Knowledge on Childhood Dental Caries Among Parents of Under Five Children in A Community at Biratnagar, Nepal

2021 ◽  
Vol 4 (3) ◽  
pp. 22-31
Author(s):  
Sarmila Pradhan ◽  
Deepika Khadgi ◽  
Namita Yengden ◽  
Karishma Khadgi

Dental caries is a major public health problem globally and is one of the most chronic diseases in children. Children are susceptible to caries as soon as the first teeth appear. Parents are the primary decision-makers in matters of children's healthcare. If the parents are knowledgeable about the child's oral health care then childhood dental caries can be prevented. The objective of this study was to identify the knowledge on childhood dental caries among parents of under five children. A descriptive, cross-sectional study was carried out among parents of under five children in a community of Biratnagar 12. Sample was selected using non probability purposive sampling method and data was collected by face-to-face interview using a self-developed, semi-structured interview guideline. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e chi square was used to find the association between dependent and independent variables. About three fourths (71%) of the parents were of age group 20-30 years and 88% of them were mothers. Most of the parents (90%) were aware that dental caries can occur in under five children and excessive sugar intake was the most common cause as reported by all of them. Only 40% knew that dental caries is transmissible and among them 97.6% responded by sharing of toothbrush. Regarding good brushing habit, most of the parents were aware. Almost all (95%) knew that proper tooth brushing helps to prevent dental caries whereas only 19% were aware about use of fluoridated tooth paste as preventive measures. Meanwhile, only 12% of the parents were aware that first dental visit should be done when first tooth erupts or within 1 year of age More than half (79%) had good knowledge on childhood dental caries but there was no association of knowledge with socio-demographic variables. The study concluded that more than half of the respondents had good knowledge on childhood dental caries and none of the socio-demographic variables were associated with the level of knowledge of parents on dental caries. Despite good knowledge, prevalence of childhood dental caries is high in our society thus reflecting the need to assess the practice of dental care.

2021 ◽  
Vol 17 (1) ◽  
pp. 30-35
Author(s):  
N. Dhana Sekaran ◽  
L. Indhumathi ◽  
Anu Kharel

Introduction: Paediatric emergencies are the leading causes of death in children under five years of age. The toddlers, preschoolers with highest curiosity to explore, investigate and with the ability to run and play are more prone to getting injuries like falls, burns, cuts, bites, stings, poisoning, fracture, chocking, and wounds. Paediatric emergency mostly occur in home, roads and grounds. Hence the mothers are expected to be knowledgeable on paediatric first aid management. The objectives of this research to assess the knowledge on pediatric first aid management, to compare the knowledge on pediatric first aid management and to find out association between the knowledge scores of mothers with under five children with selected demographic variables. Methods: A cross sectional analytical study was conducted to assess the knowledge regarding pediatric first aid management among 165 mothers with under five children were selected  in pediatric outpatient department of College of Medical Sciences  Teaching Hospital by non probability purposive sampling technique and data was collected by using structured interview questionnaire. The data was analyzed using both descriptive and inferential statistics SPSS software. Results: Demographic characteristics reveal that highest percentage (61.8 %) of them had one under five children. Comparisons of the knowledge score with demography highest mean and SD in relation to postgraduate shows that (30.2 ± 1.78). The level of knowledge score was (53.9 %) of them had adequate knowledge. However there was significant association between knowledge score with their education, occupation, family income and previous source of information. It revealing that maximum demographic variables do not affected the level of knowledge. Conclusions: The level of knowledge about pediatric first aid management among mothers was satisfactory. But still the mothers require the need of pediatric first aid health information among mothers to save and safe the children.   Keywords: Knowledge, Pediatric First Aid Management, Mothers with Under Five Children.


2021 ◽  
Vol 9 (1) ◽  
pp. 33-40
Author(s):  
Poonam Rai ◽  
Punam Kumari Mandal ◽  
Namita Yangden ◽  
Munawatee Rai ◽  
Sabitra Subedi

Background and Objectives: Oral cancer is one of the highly prevalent cancers worldwide and a leading cause of mortality in certain regions like South-Central Asia and a major public health problem. According to National Health Policy, oral cancer is the most common form of cancer in men and the third most common cancer in females in Nepal. Several studies have shown that public is not well aware of risk factors associated with oral cancer. The objective of this study was to assess the awareness of oral cancer among people of Tarahara-20. Material and Methods: A cross-sectional descriptive study was conducted among people of age group 18-65 years in 2019. Data were collected from 128 respondents through face to face interview using Semi – structured interview schedule with non-probability purposive sampling method. Data entry and analysis was done in SPSS version 17. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e. chi square was used to find the association between awareness of oral cancer and selected demographic variables. Results: Total findings of the study showed that More than half (52.3%) of respondents were known about treatment modalities of Oral cancer whereas two third, 78.9% of respondents stated out movement is best for physical rehabilitation. Likewise, more than half (65.6%) had moderate level of awareness and 28.1% of the respondents had inadequate level of awareness regarding oral cancer. The result showed there was no association between level of awareness of oral cancer and selected demographic variables. Conclusion: The study concluded that awareness regarding oral cancer is moderate among community people of Tarhara. It reflects that efforts should be made to increase the awareness regarding oral cancer. Health education regarding oral cancer and its risk factors with periodic reinforcement will play an important role in creating awareness.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246895
Author(s):  
Abdulmuneim Ahmed ◽  
Kebadnew Mulatu ◽  
Berhanu Elfu

Background Under-five year children are the most vulnerable group affected by malaria, they accounted for 61% of all malaria deaths worldwide. Sherkole refugee camp is stratified under high risk for malaria. Knowledge on malaria prevalence and associated factors among under-five children in Sherkole refugee camp is lacking. Methods and materials Institution-based cross-sectional survey was conducted among under-five children in Sherkole refugee camp from October to November 2019. Total sample size was 356. Stratified random sampling technique was employed to select the study participants. Standardized questionnaire was used to collect data. Care StartTM Malaria Rapid diagnostic test which detect histidine-rich protein 2 of P. falciparum and plasmodium lactate dehydrogenase of P. vivax was used to diagnose malaria. Bivariate and multivariable logistic regression analysis was done to identify factors associated with malaria. Results A total of 356 participants were included in this study with response rate of 97.5%. The prevalence malaria was 3.9% (95% CI = 2.0–6.2). Outdoor stay at night (AOR = 3.9, 95% CI = 1.14–13.8), stagnant water near to house (AOR = 4.0, 95% CI = 1.14–14.6), and the number of under-five children per household (AOR = 3.0, 95% CI = 1.03–13.0) were found to increase the odds of getting malaria. Whereas, insecticide treated net (ITN)utilization (AOR = 0.22, 95% CI = 0.06–0.61) and Health information about malaria (AOR = 0.29, 95% CI = 0.06–0.65) reduce the odds of getting malaria. Conclusions and recommendations Malaria remains the major public health problem in Sherkole Refugee camp. Outdoor stay at night, stagnant water near to house, and number of under-five children per household were the risk factors for malaria. Health information dissemination that focuses on avoiding outdoor stay at night, eliminating stagnant water & using ITN, and considering number of under-five children per household during ITN distribution should be take into account.


2019 ◽  
Author(s):  
Sisay Shine ◽  
Sindew Muhamud ◽  
Solomon Adnew ◽  
Alebachew Demelash

Abstract Introduction Diarrhea is responsible for 525,000 under five children deaths and 1.7 billion cases in the world and the second leading cause of death among under-five children. It is the major public health problem in developing countries like Ethiopia. The main aim of this study was to assess the prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia.Methods Community based cross-sectional study design was done among 420 children in Debre Behan Town. Multi-stage sampling technique was used to select the study participants. Data were collected by using pre-tested and structured questionnaire. Odds ratios with 95% confidence intervals were used to assess level of significance.Results The two week prevalence of diarrhea among under-five children was 16.4%. Age of children with 7-11 month years old (AOR: 4.2, 95%CI: 1.2 – 15.3), being the second children (AOR: 3.9, 95%CI: 1.8 – 8.5), not vaccinated against Rota virus (AOR: 10.3, 95%CI: 3.2 – 91.3) and feeding children by using hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of under five children diarrhea.Conclusions This study revealed that the two weeks’ period prevalence of under-five diarrhea was relatively high. Age of children, vaccination against Rota virus and feeding children by using hand were associated with under-five children diarrhea. Education program on the important of vaccination against Rota virus and critical point of hand washing is recommended.


2018 ◽  
Vol 2 (3) ◽  
pp. 76
Author(s):  
Khaing Zar Lwin ◽  
I Gusti Ngurah Edi Putra

Background: Diarrhea among under-five children remains a major public health problem in developing countries, such as Myanmar. Its complications contribute to the worse health outcomes as well as increase the child mortality in Myanmar. Hlaing Thar Yar was recognized as a township with the highest incidence of diarrhea in Yangon region. Aims: This study aimed to identify the association of mother’s knowledge on diarrhea with the diarrheal disease among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar. Methods: This was a cross-sectional study by collecting primary data in the Hlaing Thar Yar Township of Yangon, Myanmar from November to December 2016. About 277 records of mothers and their under-five children have been collected through multistage random sampling. A dependent variable in this study was the occurrence of diarrhea among under-five children whilst independent variables consisted of socio-demographic characteristics of parents and five domains of mother’s knowledge on diarrhea. Data were analyzed by using univariate, bivariate and multivariate analysis. Results: This study found that a half (53.43%) of under-five children suffered diarrhea within two weeks prior to the survey. Based on multivariate analysis by controlling all socio-demographic factors, two out of five domains of mother’s knowledge showed significant association. An increased one score of mother’s knowledge on causes and prevention of diarrhea contributed to decrease the likelihood of diarrheal disease by 37% (OR=0.63; 95%CI=0.44-0.90) and 27% (OR=0.73; 95%CI=0.54-0.99), respectively. Conclusions: This study confirmed that the knowledge of mothers on causes and prevention of diarrhea appears to have important effects on the occurrence of diarrhea among the under-five children. Therefore, health promotion program with an emphasis on providing information related to diarrhea causes and prevention is worth to enhance mother’s knowledge and their ability to prevent diarrhea among under-five children in Hlaing Thar Yar Township, Yangon. 


2018 ◽  
Vol 2 (3) ◽  
pp. 266-272
Author(s):  
Ava Upadhyay Pokhrel ◽  
Surya Bahadur Parajuli ◽  
Alok Acharya

Introduction: Under-nutrition during childhood, a major public health problem of Nepal, can have everlasting consequences. It is one of the primary causes of ill health and premature deaths in many developing countries like Nepal.Objective: The objective of the study was to assess the prevalence and associated factors of under-nutrition among under-five children of Bharatpur municipality of Chitwan district of central Nepal.Methodology: A cross sectional study was conducted in Bharatpur municipality of Chitwan district. Anthropometric measurement of children and information regarding nutrition along with different exposures were taken from 402 randomly sampled mothers. WHO criteria was used to compare with the calculated Z-score using Anthro V3.2.2 software. Informed consent was taken from concerned authority. Descriptive statistics were calculated and binary logistic regressions was used to determine the influence of selected variables for underweight.Results: Majority of the respondents were from relatively advantaged groups and house makers. Almost 54% of the children were boys and the greatest share of children was of age group 25-36 months. Almost one in 10 children of Bharatpur had lower weight-for-height score (wasted). Likewise, more than one quarter (26.4%) were stunted and another 13.4% were under-weight. Families with less than four family members were less likely to have under-weight children and those who had more than two children had more chance of having under-weight children (P=0.002). Children having diarrheal episodes within 2 weeks period of study had higher odds of being malnourished.Conclusion: The study shows that female children have higher risks of being malnourished. Higher prevalence of underweight was seen with the increasing age of children. The size of family also matters the nutrition status of children. It is recommended that Ministry of Health needs to have more attention for the necessary intervention addressing the combined exposures factors for underweight. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 266-272 


2020 ◽  
Vol 4 (3) ◽  
pp. 771-776
Author(s):  
Jyoti Gautam ◽  
Rija Acharya

Introduction: The nutritional status of an individual is often the result of many inter-related factors. It is a major public health problem in most of the developing countries and occurs prominently among under-five children. Nepal is also the one of the developing country where the prevalence of malnutrition is high.  Objective: This study aimedtoassess the nutritional status and its associated factors among under-five children.  Methodology: A descriptive cross-sectional study was conducted in Bhimtar Village Development Committee of Sindhupalchowk.Study conducted in Jan 27 2017 to Feb 8 2017 with the sample 115, self-constructed semi-structured interview schedule was used for data collection and nutritional status was assessed using anthropometric measurements. Descriptive (Frequency, Percentage, Mean, Standard Deviation) and inferential statistic (chi-square test) were used for data analysis.  Results: Among total children 47% were stunted, 30.4% were underweight and 11.3% were wasted. Age of child, frequency of antenatal visit and age of mother at child birth had significant association with nutritional status of children. Conclusion: The study concludes that significant proportion of under-five children in Sindhupalchowk district were malnourished with stunting and wasting being pre-dominant form of malnutrition. Occurrence of malnutrition was slightly higher among male compared to female children. Child’s age, mother’s age during childbirth and completion of atleast four antenatal visits during pregnancy were found to be significantly associated with child’s nutritional status.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.


2018 ◽  
Vol 52 (4) ◽  
pp. 263-271 ◽  
Author(s):  
Megan Weber ◽  
Jenny Bogstad Søvik ◽  
Aida Mulic ◽  
Kathleen Deeley ◽  
Anne B. Tveit ◽  
...  

Dental caries is a multifactorial infectious disease and a major public health problem estimated to affect 60-90% of school children as well as a vast number of adults. The aim of this work was to define patterns of progression of the disease based on longitudinal data in contrast to using a cross-sectional assessment. dmft/DMFT scores were collected at ages 5, 12, 14, 16, 17, and 18 from 876 individuals. We tested our newly defined phenotypes for association with genetic variants in genes shown to be associated with caries. We generated genotyping data using Taqman chemistry in markers of genes involved in processes such as enamel formation and salivary contributions. Kallikrein 4 (KLK4) was found to show a significant association with the created phenotypes (p = 0.0008 in a recessive model for low caries experience in the primary dentition vs. high caries experience in the primary dentition, and p = 0.0004 in a recessive model for caries free primary dentition vs. high caries experience in the primary dentition).


Author(s):  
Hermann Ngouakam ◽  
Mark Agbor Akongem ◽  
Timatang Tufoin Cagetan ◽  
Ariane Laure Wounang Ngueugang ◽  
Bonaventure Tientche ◽  
...  

Aims: The study measured the level of knowledge and attitudes towards malaria and examined associated factors among caregivers of under-five children. Study Design: The study was community-based, descriptive cross-sectional. Place and Duration of Study: The study was carried out in Buea Health District (BHD) from February to June 2020. Methodology: Data were obtained through face-to-face interviews with the caregivers of under-fives. The above mean scores were used to determine the level of knowledge. The attitude levels were measured by using 3-point Likert scales. Univariate and multivariate logistic regression analyses were performed to identify risk factors associated with knowledge and attitude. SPSS software version 20.0 was used for analysis. Results: Out of the 390 respondents, 69.5% of them had a neutral attitude. Meanwhile, 27.7 % of participants carried a favorable attitude towards malaria and only 2.8 % of them had an unfavorable attitude, Caregivers of under-five children who scored below the mean score were 25.1 % which was considered having poor knowledge and above the mean score was 74.9% which was considered good knowledge. In the multivariable logistic analysis, caregivers with a primary school level of education were 4.1 times (AOR = 4.1, CI = 1.486-11.102) times more likely of receiving a high malaria knowledge score as compared to those with no formal education. Factors associated with caregiver's attitude level towards malaria risk were educational level and marital status which showed significant associations in the univariate analysis Conclusion: Caregivers of under-fives displayed a good knowledge of malaria risk factors. However, in these endemic areas for malaria, caregiver attitude was found to be unenthusiastic and unresponsive, and this poses additional challenges in reaching the malaria elimination goal. Thus, suggesting that educational messages during the campaign should be contextual to reach out to local communities to trigger a positive behavioural change.


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