scholarly journals A prospective validation study in South-West Nigeria on caregiver report of childhood pneumonia and antibiotic treatment using Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) questions

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Adejumoke I Ayede ◽  
Amir Kirolos ◽  
Kayode R Fowobaje ◽  
Linda J Williams ◽  
Ayobami A Bakare ◽  
...  
1970 ◽  
Vol 7 (2) ◽  
pp. 85-89
Author(s):  
Muhammad Irfan ◽  
Syed Mustansir Hussain Zaidi ◽  
Hira Fatima Waseem

Background: Diarrhea founds to be the major cause of morbidity and mortality in children less than five years. Various factors are associated with diarrhea but socio-demographic factors are the main key elements, which associated with diarrhea. Methods: This study was examined association of socio-demographic factors with diarrhea in children less than five years of age of Sindh, Pakistan, using data from the Multiple Indicator Cluster Survey (MICS) conducted from January 2014 to August 2014. Data were collected for 18,108 children in whom 16,449 children had complete data of demographic variables being included in the analysis. Bivariate analysis was done using Pearson's Chi square test and multivariate analysis being done using binary logistic regression. Results: We found increased risk of diarrhea among children lives in rural areas while household wealth index quintile was also associated with diarrhea. Children in the poor, middle and fourth wealth index quintiles being at increased risk of diarrhea compared to children in the richest wealth index quintile. The highest risk of diarrhea was found for the child having mother with no education as well as children aged 12-23 months. Conclusion: Age of child, mother education and wealth index found significant with diarrhea while Male children, child aged 12-23 months, child with no mother education, child from rural areas and child from poor households found with high risk of diarrhea.


Heliyon ◽  
2021 ◽  
Vol 7 (5) ◽  
pp. e07111
Author(s):  
Ahmed Abdus Saleh Saleheen ◽  
Sharmin Afrin ◽  
Samia Kabir ◽  
Md. Jakaria Habib ◽  
Maliha Afroj Zinnia ◽  
...  

Heliyon ◽  
2020 ◽  
Vol 6 (12) ◽  
pp. e05727
Author(s):  
Nutifafa Eugene Yaw Dey ◽  
Emmanuel Dziwornu ◽  
Kwabena Frimpong-Manso ◽  
Henry Ofori Duah ◽  
Pascal Agbadi

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043565
Author(s):  
Chilot Desta Agegnehu ◽  
Adugnaw Zeleke Alem

ObjectiveTuberculosis is a major public health problem and is the second leading cause of death worldwide. BCG vaccination is a life-saving and important part of standard tuberculosis control measures, particularly in Ethiopia where tuberculosis is endemic. The End Tuberculosis Strategy targets of 2020 have not been achieved. Exploring spatial variations in BCG vaccination among children is vital to designing and monitoring effective intervention programmes. Therefore, this study aimed to explore the spatial variation in BCG vaccination among children in Ethiopia.DesignCross-sectional study design.SettingEthiopia.ParticipantsChildren aged 0–35 months.Primary outcomeBCG vaccination coverage.MethodsData from the 2016 Ethiopian Demographic and Health Survey were used and a total of 4453 children aged 0–35 months were included. Spatial autocorrelation analysis, cluster and outlier analysis, hotspot analysis, spatial interpolation, and spatial scan statistics were carried out to identify geographical risk areas for BCG vaccine utilisation. ArcGIS V.10.6 and SaTScan V.9.6 statistical software were employed to explore spatial pattern and significant hotspot areas for BCG vaccination among children.ResultsBCG vaccination was spatially clustered in Ethiopia at the regional level (Global Moran’s I=0.516, p<0.001). A total of 51 most likely clusters of low BCG vaccination were identified in the Somali and Afar regions (log-likelihood ratio=136.58, p<0.001). Significant secondary clusters were also identified in North West Gambela, South Amhara, South West Addis Ababa, North East Southern Nations, Nationalities, and People’s Region, and South West Oromia.ConclusionA low probability of receiving BCG vaccination was found among children in the Somali and Afar regions. Therefore, these areas should be given attention when designing effective immunisation strategies to improve BCG vaccination among children in order to reduce the burden of tuberculosis in Ethiopia.


2020 ◽  
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro

Abstract Introduction: Modern Postnatal Care Services (PNC) in Nigeria is vital tool for providing quality health for mothers and newborns. Nonetheless, many regions in Nigeria are still struggling to achieve optimum utilisation of modern PNC services due to variation in associated socioeconomic factors of mothers based on their regions. This study aims at assessing regional socioeconomic factors associated with PNC services utilisation and its relationship with child morbidity in Nigeria. Methods Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30713 women (aged 15–49). Data were analysed using descriptive statistics, Chi-Square Test and logistic regression. The main predictor variable was the region, while others included the type of PNC service utilised and various demographic variables of the respondents – age, education, type of residence, religion, ethnicity among others. Results The average age of the respondents was 29.5 ± 6.8. The use of modern PNC services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR = 1.46), South-East (OR = 1.50), North-Central (OR = 1.13), North-East (OR = 2.31) and North-West (OR = 1.35) compared to the South-West. Conclusion Majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and socio-demographic characteristics of mothers influence child morbidity in Nigeria. There is need for regional-specific context sensitisation for mothers in the use of modern PNC services.


2021 ◽  
Author(s):  
Laura V. Sánchez-Vincitore ◽  
Arachu Castro

AbstractIntroductionThe association between sociodemographic factors, such as poverty, lack of maternal schooling, and being male at birth, and childhood developmental delay and poor educational outcomes has been established in the Dominican Republic. However, moderating factors present or introduced in families to buffer the effects of such factors on childhood development are still unknown.MethodsWe conducted a secondary analysis of the 2014 Multiple Indicator Cluster Survey for the Dominican Republic, a national household survey focused on maternal and child health and development. The first aim of our study was to determine if a sociodemographic model predicted early childhood development. The second aim was to determine if a psychosocial model (including family childrearing practices, discipline, and early childhood stimulation) predicted early childhood development above and beyond the sociodemographic model.ResultsWe found that both models predicted childhood development significantly, but that the psychosocial model explained 5% more variance than the sociodemographic model. The most relevant sociodemographic predictors were socioeconomic position and mother’s education, which uniquely explained 21% and 17% of the early childhood development variance, respectively. The most salient psychosocial predictors of early childhood development were: 1) attendance to an early childhood education program, which uniquely explained 15.0% of the variance; 2) negative discipline, which uniquely explained 12.4% (negative impact); 3) the number of children’s books at home, which uniquely explained 12.0%; and 4) stimulating activities at home, which uniquely explained 5%.ConclusionThese results have multiple implications for social programs that aim to improve children’s developmental potential in contexts of poverty. Although the results show a protective effect of psychosocial factors, sustainable and large-scale intervention should not be limited to just buffering effects, but to actually solve the underlying problem which is that poverty prevents children from reaching their developmental potential.


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