scholarly journals Pattern and factors associated with home accidents among under-five children and its care seeking behavior in selected rural communities of Kota samarahan district, Sarawak, Malaysia

2018 ◽  
Vol 28 (2) ◽  
pp. 58-62
Author(s):  
Lim Jyh Hann ◽  
Md Mizanur Rahman
Keyword(s):  
Rural Communities ◽  
Data Entry ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Seeking ◽  
Preventive Program ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Home Accidents

Background: Home may beconsidered a place toescape the dangers of theoutside world. Children have the highest risk for home injury and accidents. Considering this view, this study was aimed to describe the pattern of home accidents among the under-five children in selected villagesin Kota Samarahandistrict andto determine their care-seeking behavior.Materials and Methods: This was a cross-sectional study conducted in four villages in Kota Samarahan district. A total of 917 households were visited. Among them, 261 households were having under five children. Out of 261 households, 248 had completed the interview with the response rate of 95%. Data was collected from caregivers of under-five children by face to face interview by interviewer-administered questionnaire. Data entry and analysis was done by IBM SPSS version 22.0. A p-value less than 0.05 wasconsidered as statistically significant.Results: The prevalence of home accident was 68.1% in thelast six months. Two-fifths (40.3%) of the households had at least one incidence of home accidents. The most common home accidents were fall (56.9%) followed by cut/ wound (16.9%) and struck by an object (10.5%). Logistic regression analysis revealed that age, marital status and household income appeared to be important predictors of home accidents among under-five children (p<0.05). More than half of the respondents took home treatment for accidents such as fall, cut/ wound, struck by an object and insect bites. While all who suffered from severe home accidents such as poisoning, suffocation and vehicle accidents would visit the nearest healthcare facilities for treatment.Conclusion and Recommendation: A comprehensive and preventive program could be implemented involving the vulnerable segments of the population and emphasise on most common home accidents as in the study findings.Bangladesh J Medicine Jul 2017; 28(2) : 58-62

scholarly journals Knowledge of Malaria and Utilization of Insecticide-Treated Nets amongst Mothers of Under-five Children in selected Rural Communities of Nigeria’s Federal Capital Territory

2021 ◽  
Vol 33 (1) ◽  
pp. 102-114
Author(s):  
S.N. Esomonu ◽  
E.N. Ossai ◽  
A.T. Onajole
Keyword(s):  
Rural Communities ◽  
Tertiary Education ◽  
Statistical Significance ◽  
Good Knowledge ◽  
P Value ◽  
Insecticide Treated Nets ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malaria Burden

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.

scholarly journals Prevalence of Diarrhea and Associated Factors among Under Five Years Children in Harena Buluk Woreda Oromia Region, South East Ethiopia, 2018

2018 ◽  
Vol 1 (2) ◽  
pp. 9-26 ◽  
Author(s):  
Solomon Getahun Beyene ◽  
Abulie Takele Melku
Keyword(s):  
Water Treatment ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Home Based ◽  
Long Time

Background: Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries. It is the second leading cause of death in under-five year children nest to pneumonia. Objectives: The aim of this study was to determine the magnitude and associated factors of diarrhea in under-five in Harena Buluk district. Methods: A community based Cross sectional study was conducted in February, 2018. A two stage stratified sampling method was done to select the eligible households. Data was collected by trained data collectors using pretested questionnaire list which was prepared based on EDHS and WHO core questionnaires related to diarrhea. Data was entered in to a computer using Epi data 3.1 and exported to SPSS V.20 for further analysis. Logistic regression was used to determine level of association with 95% CI. A p-value <0.05 in the final model were considered as significant. Result: The two weeks period magnitude of diarrhea among under-five children was 28.4% with 95% CI (14.5-20.8) which was associated with households with one under five children (AOR: 0.268, 95% CI(.08,0.90)), living in the home with single room ((AOR = 6.01, 95% CI(1.01,36.01)), clean latrine/faces not seen around the pit or on the floor of latrine(AOR: 0.298, 95% CI(0.097,0.92)), long time take to fetch water from source (AOR: 0.046,95%CI(0.01,0.22)), home based water treatment ((AOR = 0.15, 95% CI: (0.04, 0.62)), living with animal in the same house(AOR: 8.31, 95% CI(2.46,28.06)), children who took gruel type of food(AOR: 0.24, 95% CI(0.07,0.81)), hand washing practice before cooking food (AOR: 0.195(0.066, 0.574)). Conclusion: The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea. Improve community about home and environmental sanitation and hand practices were recommended.

scholarly journals A study on health care seeking pattern of under five children in the rural field practice area of a medical college in Mandya District, Karnataka, India

2018 ◽  
Vol 5 (5) ◽  
pp. 1919
Author(s):  
Lakshmi L. ◽  
Bharathi Tulasi Penta ◽  
Ragavendra S. K.
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Related Complication ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Medical College

Background: Children below five year constitute 14 % of total population in our country. They are vulnerable group deserving special health care. children are considered to be susceptible to host of disease and infection and the most important causes of under-five mortality are Acute Respiratory Infection (ARI), Preterm birth Complications, Diarrheal diseases, Intrapartum related complication, Malaria, Neonatal Sepsis, Meningitis and Tetanus. The objective of the present study was to study the health care seeking pattern of under five children in rural areas of Mandya District.Methods: A cross sectional study was conducted at Adichunchanagiri Institute of Medical Sciences, Bellur Cross from January 2017 to June 2017. All the children under the age of five years in the Rural Field Practise area of the AIMS, were included in the study.Results: Out of the 324 male children in present study only 90 (27.7%) of them had suffered from any kind of illness in the past three months of duration and 59 (29.4%) out of 201 Female children had fallen ill. Fever, Diarrhoea, Pnemonia were the most common illness seen among the children. The association between the gender and illness was found to be statistically not significant.Conclusions: Large number of parents availed government service due to fact that large number of families belonged to lower socioeconomic class. IEC activities should be enhanced so as to change the behavior of 100% mothers to seek the timely reference from a qualified Doctor for the illness and proper adherence to the treatment.

scholarly journals Nutritional status and its correlates in under five children of labour population in urban slums of Lucknow, Uttar Pradesh, India

2017 ◽  
Vol 4 (4) ◽  
pp. 1253
Author(s):  
Tarun Aggarwal ◽  
Shitanshu Srivastava
Keyword(s):  
Urban Poor ◽  
Vitamin A Deficiency ◽  
Uttar Pradesh ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Background: Malnutrition has a long-term effect on physical and cognitive development of a child. Addressing nutritional problems of urban poor living in slums is of paramount importance for overall development. Effective measures could be taken if we know their sociodemographic profile, burden of malnutrition and infant feeding practices.Methods: A prospective cross sectional study was conducted in under five children living in urban slums of Lucknow around Era’s Lucknow Medical College and Hospital after taking consent from the parents and approval by institute’s ethical committee. The objective of the study was to know the prevalence of malnutrition and assess the feeding practices, immunization status and morbidities in under five children of labour population in urban slums of Lucknow.Results: 250 children aged 6 months to 5 years were analysed. 34.4%were underweight, 58.8% stunted and 17.6%. Wasted 17.6% infants were exclusively breast fed till 6 months 42.0% fed colostrum. 20.0% children received proper complementary feeding. Education status of mother was significantly associated with the prevalence of underweight children. (p <0.05) Late initiation of breastfeeding in 13.2% infants was significantly associated with underweight (p value <0.05, OR (95% CI=1.58 (0.60-2.72) and stunting OR (95% CI=0.62 (0.29-1.29). 55.6% children were fully immunized and 16% unimmunized. Presence of Morbidities like ARI, diarrhea, worm expulsion, pallor and vitamin A deficiency was high.Conclusions: Burden of malnutrition and poor feeding practices, poor vaccination coverage makes children in this slum susceptible to illnesses. Prompt measures should be taken to address it. 

scholarly journals Environmental factors associated with diarrhoea among under-five children attending at Muhimbili National Hospital, Tanzania: a descriptive cross sectional study

2020 ◽  
Author(s):  
Victor Aidan Mathias ◽  
Asumin Abdul Mkalagale ◽  
Margareth Thulisile Mtshengu
Keyword(s):  
Cross Sectional Study ◽  
Hand Washing ◽  
P Value ◽  
Muhimbili National Hospital ◽  
Sectional Study ◽  
National Hospital ◽  
Cross Sectional ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Abstract Background: Generally, diarrhea is still a second major reason of death and illness in children below the age of five years. It holds breathes of around half a million under five children’s every year and causes million more to be admitted. Every year diarrhea kills around 525000 children of under five years.Although few study have been done in Tanzania to determine factors associated with diarrhea among under five children, but environment factors have not yet well addressed. Therefore, this study seeks to address environmental factors associated with diarrhoea among under-five children attending at Muhimbili National Hospital, in Tanzania. Methods: A quantitative descriptive cross sectional study design of 100 simple randomly participants were selected. Questionnaires were used to collect data form key informants who were mothers/ carers with a child of under-five suffering from diarrhoea admitted at Muhimbili National Hospital, Tanzania. Data were analysed using SPSS. Statistical tests used were mean, median, proportions and chi square. Environmental risk factors associated with diarrhoea were determined with a p value of less than 0.05. Ethical approval and permission to collect data were obtained from relevant authorities.Results: Unsuitable infrastructure for grey water disposal, improper hand washing before feeding the baby and hand washing without using clean water and soap had strongly association with the occurrence of diarrhoea in under-five children attending at Muhimbili National Hospital (MNH) with P-value of 0.00, 0.00, and 0.01 respectively.Conclusion: Childhood diarrhoea is contributed by various environmental risk factors including unimproved sanitation, lack of hand washing facilities and poor knowledge among caregivers. This calls for the importance of providing health education to the caregivers on the cause, prevention and treatment of diarrhoea among under-five children.

scholarly journals Nutritional Status of Under-five Children living in Orphanages compared with their Counterparts living with their Families in Host Communities in Lagos State

2021 ◽  
Vol 33 (1) ◽  
pp. 76-88
Author(s):  
M.O. Izuka ◽  
F.A. Olatona ◽  
O.F. Adeniyi ◽  
A.T. Onajole
Keyword(s):  
Nutritional Status ◽  
Nutrient Intake ◽  
Data Entry ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Lagos State ◽  
Nutritional Status Of Children

Background: The prevalence of malnutrition in Nigerian orphanages is not clearly defined despite the high burden. This study was conducted to determine and compare the nutritional status of children living in orphanages and children living in the host communities.Methods: It was a comparative cross-sectional study. A multistage sampling technique was used to select 180 under-five children each from orphanages and host communities. A pre-tested questionnaire was used to obtain data on socio-demographic characteristics and nutrient intake. Weight, height, mid-upper-arm circumference and nutrient intake were assessed following standard procedures. SPSS (version 20.0) was used for data entry and analysis. Association between variables was determined using Chi-square, t-test or Fisher’s exact tests and level of significance was set at p < 0.05.Result: The mean age of the children in orphanages was 38.5 months while that of the children in the host communities was 38.3 months. Wasting and over-nutrition were significantly lower among children living in orphanages compared with those living in the host communities, (5.6% versus 14.4%, p=0.006) and (5.6% versus 13.9%, p=0.008), respectively. The proportion of children living in orphanages who met the Recommended Dietary Allowance for proteins (95%) was significantly higher than those in the host communities (88.9%), (p=0.033).Conclusion: The nutritional status of children living in the orphanages was better than that of the children living in their host communities. More interventions on feeding infant and young children are needed in communities in Lagos State to ensure better nutritional status.

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

Pattern of Thalassemia and Hemoglobinopathies Among Anemic Under-Five Children of Northern Bangladesh: A Hospital Based Cross Sectional Study

2021 ◽  
Author(s):  
Md. Abdur Rafi ◽  
M. Morsed Zaman ◽  
Md. Golam Hossain
Keyword(s):  
Cross Sectional Study ◽  
Severe Form ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hemoglobin E ◽  
Under Five ◽  
Under Five Children ◽  
Thalassemia Minor ◽  
Different Types

Abstract Background Congenital hemoglobin defects are significant global health concern affecting more than 330,000 newborns every year. In Bangladesh more than half of the under-five children are anemic, but the contribution of hemoglobin disorders to childhood anemia is quite unexplored. Hence, the objective of the present study was to investigate the prevalence and pattern of hemoglobinopathies among anemic under-five (age 6–59 months) children visiting the hematology department of Rajshahi Medical College Hospital (RMCH). Methods This was a retrospective cross-sectional study among anemic patients aged between 6 to 59 months conducted in the hematology department of RMCH from July 2018 to June 2020. The guideline of WHO was used to define the severity of anemia. Hemoglobinopathies was measured using standard methods. Chi-square test was used to find the association between two categorical factors. Results Female and younger children included in the study were more likely to suffer from moderate to severe form of anemia compared to their counterparts. Out of 534 patients 183 were suffering from different types of hemoglobinopathies (prevalence 34.3%). E-β-Thalassemia was the most common type of hemoglobinopathy (14%) followed by Hemoglobin E trait (11%) and β-Thalassemia minor (5.6%). Prevalence of these hemoglobin disorders was comparatively higher among female and older children (p < 0.05). Patients with E-β-Thalassemia and β-Thalassemia major of our study were mostly suffering from severe form of anemia while patients with hemoglobin E trait and β-Thalassemia minor were mostly suffering from mild anemia (p < 0.01). Conclusions A remarkable number of children were suffering from severe anemia and different types of hemoglobinopathies. Gender and age group were the risk factors of anemia and hemoglobinopathies among under-five children. Health authorities of Bangladesh should especially take care of anemic children in this country.

scholarly journals Perception on Management of Nursing Education Institutes among Bachelors Students in Selected Nursing Colleges at Kathmandu

2020 ◽  
Vol 7 (1) ◽  
pp. 23-36
Author(s):  
Bhuwan Kumari Dangol ◽  
Narbada Thapa
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Statistical Significance ◽  
Data Entry ◽  
Education Institution ◽  
Cross Sectional Study ◽  
Current Status ◽  
P Value ◽  
Cross Sectional ◽  
Organizational Goals

Management is a process of planning, decision making, organizing, leading, motivating and controlling, and an effective utilization of the resources to reach the organizational goals efficiently and effectively. Management has a crucial role in quality of work and production in any institutions. Although a rapid increase of Nursing Education Institutions in Nepal since last decade which had been trained thousands of nursing cadres, the management aspects of these institutions are not studied adequately. Thus current study intended to explore the current status of Nursing Education Institution Management as experienced and perceived by the bachelors nursing students. A descriptive cross-sectional study was conducted among the nursing institutions in Kathmandu valley. Of the total 28 in the valley, 14 were selected purposively. From the selected institutions, all 377 eligible students currently in final year of study were selected. Among them, 208were from BSN and 169 were from B Sc program.  The data was collected through the self administered structured questioners after taking informed consent. Data entry and analysis was done in SPSS version 16 software. The findings of the study show that 70% students were satisfied in institutional management (mean59.62, SD ± 3.66). In academic management (78%), (mean139.82, SD ± 6.22), followed by human resources 67%, (mean43.54, SD ± 2.79) and were in physical resources management 75% students were satisfied (mean45.02, SD ± 3.08). Analysis of variations between group (administrators, faculties, students) found statistical significance (p value <0.05). So it is concluded the perception of students, faculties and administrator were different on managing the nursing education.

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