scholarly journals Prevalence and trend of malaria with anemia among under-five children in Jasikan District, Ghana

Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Zotor

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.

Author(s):  
William Dormechele ◽  
George Pokoanti Wak ◽  
Francis Bruno Zotor

Background: Malaria remains a major killer of children under-five, claiming the life of one child every two minutes globally. Despite the several interventions to reduce malaria and anemia, these diseases remain global public concerns. Aim: This study assessed the prevalence and trend of malaria and anemia in children under-five years from 2012 to 2016. Subjects and methods: We conducted a descriptive cross-sectional study among children under-five with malaria and anemia who received care at the hospital in Jasikan town, Ghana from 2012 to 2016. We computed descriptive statistics to describe the data. STATA version 14 was used to carry out the analyses. Binary logistic regression was used to determine the strength of association at a 5% significance level (P<0.05). Results: Out of 30,082 malaria cases, 835 were with anemia from 2012 to 2016. This study found an overall proportion of malaria with anemia as 28 per 1,000. The year 2014 recorded the highest proportion of 38 per 1,000 malaria cases of malaria with anemia. Overall, the prevalence rate of malaria and anemia cases were found to be 61.5% and 4.4% respectively. Children within 24-35 months’ age group contributed the highest (28.3%) and 0-11 months accounted for the lowest (12.9%) malaria with anemia cases. The majority of malaria with anemia cases 63.6% occurred in the rainy season, between June to July. Conclusion: The proportion of malaria with anemia was high among children under-five and most children having malaria with anemia live in rural areas and during the rainy season. Keywords: Prevalence, Trend, Malaria, Anemia, Under-five, Children, Jasikan, Ghana.


Author(s):  
J Devidas ◽  
Jagatabandhu Mohapatra ◽  
Parthsarathi Dehury ◽  
Ranjit Kumar Dehury

Introduction: The health and well-being among children is an important parameter for the measurement of the progress of a nation, which is also most precious asset in the community for socio-economic development in long run. It is not wise to neglect the health rights of the children in the process of nation building. The under-five children are the most vulnerable group in a society in which there is lack of guarantee for adequate nutrition and social protection. The lack of essential health services ultimately leads to childhood diseases like diarrhoea, respiratory infections, and measles in various parts of India. Aim: To understand the socio-demographic and morbidity pattern among the children of under five years in a district of Telangana state, India. Materials and Methods: A cross-sectional study was undertaken by interviewing mothers with the help of a predesigned and pretested questionnaire to understand the morbidity pattern of children under five years in the rural areas of Adilabad district, Telangana, India. The study was conducted in March 2015 in 30 villages. The study assessed various determinates of morbidity by applying scientific principles. The sample size was calculated as 210. The data was analysed by using MS Excel spread sheet and Statistical Package for the Social Sciences (SPSS) software to understand the morbidity pattern. Descriptive statistical tests were done to find out the results. Results: The result confirms that 154 (73.33%) of the children under five years have several forms of morbidities. The most common morbidity was Acute Respiratory Infection (ARI) (25.71%), which is followed by worm infestation (8.09%), diarrhoea (20%), fever (7.61%), scabies (7.61%), asthma (2.3%) and seizure (fits) (1.9%) in last three months from the data collection. All these diseases are prevalent in rural areas of high concern due to the impeding morbidity and mortality. Conclusion: The ARI and diarrhoea were found to be the cause of concern among under-five children, which dominate the morbidity pattern. The factors responsible with such precarious situation were deeply entrenched conditions like illiteracy, poor socio-economic conditions, poor environmental sanitation, and increased birth order among the population.


2016 ◽  
Vol 9 (2) ◽  
pp. 413
Author(s):  
Débora Aparecida da Silva Santos ◽  
Pedro Vieira de Azevedo ◽  
Ricardo De Olinda ◽  
Amaury De Souza ◽  
Jullianna Vitorio Vieira de Azevedo ◽  
...  

As infecções respiratórias agudas constituem o principal motivo de consulta e hospitalização de crianças menores de cinco anos, sendo a pneumonia uma das principais causas de morte. O objetivo desta pesquisa foi analisar a influência das variáveis climáticas na hospitalização por pneumonia em crianças menores de cinco anos em Rondonópolis-MT, no período de 1999 a 2014. Estudo do tipo transversal com abordagem quantitativa e descritiva, com dados do banco de dados meteorológicos para ensino e pesquisa e do departamento de informática do sistema único de saúde. Na análise estatística dos dados, foi ajustado o modelo binomial negativo pertencente à classe dos modelos lineares generalizados, adotando-se um nível de significância de 5%, com base na plataforma estatística R. Estimou-se que o número médio de casos destas hospitalização diminui em aproximadamente 11,34% a cada grau centígrado de aumento acima da média da temperatura do ar e diminua cerca de 1,52% a cada 1% de aumento acima da média da umidade relativa do ar. A precipitação pluviométrica não apresentou relação com a hospitalização. As atividades de promoção de saúde e de prevenção da pneumonia devem incluir ações que relacionem questões ambientais climáticas, voltadas para a diminuição dos casos de hospitalização de crianças.    A B S T R A C T Acute respiratory infections are the main cause of consultation and hospitalization of children under five years, and the pneumonia one of the leading causes of death. The objective of this research was to analyze the influence of climate variables in hospitalization for pneumonia in children under five years in Rondonópolis-MT, from 1999 to 2014 cross-sectional study with quantitative and descriptive approach, with meteorological data from the database for teaching and research and information department of the unified health system. Statistical analysis of the data, the negative binomial model belonging to the class of generalized linear models, adopting a significance level of 5% has been adjusted, based on the statistical platform R. It has been estimated that the average number of cases these decreases hospitalization approximately 11.34% per degree centigrade increase above the air temperature and lower average about 1.52% every 1% increase above average relative humidity. Rainfall was not associated with hospitalization. The health promotion activities and prevention of pneumonia should include actions that relate climate environmental issues, aimed at reducing cases of hospitalization of children. Keywords: Climate; pneumonia; child; hospitalization.  


2020 ◽  
Vol 21 (1) ◽  
pp. 1-13
Author(s):  
Emmanuel M. Musenge ◽  
Sophia Tembo ◽  
Mutinta Hankwebe ◽  
Ndonia Kahinga ◽  
Ovy Mushibwe ◽  
...  

Background: Malnutrition is a severe and persisting cause of morbidity and mortality among under-five children in Zambia. We assessed malnutrition and its determinants among under-five children in Lusaka urban, Zambia.  Methods: This cross-sectional study was conducted at Chawama, Kabwata, Chilenje and Mtendere urban clinics in Lusaka. A simple random sample of 384 under-five children were selected between February and March 2015. A structured interview schedule was used to collect data on demographic characteristics, determinants of malnutrition and anthropometric measurements. Multivariate binary logistic regression analysis was carried out using IBM® SPSS® Statistics for Windows Version 20.0 to identify determinants of malnutrition while adjusting for confounders.  Results: Of the 384 under-five children, most (51.8%) of them were male and the mean (SD) age was 13.83±10.17 months. The zH/A; zW/H; and zW/A was 68.5% and 31.5%; 95.6% and 4.4%; and 86.2% and 13.8% for normal and stunted; normal and wasted; and normal and underweight respectively. Majority (77.1%) of the children had MUAC > 12.5 cm, 16.9% had 11.5 – 12.5 cm and 6.0% had < 11.5 cm. Mother’s good nutritional practices (OR 0.50, 95% CI: 0.27 – 0.95) and MUAC > 12.5 cm (OR 0.10, 95% CI: 0.01 – 0.94; OR 0.01, 0.00 – 0.10; and OR 0.4, 0.01 – 0.19) were statistically significantly associated with stunting, wasting and underweight respectively.  Conclusion: We established varied levels of stunting, wasting and underweight and mother’s nutritional practices and MUAC predicted these levels. More information, education and communication messages to the mothers and caretakers with regard to nutritional practices are needed so that under-nutrition can be improved, to ensure healthy living for mothers, care takers and under-five children.    


Author(s):  
Navin Kumar ◽  
Ravi Ranjan Jha ◽  
Animesh Gupta

Background: The development of our society and the world largely depends on the health of the children in their first five years. These first five years lay down the foundation of their future mental and physical health. India has the largest number of children in the world. India also contributes to more than 20% of the child deaths in the world. children who are born in rural areas, poor household or illiterate families, are at major risk of dying before turning six years of age. Aim was to assess the health risk profile of under-five children and to find out its relation with socio-demographic, nutritional, cultural health care practices and other factors.Methods: This was a community based cross-sectional study, carried out from January, 2019 till July, 2019 in a resettlement colony of Rohtas district, Sasaram, Bihar. The study population comprised of all the under-five children. The study tools used for data collection included a semi-structured proforma and clinical anthropometric examination.Results: When presence of morbidity was seen among male and female children, it was more (71%) in males as compared to 58% in female children. The difference in the two groups was found to be statistically significant. (p=0.05). Respiratory system was most commonly involved (68.4%).Conclusions: There is high proportion of under nutrition and other morbidities among under five children in our country. Special focus needs to be put in resettlement colonies, as these residential colonies remain neglected.


Author(s):  
Habtamu Dessie

This study aimed to assess the determinants of diarrhea among children under-five in Jabitehnan district, Northwest Ethiopia. A community-based cross-sectional study was done using a cluster sampling technique. The study was done in the Jabitehnan district from April to July 2019.  The study was done among women who had children under five during the survey who settled in Jabitehnan district. The main outcome measure was the occurrence of diarrhea. A binary logistic regression was used to identify factors associated with diarrhea. The prevalence of diarrhea was found to be 19.8%. The child lived with whose non-biological mothers were 32.44 times more likely to be exposed to diarrhea compared to the child who lived with whose biological mothers. The odds of being diarrheal for a child whose mother does not wash her hand after latrine was 7.91 times higher than its counterpart. A child whose mother pregnant was 5.66 times higher risk of developing diarrhea than whose mother do not pregnant. The likelihood of diarrhea for children drinking unprotected water were14.1times higher than its counterpart. The magnitude of reported diarrhea was high. Child age, residence, drinking water, pregnant mother, toilet facility, washing hand after latrine, and child live with whom were the main determinates of diarrhea. Addressing these factors will help to prevent future morbidity and mortality of children and will assist in alleviating hygiene and refining their quality of life. Moreover, a trend-based sampling design might be considered for a better understanding.


2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney

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.


2018 ◽  
Vol 5 (5) ◽  
pp. 1919
Author(s):  
Lakshmi L. ◽  
Bharathi Tulasi Penta ◽  
Ragavendra S. K.

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.


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

Abstract Background: 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 every year. It is the major public health problem in low income countries like Ethiopia. The main aim of this study was to assess the prevalence of diarrhea and associated risk factors among children under-five in Debre Berhan Town, Ethiopia. Methods: A community-based cross-sectional study design was conducted in 420 parent or caretaker/children pairs in Debre Behan town between 13-18 April 2018. A Multi-stage sampling technique was used to select the study participants. Data were collected using pre-tested and structured questionnaires. Data were entered in Epi-info computer software version 3.5.1 and exported to SPSS Window Version-16 for analysis. Adjusted odds ratio with 95% confidence intervals were used to assess the level of significance. Results: The two-week prevalence of diarrhea among children under-five was 16.4% (69/351). Children aged 7-11 months (Adjusted Odds Ratio (AOR): 4.2, 95% Confidence Interval (CI): 1.2 - 15.3), being the second-born children (AOR: 3.9, 95%CI: 1.8-8.5), not vaccinated against rotavirus (AOR: 10.3, 95%CI: 3.2 - 91.3), feeding children by hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of diarrhea. Conclusions: This study revealed that the two weeks period prevalence of diarrhea among children under-five years was 16.4%. Education programs on the importance of vaccination against rotavirus, increasing breast feeding frequency with complementary food after six months and the critical point of hand washing are recommended.


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