigeria’s Federal Capital Territory, and the predictors.Methods: A community-based cross-sectional design was used. Multi-stage sampling method was used to select 160 mothers of under-five children in two rural communities. A structured questionnaire was used for data collection. Data analysis was done using SPSS statistical software version 22.0 and level of statistical significance was determined by a p value of < 0.05.Results: Mean age of respondents was 29.0±5.4 years, and majority 144 (90%) of the women were married. Lower proportion of respondents had good knowledge of malaria 33 (20.6%). Ninety-four (58.8%) of respondents owned ITNs, but less than half 45 (47.9%) utilized the nets. Predictors of good knowledge of malaria were having attained tertiary education [Adjusted Odds Ratio (AOR); 2.7, 95% Confidence Interval (CI):1.1–8.1], p=0.042, and being self-employed, (AOR; 3.4, 95% CI: 1.1-13.1), p=0.043). Predictor of utilization of ITNs was being aged 30 years and above (AOR; 2.5, 95% CI: 1.1-6.1, p=0.031).Conclusion: Lower proportions of respondents had good knowledge of malaria and utilization of ITNs. Health education of mothers on malaria and benefits of ITNs use should be intensified in the study area.


2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.


2021 ◽  
Vol 5 (1) ◽  
pp. 19-27
Author(s):  
Astri Nur Amalia

ABSTRACT The incidence of infectious diseases due to personal hygiene in orphanages children often occurs. a factor that has an influence is predisposing factors. The purpose of this study is to known the correlation between the level of personal hygiene and predisposing factors in children at Panti Asuhan Al Amal Surabaya. The research type was observation research with cross sectional approach. The research subject’s samples used 67 children from 80 children of total population. Statistical analysis to obtain correlation used chi-square test. The results showed that there is  relationship between age (p value = 0.002), knowledge (p value = 0.039), and facility (p value = 0,001) to the level of personal hygiene. there is no relationship bentween gender (p value = 0.084) and attitude (p value = 0.225) to the level of personal hygiene. So it can be concluded that age and knowledge as predisposing factors are dominant to influence person's behavior. Keywords: personal hygiene, knowledge, predisposing factors, children   ABSTRAK Kejadian penyakit menular karena kurangnya kebersihan diri pada anak di panti asuhan sering terjadi. Salah satu faktor yang memiliki pengaruh yaitu faktor predisposisi. Tujuan dari penelitian ini adalah mengetahui hubungan antara tingkat kebersihan diri dan faktor predisposisi pada anak di Panti Asuhan Al Amal Surabaya. Jenis penelitian ini adalah penelitian obseravional dengan pendekatan cross sectional. Jumlah sampel yang digunakan sebesar 67 anak dari total populasi 80 anak. Analisa statistik untuk mendapatkan hubungan menggunakan uji chi-square. Hasil menunjukkan bahwa ada hubungan usia (p value = 0,002), pengetahuan ( p value = 0,039), dan fasilitas (p value = 0,001) terhadap tingkat kebersihan diri. Jenis kelamin (p value = 0,084) dan sikap (p value = 0,225) tidak ada hubungan terhadap tingkat kebersihan diri. Sehingga dapat disimpulkan bahwa usia, pengetahuan, dan fasilitas sebagai faktor predisposisi yang  dominan dalam mempengaruhi perilaku seseorang. Kata Kunci: kebersihan diri, pengetahuan, faktor predisposisi, anak


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Saiful Salim ◽  
Sarah M. Warouw ◽  
Julia Rottie

Abstract: One of the fundamental efforts to ensure the achievement of the highest quality of child development is the provision of breast milk (milk) from birth until the age of two years. Mother's Milk (Air Susu Ibu, ASI) is the most perfect food for babies because it contains many nutrients that are high-value required for the growth and development of the nerves and brain and gives substances immunity against some diseases. Breast milk can meet the nutritional needs of infants during the first six months (exclusive breastfeeding). The government up until now continues to promote the program through the promotion of increased use of exclusive breastfeeding, but unexpectdly still there are mothers, who do not exclusively breastfeed their babies. The purpose of this study is to know the relationship between maternal characteristics and the successfulness of exclusive breastfeeding. The desaigned study  was Analytic Observational, with cross sectional approach, with a sample of 65 people. Determination of the samples was done by using a non-probability (purposive sampling). Data collection was accomplished by using questionnaires. Processing data using the computer program SPSS version 20 was presented in narrative form and table. Statistical test used was chi-square with significance level α = 0.05. The results of statistical tests showed that the obtained maternal characteristics values ​​are as follows: for Age characteristic the p-value = 0.25 (p > α), the education characteristic p-value = 0.04 (p < α), a job characteristic p-value = 0.015 (p < α), and the knowledge characteristic p-value = 0.042. (P < α). There is no relationship or association between the age and the exclusive breastfeeding success. There is a relationship of education, employment, knowledge of the mother and the success of exclusive breastfeeding. However the relationship obtained is a significant negative relationship because highly educated mothers, mother who work or carier women and mothers who are actually more knowledgeable are there who fail to braestfeed exclusively. From this this study it can be suggested to the clinic to have to do counseling/ training or dairy feeding for working mothers (Pegawai Negeri Sipil / Swasta), proposed to the Government, the mayor and the head of private institutions to be able to grant permission or instructions to all employees mothers who have a six months old baby to be given permission to go home for breastfeeding while still on the working hours. Keywords: Maternal characteristic, exlusive breastfeeding.   Abstrak: Salah satu upaya mendasar untuk menjamin pencapaian tertinggi kualitas tumbuh kembang anak adalah dengan pemberian Air Susu Ibu (ASI) sejak lahir hingga usia dua tahun. Air Susu Ibu (ASI) merupakan makanan yang paling sempurna bagi bayi karena mengandung banyak zat-zat gizi yang bernilai tinggi yang dibutuhkan untuk pertumbuhan dan perkembangan saraf dan otak, memberikan zat-zat kekebalan terhadap beberapa penyakit. Air susu ibu dapat memenuhi kebutuhan gizi bayi selama enam bulan pertama (ASI eksklusif). Sampai sekarang pemerintah terus berupaya mempromosikan program ASI eksklusif melalui gencarnya promosi peningkatan penggunaan ASI eksklusif, namun masih saja didapatkan ibu menyusui bayinya tidak secara eksklusif sesuai yang diharapkan. Tujuan penelitian ini untuk mengetahui hubungan karakteristik ibu dengan keberhasilan pemberian ASI eksklusif. Desain penelitian yang digunakan adalah Analitik Observasional dengan pendekatan Cross Sectional, dengan jumlah sampel 65 orang. Penentuan besar sampel dengan menggunakan Non probability (purposive Sampling). Pengumpulan data dengan menggunakan kuesioner. Pengolahan data menggunakan komputer dengan program SPSS versi 20 yang disajikan dalam bentuk narasi dan tabel. Uji statistik yang digunakan adalah Chi-Square dengan tingkat signifikasi α = 0,05. Hasil uji statistik menunjukan bahwa karakteristik ibu (umur) diperoleh nilai p-value = 0,25 (p > α), pendidikan diperoleh nilai p-value = 0,04 (p < α), pekerjaan diperoleh nilai  p-value = 0,015 (p < α), dan pengetahuan diperoleh nilai p-value = 0,042. (p < α). Kesimpulan dalam penelitian ini adalah tidak ada hubungan umur dengan keberhasilan pemberian ASI eksklusif dan ada hubungan pendidikan, pekerjaan, pengetahuan dengan  keberhasilan pemberian ASI eksklusif. Namun hubungan yang didapatkan adalah hubungan yang bermakna negatif dikarenakan ibu yang berpendidikan tinggi, ibu yang bekerja dan ibu yang berpengetahuan baik justru lebih banyak yang tidak berhasil memberikan ASI eksklusif. Dari penelitian ini dapat disarankan kepada pihak puskesmas untuk perlu dilakukannya penyuluhan/pelatihan tentang pemberian ASI perah kepada ibu-ibu pekerja (PNS/Swasta), mengusulkan  ke Pemerintah Daerah dalam hal Wali Kota dan pimpinan instansi swasta untuk dapat memberikan izin/intruksi kepada seluruh pegawai ibu-ibu yang mempunyai bayi enam bulan kebawah agar dapat diberi izin pulang ke rumah untuk menyusui bayinya meskipun masih jam kerja. Kata kunci: Karakteristik Ibu, ASI eksklusif.


2020 ◽  
Vol 9 (1) ◽  
pp. 31
Author(s):  
Mita Meilani ◽  
Ade Putranto Prasetyo Wijiharto Tunggali

Family Planning is the most basic and primary preventive health service effort. One of the acceptable contraceptives in Indonesia is the Contraceptive Intra Uteri Device (IUD), which is the most effective, safe and comfortable contraception for many women. Use of contraception is still dominated by short-term contraceptives, especially injections which reach 31.2% and pills 13.4%. While the level of use of the Long-Term Contraception method, the IUD reaches 4.8%. In 2013, based on the results of the KB prevalence survey with MKJP of 64.6%. Overall, there were still 16 provinces that reached the position of family planning prevalence with MKJP lower than the national figure (> 64.6%). This study aims to determine the relationship of maternal characteristics with the selection of contraceptives Intra Uteri Device (IUD) on family planning acceptors at the Kramatwatu Health Center in Serang, Banten. This quantitative study uses a cross sectional approach with 82  acceptor respondents and uses a check list instrument. The results of the research prove that with the results of statistically significant tests showing that there is a relationship between maternal age, maternal parity, maternal education and occupation with the selection of contraceptives intra uteri device on family planning acceptors with p-value 0.004 <0.05, p-value 0.007 <0 .05, p-value 0.006 <0.05 and p-value 0.007 <0.05. The conclusion in this study there is a relationship between maternal characteristics with the IUD selection so that health workers can optimize counseling about family planning, especially the use of intra uterine devices (IUD).


2018 ◽  
Vol 18 (3) ◽  
pp. 497
Author(s):  
Tina Yuli Fatmawati

Word Health Organization (WHO) estimates the incidence of Acute Respiratory Infections (ISPA) in the World with infant mortality rates above 40 per 1000 live births and 15% -20% per annum in under-five age groups. In Jambi, ISPA is the most common disease of the 10 major diseases. The purpose of this study was to determine whether there was a relationship between maternal characteristics, knowledge and smoking habits with the incidence of ISPA in infants in the Posyandu Kelurahan Kenal Asam Bawah. This reseach is a description corelation with a cross sectional design, carried out in December 2017. The sample were mothers who had toddlers aged 1-5 years who were in 2 Posyandu in Kenali Asam Bawah, with a sample of 90 respondents with Total sampling technique. Data analysis used was univariate analysis and bivariate analysis with Chi-Square test. The results showed that from 90 respondents most of the education of highly educated respondents were 61 (67.8%), most of the age of toddlers at 1-3 years old were 57 (63.3%), the majority of respondents had low knowledge of 48 mothers (53.3%), Most of them were family smokers, 62 respondents (58.9%), there was a relationship between maternal education, knowledge and smoking habits with the incidence of ISPA in infants in Posyandu Kelurahan Kenali Asam Bawah with p-value 0.023, 0.004 and 0.000 (p <0, 05). It is recommended that Puskesmas can increase activities in planning disease control programs, especially ISPA.


2021 ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


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