scholarly journals Joint Modeling of Poverty of Households and Malnutrition of Children Under Five Years from Demographic and Health Survey Data: Case of Rwanda

2016 ◽  
Vol 8 (2(J)) ◽  
pp. 108-114
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Drinking Water ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Household Head ◽  
Composite Index ◽  
Joint Modeling ◽  
Multiple Birth ◽  
Children Under Five ◽  
Under Five ◽  
Health Survey Data

The main objective of this study was to identify the risk factors associated to malnutrition of children under five years and poverty and assess the correlation between them. We created a composite index from three anthropometric indictors (stunting, underweight and wasting).A multivariate joint model using the generalized linear mixed model was utilized for the analyses of the data. Child age, birth order of the children, the gender of children, birth weights of the children, multiple birth of the child, fever, anemia of the mother, body mass index of the mother, mother’s education level, mother’s knowledge on nutrition, age of household head, source of drinking water, toilet facilities, place of residence of household, source of drinking water and province were found to be significantly related to poverty and malnutrition. The study revealed a positive correlation between poverty of household and malnutrition of children less than five years

scholarly journals Bivariate binary analysis on composite index of anthropometric failure of under-five children and household wealth-index

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Demeke Lakew Workie ◽  
Lijalem Melie Tesfaw
Keyword(s):  
Logistic Regression ◽  
Composite Index ◽  
Binary Logistic Regression ◽  
Wealth Index ◽  
Household Wealth ◽  
Education Level ◽  
Multiple Birth ◽  
Under Five ◽  
Under Five Children ◽  
Study Results

Abstract Background Malnutrition is the most common cause of mortality and morbidity of children in low and middle income countries including Ethiopia and household wealth index shares the highest contribution. Thus, in this study it is aimed to conduct bivariate binary logistic regression analysis by accounting the possible dependency of child composite index anthropometric failure and household wealth index. Methods In this study the data from Ethiopian Demographic and Health Survey (EDHS) 2016 involved 9411 under five children was considered. Child Composite Index Anthropometric Failure (CIAF) measures the aggregate child undernourished derived from the conventional anthropometric indices (stunting, underweight and wasting). The correlation between CIAF and wealth index was checked and significant correlation found. To address the dependency between the two outcome variables bivariate binary logistic regression was used to analyze the determinants of child CAIF and household wealth index jointly. Results Study results show that region, place of residence, religion, education level of women and husband/partner, sex of child, source of drinking water, household size and number of under five children in the household, mothers body mass index, multiple birth and anemia level of child had significant association with child CIAF. Female children were 0.82 times less likely to be CIAF compared to male and multiple birth children were more likely to be CIAF compared to single birth. Children from Oromia, Somalie, Gambela, SNNPR, Harari and Addis Ababa region were 0.6, 0.56, 0.67, 0.52, 0.6 and 0.44 times less likely to be CIAF compared to Tigray. A household from rural area were 15.49 times more likely poor compared to a household. The estimated odds of children whose mothers attended primary, and secondary and higher education was 0.82, and 0.52 times respectively the estimated odds of children from mothers who had never attended formal education. Conclusion The prevalence of children with composite index anthropometric failure was high and closely tied with the household wealth index. Among the determinants, region, religion, family education level, and anemia level of child were statistically significant determinants of both CIAF and household wealth index. Thus, the authors recommend to concerned bodies and policymakers work on household wealth index to reduce the prevalence of child composite anthropometric failure.

scholarly journals Joint modeling of multiple repeated measures and survival data using multidimensional latent trait linear mixed model

2018 ◽  
Vol 28 (10-11) ◽  
pp. 3392-3403 ◽  
Author(s):  
Jue Wang ◽  
Sheng Luo
Keyword(s):  
Survival Data ◽  
Repeated Measures ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Proportional Hazards Model ◽  
Latent Trait ◽  
Joint Modeling ◽  
Fine Motor ◽  
Terminal Event ◽  
Longitudinal Outcomes

Impairment caused by Amyotrophic lateral sclerosis (ALS) is multidimensional (e.g. bulbar, fine motor, gross motor) and progressive. Its multidimensional nature precludes a single outcome to measure disease progression. Clinical trials of ALS use multiple longitudinal outcomes to assess the treatment effects on overall improvement. A terminal event such as death or dropout can stop the follow-up process. Moreover, the time to the terminal event may be dependent on the multivariate longitudinal measurements. In this article, we develop a joint model consisting of a multidimensional latent trait linear mixed model (MLTLMM) for the multiple longitudinal outcomes, and a proportional hazards model with piecewise constant baseline hazard for the event time data. Shared random effects are used to link together two models. The model inference is conducted using a Bayesian framework via Markov chain Monte Carlo simulation implemented in Stan language. Our proposed model is evaluated by simulation studies and is applied to the Ceftriaxone study, a motivating clinical trial assessing the effect of ceftriaxone on ALS patients.

Microbial contamination and environmental factors of drinking water source for households with children under five years old in two South China ethnic groups

2016 ◽  
Vol 16 (6) ◽  
pp. 1514-1518 ◽  
Author(s):  
Wen Fang Long ◽  
Spencer Lloyd ◽  
Fan Zhang ◽  
Qiao Li ◽  
HaiRong Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Water Supply ◽  
Ethnic Groups ◽  
Microbial Contamination ◽  
Water Source ◽  
Drinking Water Source ◽  
Children Under Five ◽  
E Coli ◽  
Under Five

The article aimed to find the causes of microbial contamination of drinking water source, by exploring the influencing factors of water on the incidence of diarrhea in children. Random stratified-cluster sampling was used to study Li and Han communities of rural Lingshui County with regard to water quality and environmental sanitation. Water samples were evaluated for microbial contamination using National Standard of the People's Republic of China and World Health Organization drinking water standards. Data were compared between ethnic groups. Li communities had more contamination than Han. The correlation between the frequency of diarrhea among children and the presence of microorganisms in the water was positive, for both total coliforms and Escherichia coli (E. coli). Regression analysis showed the substandard risk factors of total coliforms for source water were type of water supply (OR = 3.508) and garbage disposal methods (OR = 2.430). For E. coli, risk factors included the source of water supply (OR = 2.417); depth of wells (OR = 0.536) and distance of wells from the cesspit (OR = 0.723). The content of bacterium in drinking water source was high in the rural county. Water from open wells had higher contamination rates than water from centralized systems and tube-well sources. Improvement of water supply and environmental hygiene would decrease diarrheal diseases among children under five.

Joint modeling of Anaemia and Malaria in children under five in Nigeria

2016 ◽  
Vol 17 ◽  
pp. 105-115 ◽  
Author(s):  
Samson B. Adebayo ◽  
Ezra Gayawan ◽  
Christian Heumann ◽  
Christian Seiler
Keyword(s):  
Joint Modeling ◽  
Children Under Five ◽  
Under Five

scholarly journals Association between Drinking Water Treatment and Diarrhea Among Under-Five Years Children

2021 ◽  
Vol 4 (2) ◽  
pp. 72-76
Author(s):  
Yesvi Zulfiana ◽  
Nurul Fatmawati ◽  
Siskha Maya Herlina
Keyword(s):  
Water Management ◽  
Drinking Water ◽  
Birth Weight ◽  
Drinking Water Treatment ◽  
World Health ◽  
Environmental Sanitation ◽  
Children Under Five ◽  
Under Five ◽  
The World ◽  
The Relationship

Diarrhea is still a health problem in the world, especially in developing countries. The World Health Organization (WHO) explained that the cause of death in infants and toddlers is diarrhea, which ranks second. Meanwhile, based on Indonesia's health profile in 2015, there were 18 outbreaks of diarrhea in 11 provinces, 18 districts / cities, with 1,213 sufferers and 30 deaths (CFR 2.47%). Several factors related to the incidence of diarrhea are maternal care, birth weight and environmental sanitation. This study aims to determine the relationship between maternal parenting, birth weight and environmental sanitation with the incidence of diarrhea in children under five in Selagalas Village, the working area of ​​Cakranegara Health Center. This study used a cross-sectional quantitative design on 104 toddlers who were selected by systematic random sampling in three selected environments in Selagalas Village. Data were collected by structured interviews using questionnaires and observation sheets. Data analysis was carried out bivariately using logistic regression to see the relationship between family drinking water management and the incidence of diarrhea. 64.42% of children under five were found to have experienced diarrhea. The variable related to the incidence of diarrhea was the lack of drinking water management with a value of P = 0.03. The management of family drinking water is still lacking so it is necessary to make health promotion efforts for the family to improve the management of family drinking water that meets the requirements so that it can improve the behavior of a clean and healthy life.

scholarly journals Hubungan Faktor Lingkungan dengan Kejadian Diare Balita di Wilayah Kerja Puskesmas Kambang Kecamatan Lengayang Kabupaten Pesisir Selatan Tahun 2013

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Fitra Dini ◽  
Rizanda Machmud ◽  
Roslaili Rasyid
Keyword(s):  
Waste Water ◽  
Drinking Water ◽  
Environmental Factors ◽  
Significant Relationship ◽  
Random Sampling ◽  
Drainage System ◽  
Water Drainage ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

AbstrakPuskesmas Kambang adalah kejadian diare terbanyak di Pesisir Selatan yang menjadi insiden tertinggi di Sumatera Barat tahun 2012 dengan kondisi sanitasi yang sehat kurang dari 60%. Hampir sepertiga kasusnnya terjadi pada balita (26,7%). Tujuan penelitian adalah untuk mengetahui hubungan faktor lingkungan dengan kejadian diare balita. Penelitian menggunakan desain analitik cross sectional dengan jumlah subjek 63 orang dengan teknik multi stage random sampling. Penelitian menggunakan kuesioner melalui wawancara dan observasi. Hasil penelitian didapatkan analisis univariat kejadian diare balita 36 (57,1%), pembuangan tinja yang tidak sehat 34 (54%), sumber air minum tidak sehat 30 (47,6%), SPAL RT yang buruk 40 (63,5%), pengelolaan sampah yang buruk 36 (57,1%). Analisis bivariat didapatkan hasil ada hubungan signifikan antara pembuangan tinja dengan kejadian diare balita (p=0,010), OR=4,5. Ada hubungan signifikan antara sumber air minum dengan kejadian diare balita (p=0,026), OR=3,7. Ada hubungan yang signifikan antara SPAL RT dengan kejadian diare balita (p=0,003), OR=6. Ada hubungan yang signifikan antara pengelolaan sampah dengan kejadian diare balita (p=0,043), OR=3,3. Kesimpulan adalah ada hubungan yang signifikan antara faktor lingkungan.Kata kunci: diare, balita, faktor lingkungan AbstractKambang Health Center has the highest incidence of diarrhea in the South Pesisir which became the highest incidence in West Sumatra in 2012 with healthy sanitary conditions of less than 60%. Nearly one-third of cases occur in children under five (26.7%). The objective of this study was to determine the relationship of environmental factors with the incidence of diarrhea in children under five.This study used a cross sectional analytic method with a total subjek were 63 people, chosen by multistage random sampling technique. This study also used a questionnaire with interviewed and observation. Univariate analysis results showed that the incidence of diarrhea children under five 36 (57.1%), unsanitary excreta disposal 34 (54%), the source of drinking water is not healthy 30 (47.6%), poor waste water drainage system 40 (63.5%), poor waste management 36 (57.1%). Bivariate analysis showed significant relationship between excreta disposal site with the incidence of diarrhea in children under five with p=0.010 and OR=4.5. There is a significant relationship between sources of drinking water with the incidence of diarrhea in children under five with p=0.026 and OR=3.7. There is a significant relationship between the waste water drainage system with the incidence of diarrhea in children under five with p=0.003 and OR=6. There is a significant relationship between waste management with the incidence of diarrhea in children under five with p=0.043 and OR=3.3.In conclusion, there were significant relationship between environmental factors.Keywords: diarrhea, children under five, environmental factors

scholarly journals Bayesian Multilevel Analysis of Determinants of Acute Respiratory Infection in Children under the Age of Five Years in Ethiopia

2020 ◽  
Author(s):  
Amanuel Merera ◽  
Tilahun Asena ◽  
Mebratu Senbeta
Keyword(s):  
Drinking Water ◽  
Vitamin A ◽  
Respiratory Infection ◽  
Prevalence Rate ◽  
Acute Respiratory Infection ◽  
Wealth Index ◽  
Household Wealth ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children

Abstract Background: Acute respiratory tract infection (ARI) is a leading cause of morbidity and mortality in children under the age of five years in the world. ARIs, principally pneumonia, account for approximately 1.9 million (1.6 - 2.2 million) deaths globally in children under the age of five years in Ethiopia. Among these deaths majority occur in the developing world. The share for low and middle-income countries takes the highest indeed. In Ethiopia, the prevalence rate of ARI was 7% according to 2016 EDHS estimates. Method: Bayesian multilevel approach was employed to assess possible factors associated with the prevalence of acute respiratory infection (ARI) among under-five children in Ethiopia. The data was collected from 10,641 children under the age of five years out of which 9,918 children were considered in this study. Result: The ARI prevalence rate for children under five years was estimated as 8.4%, which was slightly higher than the estimated prevalence level of the country. The highest proportion of the prevalence of ARI was observed for children whose mothers had no education. The major health, environmental and nutritional related background characteristics of the proportion of children who had ARI varied from one region to another. The highest prevalence of ARI was observed in Tigray (15.31%) followed by Oromia (14.40%) as opposed to the low prevalence which was recorded in Benishangul Gumuz (2.58%). The utilization of vitamin A was analyzed and the results shows that about 43.10% who received vitamin A had the lowest proportion on the prevalence of ARI (7.75%) compared to not having vitamin A. About 11.13% of under-five children had Diarrhea with the highest prevalence of ARI (24.64%) and the highest prevalence of ARI was observed for the child whose source of drinking water were unprotected/unimproved (9.39%). Conclusion: The age of the child, household wealth index, mother educational level, and vitamin A supplement, history of diarrhea, maternal work, stunting and source of drinking water were found to be significantly affecting the prevalence of ARI among children under five years. Furthermore, the study revealed that there is a significant variation of incidence of ARI between and within the regions of Ethiopia. Attention should be given to those predictor variables while planning to increase the health status of children in Ethiopia.

scholarly journals Influence of various demographic factors on nutritional status of children under five years of age

2021 ◽  
Vol 4 (1) ◽  
pp. 25-31
Author(s):  
Sahira Aaraj ◽  
Alia Halim ◽  
Syed Kaleem ur Rehman ◽  
Iffat Fatima Zaman ◽  
Sameera Ahmed
Keyword(s):  
Drinking Water ◽  
Nutritional Status ◽  
Maternal Education ◽  
Demographic Factors ◽  
Independent Effect ◽  
P Value ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Nutritional Status Of Children

Background: Malnutrition in under five children is prevalent in our country.  It makes them prone to infections and increases child mortality. This can be controlled by identifying and modifying the predisposing factors. Objective: To assess nutritional status and to analyze the influence of various demographic factors on nutritional status of under five children. Methodology: This cross-sectional study was conducted in Shifa Falahi and Community Health center in Islamabad. Children under five years of age were included. Information was collected from mothers on a self-designed questionnaire. Weight and height of children was recorded and classified according to WHO Z score. Data was evaluated on SPSS 20. Univariate analysis was done to determine independent effect of each predictor on outcome. Results: Total of 280 patients were enrolled. 162 (57. 9%) of them were malnourished. Stunting was seen in 24.6% cases, while 26.1% were underweight. Wasting was seen in 19.6% cases. More males were stunted (27.9%) and underweight (27.27%) as compared to females (21.2%) and (24.8%) respectively. Low household income (p value 0.014), poor maternal education (p value 0.018), joint family system (0.002), unboiled drinking water (0.008) and repeated diarrheas (0.02) were found significantly associated with malnutrition. Most of the mothers (>75%) had adequate knowledge of breast feeding, vaccination, seeking medical advice for their babies. Conclusion: All forms of childhood malnutrition are prevalent. Poor socioeconomic status and maternal illiteracy are strong contributors towards malnutrition. Unboiled drinking water and diarrheas are further aggravating the nutritional status of children.

scholarly journals ENVIRONMENTAL DETERMINANTS OF NUTRITIONAL STATUS OF CHILDREN IN NORTHERN STATES, NIGERIA

2017 ◽  
Vol 17 (2) ◽  
Author(s):  
Deborah K Magaji
Keyword(s):  
Drinking Water ◽  
Nutritional Status ◽  
Environmental Indicators ◽  
Personal Contact ◽  
Household Type ◽  
Environmental Determinants ◽  
Children Under Five ◽  
Under Five ◽  
Ex Post ◽  
Nutritional Status Of Children

The study assessed the environmental determinants of nutritional status of children under-five in Northern States, Nigeria. The study had one objective, one research question and one hypothesis. Ex post facto design method was used for the study. The researcher targeted 400 mother-child-pairs used as the subjects of the study. Data regarding Environmental Quality Indicators (EQI): (household type, structure, toilet and source of drinking water) was collected by using a questionnaire. Personal contact was used for data collection. Weighing scale and infantometer/heightometer were used to measure weight and length/height of children. The Statistical Package for Social Sciences version 23 was used for data analysis. Pearson Product Moment Correlation (PPMC) was used for analysis and was considered significant at 0.05 alpha levels. The result showed that, 194 (49%) children had normal growth rate, 97 (25%) were stunted, 59 (15%) were underweight while 45 (11%) were wasting. The result further revealed that, significant influence existed between EQI and underweight (r=.711; P=<.027), stunting (r=.506; p=<.043) and wasting (r=.611; p=<.0081). The study concluded that, the nutritional status of children in Northern states, Nigeria was poor, and that environmental indicators of source of drinking water and household type significantly influenced the nutritional status of children under-five in Northern States, Nigeria. It was recommended that, government intervention should aim at provision of adequate water supply and promote traditional buildings combined with modern technology to ensure optimal child development in Northern States, Nigeria.

The impact of food fortification on stunting in Zimbabwe: Does gender of the household head matter? 

2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka
Keyword(s):  
Large Scale ◽  
Household Head ◽  
Food Fortification ◽  
Policy Makers ◽  
Children Under Five ◽  
Under Five ◽  
Weak Evidence ◽  
Gender Based ◽  
Female Headed Households ◽  
The Impact

Abstract Background: High prevalence of stunting in children under five years poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to children under five years. Food fortification is amongst the interventions focused at reducing the incidence of stunting in children under five years. Methods : Using a large-scale household data from Zimbabwe, we investigated the gender-based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. Results: We offer three major findings. Firstly, we find statistically weak evidence that female headed households are more likely to adopt food fortification than their male counterparts. Secondly, food fortification reduces the proportion of stunted children in the household. Finally, in comparison to non-adopters, female headed households that adopt food fortification are more able to reduce the proportion of stunted children in their households than their male counterparts.Conclusion: The results highlight the need for policy makers to actively promote food fortification, as such interventions are likely to contribute to the reduction of stunting and to involve men in fortification interventions to improve on their knowledge and appreciation of fortified foods and the associated benefits.

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