scholarly journals Low intake of essential amino acids and other risk factors of stunting among under-five children in Malang City, East Java, Indonesia

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Annisa Rizky Maulidiana ◽  
Endang Sutjiati
Keyword(s):  
Risk Factors ◽  
Amino Acid ◽  
Health Center ◽  
Family Income ◽  
Significant Risk ◽  
Amino Acid Content ◽  
Anthropometric Measurement ◽  
Normal Children ◽  
Under Five ◽  
Under Five Children

Background: The lack of energy-protein intake has been shown to increase the risk of stunting in under-five children. The quality of protein in food is assessed by the completeness of amino acid content. This study aims to determine the amount of essential amino acid (EAAs) intake and other risk factors of stunting among under-five children.Design and methods: A descriptive, case-control study was performed in the work area of Kedungkandang Health Center Malang. The subjects were 24-59 month-old children with a total of 23 stunted (height-for-age Z-score (HAZ) <-2 SD) and 57 normal children (HAZ ≥-2 SD). Furthermore, the data were collected using anthropometric measurement, validated and pre-tested questionnaires, which were analyzed using multiple logistic regression.Results: The intake of all the nine EAAs in stunted children was lower than that of non-stunted children. However, only histidine, isoleucine, and methionine were significantly different (p<0.05). The significant risk factors of stunting include a family income per month fewer than the Regional Minimum Wages [OR=12.06, 95% CI 1.83-79.53], being underweight [OR=7.11, 95% CI 1.49-33.93], breastfeeding of less than 6 months [OR=5.34, 95% CI 1.28-22.20], and the lack of EAA methionine intake [OR=0.14, 95% CI 0.03-0.67]. Conclusions: Stunted children may not receive sufficient dietary intake of EAAs in their diet. Furthermore, the lack of EAAs intake, especially methionine, alongside low family income, underweight, lack of breastfeeding and variety in food consumption were the risk factors of stunting among under-five children in a selected Health Center in Malang City, Indonesia.

scholarly journals Risk Factors of Diarrhoea among Children Under Five Years in Southwest Nigeria

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Harriet U. Ugboko ◽  
Obinna C. Nwinyi ◽  
Solomon U. Oranusi ◽  
Fasina F. Fagbeminiyi
Keyword(s):  
Risk Factors ◽  
Family Income ◽  
Significant Risk ◽  
Educational Status ◽  
Age Group ◽  
Chi Square ◽  
Children Under Five ◽  
Under Five ◽  
Southwest Nigeria ◽  
The Right

Diarrhoea is the passage of three or more loose or liquid stools per day or more frequent passage than is normal for an individual. Diarrhoea alters the microbiome, thus the immune system, and is a significant cause of morbidity and mortality in young children. This study evaluated the association between the risk factors and diarrhoea prevalence among children under five years in Lagos and Ogun States, located in Southwest Nigeria. Participants included 280 women aged 15–49 years and children aged 0–59 months. The study used quantitative data, which were assessed by a structured questionnaire. Data obtained were analyzed using the Statistical Package for the Social Sciences Software Version 25.0 and Microsoft Excel 2013. The relationships and/or association between variables were evaluated using Pearson's Chi Square and logistic regression tests. One hundred and eighteen (42%) of the children were male, and 162 (58%) were female. The majority of the children belonged to the age group 0–11 months (166). Age ( p = 0.113 ) and gender ( p = 0.366 ) showed no significant association with diarrhoea among the children. The majority of the mothers belonged to the age group 30–34. Multivariate analysis showed that the mother's level of education (95% CI for OR = 11.45; P = 0.0001 ) and family income (95% CI for OR = 7.61, P = 0.0001 ) were the most significant risk factors for diarrhoea among children. Mother’s educational status, mother's employment, and family income were the factors significantly associated with diarrhoea in Southwest Nigeria. The study recommends that female education should be encouraged by the right government policy to enhance the achievement of the sustainable development goal three (SDG 3) for the possible reduction of neonates and infants' deaths in Nigeria.

scholarly journals Modelling Spatial Pattern of Anemia and Malnutrition Co-occurrence Among Under-five Children in Ethiopia: A Bayesian Geostatistical Approach

2021 ◽  
Author(s):  
Osafu Augustine Egbon ◽  
Asrat Mekonnen Balechew ◽  
Mariella Ananias Bogoni
Keyword(s):  
Risk Factors ◽  
Spatial Pattern ◽  
Maternal Education ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Significant Risk ◽  
Infant Mortality Rate ◽  
Under Five ◽  
Under Five Children ◽  
Geostatistical Approach

Abstract Background: Anemia and Malnutrition among under-five children are one of the major challenges to public health in Ethiopia. While anemia is responsible for delayed child development and growth, malnutrition is associated with the high infant mortality rate in Ethiopia. Method: This study aims to determine the socioeconomic, demographic, and geographical risk factors that simultaneously increase the co-occurrence of anemia and malnutrition among under-five children in Ethiopia. Geostatistical data was obtained from the Ethiopia Demographic and Health Survey for 2011 and 2016. A Bayesian hierarchical linear mixed model was adopted using the stochastic partial differential equation to estimate the spatial pattern of the co-occurrence of anemia and malnutrition in Ethiopia. Result: The findings revealed that gender, maternal education, number of children under five, birth order, preceding birth, contraceptive use, vaccination, marital status, birth weight, diarrhea, and fever are significant risk factors of the co-occurrence of anemia and malnutrition. The findings also reveal the vulnerability of under-five children to the co-occurrence of anemia and malnutrition within the first twenty months after birth and young maternal age. Regarding the geographical aspect, this study found a geographical disparity in the prevalence of anemia and malnutrition in Ethiopia. The highest burden of the co-occurrence of anemia and malnutrition lies in the Northern Gambela, Western Oromia, Northeast Benishangul-gumuz, Central and Northern Amhara, Southern Afar, and parts of Somali. Conclusion: These findings could be utilized by policymakers and intervention programs to simultaneously tackle and contain the prevalence of both anemia and malnutrition. For cost-effective intervention, policies and programs that improve individual-level risk factors of parents and caregivers are a more promising approach to tackle high prevalent regions than the ones on the children and should be considered as an utmost priority in the country.

scholarly journals Socio-Cultural Risk Factors of Anemia among Children under Five Years of Age in District Muzaffarabad, Azad Jammu & Kashmir, Pakistan

2020 ◽  
pp. 100-112
Author(s):  
Nazneen Habib ◽  
Saif-Ur-Rehman Saif Abbasi ◽  
Aneela Afzal ◽  
Sheeba Arooj ◽  
Shahzad Farid
Keyword(s):  
Risk Factors ◽  
Targeted Delivery ◽  
Parental Education ◽  
Family Income ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Under Five ◽  
Under Five Children ◽  
Pharmaceutical Interventions ◽  
Prevalence Of Anemia

Aims: This study is aimed to determine the prevalence of anemia and to analyze its socio-cultural determinants among under five children to devise targeted delivery plan for pharmaceutical interventions to combat anemia. Study Design: To investigate the socio-cultural risk factors, a cross-sectional field survey was conducted to gather data from 384 women and their last child up to five years of age in Muzaffarabad district of Azad Jammu & Kashmir (AJK), Pakistan. Methodology: A pretested interview schedule was constructed to collect socio-cultural characteristics of the women and their children. We use convenience sampling which is a non-probability sampling technique for data collection. Two government hospitals were selected for data and blood samples collection from respondents. We use univariate analysis for descriptive statistics and perform bivariate analysis to find the association of anemia with the socio-cultural risk factors. Binary logistic regression is used to calculate odd ratios and the corresponding 95% confidence intervals. The results were considered statistically significant for p-value <0.05. Results: The overall prevalence of anemia is 47.7%, which is a severe health problem from public health perspective. Among anemic children 74(40.4%) are mildly anemic, 79(43.2%) are suffering from moderate and 30(16.4%) from severe anemia.  Major risk factors of anemia include residential area, parental education, father’s profession, lower family income, maternal knowledge about balanced diet and anemia. Conclusion: It is concluded that anemia among under five children is a multifactorial problem and policymakers should devise targeted pharmaceutical interventions (iron and folic acid supplementation) to combat anemia.

scholarly journals Growth and developmental delay risk factors among under-five children in an inner-city slum area

2019 ◽  
Vol 59 (5) ◽  
pp. 276-83
Author(s):  
Hartono Gunardi ◽  
Resyana P. Nugraheni ◽  
Annisa R. Yulman ◽  
Soedjatmiko Soedjatmiko ◽  
Rini Sekartini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Inner City ◽  
Developmental Delay ◽  
Maternal Education ◽  
Developmental Delays ◽  
Family Income ◽  
Healthy Children ◽  
Slum Area ◽  
Under Five ◽  
Under Five Children

Background Growth and developmental delays are common among children under the age of five years (under-five children), especially in slum areas. Early detection and intervention may give better prognoses. Objective To detect growth and developmental delays and related risk factors among under-five children living in an inner-city slum area of the Indonesian capital. Methods This cross-sectional study was conducted from October to November 2018 in Tanah Tinggi, Johar Baru District, an inner-city slum area in Central Jakarta. Subjects were healthy children aged 3–60 months. Socioeconomic profile was obtained through questionnaires, anthropometric data through measurements, and developmental status through the Kuesioner Pra Skrining Perkembangan (KPSP) instrument. Development was considered to be delayed for KPSP scores <9. Data were analyzed using Chi-square test. Results Of 211 subjects, prevalence of underweight, stunting, and wasting were 35.1%, 28.0%, and 20.9%, respectively, meanwhile low maternal education, and low family income were 57.9% and 75%. The prevalence of developmental delay was 10%, while suspected developmental delay was 26.1%. The prevalence increased from age 21 months and peaked at 36 months. Associated risk factors were low maternal education, low family income, underweight weight-for-age, stunted height-for-age, and microcephalic head circumference-for-age. Conclusion Low education and low income were significant risk factors for growth and developmental delay.

Prevalence of anaemia and it's associated risk factors among under five children at Mukinge Missions Hospital in Kasempa District: Retrospective Study (Preprint)

2019 ◽  
Author(s):  
Lloyd Sampa
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Mean Corpuscular Volume ◽  
Sub Saharan Africa ◽  
Corpuscular Volume ◽  
Under Five ◽  
Under Five Children ◽  
Mission Hospital ◽  
Associated Risk Factors ◽  
Prevalence Of Anemia

BACKGROUND Anemia is a worldwide major problem known to affect people throughout the world. It has an adverse effect on both the social and economic development. The worldwide prevalence of anemia is 9% in developed nations. The global estimate indicates that 293.1 million of children under five years, approximately 43%, are anaemic worldwide and 28.5% of these children are found in sub Saharan Africa. In Zambia specifically Kasempa, no documented studies on prevalence have been done. Despite iron supplementation being given to pregnant women and the availability of blood transfusion. The burden of the disease remains high as determined by high mortality and morbidity. This study aims at determining the prevalence of anemia and the associated risk factors among under-five children at Mukinge Mission Hospital in Kasempa District. Knowledge of prevalence and the associated risk factors of anaemia will enhance early detection and timely management. OBJECTIVE 1.To determine the hemoglobin status of anaemia by its severity among anaemic under-five children admitted at Mukinge Mission Hospital. 2.To assess the association of anaemia with Malaria among under-five children admitted at Mukinge Mission Hospital. METHODS This was a retrospective study review of under-five children that were diagnosed and managed of Anemia at Mukinge Missions Hospital, over the period of period of 2015, 2017 and 2018. .Data of the variables of interest was extracted and analyzed using SPSS. RESULTS A sample population of 52 children was included in our study. The majority of the children were females 28 (53.8 %) and 24 (46.2 %) were Males. It was found that moderate and severe anaemia was 17.3% and 82.7 % respectively. Additionally, Majority of the anaemic children (75%) had Normocytic anaemia. The Pearson Chi square test revealed no statistical relationship between the variables; Malaria (p=0.58), Age (P=0.82), Gender (P=0.91). CONCLUSIONS According to our study, 39 (75%) had normal mean corpuscular volume which could suggest chronic diseases and sickle cell anemia. 11 (21.2%) had a low mean corpuscular volume indicating Microcytic anemia which could suggest diseases such as iron deficiency and thalassemia among many other causes. However, we were unable to determine the specific cause of anemia.

scholarly journals Hierarchical disentanglement of contextual from compositional risk factors of diarrhoea among under-five children in low- and middle-income countries

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
A. Olalekan Uthman ◽  
Latifat Ibisomi
Keyword(s):  
Risk Factors ◽  
National Level ◽  
Cross Sectional ◽  
Middle Income ◽  
Contextual Risk ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children ◽  
Middle Income Countries ◽  
Low And Middle Income

AbstractSeveral studies have documented the burden and risk factors associated with diarrhoea in low and middle-income countries (LMIC). To the best of our knowledge, the contextual and compositional factors associated with diarrhoea across LMIC were poorly operationalized, explored and understood in these studies. We investigated multilevel risk factors associated with diarrhoea among under-five children in LMIC. We analysed diarrhoea-related information of 796,150 under-five children (Level 1) nested within 63,378 neighbourhoods (Level 2) from 57 LMIC (Level 3) using the latest data from cross-sectional and nationally representative Demographic Health Survey conducted between 2010 and 2018. We used multivariable hierarchical Bayesian logistic regression models for data analysis. The overall prevalence of diarrhoea was 14.4% (95% confidence interval 14.2–14.7) ranging from 3.8% in Armenia to 31.4% in Yemen. The odds of diarrhoea was highest among male children, infants, having small birth weights, households in poorer wealth quintiles, children whose mothers had only primary education, and children who had no access to media. Children from neighbourhoods with high illiteracy [adjusted odds ratio (aOR) = 1.07, 95% credible interval (CrI) 1.04–1.10] rates were more likely to have diarrhoea. At the country-level, the odds of diarrhoea nearly doubled (aOR = 1.88, 95% CrI 1.23–2.83) and tripled (aOR = 2.66, 95% CrI 1.65–3.89) among children from countries with middle and lowest human development index respectively. Diarrhoea remains a major health challenge among under-five children in most LMIC. We identified diverse individual-level, community-level and national-level factors associated with the development of diarrhoea among under-five children in these countries and disentangled the associated contextual risk factors from the compositional risk factors. Our findings underscore the need to revitalize existing policies on child and maternal health and implement interventions to prevent diarrhoea at the individual-, community- and societal-levels. The current study showed how the drive to the attainment of SDGs 1, 2, 4, 6 and 10 will enhance the attainment of SDG 3.

Clinical Profile, Risk-Factors, and Outcome of Rotaviral Diarrhea and Non-rotaviral Diarrhea Among Under-Five Children at Cuttack, Odisha, India

2021 ◽  
Author(s):  
Subal Kumar Pradhan ◽  
Sumanta Panigrahi ◽  
Pooja Sagar Padhi ◽  
Arjun Sajeev ◽  
Aravind Dharmaraj ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Profile ◽  
Under Five ◽  
Under Five Children

A Descriptive Study to Assess the Knowledge regarding Prevention and Management of Water Borne Diseases among mothers of under five Children in selected areas of Mehsana

2021 ◽  
pp. 381-383
Author(s):  
Manthankumar N. Kapadiya
Keyword(s):  
Risk Factors ◽  
Data Collection ◽  
Random Sampling ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Descriptive Study ◽  
Under Five ◽  
Under Five Children ◽  
Causes And Risk Factors ◽  
Water Borne

A quantitative approach was used to assess the knowledge regarding prevention and management of water borne diseases among mothers of under five children. Simple random sampling technique was used to select the mothers of under five children for study.100 samples collected from selected areas of mehsana. The duration of data collection was 1 day. The results of the study revealed that majority of the study sample (58.63%) have average knowledge regarding water borne diseases, 71.5% of the study sample having knowledge about causes and risk factors of Water borne diseases, 68.22% of the study sample having knowledge about prevention of Water borne diseases and 70.36% of the study sample having knowledge about management of Water borne diseases.

scholarly journals Knowledge, Behaviour and Utilization of Integrated Health Services Post in Working Area Ratu Agung Community Health Center Bengkulu

2020 ◽  
Vol 25 (1) ◽  
pp. 27-35
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Edo Darmasyah Putra
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Primary Data ◽  
Under Five ◽  
Under Five Children ◽  
Integrated Health ◽  
Knowledge And Attitude ◽  
Integrated Health Services

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of  under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of  Integrated Health Services Post by mothers of under five children in working area Ratu Agung  Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of  this study  were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were  84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were  44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship  between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five  children can understand the importance of Integrated Health Services Post and can visit regularly every month.                                                                               Keywords :  attitude, knowledge,  utilization  of   integrated  health  services  post

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