scholarly journals Caregivers' Knowledge, Attitude and Practice Regarding Diarrhoea in Children under Five Years Old in Sub-Saharan Africa: An Integrative Narrative Review

2021 ◽  
pp. 1-27
Author(s):  
Margaret Wekem Kukeba ◽  
Salifu Lukman ◽  
Rosina Darcha ◽  
Abdul-Razak Doat
Keyword(s):  
English Language ◽  
Narrative Review ◽  
International Standards ◽  
Sub Saharan Africa ◽  
Children Under Five ◽  
Under Five ◽  
Attitude And Practice ◽  
Prevention And Treatment ◽  
Sub Saharan ◽  
Knowledge Attitude And Practice

Background: Diarrhoeal diseases constitute a significant burden on the health and growth of children the world over. Globally, diarrhoeal conditions remain the second leading cause of death among children under 5. Knowledge, attitudes and practice of caregivers are at the heart of diarrhoeal disease prevention and proper management. Objective: This review aimed to assess caregivers' knowledge, attitude, and practice regarding diarrhoea in children under five years old in sub-Saharan Africa, as discussed in the literature. Design: Integrative narrative review Data Sources: The review saw an extensive search on two electronic databases. Search results were screened using inclusion and exclusion criteria. At the end of the screening, 37 studies were included in the review. Review Methods: Inclusion criteria: Only studies whose focus was on caregivers’ knowledge, attitude and practice relating to diarrhoea in children under five were included. Also, only publications reported in the English Language were considered, and publications must have been between 2010-2020. Additionally, the methodological quality of studies was assessed using the Down & Black (1998) checklist for quality evaluation in a systematic review. Results: In this review, it emerged that studies in Sub-Saharan Africa indicate that caregivers display poor overall knowledge about diarrhoea. Also, the attitudes of caregivers towards diarrhoea prevention and treatment was low in many studies. On care practices, prevention practices, and management/treatment practices, including ORS and Zinc usage, were mainly reported to be quiet. Conclusions: The review concluded that there are poor levels of knowledge, attitude and practice of managing diarrhoea among caregivers of children under five (5) years of age in sub-Saharan Africa. The researchers recommended continuous health education to address knowledge gaps of mothers about diarrhoea, its prevention and treatment according to international standards.

Effectiveness of Educational Communication in Knowledge, Attitude, and Practice to Hand-Foot-Mouth Disease Prevention of Mother Having Children Under 5 Years Old

2021 ◽  
Vol 104 (8) ◽  
pp. 1229-1234
Keyword(s):  
Disease Prevention ◽  
Educational Communication ◽  
Mouth Disease ◽  
Control Group ◽  
Children Under Five ◽  
Under Five ◽  
Attitude And Practice ◽  
Hand Foot Mouth Disease ◽  
The Right ◽  
Knowledge Attitude And Practice

Background: Hand-foot-mouth disease (HFMD) is an infectious disease that mainly occurs in children under five years old. Vietnam is a developing country with high prevalence of the disease outbreak every year. Can Tho City, Co Do District had the highest incidence of children under five years old acquired HFMD. Objective: 1) To determine the factors correlating with knowledge, attitude, and practice in HFMD prevention of mothers having children under five years old, and 2) to evaluate the alteration in knowledge, attitude, and practice in prevention HFMD of mothers having children under five years old after intervention with health educational communication. Materials and Methods: Community intervention study was done in 420 subjects. At first, all the participants would do the questionnaire and practicing assessment. Then, the participants were divided into two groups, the intervened group for educational communication, and the control group with no intervention. The intervention included three steps, 1) training knowledge and skills for medical staffs and collaborators, 2) providing information about HFMD for the mothers, 3) broadcasting information leaflets to the subjects’ house every month. The assessment in awareness, attitude, and practice would be performed again after one month. The present study staff achieved approval from the Science and Educating Council of Can Tho University of Medicine and Pharmacy. In addition, the present study also received the agreement from The People’s Committee of Co Do District. Results: The present study results shows that 23.3% of mothers had the right knowledge, 50.5% of mothers had the right attitude, and 17.4% of mothers with children under five years of age had the right disease prevention practice. There was an association between education level of mothers with children under five years of age with knowledge, attitude, and practice in disease prevention. After intervention, knowledge of the mothers in the intervened group improved more than 2.79 times, right attitude more than 2.84 times, and practice improvement more than 1.83 times in compared with the control group. Conclusion: Educational communication plays an important role in HFMD disease prevention through increasing the awareness, opinion, and disease prevention of the mothers who directly take care of the under five years old children. Keywords: Hand-foot-mouth disease; Knowledge; Attitudes; Practices; Effective intervention

scholarly journals A Scoping Review of the Risk Factors Associated with Anaemia among Children Under Five Years in Sub-Saharan African Countries

2020 ◽  
Vol 17 (23) ◽  
pp. 8829
Author(s):  
Phillips Edomwonyi Obasohan ◽  
Stephen J. Walters ◽  
Richard Jacques ◽  
Khaled Khatab
Keyword(s):  
Risk Factors ◽  
Scoping Review ◽  
Household Wealth ◽  
Sub Saharan Africa ◽  
Cochrane Library ◽  
Children Under Five ◽  
Contextual Risk ◽  
Under Five ◽  
Factors Associated ◽  
Sub Saharan

Background/Purpose: Globally, anaemia is a severe public health condition affecting over 24% of the world’s population. Children under five years old and pregnant women are the most vulnerable to this disease. This scoping review aimed to evaluate studies that used classical statistical regression methods on nationally representative health survey data to identify the individual socioeconomic, demographic and contextual risk factors associated with developing anaemia among children under five years of age in sub-Saharan Africa (SSA). Methods/Design: The reporting pattern followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The following databases were searched: MEDLINE, EMBASE (OVID platform), Web of Science, PUBMED, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Scopus, Cochrane library, African Journal of online (AJOL), Google Scholar and Measure DHS. Results: The review identified 20 relevant studies and the risk factors for anaemia were classified as child-related, parental/household-related and community- or area-related factors. The risk factors for anaemia identified included age, birth order, sex, comorbidities (such as fever, diarrhoea and acute respiratory infection), malnutrition or stunting, maternal education, maternal age, mother’s anaemia status, household wealth and place of residence. Conclusion: The outcome of this review is of significant value for health policy and planners to enable them to make informed decision that will correct any imbalances in anaemia across socioeconomic, demographic and contextual characteristics, with the view of making efficient distributions of health interventions.

scholarly journals Assessing and decomposing inequality of opportunity in access to child health and nutrition in sub-Saharan Africa: evidence from three countries with low human development index

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Yacobou Sanoussi ◽  
Bright Opoku Ahinkorah ◽  
Aduragbemi Banke-Thomas ◽  
Sanni Yaya
Keyword(s):  
Sub Saharan Africa ◽  
Inequality Of Opportunity ◽  
Access To Health Services ◽  
Children Under Five ◽  
Under Five ◽  
Guinea Bissau ◽  
Health And Nutrition ◽  
Access To Health ◽  
Sub Saharan ◽  
Favorable Group

Abstract Background Inequality of opportunity in health and nutrition is a major public health issue in the developing regions. This study analyzed the patterns and extent of inequality of opportunity in health and nutrition among children under-five across three countries sub-Saharan Africa with low Human development index (HDI). Methods We used data from the Multiple Indicator Cluster Survey of the Democratic Republic of Congo (20,792 households, 21,756 women aged 15 to 49 and 21,456 children under five), Guinea Bissau (6601 households, 10,234 women aged 15–49 and 7573 children under five) and Mali (11,830 households, 18,409 women in 15–49 years and 16,468 children under five) to compute the human opportunity index (HOI) and the dissimilarity index (D-index). Secondly, the Shapley decomposition method was used to estimate the relative contribution of circumstances that are beyond the control of children under-five and affecting their development outcomes in later life stages. Results The study revealed that children belonging to the most favorable group had higher access rates for immunization (93.64%) and water and sanitation facilities (73.59%) in Guinea Bissau. In Congo DR, the access rate was high for immunization (93.9%) for children in the most favorable group. In Mali, access rates stood at 6.56% for children in the most favorable group. In Guinea Bissau, the inequality of opportunity was important in access to health services before and after delivery (43.85%). In Congo DR, the inequality of opportunity was only high for the immunization composite indicator (83.79%) while in Mali, inequality of opportunity was higher for access to health services before and after delivery (41.67%). Conclusion The results show that there are efforts in some places to promote access to health and nutrition services in order to make access equal without distinction linked to the socio-economic and demographic characteristics in which the children live. However, the inequalities of opportunity observed between the children of the most favorable group and those of the least favorable group, remain in general at significant levels and call on government of these countries to implement policies taking them into account.

scholarly journals Systematic Review and Meta-Analysis on the Aetiology of Bacterial Pneumonia in Children in Sub-Saharan Africa

2021 ◽  
Author(s):  
Chukwuemeka Onwuchekwa ◽  
Bassey Edem ◽  
Victor Williams ◽  
Ibiloye Olajuwon ◽  
Musa Jallow ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bacterial Pneumonia ◽  
Pathogenic Bacteria ◽  
Case Series ◽  
Sub Saharan Africa ◽  
Children Under Five ◽  
Under Five ◽  
Microbiological Methods ◽  
Vaccine Type ◽  
Sub Saharan

Abstract BackgroundBefore the introduction of vaccination to protect children from pneumonia, Streptococcus pneumoniae and Haemophilus influenzae type B (HiB) were the most frequent aetiological agents causing bacterial pneumonia in children under five years old. However, under the influence of these vaccines, the aetiology of childhood pneumonia appears to be changing and non-vaccine-type S. pneumoniae, non-typeable H. influenzae, and Staphylococcus aureus are becoming more relevant. MethodsWe conducted a systematic review aimed at identifying the common causes of bacterial pneumonia in children in sub-Saharan Africa. We searched PubMed, Web of Science and African Index Medicus and included primary studies conducted since January 2010 that reported on the bacterial causes of pneumonia in children under five from sub-Saharan Africa. We extracted data items (about the study setting, pneumonia diagnosis, sampling, microbiological methods, and etiological agents) as well as study quality indicators.ResultsEleven studies (published in twelve records), involving 5362 pneumonia cases, were included in our review: nine were case-control studies and two were case series. S. pneumoniae was the most common bacteria identified from blood cultures in children with pneumonia (8%, 95% CI: 4 – 14%), and H. influenzae was the second most common (3%, 95% CI: 1 - 17%). Common isolates from nasopharyngeal swabs were S. pneumoniae (66%), Moraxella catarrhalis (62%), and H. influenzae (44%) were commonly identified in the nasopharynx of children Conclusion S. pneumoniae and H. influenzae remain relevant causes of bacterial pneumonia in children in sub-Saharan Africa. Our review also highlights the ubiquitous occurrence of several potentially pathogenic bacteria in the nasopharynx of children under five group and makes the case for continued research aimed at understanding how nasopharyngeal colonization results in pneumonia.

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