Characterizing Undernourished Children Under-Five Years Old with Diarrhoea in Mozambique: A Hospital Based Cross-Sectional Study, 2015–2019

Sambo, Júlia; Cassocera, Marta; Chissaque, Assucênio; Bauhofer, Adilson Fernando Loforte; Roucher, Clémentine; Chilaúle, Jorfélia; Cossa-Moiane, Idalécia; Guimarães, Esperança Lourenço; Manhique-Coutinho, Lena Vânia; Anapakala, Elda; Bero, Diocreciano Matias; Langa, José Paulo; Polman, Katja; Gonçalves, Luzia; Deus, Nilsa de

doi:10.3390/nu14061164

Cited by 7 publications

(17 citation statements)

References 34 publications

(70 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Mozambique, in 2015, the prevalence of diarrhea in children under five was 11.0% and 41.7% were stunted, 4.4% were wasted, and 15.6% were underweight [ 13 , 14 , 15 , 16 ]. A Mozambican hospital-based cross-sectional study reported a frequency of 54.1% for undernutrition among children under five with diarrhea [ 17 ]. The child’s nutritional status is an important diarrhea determinant and vice versa, as undernutrition is associated with a greater incidence and duration of diarrhea, and undernutrition is worsened by diarrhea [ 18 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

et al. 2022

Self Cite

View full text Add to dashboard Cite

The World Health Organization’s systems framework shows that service delivery is key to addressing pressing health needs. Inadequate healthcare and the lack of healthcare services are factors associated with undernutrition and diarrhea in children under five, two health conditions with high morbi-mortality rates in Mozambique. The aim of the analysis was to determine the readiness score of nutrition and diarrhea services for children under five and the influence of malaria and HIV (Human Immunodeficiency Virus) service readiness on the readiness of these two services. A total of 1644 public health facilities in Mozambique were included from the 2018 Service Availability and Readiness Assessment. Additionally, a cross-sectional study was conducted to determine the availability and readiness scores of nutrition services in 2021 in five referral health facilities. The availability of nutrition and diarrhea services for children is low in Mozambique, with both scoring below 75%. Major unavailability was observed for human resources, guidelines, and training dimensions. Diarrhea (median (IQ): 72.2% (66.7 to 83.3)) and nutrition service readiness (median (IQ): 57.1% (52.4 to 57.1)) scores were significantly different (p < 0.001), while it is desirable for both services to be comprehensively ready. Nutrition services are positively associated with diarrhea service readiness and both services are associated with malaria and HIV service readiness (p < 0.05). None of the health facilities had all tracer items available and none of the facilities were considered ready (100%). There is a persisting need to invest comprehensively in readiness dimensions, within and across child health services.

show abstract

Section: Introductionmentioning

confidence: 99%

Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Provincial-level analysis was performed for the whole country. To showcase a detailed district-level analysis, the focus was on the Nampula Province districts, since this province has high rates of undernutrition and diarrhoea in children under 5 years old 5 8 25. Simple linear regression was performed to assess the seasonality component and projection of cases for the year 2020.…”

Section: Methodsmentioning

confidence: 99%

“…Low/middle-income countries (LMICs) face a high burden of disease, especially among children under 5 years old, and infectious diseases and undernutrition remain big concerns in this age group 1. Diarrhoea and undernutrition morbidity and mortality in children under 5 are substantial and, in addition, the two diseases are frequently associated with one another in LMICs 2–5. In 2019, diarrhoea was responsible for 9.9% of deaths in children under 5, and in the same year, 21.9% of children were considered to be stunted worldwide 1 6 7.…”

Section: Introductionmentioning

confidence: 99%

Quality of routine data for monitoring nutrition and diarrhoea indicators of children under 5 in Mozambique: an ecological study over a 5-year period

et al. 2023

Self Cite

View full text Add to dashboard Cite

BackgroundUndernutrition and diarrhoea have a high burden in children under 5 in low/middle-income countries. Having data-driven quality health services for these two diseases is key in order to address the high burden of diseases; therefore, health systems must provide data to monitor, manage, plan and decide on policies at all levels of health services.ObjectiveWe aimed to assess the quality of nutrition and diarrhoea routine data on children under 5 in Mozambique.DesignA longitudinal ecological study was implemented. Secondary data were used to assess the quality of moderate acute malnutrition (MAM), deworming and rotavirus vaccine indicators based on the data’s completeness, presence of outliers and consistency, and seasonality analysis in the form of time series analysis was performed.SettingWe used monthly district-level count data from 2017 to 2021, from all health facilities, from the Mozambican health information system (Sistema de Informação de Saúde para Monitoria e Avaliação, or District Health Information System version 2).ResultsThe rotavirus vaccine indicators presented better completeness when compared with other indicators under analysis. Extreme outliers were observed for deworming and rotavirus vaccines, with a higher number of outliers in the Zambezia and Nampula Provinces. Better consistency over time was observed when analysing the period before the COVID-19 pandemic, for all of the indicators and across provinces. Indicators of MAM and MAM-recovered showed more consistency issues over time in both periods of 2017–2019 and 2018–2021. In terms of seasonality analysis, for the MAM and MAM-recovered indicators, lower variation was observed, and heterogeneous patterns were seen across provinces for the rotavirus vaccine, which had the most pronounced negative seasonality components in Maputo City.ConclusionMajor deficits regarding the analysed quality indicators were observed for Cabo Delgado, Nampula, Zambezia, Tete, Manica, and Maputo City and Province.

show abstract

“…Diarrhoea is the passage of three or more watery or loose stools per day 1. It causes the body to lose a substantial amount of salt and water, which can either cause rapid and severe dehydration and death or predispose children to malnutrition and increase their risk of infection 2.…”

Section: Introductionmentioning

confidence: 99%

“…Diarrhoea is the passage of three or more watery or loose stools per day. 1 It causes the body to lose a substantial amount of salt and…”

Section: Introductionmentioning

confidence: 99%

Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study

Girmay,

Weldetinsae,

Mengesha

et al. 2023

BMJ Open

View full text Add to dashboard Cite

ObjectiveTo determine the associations of WHO/UNICEF Joint Monitoring Program Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia.DesignA community-based cross-sectional study.SettingBishoftu town, Ethiopia, January–February 2022.ParticipantsA total of 1807 mothers with at least one child under 5 years were included. Sociodemographic and WASH variables were collected using a structured questionnaire. 378 drinking water samples were collected.OutcomeThe response variable was diarrhoeal disease among children under 5 years.ResultsThe 2-week prevalence of diarrhoeal disease among children under 5 years was 14.8%. Illiteracy (adjusted OR 3.15; 95% CI 1.54 to 6.47), occupation (0.35; 0.20 to 0.62), mother’s age (1.63; 1.15 to 2.31), family size (2.38; 1.68 to 3.39), wealth index (5.91; 3.01 to 11.59), residence type (1.98; 1.35 to 2.90), sex of the child (1.62; 1.17 to 2.24), child’s age (3.52; 2.51 to 4.93), breastfeeding status (2.83; 1.74 to 4.59), food storage practice (3.49; 1.74 to 8.26), unimproved drinking water source (8.16; 1.69 to 39.46), limited drinking water service (4.68; 1.47 to 14.95), open defecation practice (5.17; 1.95 to 13.70), unimproved sanitation service (2.74; 1.60 to 4.67), limited sanitation service (1.71; 1.10 to 2.65), no hygiene service (3.43; 1.91 to 6.16) and limited hygiene service (2.13; 1.17 to 3.86) were significantly associated with diarrhoeal disease.ConclusionIn this study, diarrhoea among children is a significant health issue. Child’s age, drinking water service, residence type and hygiene service were the largest contributors with respect to the prevalence of diarrhoeal disease. This investigation provides information that could help to inform interventions to reduce childhood diarrhoea. The findings suggest that state authorities should initiate robust WASH strategies to achieve the Sustainable Development Goal 3 agenda.

show abstract

Characterizing Undernourished Children Under-Five Years Old with Diarrhoea in Mozambique: A Hospital Based Cross-Sectional Study, 2015–2019

Cited by 7 publications

References 34 publications

Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

Readiness of Mozambique Health Facilities to Address Undernutrition and Diarrhea in Children under Five: Indicators from 2018 and 2021 Survey Data

Quality of routine data for monitoring nutrition and diarrhoea indicators of children under 5 in Mozambique: an ecological study over a 5-year period

Associations of WHO/UNICEF Joint Monitoring Program (JMP) Water, Sanitation and Hygiene (WASH) Service Ladder service levels and sociodemographic factors with diarrhoeal disease among children under 5 years in Bishoftu town, Ethiopia: a cross-sectional study

Contact Info

Product

Resources

About