scholarly journals Effect of Nutritional Status and Associated Factors on Pneumonia Treatment Outcome among Under-Five Children at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

2018 ◽  
Vol 7 (4) ◽  
pp. 194-200
Author(s):  
Bizuhareg Teka Hailemariam ◽  
Tesfaye Girma Legesse ◽  
Kassahun Alemu ◽  
Keyword(s):  
Treatment Outcome ◽  
Nutritional Status ◽  
Associated Factors ◽  
Addis Ababa ◽  
Under Five ◽  
Under Five Children ◽  
Medical College

scholarly journals Lactose intolerance: Magnitude and Associated factors among malnourished under-five Children in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Birhane Gebremariam ◽  
Abebe Edao ◽  
Tigist Bacha ◽  
Mistire Wolde
Keyword(s):  
Associated Factors ◽  
Lactose Intolerance ◽  
Intestinal Parasites ◽  
Addis Ababa ◽  
Milk Formula ◽  
Under Five ◽  
Under Five Children ◽  
Medical College ◽  
Hospital Medical ◽  
Study Participants

AbstractBackgroundLactose intolerance (LI) is a pathological condition characterized by the inability to digest sugar, lactose, due to the absence or insufficient activity of the lactase enzyme (β-galactosidase). Currently, laboratory diagnostic procedures for LI are poorly practiced in Ethiopia, and so LI treatment is based on an empirical diagnosis. Thus, the objective of the study was to determine the magnitude and associated factors of lactose intolerance among malnourished under-five children in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia from March 2018 – July 2018.MethodsA cross-sectional study was conducted among malnourished under-five children admitted in the pediatric unit, Yekatit 12 Hospital Medical College, Ethiopia. By using a convenient sampling technique structured questionnaire was administered to gather information on the socio-demographic characteristics of study participants and associated risk factors of LI. Moreover, a fresh stool sample was collected from the study participants to measure stool pH, reducing substances, and microscopy examination for intestinal parasites. Data entery and analysis was done using the Statistical Package for Social Sciences (SPSS 21) software.ResultsThe study included 169 malnourished under-five children. Among those 90 (53.3%) were male with a median age of 12 months. The magnitude of LI was 18.3%. Among the study participants, the highest numbers of LI cases were in the age group of less than 12 months; 17(10.1%) followed by 13-24 months; 13(7.7%). Factors that show significant association with LI on bi-variate logistic analysis were family history of lactose intolerance (P=0.043) and diarrhea (P=0.001). In addition; the problem after taking milk (P=0.007), type of therapeutic milk formula (P=0.001), and frequency of stool/24hr (P=0.023) were found to be independent predictors factors of lactose intolerance in the study population.ConclusionThe magnitude of LI was high in the study setting. Thus, more attention should be given on the proper laboratory diagnosis of LI, for better management of cases at the Yekatit 12 hospital. In addition, similar large scale studies at the molecular level are required to strengthen the present findings of LI in Ethiopia.

scholarly journals Treatment Outcome of Severe Acute Malnutrition and associated factors among under-five children in outpatient therapeutics unit in Gubalafto Wereda, North Wollo Zone, Amara Regional State, North Ethiopia, 2019 G.C

2019 ◽  
Author(s):  
Biruk Beletew Abate ◽  
Befkad Dress ◽  
Ayelign Mengesha Kassie ◽  
Mesifn Wudu Kassaw
Keyword(s):  
Treatment Outcome ◽  
Recovery Rate ◽  
Associated Factors ◽  
Service Providers ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Under Five ◽  
Under Five Children ◽  
Therapeutic Program ◽  
Management Protocol

Abstract Background: In Ethiopia uncomplicated severe acute malnutrition is managed through the outpatient therapeutic program at health posts level. This brings the services for the management of Severe Acute Malnutrition closer to the community by making services available at decentralized treatment points within the primary health care settings. So far, evidence on the treatment outcome of the program is limited. Thus, the main aim of this study was to determine the magnitude of treatment outcomes of severe acute malnutrition and associated factors among under-five children at outpatient therapeutic feeding units. Methods: This was a retrospective cohort study conducted on 600 children who had been managed for SAM under OTP in Gubalafto Wereda from April to May/2019. The children were selected using systematic random sampling from 9 health posts. The structured, pre-tested and adapted questionnaire was used to collect the data. The data was entered by using EPI-data Version 4.2 and exported to SPSS version 24.0 for analysis. Bivariate and Multivariate regression was also carried out to determine the association between dependent and independent variables. Results: A total of 600 records of children with a diagnosis of severe acute malnutrition were reviewed. Of these cases of malnutrition, the recovery rate was revealed as 65 %. The death rate, default rate, and medical transfer were 2.0, 16.0, and 17.0 respectively. Children who took immunization were had 6.85 times higher odds of recovery than children who were not immunized (AOR=6.85 at 95% CI (3.68-12.76)). The likelihood of recovery was 3.78 times higher among children with new admission than those with re-admission (AOR=3.78at 95% CI ((1.77-8.07))). Likewise, children provided with amoxicillin were 3.38 times more likely to recover compared to their counterparts who were not provided (AOR=3.38 at 95% CI ((1.61-7.08))). Conclusions: The recovery rate and medical transfer were lower than sphere standard. Presence of cough, presence of diarrhea admission category, provision of amoxicillin, and immunization status were factors identified as significantly associated with treatment outcome of Sever Acute Malnutrition. Building capacity of OTP service providers and regular monitoring of service provision based on the management protocol were recommended.

scholarly journals Nutritional status and associated factors in under-five children in Lembar Village West Lombok, Indonesia

2018 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
Widya Dwijayanti ◽  
Dewa Nyoman Wirawan ◽  
Luh Seri Ani ◽  
Ni Wayan Arya Utami
Keyword(s):  
Infectious Diseases ◽  
Nutritional Status ◽  
Associated Factors ◽  
Structured Interview ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
History Of ◽  
Nutrition Intake

Background and purpose: Studies on determinants of nutritional status in under-five children in Indonesia have been widely explored. However, most studies utilised only one out of three nutritional status indicators–weight/age, height/age, or weight/height. These studies also show inconsistent results. This present study aims to examine nutritional status in under-five children by using all three indicators and associated factors which include mother’s characteristics, nutrition intake, and child’s history of infectious diseases.Methods: A cross-sectional study was conducted with a total sample of 100 under-five children who were randomly selected. Data on the mother’s characteristics, nutrition intake, and child’s history of infectious diseases were collected through structured interview with the mother, while data on nutritional status were obtained through measurements. Data were analysed using logistic regression to identify association between the nutritional status of under-five children with the mother’s characteristics, nutrition intake, and child’s history of infectious diseases.Results: There was no association between the nutritional status of under-five children based on weight/age, height/age, and weight/height with the mother’s characteristics and nutrition intake. However, there was an association between the nutritional status of under-five children and child’s history of infectious diseases with an adjusted odd ratio (AOR)=41.0 (95% CI: 12.10-139.14) for weight/age, AOR=3.52 (95%CI: 1.53-8.05) for height/age, and AOR=10.69 (95%CI: 1.31-87.11) for weight/height.Conclusions: Child’s history of infectious diseases is the only determinant associated with nutritional status in under-five children based on weight/age, height/age, and weight/height. Prevention measures are required to prevent infection among children by improving environmental hygiene as well as providing prompt treatment for infectious diseases especially diarrhoea and upper-respiratory tract infection.

scholarly journals Nutritional status and associated factors in under-five children in Lembar Village West Lombok, Indonesia

2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Widya Dwijayanti ◽  
Dewa Nyoman Wirawan ◽  
Luh Seri Ani ◽  
Ni Wayan Arya Utami
Keyword(s):  
Infectious Diseases ◽  
Nutritional Status ◽  
Associated Factors ◽  
Structured Interview ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
History Of ◽  
Nutrition Intake

Background and purpose: Studies on determinants of nutritional status in under-five children in Indonesia have been widely explored. However, most studies utilised only one out of three nutritional status indicators–weight/age, height/age, or weight/height. These studies also show inconsistent results. This present study aims to examine nutritional status in under-five children by using all three indicators and associated factors which include mother’s characteristics, nutrition intake, and child’s history of infectious diseases.Methods: A cross-sectional study was conducted with a total sample of 100 under-five children who were randomly selected. Data on the mother’s characteristics, nutrition intake, and child’s history of infectious diseases were collected through structured interview with the mother, while data on nutritional status were obtained through measurements. Data were analysed using logistic regression to identify association between the nutritional status of under-five children with the mother’s characteristics, nutrition intake, and child’s history of infectious diseases.Results: There was no association between the nutritional status of under-five children based on weight/age, height/age, and weight/height with the mother’s characteristics and nutrition intake. However, there was an association between the nutritional status of under-five children and child’s history of infectious diseases with an adjusted odd ratio (AOR)=41.0 (95% CI: 12.10-139.14) for weight/age, AOR=3.52 (95%CI: 1.53-8.05) for height/age, and AOR=10.69 (95%CI: 1.31-87.11) for weight/height.Conclusions: Child’s history of infectious diseases is the only determinant associated with nutritional status in under-five children based on weight/age, height/age, and weight/height. Prevention measures are required to prevent infection among children by improving environmental hygiene as well as providing prompt treatment for infectious diseases especially diarrhoea and upper-respiratory tract infection.

scholarly journals Evidence of Malnutrition and its Associated Factors among Under-five Children in Danko-Wasagu Kebbi State, North-western Nigeria

2021 ◽  
Vol 28 (1) ◽  
pp. 56-65
Author(s):  
S.B. Mada ◽  
K.D. Bawa ◽  
M.A. Saliu ◽  
A. Garba ◽  
M.M. Abarshi ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Pattern ◽  
Associated Factors ◽  
Family Income ◽  
Dietary Diversity ◽  
Acute Malnutrition ◽  
Childhood Diseases ◽  
Major Health Problem ◽  
Under Five ◽  
Under Five Children

Malnutrition is a major health problem worldwide and causes about 2.3 million deaths among under-5 children in low- and middle-income countries annually including Nigeria. Therefore, the present study was designed to assess the nutritional status of under-five children (0-59 months) and associated factors in Danko-Wasagu. The socio-demographic characteristics, prevalence of childhood  diseases, anthropometric parameters and dietary pattern of the children were evaluated. The results indicated that 54.8% of the caregivers are young adults within 20 to 24 years of age with 41.7% having two living children. In addition, 58% of the caregivers have monthly family income below ₦20,000 with no any formal education. The Mid Upper Arm Circumference (MUAC) and Weight-for-Height (WFH) indices indicated that none of the children had Severe-Acute-Malnutrition (SAM). However, there was 65.5% prevalence of diarrhea, 45.2% with dermatitis and 25.0% with acute respiratory infections. In addition, stunting, underweight and wasting among the children investigated were 72.7%, 29.8% and 11.9% respectively. Consumption of cereals based diet by the children was 92.7% while 28.6% and 31.0% of the children met the minimum dietary diversity and minimum meal frequency respectively. Caregiver’s age was observed to associate significantly (p<0.05) with wasting, underweight and stunting among the children. Altogether, the presentstudy demonstrated a high prevalence of chronic malnutrition and childhood diseases even though without any case of SAM in the study area. Keywords: Malnutrition, Nutritional status, Under-five-children, Childhood diseases, Dietary pattern

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