scholarly journals Factors influencing diarrheal prevalence among children under five years in Mathare Informal Settlement, Nairobi, Kenya

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Djounfoune A. Guillaume ◽  
Osero O.S. Justus ◽  
Kabiru W. Ephantus
Keyword(s):  
Formal Education ◽  
Informal Settlement ◽  
Primary Caregivers ◽  
Simple Random Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Care Givers ◽  
Factors Influencing

Globally, diarrhoea is the second major cause of death among children under five years. The aim of the study was to establish factors influencing diarrhoeal prevalence among children under five years in Mathare Informal Settlement. Cross-sectional survey was used. Data was collected from 1st July to 1st August 2019 among primary care- givers (PCGs) of children under five years in Mathare Informal Settlement, in Nairobi, Kenya. This urban informal settlement in Kenya was purposively sampled. Simple random sampling was used to select the households and the respondents. P<0.05 was considered as statistically significant. A total of 324 primary caregivers selected from 324 households were included in the study. Fifty six point seventeen percent of the respondents were aged 25-31 years old. Prevalence of diarrhoea among children was 18.7%. Sex, relationship of the primary caregivers, number of people and children in the households were found to be statisti- cally significant with diarrhoea prevalence with p=0.008, p<0.001, p<0.001, p<0.001 respectively. One hundred and seventy one (52.78%) primary caregivers had no formal education. primary caregivers disposed of the child’s faeces in garbage in 38.89% of the cases. Education level of the primary caregivers, renting, presence of flies, fae- ces, and open garbage near or within the compound were found to be associated with diarrhoea prevalence with p<0.001, p=0.024, p<0.001, p<0.001 respectively. Several factors were found to be associated with diarrhoeal prevalence among children under five years.

scholarly journals Availability and Utilization of WHO Lifesaving Medicines for Children under Five in Public Health Facilities of the Jimma Zone, South West Ethiopia: A Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Tidenek Mulugeta Tujo ◽  
Tadesse Gudeta Gurmu
Keyword(s):  
Public Health ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The Past ◽  
Jimma Zone ◽  
Almost All ◽  
Medicines For Children

Background. The increased morbidity and mortality rates in children under five in developing countries are mostly attributed to poor availability and failure of prescribing lifesaving medicines. This study was aimed at evaluating the availability and utilization of the WHO-recommended priority lifesaving medicines for children under five in public health facilities. Method. A cross-sectional survey complemented with a qualitative method was conducted in 14 health centers and four hospitals in the Jimma Zone, Ethiopia. In the facilities, we assessed the availability within the last half year and on the day of the visit. Utilization of the medicines was assessed through a review of patient records of the last one year. Twelve in-depth interviews were carried out to collect the qualitative data, and the analysis was executed using thematic analysis. Results. For treatment of pneumonia, amoxicillin dispersible tablets and gentamycin injection were available in 94.4% of the facilities. For treatment of malaria, artemether/lumefantrine was available in 61.1% of the facilities. For pain management, paracetamol tablets were available in 94.4% of the facilities. AZT+3TC+NEV for HIV/AIDS management was available in all facilities. At least one essential medicine was out of stock in the past six months with the average duration of 33.6 days in health centers and 28.25 days in hospitals. Oral rehydration salt and zinc (84.7%) and AZT+3TC+NEV (100%) had better utilization. However, for almost all cases, other nonpriority medicines were highly prescribed. Lack of administrative commitment, supply of near expiry products, complexity of diseases, and lack of customized child formulations were among the challenges of availability and utilization of those medicines. Conclusions. The overall availability of lifesaving medicines on the day of the visit was fairly good but with poor utilization in almost all facilities. Some products were not available for considerable length of time in the past six months.

scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2019 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Health Assessment ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Age Range

Abstract BackgroundMalaria is a leading cause of morbidity and mortality among children under five in Malawi. Children from rural areas of central Malawi have high burden of malaria morbidity compared to other regions. The goals of this study were to examine the prevalence and determinants of malaria infection among children in rural areas of Dowa district in central Malawi.Methods A multistage cross-sectional study design was used to systematically sample 523 child-mother dyads from postnatal clinics. The main outcome was child positive malaria diagnostic test during postnatal clinic health assessment. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results The prevalence of malaria amongst children under five years was 35.4%. The results of multivariable analyses show that children of mothers who experienced recent intimate partner violence (IPV) were more likely to be diagnosed with malaria ( AOR : 1.88, 95% CI : 1.19-2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria ( AOR : 2.77, 95% CI : 1.24-6.19; P = 0.013) than children of mothers who attained secondary education. In addition, children in the age range of 2 to 5 months, and 6 to 11 months were less likely to be diagnosed with malaria ( AOR :0.21, 95% CI: 0.10-0.46; P = 0.000 and AOR :0.43; 95% CI: 0.22-0.85; P = 0.016, respectively) than children in the age range of 24 to 59 months.Conclusion The study found that the prevalence of malaria infection among children in the study area was comparable to that of national level. We propose that malaria control programs among children should also take into account mothers without formal education, mothers with children aged 24 to 59 months, and mothers that are experiencing IPV in the area.

scholarly journals Relationship Between Mothers’ Role and Knowledge in Recurrence Prevention of Food Allergy for Children Under Five Years-Old

2017 ◽  
Vol 5 (1) ◽  
pp. 118
Author(s):  
Fitria Rinawarti
Keyword(s):  
Food Allergy ◽  
Design Method ◽  
Simple Random Sampling ◽  
Observational Research ◽  
Good Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Recurrence Prevention

There are 30-40% of people with allergies world wide in 2011, this is based on data from the Center for Disease Control and Prevention (CDC) more than tripled from 1993 to 2006. Parents play an important role in overcoming the recurrence of allergies in children in order of recurrence allergies and more severe recurrence. The goal of the study is to analyze association mothers’s role and knowledge in recurrence prevention of food allergy in children under five years-old. The study is an analytic observational research with cross sectional design. Method of sampling usedis simple random sampling. The samples were 39 mothers who have children under five years-old with food allergy in Rumah Sakit Islam Jemursari Surabaya. Analysis used chi-square test with α = 0.05 significance level.The results revealed the knowledge of mothers’ with allergy recurrance is 15 person (38,5%) have a good knowledge in prevention of food allergy in children under five years-old, while mothers’s role in recurrence prevention of food allergy in children under five years-old is 26 person (66,7%) have a role unfavorable. The statistical test by using chi-square revealed there were association between mothers’role (ρ=0,030) and mother’s of knowledge (ρ=0,00001)in recurrence prevention of food allergy for children under five years-old.The conclusions of the results this study is mothers’s role with unfavorable to have children under five years-old with an allergy recurrence of severe allergy, while mothers with good knowledge to have children under five years-old with an allergy reccurrance of mild allergy.Keywords: recurrence allergies, mother’s role, mother’s knowledge

scholarly journals HUBUNGAN PEKERJAAN IBU DAN DUKUNGAN KELUARGA DENGAN PARTISIPASI PENIMBANGAN BALITA KE POSYANDU WILAYAH KERJA PUSKESMAS KARANGMOJO I KABUPATEN GUNUNGKIDUL

2019 ◽  
Vol 6 (1) ◽  
pp. 9-17
Author(s):  
Djuminten Djuminten ◽  
Shalwi Dheani Rahmatika
Keyword(s):  
Mortality Rate ◽  
Family Support ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Moderate Level ◽  
Infant Mortality Rate ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Latar Belakang: Posyandu merupakan upaya meningkatkan derajat kesehatan di Indonesia dengan tujuan menurunkan Angka Kematian Ibu dan Angka Kematian Bayi. Partisipasi penimbangan balita di Wilayah Kerja Puskesmas Karangmojo I masih rendah yaitu 57,56%, sedangkan target pemerintah 85%. Tujuan: Mengetahui hubungan pekerjaan ibu dan dukungan keluarga dengan partisipasi penimbangan balita ke Posyandu. Metode: Analitik korelasi pendekatan cross sectional. Populasi penelitian ini ibu yang mempunyai anak usia 12-59 bulan di Posyandu Wilayah Kerja Puskesmas Karangmojo I, pengambilan sampel menggunakan teknik simple random sampling, jumlah sampel 92 ibu. Pengumpulan data menggunakan buku register Posyandu dan kuesioner. Analisis bivariat menggunakan Chi square. Hasil: Responden bekerja (58,7%) tidak bekerja (41,3%), dukungan keluarga tinggi (27,2%) sedang (38%), responden yang tidak aktif penimbangan balita (54,3%). Uji Chi square menunjukkan X² hitung 20,504 > X² tabel 3,841, C=0,426 untuk hubungan pekerjaan ibu dengan partisipasi penimbangan balita ke Posyandu dan X² hitung 29,865 > X² tabel 5,991, C=0,495 untuk hubungan dukungan keluarga dengan partisipasi penimbangan balita ke Posyandu. Kesimpulan: Ada hubungan pekerjaan ibu dengan partisipasi penimbangan balita ke Posyandu dengan keeratan sedang, dan dukungan keluarga dengan partisipasi penimbangan balita dengan keeratan sedang. Saran: Bagi tenaga kesehatan untuk memberikan penyuluhan pentingnya penimbangan balita ke Posyandu kepada ibu balita.   Kata kunci: Pekerjaan Ibu – Dukungan Keluarga – Partisipasi Penimbangan Balita – Posyandu.   ABSTRACT   Background: Posyandu is an effort to increase health level in Indonesia with the purpose is to decrease Maternal Mortality Rate and Infant Mortality Rate. Participation of children under five to weigh their weight to Posyandu of the working area area of Puskesmas Karangmojo I is still low at (57,56%), while the government target is 85%. Objective: To know the relationship between mother’s occupation and family support with participation of children under five to weigh their weight in Posyandu. Methods: It was an analytical correlation with cross sectional approach. Population in this research was mothers who have children aged 12-59 month. Sample of research was 92 mothers taken by simple random sampling technique. Data collecting applies by register book of Posyandu and questionnaires. Bivariate analysis used Chi square. Results: Respondents who work (58,7%) who do not work (41,3%), high family support (27,2%) moderate (38%), not active (54,3%). Chi square test shows X² count 20,504 > X² table 3,841, C=0,426 for relationship between mother’s occupation with participation of children under five to weigh their weight to Posyandu and X² count 29,865 > X² table 5,991, C=0,495 for relationship between family support with participation of children under five to weigh their weight to Posyandu. Conclusion: There is a relationship between mother’s occupation with participation of children under five to weigh their weight with moderate level of closeness, and family support with participation of children under five to weigh their weight with moderate level of closeness. Suggestion: Health professionals are suggested to provide counseling about the importance of children under five to weigh their weight to Posyandu to the mothers.   Keywords: Mother’s Occupation – Family Support – Participation of Children Under Five To Weigh their Weight – Posyandu.

scholarly journals Hubungan Sanitasi Lingkungan dengan Kejadian Stunting pada Balita Di Desa Jayabakti Tahun 2021

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Yurike Kuewa ◽  
Herawati ◽  
Marselina Sattu ◽  
Anang S. Otoluwa ◽  
Erni Yusnita Lalusu ◽  
...  
Keyword(s):  
Drinking Water ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Water Sources ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Drinking Water Sources

Stunting merupakan sebuah masalah kesehatan dimana seorang bayi atau anak-anak mengalami hambatan dalam pertumbuhan tubuhnya, sehingga gagal memiliki tinggi yang ideal pada usianya. Tujuan penelitian ini adalah melihat hubungan sumber air minum, kepemilikan jamban, sarana pembuangan air limbah dan kepemilikan tempat sampah dengan kejadian stunting di Desa Jayabakti wilayah kerja Puskesmas Pagimana Tahun 2021.Jenis penelitian ini adalah Observasional analitik  dengan pendekatan Cross Sectional serta Teknik pengambilan sampel yang digunakan yaitu simple random sampling. Sampel dalam penelitian ini adalah ibu balita sebanyak 156 responden  Analisis data yang digunakan adalah analisis bivariat menggunakan uji Chi Squaree. Hasil penelitian menunjukan bahwa tidak terdapat hubungan antara sumber air minum, kepemilikan jamban, dan kepemilikan SPAL dengan kejadian stunting di Desa Jayabakti dengan nilai p value > 0,05. Sedangkan hasil analisis tabulasi kepemilikan tempat sampah di peroleh hasil p value = 0,006 (<0,05), dengan demikian terdapat hubungan antara kepemilikan tempat sampah dengan kejadian stunting. Sanitasi lingkungan secara tidak langsung mempengaruhi gizi balita. Sanitasi yang buruk dapat menimbulkan penyakit infeksi pada balita seperti diare dan kecacingan yang dapat menganggu proses pencernaan dalam proses penyerapan nutrisi, jika kondisi ini terjadi dalam waktu yang lama dapat mengakibatkan masalah stunting. Stunting is a health problem in which a baby or child experiences obstacles in their body growth, so they fail to have the ideal height for their age. The purpose of this study was to see the relationship between drinking water sources, latrine ownership, waste water disposal facilities and ownership of trash bins with stunting in Jayabakti Village, Pagimana Health Center working area in 2021. namely simple random sampling. The sample in this study were mothers of children under five as many as 156 respondents. The data analysis used was bivariate analysis using the Chi Squaree test. The results showed that there was no relationship between drinking water sources, latrine ownership, and SPAL ownership with stunting in Jayabakti Village with p value > 0.05. While the results of the tabulation analysis of the ownership of the trash can obtained the results of p value = 0.006 (<0.05), thus there is a relationship between the ownership of the trash can and the incidence of stunting. Environmental sanitation indirectly affects the nutrition of children under five. Poor sanitation can cause infectious diseases in toddlers such as diarrhea and worms which can interfere with the digestive process in the process of absorption of nutrients, if this condition occurs for a long time it can cause stunting problems.

scholarly journals HUBUNGAN JARAK RUMAH DENGAN CEROBONG ASAP PABRIK KARET DENGAN DERAJAT KEPARAHAN ISPA

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Farida Heriyani
Keyword(s):  
Public Health ◽  
Health Center ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Research Subjects ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Tract Infections

ABSTRAKPenyakit infeksi saluran pernapasan akut (ISPA) merupakan salah satu masalah kesehatan utama. Prevalence ISPA di Indonesia mencapai 25% dan karakteristik penduduk dengan ISPA yang tertinggi terjadi pada kelompok umur 1-4 tahun (25,8%). Di kota Banjarmasin, ISPA termasuk dalam sepuluh penyakit terbanyak di setiap puskesmas, termasuk di Puskesmas Pelambuan Banjarmasin. Berdasarkan data tahun 2015 didapatkan data bahwa kasus ISPA menempati urutan pertama dalam kunjungan terbanyak di Puskesmas Pelambuan. Kunjungan ISPA mencapai sekitar 3.911 kunjungan dari 13.162 jumlah kunjungan. Di wilayah ini terdapat pabrik karet dengan cerobong asap yang mencemari udara. Penelitian ini bertujuan untuk mengetahui hubungan jarak rumah dengan cerobong asap pabrik karet dengan derjaat keparahan ISPA pada balita di wilayah Puskesmas Pelambuan Banjarmasin. Jenis penelitian adalah observasional analitik dengan rancangan crossectional. Subjek penelitian terdiri dari 50 orang balita penderita ISPA yang tercatat di Puskesmas Pelambuan, dipilih secara simple random sampling. Analisis data dilakukan dengan uji chi square pada tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa 76% dari subjek penelitian tinggal di rumah dengan jarak sedang terhadap cerobong asap dan 24% pada jarak dekat. Sebanyak 60% mengalami serangan ISPA >1 kali dan 48% dengan derajat keparahan sedang. Hasil uji statistik didapatkan adanya hubungan antara jarak rumah terhadap cerobong asap dengan pola penyakit ISPA ditinjau dari frekuensi serangan dan derajat keparahan ISPA pada balita di wilayah Puskesmas Pelambuan Banjarmasin.Kata - kata kunci : Letak rumah, cerobong asap pabrik karet, derajat keparahan ISPAABSTRACTAcute respiratory tract infections (ARI) is one of the main health problems. The prevalence of ARI in Indonesia reached 25% and the characteristics of the population with the highest ARI occurred in the 1-4 year age group (25.8%). In the city of Banjarmasin, ARI is included in the top ten diseases in each puskesmas, including in the Banjarmasin Pelambuan Puskesmas. Based on 2015 data, data showed that ARI cases ranked first in the most visits at the Pelambuan Health Center. ARI visits reached about 3,911 visits from 13,162 visits. In this region there is a rubber factory with chimneys that pollute the air. This study aims to determine the relationship among the distace of houses to the rubber factory chimney with frequency and severity of ARI in children under five years in the region Public Health Pelambuan. The study was observational analytic with cross sectional design. The research subjects consisted of 50 toddlers suffering from ARI recorded at Pelambuan Health Center, selected by simple random sampling. Data were analyzed by chi square test at the 95% confidence level.The results showed that 76% of the subjects lived in the house with a moderate distance to the chimney and 24% at close range. As many as 60% have an attack ARI > 1 time and 48% with moderate severity. Statistical test results obtained relationship between the distance from the house to the chimney with respiratory disease patterns in terms of frequency and severity of attacks of ARI in children under five years in the region Public Health Pelambuan.Key words: distance of the house - a rubber factory chimneys – severity of ARI

scholarly journals The Prevalence of Diarrhea Based on Knowledge and Environmental Sanitation in Tanjung Lago Village Wetland Area

2018 ◽  
Vol 68 ◽  
pp. 04013
Author(s):  
Masagus M. Hakim ◽  
Irfanuddin ◽  
Hermansyah ◽  
Novrikasari
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
Clean Water ◽  
Wetland Area ◽  
Cross Sectional ◽  
Environmental Sanitation ◽  
Children Under Five ◽  
Under Five

UNICEF in 2013 reported more than 400 children die everyday. The prevalence of diarrhea occurs more in developing countries. Children under the age of five experience an average of 1.6 to 2.3 episodes of diarrhea per year. The aim of the study was to determine the prevalence of diarrhea based on knowledge and environmental sanitation in Tanjung Lago wetland area. This study used cross sectional design with quantitative approach. The sampling technique was simple random sampling with mapping. The sample was 145 housewives with children under five. It used univariate and bivariate analysis. The prevalence of diarrhea in Tanjung Lago was 13.8%. Only a portion of the respondents knew what diarrhea was (53.1%) and the cause of diarrhea (53.8%). The majority of respondents used river water as a source of clean water (91.0%) and refill water as a source of drinking water (98.6%). Most of respondents who have latrines were only less than 10m from daily sources of clean water (91.7%). There is no relationship between knowledge. quality of clean water and availability of latrines with the incidence of diarrhea on children under five. It is important to communicate. inform and educate the public about the environment that can be a medium for diarrhea transmission and the quality of clean water.

scholarly journals HUBUNGAN PENGGUNAAN AIR BERSIH DAN JAMBAN KELUARGA DENGAN KEJADIAN DIARE PADA BALITA

2021 ◽  
Vol 5 (2) ◽  
pp. 761-769
Author(s):  
Hamzah B ◽  
Strahmawati Hamzah
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Clean Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
North Sulawesi

ABSTRACT Diarrhea is still a health problem in the world, there are about 2 million cases of diarrhea worldwide every year, and 1,9 million children under five years die from diarrhea every year. Diarrhea in Indonesia is an endemic disease and it is very potential for Extraordinary Events to occur. Diarrhea was the 3rd highest infectious disease in North Sulawesi in 2016 with a total of 23,881 cases. This study aims to analyze the relationship between the use of clean water and the use of latrines with the incidence of diarrhea in children under five in Gogagoman Village, Kotamobagu City. This study used a cross sectional study design with a total sample of 130 children under five. The subject of this research is the mother/the closest person to the toddler. The sampling technique used is simple random sampling. The data collection instrument used a questionnaire and an observation sheet. The data were then analyzed by univariate and bivariate using chi square test. The results showed that there was a relationship between the use of clean water and the incidence of diarrhea in children under five (p = 0,036

scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Diagnostic Tests ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Abstract Background: Malaria is a leading cause of morbidity and mortality among children under five in Malawi. Children from rural areas of central Malawi have a high burden of malaria morbidity compared to other regions. The goal of this study was to examine the prevalence and determinants of malaria infection among children in rural areas of the Dowa district in central Malawi.Methods: A multistage cross-sectional study design was used to systematically sample 523 child‑mother dyads from postnatal clinics. A survey was administered to mothers to collect quantitative data, and rapid diagnostic tests were used to test for malaria infection in children. The main outcome was positive malaria diagnostic tests in children. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results: The prevalence of malaria among children under five years was 35.4%. The results of the multivariate analyses showed that children of mothers who experienced recent intimate partner violence (IPV) were more likely to be diagnosed with malaria (AOR: 1.88, 95% CI: 1.19–2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria (AOR: 2.77, 95% CI: 1.24–6.19; P = 0.013) than children of mothers who had received secondary education. In addition, children in the age ranges of 2 to 5 months and 6 to 11 months were less likely to be diagnosed with malaria (AOR: 0.21, 95% CI: 0.10–0.46; P = 0.000 and AOR: 0.43; 95% CI: 0.22–0.85; P = 0.016, respectively) than children in the age range of 24 to 59 months. Conclusion: The study found that the prevalence of malaria infection among children in the study area was comparable to the national level. We propose that in addition to available malaria control programs, further attention should be paid to children whose mothers have no formal education, children aged 24 to 59 months and mothers that are exposed to IPV in the area.

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