Handwashing practices among the caregivers of under five children in rural and urban areas of Moradabad, India: a community based study

Author(s):  
Samreen Khan ◽  
Vishwanath Kumar ◽  
Neha Priya ◽  
Sachin Yadav
2021 ◽  
Vol 14 ◽  
pp. 117863882110470
Author(s):  
Quraish Sserwanja ◽  
Kassim Kamara ◽  
Linet M Mutisya ◽  
Milton W Musaba ◽  
Shirin Ziaei

Background: Undernutrition accounts for at least 50% of the annual global under-five mortality burden. Although disparities in the childhood stunting between urban and rural areas in Sierra Leone have been documented, information on factors associated with these differences is lacking. We aimed to determine rural-urban correlates of stunting among children under the age of 5 in Sierra Leone. Methods: We analyzed data from 2019 Sierra Leone demographic and health survey (SLDHS) focusing on under-five children. We conducted multivariable logistic regression to examine rural-urban factors associated with childhood stunting. Results: Prevalence of stunting was 31.6% (95% CI 29.8-33.2) in rural areas and 24.0% (95% CI 21.6-26.1) in urban areas. Within the rural areas, children of stunted mothers (aOR = 2.37; 95% CI 1.07-5.24, P < .05), younger mothers aged 15 to 19 years (aOR = 2.08; 95% CI 1.17-3.69, P < .05), uneducated mothers (aOR = 1.87; 95% CI 1.28-2.71, P < .01), as well as older children (24-59 months) (aOR = 1.83; 95% CI 1.48-2.27, P < .001), and boys (aOR = 1.37; 95% CI 1.12-1.66, P < .01) were more likely to be stunted compared to those of non-stunted, older, post-primary education mothers and those who were less than 24 months and girls respectively. While urban children whose fathers had lower education (aOR = 1.94; 95% CI 1.10-3.42, P < .05), whose mothers were more parous (para 2-4) (aOR = 1.74; 95% CI 1.03-2.95, P < .05), and boys (aOR = 1.48; 95% CI 1.06-2.08, P < .05) were more likely to be stunted compared to their counterparts with fathers that had tertiary education, mothers of low parity and girls, respectively. Conclusions: Stunting is more prevalent in the rural areas compared to the urban areas. Sex of the child was the only significant factor in both rural and urban areas. Our study findings suggest that programs designed to reduce stunting should aim for integrated yet context specific interventions in rural and urban areas.


2003 ◽  
Vol 17 (1) ◽  
pp. 21-27 ◽  
Author(s):  
E.O. Ojofeitimi ◽  
O.O. Owolabi ◽  
A. Aderonmu ◽  
A.O. Esimai ◽  
S.O.H. Olasanmi

Ten variables were assessed as they influence the under five (U5) nutritional status of children at Oranfe, a semi-rural community in Ife East Local Government Area of Osun state, Nigeria. The two types of protein energy malnutrition (PEM) that are prevalent in the community are stunting and wasting. Of the 230 children assessed using Waterlow's technique, 23% and 22.6% were stunted and wasted respectively. The results confirmed that mothers' educational level, age, parity, types of family and children's immunization status and age are some of the key determinants of nutritional status of U5 children. The intensification of exclusive breast feeding, female education, a compulsory food demonstration unit in all health centres, use of complementary feeds from 7 months upwards, growth monitoring and promotion are some of the strategies to reduce the high prevalence of PEM in both rural and urban areas of developing countries.


2019 ◽  
Vol 41 (3) ◽  
pp. 241-264 ◽  
Author(s):  
Andrew F. Coburn ◽  
Erika C. Ziller ◽  
Nathan Paluso ◽  
Deborah Thayer ◽  
Jean A. Talbot

State and federal policies have shifted long-term services and support (LTSS) priorities from nursing home care to home and community-based services (HCBS). It is not clear whether the rural LTSS system reflects this system transformation. Using the Medicare Current Beneficiary Survey, we examined nursing home use among rural and urban Medicare beneficiaries aged 65 and older. Study findings indicate that even after controlling for known predictors of nursing home use, rural Medicare beneficiaries exhibited greater odds of nursing home residence and that the higher odds of rural nursing home residence are, in part, associated with higher rural nursing home bed supplies. A complex interplay of policy, LTSS infrastructure, and social, cultural, and other factors may be influencing the observed differences. Federal and state efforts to build rural HCBS capacity may be necessary to mitigate stubbornly persistent rural–urban differences in the patterns of institutional and community-based LTSS use.


2021 ◽  
Vol 4 (3) ◽  
pp. 72-75
Author(s):  
Swapan Banerjee

Undernutrition is one of the significant public health issues for developing countries like India. Although a decreasing rate still needs to concentrate more on the stunting and waste cases of under-five children living in every district in India. This short review study has mainly focused on West Bengal’s children under five years of age residing in rural and urban areas with various undernutrition issues. The study’s aim and objective are to assess the current status of undernutrition among children in India, precisely West Bengal. The open-access data from Unicef on stunting estimation and National Family Health Survey 5 (NFHS-5) data on key indicators for West Bengal were computed and analyzed as per available information. In addition, the nutrients data from Estimated Average Requirement (EAR) were also selected as per the requirements of 0-5 years of Indian children. Apart from basic level analysis, the dietary recommendations were also emphasized for the parents and stakeholders related to government and private community nutrition works. Moreover, the study shows a glimpse of undernutrition status and dietary recommendations for the below five years of children in rural and urban settings to make children nutritious.


2017 ◽  
Vol 4 (3) ◽  
pp. 384
Author(s):  
Yushi Rohana

Children under five ages are vulnerable to infectious disease, one of which is typhoid fever. Typhoid fever is a disease caused by infection of Salmonella typhii and Indonesia is endemic typhoid fever. So that the toddler has not been suffered from typhoid fever, it needs participation of their parents to prevent them from the occurrence of the disease. The aim of this research was to analyze the difference between knowledge and parents’s action in preventing typhoid fever of their children in rural and urban areas. This type of this research is observational analytic with design of study is cross sectional. The population is parents of children under five ages in rural and urban areas. Samples of this research was ECE’s that taken by one stage cluster random sampling. The number of samples in the rural area were 51 parents of children under five ages and the number of samples in urban were 54 parents of children under five ages. The collection of data used a questionnaire to parents of children under five ages. Data analysis techniques used two independent samples t test and Wilcoxon Mann-Whitney test. The results of this study that there were difference in knowledge of typhoid fever for parents of children under five ages in the rural and urban area (p = 0.014), there are differences in the primary preventive against in typhoid fever between parents in rural and in urban areas (p = 0.0001), and there are difference in secondary prevention against typhoid fever between parents in rural and in urban areas (p = 0.0001). The conclusion of this research isthere are differences in knowledge and actions of parents in rural and urban areas in preventing typhoid fever in children under five ages. The suggestion for parents of children under five ages is attention and increase hiegiene and sanitation to avoid typhoid fever and they should teach their children to always keep cleanKeywords : knowledge, prevention, typhoid fever, children under five ages


Author(s):  
Younes MOHAMMADI ◽  
Manoochehr KARAMI ◽  
Nasrin DERAKHSHANZADEH

Background: To estimate under-five mortality rate (U5MR), as one of the sustainable development goals, in rural and urban areas of Iran from 1990 to 2015. Methods: We used the data collected through two censuses and one Demographic and Health Surveys (DHS). We analyzed the Summary Birth History (SBH) data via 2 approaches including Maternal Age Cohort (MAC) and Maternal Age Period (MAP) methods, and then, Gaussian Process Regression (GPR) was used to combine the three trends and with 95% uncertainty. Finally, Ratio of U5MR in rural to urban was calculated. Results: At the national level and in urban areas, U5MR in 1990, 2000, 2010, and 2015 was 66, 34, 18, and 13 per 1000 live births, respectively. Corresponding values in rural areas in 1990, 2000, 2010, and 2015 was 129, 64, 31, and 21 per 1000 live births, respectively. Accordingly, the ratio of U5MR in rural to urban at the national level was 1.93, 1.86, 1.72 and 1.63 in the same years. At the sub-national level, U5MR in urban areas ranged from 11.2 per 1000 live births in Isfahan to 18.2 per 1000 live births in Hormuzagn. U5MR in rural areas ranged from 14.1 per 1000 live births in Isfahan to 29.5 per 1000 live births in Sistan and Baluchistan Conclusion: There is still a gap between rural and urban areas, although it has decreased during the 25 years of the study. To alleviate this gap, health system authorities are advised to plan appropriate actions using multisectoral capacities


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