scholarly journals Knowledge, Attitude and Practices of Mothers towards Fever and Its Home Management among Under Five Children in Kom Hamada City, Behira Governorate, Egypt

2021 ◽  
pp. 173-185
Author(s):  
Manal Mohamed Alnaser Hassona ◽  
Salwa Abd El-Mageed Atlam ◽  
Safinaz El-Said Shalaby
Keyword(s):  
Family Income ◽  
Care Center ◽  
Cross Sectional Study ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Health Care Center ◽  
Under Five ◽  
Under Five Children ◽  
Pediatric Clinic ◽  
Fever Management

Background: Fever is one of the most common presenting complaint in pediatric age and is the cause of nearly 70% of all pediatric clinic visits. Fever isn’t a disease but a symptom of disease, so we need to do more to communicate the message to parents. Aim: To assess knowledge, attitude and practices of mothers towards fever and its management at home among under five children and to find-out some factors influencing maternal knowledge, attitude and practices. Subjects and Methods: A cross sectional study was carried out in Maternity and Child Health Care Center in Kom Hamada city, Behira Governorate. A sample of 384 mothers was included in the study. The study was done via a pre-designed questionnaire sheet filled through direct interview with target mothers to assess their knowledge, attitude and practice regarding fever management of their under five children. Results: Most of the studied mothers had good knowledge (62%) and positive attitude (59.9%). But (39.3% and 38.8%) of them had bad and fair practice respectively. Bad practice was common in the age group 25-30, those having three or four children, urban residence and with decreased family income. Conclusion: The results found that awareness was relatively good. The study highlights the numerous misconceptions regarding fever management. So health education of mothers is needed to improve mother’s practice.

scholarly journals Current prevalence and determinants of anaemia in under-five children in rural Bangladesh: a cross sectional study

2021 ◽  
Author(s):  
Md. Moniruzzaman Mollah ◽  
Ashik Mosaddi ◽  
Asgor Hossain ◽  
Andrew A. Roy ◽  
Sultana Naznin ◽  
...  
Keyword(s):  
Maternal Education ◽  
Family Income ◽  
Cross Sectional Study ◽  
Leafy Vegetables ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Under Five ◽  
Rural Bangladesh ◽  
Under Five Children ◽  
Green Leafy Vegetables

Abstract Background Anaemia and its association with low physical and cognitive development in under-five children remain as a common public health burden in developing countries including Bangladesh. Childhood anemia is significantly associated with age, rural residence, infant and young child feeding (IYCF) practices, infectious disease, maternal illiteracy etc. We have studied to identify current prevalence, and to explore associated socio-demographic, health, and nutritional factors of anaemia in under-five children of rural Bangladesh. Methods and materials A cross-sectional study was conducted at five remote northern districts of Bangladesh involving rural children aged 6 - <60 months. We used an interviewer-administered questionnaire for data collection. Potential study subjects were approached conveniently at selected rural health centres. Chi-squared test was the main statistical model to identify association between explanatory variables and anaemia. A p-value <0.05 was considered as significant. Results Overall prevalence of anaemia (N = 258) was 61.23% with mild, moderate and severe anaemia of 28.29%, 28.68% and 4.26% respectively. The prevalence of anaemia was the highest (72%) in age group 6-24 months, which were followed by 63% in >24-36 months and 44.3% in >36-<60 months categories. The following explanatory variables showed statistically significant association with high anaemia: younger-age (p = <0.001), low family income, and maternal education (p = <0.001), exclusive versus non-exclusive breast feeding (p = 0.02), and timely versus delayed or early weaning (p = <0.001). Non consumption of animal proteins, fruits and green leafy vegetables were also significantly linked to high anaemia prevalence (p = 0.001). Further, underweight, stunting, and wasting were significantly related to anaemia (p = 0.02, 0.006, and 0.001 respectively). Conclusion Prevalence of anaemia in under-five children of rural Bangladesh remains noticeably high. Age, maternal education, family income, consumption of animal protein, green leafy vegetables, and fruits along with underweight, stunting and wasting are inversely related to anaemia prevalence. Exclusive breast feeding and timely weaning may reduce risk of anaemia.

scholarly journals Nutritional Status of Under-Five Children of Chattogram Hill Tracts

2019 ◽  
Vol 14 (1) ◽  
pp. 21-23
Author(s):  
Farzana Zafreen ◽  
Md Mustafizur Rahman ◽  
Md Habibur Rahman ◽  
Md Abdul Wahab
Keyword(s):  
Nutritional Status ◽  
Family Income ◽  
Severe Acute Malnutrition ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Z Score ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Introduction: Adequate nutrition during infancy and early childhood is fundamental to the development of child’s full human potentials. Malnutrition is recognized as one of the major causes of morbidity and mortality among the children under- five years and developing countries are the worst affected. Objectives: To assess the nutritional status of under-five children of selected area of Chattogram hill tracts of Bangladesh. Material and Methods: This cross-sectional study was conducted among 300 children with age between 6 months to 5 years, reported to the outpatients department of selected hospitals were included purposively. All the data were collected by interviewing the mothers of the children by using a pretested semi-structured questionnaire. Nutritional status was assessed by using WHO recommended height for age Z-score (HAZ) for stunting, weight for age Z-score (WAZ) for underweight, height for weight Z-score (HWZ) for wasting and mid upper am circumference (MUAC) for overall nutritional status. Results: Out of 300 children 53.3% were boys and 48.4% were aged less than 2 years. About 50.7% children were tribal and 49.3% were bengali. Majority (56.45%) of the children’s mothers’ age was below 25 years, 36.7% was illiterate, 92.7% were housewives and 85.6% had monthly family income less than 10,000 taka. Regarding children nutritional status 15.6% was moderate stunted, 30.7% was mild stunted; severe, moderate and mild underweight was 4.3%, 13.3% and 24.7% respectively. About 1.7% was found severe wasted and 15.3% was moderate wasted. By MUAC 20.3% were of moderate acute malnutrition and 3.3% were of severe acute malnutrition. Conclusion: This study result revealed a high prevalence of malnutrition among under-five children in the study area. Considering the acute and long-term consequences of malnutrition special interventions program is needed to overcome the situation. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 21-23

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

Pattern of Thalassemia and Hemoglobinopathies Among Anemic Under-Five Children of Northern Bangladesh: A Hospital Based Cross Sectional Study

2021 ◽  
Author(s):  
Md. Abdur Rafi ◽  
M. Morsed Zaman ◽  
Md. Golam Hossain
Keyword(s):  
Cross Sectional Study ◽  
Severe Form ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hemoglobin E ◽  
Under Five ◽  
Under Five Children ◽  
Thalassemia Minor ◽  
Different Types

Abstract Background Congenital hemoglobin defects are significant global health concern affecting more than 330,000 newborns every year. In Bangladesh more than half of the under-five children are anemic, but the contribution of hemoglobin disorders to childhood anemia is quite unexplored. Hence, the objective of the present study was to investigate the prevalence and pattern of hemoglobinopathies among anemic under-five (age 6–59 months) children visiting the hematology department of Rajshahi Medical College Hospital (RMCH). Methods This was a retrospective cross-sectional study among anemic patients aged between 6 to 59 months conducted in the hematology department of RMCH from July 2018 to June 2020. The guideline of WHO was used to define the severity of anemia. Hemoglobinopathies was measured using standard methods. Chi-square test was used to find the association between two categorical factors. Results Female and younger children included in the study were more likely to suffer from moderate to severe form of anemia compared to their counterparts. Out of 534 patients 183 were suffering from different types of hemoglobinopathies (prevalence 34.3%). E-β-Thalassemia was the most common type of hemoglobinopathy (14%) followed by Hemoglobin E trait (11%) and β-Thalassemia minor (5.6%). Prevalence of these hemoglobin disorders was comparatively higher among female and older children (p < 0.05). Patients with E-β-Thalassemia and β-Thalassemia major of our study were mostly suffering from severe form of anemia while patients with hemoglobin E trait and β-Thalassemia minor were mostly suffering from mild anemia (p < 0.01). Conclusions A remarkable number of children were suffering from severe anemia and different types of hemoglobinopathies. Gender and age group were the risk factors of anemia and hemoglobinopathies among under-five children. Health authorities of Bangladesh should especially take care of anemic children in this country.

scholarly journals Timing and reasons for antenatal care booking among women in a tertiary health care center in Southern Nigeria

2017 ◽  
Vol 6 (9) ◽  
pp. 3731 ◽  
Author(s):  
Ntiense Macaulay Utuk ◽  
Anyiekere Ekanem ◽  
Aniekan Monday Abasiattai
Keyword(s):  
Antenatal Care ◽  
Care Center ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Post Secondary ◽  
Health Care Center ◽  
Southern Nigeria ◽  
The Mean

Background: Antenatal care is one of the four pillars of safe motherhood and its benefits in preventing adverse feto-maternal outcome is proven. Commencement of antenatal care early has been shown to be key for this benefit to be fully realized. The aim of this study was to determine the antenatal booking pattern of pregnant women and its determinants in our environment.Methods: A cross sectional study of women attending the booking clinic in the University of Uyo Teaching Hospital, Akwa Ibom State, Southern Nigeria over a three-month period.Results: The mean age of the respondents was 28.5 years. The mean gestational age at booking was 18.3 weeks. The majority of the patients were married (94.1%). 68.1% had a post-secondary education. 33.5% of patients were nultiparous, while 3.5% were grand multiparous. The majority of patients (72.4%) booked late for antenatal care. Age group, marital status, mode of delivery was not significantly associated with timing of booking. High levels of patient’s education, high levels of husband’s education as well as grand multiparity were significantly associated with late booking (P<0.05). Majority (65.4%) of patients claimed that it was safe to book at any time during pregnancy.Conclusions: The majority of women booked late for antenatal care. In our study, we have found that general and health education, subsidisation of cost for antenatal care and introduction of focused antenatal care will help to reverse this trend.

scholarly journals ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malnourished Children ◽  
Coimbatore District

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.

Current situation of stress, anxiety, and depression of the health care workers working at the Health Care Center of Soc Son district, Hanoi, Vietnam, 2019

2021 ◽  
Vol 30 (9) ◽  
pp. 91-98
Author(s):  
Vu Ngoc Ha ◽  
Mac Dang Tuan ◽  
Nguyen Thanh Trung ◽  
Nguyen Ngoc Huan ◽  
Luu Thi Lien ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Health Care Workers ◽  
Care Center ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Health Care Center ◽  
Care Workers

A cross-sectional study using DASS21 was performed in June 2019 on staff working at the commune health stations (CHSs), regional general clinics and district general clinics in Soc Son district, Hanoi to assess the mental disorders of the health care workers are working here. Among the 355 health care workers (HCWs) who participated, women accounted for 75.5%. People aged under 30 accounting for 33.5% of HCWs. Physicians, nurses take up 54.4%, and HCWs in the Soc Son district have worked in the health sector for more than ten years, accounting for 45.1%. The study shows that the rates of stress, anxiety, and depression were 13.8%, 25.4% and 16.6%, respectively. 31% of HCWs have at least one mental disorder, 8.2% of study subjects have all three manifestations of mental disorders, 8.4% of study subjects have two symptoms and 14.4% of the study subjects had only one manifestation. The rates of stress, anxiety, and depression were initially screened from the research results. The development of research directions for defnitive diagnosis and support for improving health care workers’ mental health should be integrated.

Path Analysis on the Determinants of Complementary Feeding Practice

2020 ◽  
Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Path Analysis ◽  
Maternal Education ◽  
Family Income ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Child Nutritional Status

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103

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