scholarly journals The prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State

Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.

Author(s):  
Vania Ayu Puspamaniar ◽  
Retno Asih Setyoningrum ◽  
Dwi Susanti

Introduction: Pneumonia is an infectious disease attacking lower respiratory tract. It has one of the highest number of world’s mortality and morbidity in children. Many risk factors are suspected as the reasons why the disease still occur a lot. One of the major risk factors is birth weight which makes their immune system immature and easier to get various complications and infections. The aim of this study is to analyze birth weight as risk factor of pneumonia in children under 5 years old. Methods: This was an analytical study with case control design. This study was held in Primary Health Care of Tambakrejo, from August to December 2017. The sample size was 22 respondents for each case and control group. Technique of sampling was total sampling. Secondary data were collected by medical records at the health center and Kartu Menuju Sehat (KMS). Data were entered into Microsoft Excel then statistically analyzed using IBM SPSS 22. The data were analyzed by Fisher’s Exact Test.Results: During August to December 2017, there were 22 respondents which were diagnosed with pneumonia in Tambakrejo Primary Health Center. Two of them (4.55%) had low birth weight and the rests had normal birth weight (95.45%). The analyze result stated that there is no significant correlation between pneumonia incidence and birth weight. Conclusion: Birth weight is one of pneumonia risk factors without significant impact.


2016 ◽  
Vol 29 (3) ◽  
pp. 357-366 ◽  
Author(s):  
Raquel de Souza MEZZAVILLA ◽  
Maria Helena HASSELMANN

ABSTRACT Objective To investigate the association between physical intimate partner violence and low birth weight. Methods This cross-sectional study included 604 children with approximately 30 days of age who visited four primary health care units in the city of Rio de Janeiro , Brazil, for the second dose of hepatitis B vaccine. Children with a birth weight below 2.500 g were considered underweight. Information regarding physical intimate partner violence was obtained by the Portuguese version of the Conflict Tactics Scale. The study investigated the 12 months prior to interview. Physical intimate partner violence was analyzed as a dichotomous variable and cumulatively. Associations between physical intimate partner violence and low birth weight were verified by logistic regression models based on crude and adjusted odds ratios and their respective 95% confidence intervals. Results Some (7.1%) babies were born underweight, and 33.6% of the mothers had been exposed to physical intimate partner violence. Physical intimate partner violence was significantly associated with low birth weight (OR=3.69; 95%CI=1.57-8.66). Notably, the odds of low birth weight increase with the severity of violence. Conclusion These findings draw attention to the consequences of physical intimate partner violence on the nutritional status of newborns and emphasize the need of greater attention during prenatal care to improve women's quality of life and to reduce the rate of low birth weight.


Author(s):  
Wilfred N. Nunu ◽  
Pascalia O. Munyewende

Background: The majority of health care users in South Africa utilise primary health care (PHC) services where these services are free at the point of entry. There is a dearth of knowledge on the factors influencing patient satisfaction with PHC clinic services.Aim: This study compared patient satisfaction with PHC services in the Free State (FS) and Gauteng (GP) provincesSetting: Secondary data analysis was conducted on a cross-sectional survey obtained from the Research on the State of Nursing Project run by the Centre for Health Policy in 2012.Methods: A pre-tested satisfaction survey questionnaire with questions on facility evaluation, experience with providers and receipt of medication was administered to 1110 systematically randomly sampled adult patients attending antiretroviral, hypertension, diabetes and tuberculosis services.Results: Of 1110 respondents, 1096 responded to the patient satisfaction survey signifying a 98.8% response rate. Over 60% of respondents were women in both provinces. Over 90% of patients were satisfied with PHC services in both provinces. Factors associated with satisfaction in GP and FS were time spent waiting for consultation, nurses listened, being given information on condition and being treated politely. Having privacy respected came out as a significant factor in FS.Conclusions: High levels of satisfaction with PHC services were experienced by study participants in both provinces. Satisfied patients adhere to treatment plans and have better health-seeking behaviour, which translates to improved clinical outcomes. Therefore, nurses should continue listening, respecting and treating their patients with politeness, and also implement efficient work schedules to reduce patient waiting times.


2021 ◽  
Vol 4 (3) ◽  
pp. 121-138
Author(s):  
Adeosun L.T. ◽  
Amosu A.M.

Introduction: Globally, low birth weight remains a public health challenge and is a major risk factor for infant mortality. Therefore, this study investigated the factors associated with low birth weight babies delivered in health facilities within Abuja, Nigeria. Methodology: Secondary data from January 2017 to December 2020 was extracted from 330 delivery records in ten (10) Primary Health Care centres to assess the determinants of low birth weight babies born in Abuja. Findings: The results showed that the mean age of mothers was 27.8 ± 5.1. Majority of the mothers (93.6%) were between 16 and 35 years of age, 93.6% were married, 67% were Christians, 23.3% had no formal education, 31.5% were housewives and 75.8% lived in rural communities. The mean birth weight of babies was 3.05 ± 0.55 kg and 20.3% of the babies had low birth weight compared to 79.7% with normal weights at birth. Maternal age, p=0.02; marital status, p=0.02; religion, p=001; occupation, p=0.001; and weight, p=0.000 were found to be significantly associated with having LBW babies. Maternal obstetric characteristics such as birth spacing, p=0.00; haematocrit level, p=0.001; pregnancy termination, p=0.001; and medical conditions, p=0.00 were also significantly associated with birth weight. Conclusion: The study reported a high prevalence of low birth weight; it also revealed the protective effects of being married on LBW. However, being a housewife significantly increased the risk for having a low birth weight baby.


2019 ◽  
Vol 23 ◽  
pp. 1-6
Author(s):  
Daniel Vicentini de Oliveira ◽  
Gustavo Vinicius do Nascimento de Oliveira ◽  
Diogo Alves da Silva ◽  
Naelly Renata Saraiva Pivetta ◽  
Mateus Dias Antunes ◽  
...  

This study examine the prevalence and factors associated to osteoporosis among older adults users of the primary health care. This cross-sectional study was carried out with 654 older adults (56% women) from primary health care in Maringá, Paraná, Brazil. The instruments used were the sociodemographic questionnaire and the International Physical Activity Questionnaire (IPAQ), short version. Data analysis was conducted through Chi-square test and Binary Logistic Regression (p < 0.05). The results showed a prevalence of 15.6% of older adults who reported the presence of osteoporosis. There was a higher prevalence of women with osteoporosis (p = 0.001), and on the other hand, there was a greater proportion of married elderly individuals (p = 0.003), and elderly with income above three minimum wages (p = 0.020) with absence of osteoporosis. The results showed that women (OR = 4.45; 95%CI: 2.47-8.01) and the older adults who take more than two medications (OR = 1.67; 95%CI: 1.15-2.42) were more likely to present osteoporosis. Older adults who presented a history of falls are 47.0% more likely to present osteoporosis. It was concluded that sex, the amount of medications and the history of falls are associated with the prevalence of osteoporosis in the older adults.


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