Community Economic Development and Acute Lower Respiratory Infection in Children

Cunha, António; Margolis, Peter A.; Wing, Steve

doi:10.12927/whp..17588

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…The overall prevalence recorded is higher than what has been reported in other parts of the world (Williams, Gouws, Boschi-Pinto, Bryce, & Dye, 2002) and confirm UNICEF's observation that the majority of ALRI cases and deaths recorded from such infections among children, are in sub-Saharan Africa (UNICEF, 2016). Apart from Togo (7.4%), the prevalence of ALRI was higher in all the countries studied, than what Cunha, Margolis, and Wing (2003) reported in a Brazilian study (10.2%).…”

Section: Discussioncontrasting

confidence: 71%

Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub–Saharan Africa: Evidence from demographic and health surveys

Seidu

Dickson

Amu

et al. 2019

SSM - Population Health

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Acute Lower Respiratory Infections (ALRIs) account for 5.8 million deaths globally and 50% of these deaths occur in sub-Saharan Africa. In this paper, we examined the prevalence and determinants of ALRIs among children under-five years in 28 sub–Saharan African countries. We used data from the most recent (2011–2016) Demographic and Health Surveys of the 28 countries. Women aged 15–49 (N = 13,495) with children under-five years participated in the study. Data were extracted and analysed using STATA version 14.2. Bivariate and multivariate analyses were done to establish associations between the outcome and explanatory variables. The prevalence of ALRI for all the countries was 25.3%. Congo (39.8%), Gabon (38.1%), Lesotho (35.2%), and Tanzania (35.2%) were the countries with the highest prevalence of ALRIs. The results from the multivariate analyses showed that children aged 24–59 months (AOR = 1.15; 95% CI = 1.04–1.28), and children who received intestinal parasite in the 6 months preceding the survey (AOR = 1.11; 95% CI = 1.02–1.22) had higher odds of developing ALRIs. However, children whose mothers were employed (AOR = 0.77; 95% CI = 0.64–0.94) and those whose households used improved toilet facilities (AOR = 0.72; 95% CI = 0.64–0.97) had lower odds of contracting ALRIs. Our findings underscore the need for stakeholders in health in the various sub-Saharan African countries, especially those worst affected by ALRIs to implement programmes and develop policies at different levels aimed at reducing infections among children under-five years. Such strategies should specifically focus on improving the administration of medications for intestinal worms, health education to mothers with children under five on ALRIs and improving the sanitation situations of households through the provision of improved toilet facilities.

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Section: Discussioncontrasting

confidence: 71%

Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub–Saharan Africa: Evidence from demographic and health surveys

Seidu

Dickson

Amu

et al. 2019

SSM - Population Health

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“…9 Majority of cases in our study were from rural area and there was no significant association between domicile and ALRI. Similar results were reported by Thamer KY et al 9 A study done by Hamid et al in Pakistan showed that there was a significant association between low parental education status and occurrence of ALRI., 10 similar results was observed in study by Cunha et al 5 Low educational level in mothers were found to be associated with increased risk of ALRI hospitalizations and mortality in a study in Brazil. 11 In our present study, there was a strong association between the parent's education and the occurrence of ALRI.…”

Section: Discussionsupporting

confidence: 86%

“…A study done by Cunha et al, 5 reported that age less than one year was a risk factor for respiratory morbidity. Similarly in a study conducted by Savitha et al, 6 infants constituted 62.5% of ALRI cases.…”

Section: Discussionmentioning

confidence: 98%

Socio-demographic profile of under five children admitted for acute lower respiratory tract infections in a tertiary care hospital

Mirji

et al. 2014

Int J Contemp Pediatr

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“…Savitha et al [6] have reported significantly more (93.27%) children from low socioeconomic status. Similar results were found by Cunha et al [10]. Significant association was found between socioeconomic status and ALRI severity.…”

Section: Discussionsupporting

confidence: 91%

Demographic profile of children with acute lower respiratory tract infections of age between 2months to 5 years

Gornale¹,

Minarey

Chhina

et al. 2015

Int J Pediatr Res

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Background: Acute respiratory infections are a leading cause of morbidity and mortality in under-five children in developing countries. Hence, the present study was undertaken to study the various demographic risk factors which predispose to acute lower respiratory tract infections (ALRI) in children aged 2 month to 5 year. Objective; Demographic factors associated with acute lower respiratory tract infections in children aged 2 months to 5 years. Methods: 100 ALRI cases fulfilling WHO criteria for pneumonia, in the age group of 2 month to 5 years were evaluated for demographic risk factors and clinical profile as per a predesigned proforma in a rural medical college. Results: Sociodemographic risk factors like parental illiteracy, overcrowding, partial immunisation and low socioeconomic status were potential risk factors; similarly nutritional risk factors like early and late weaning, anaemia and malnutrition were associated with ALRI. Significant environmental risk factors were use of biomass fuels, inadequate ventilation at home, and lack of separate kitchen. Conclusion: The present study has identified various socio-demographic, nutritional and environmental risk factors for ALRI which can be tackled by effective health education of the community and effective training of peripheral health personnel.

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Community Economic Development and Acute Lower Respiratory Infection in Children

Cited by 4 publications

References 26 publications

Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub–Saharan Africa: Evidence from demographic and health surveys

Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub–Saharan Africa: Evidence from demographic and health surveys

Socio-demographic profile of under five children admitted for acute lower respiratory tract infections in a tertiary care hospital

Demographic profile of children with acute lower respiratory tract infections of age between 2months to 5 years

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