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Background Diarrhea is the second leading cause of morbidity and mortality for under-five children which cause about 525,000 deaths annually. Even though diarrheal diseases have decreased substantially at the global level, low-income countries are still faced with a huge number of diarrheal diseases. Thus, our aim was to assess the child feeding practices during diarrheal diseases and associated factors among children aged 6 to 23 months in Sub-Saharan African countries using the recent demographic and health survey. Methods The appended and most recent demographic and health survey (DHS) dataset of 19 Sub-Saharan African countries from 2015 to 2020 was used for data analysis. A total of 64,628 living children aged 6–23 months with diarrhea were used as a weighted sample. The determinants of appropriate feeding practice were determined using a multilevel mixed-effects logistic regression model. Significant factors associated with appropriate feeding practice in the multilevel mixed-effect logistic regression model were declared significant at p-values < 0.05. The adjusted odds ratio (AOR) and confidence interval (CI) were used to interpret the results. Result The overall prevalence of appropriate child feeding practice during diarrhea in this study was 6.24% (95% CI: 6.06, 6.43). Maternal age (15 to 19 years and 20 to 35 years) (AOR = 1.32, 95%CI: 1.12, 1.55 and AOR = 1.14, 95%CI: 1.03, 1.27), mothers education (primary and secondary level) (AOR = 1.23, 95%CI: 1.12, 1.35 and AOR = 1.28, 95%CI: 1.15, 1.43), having media exposure(AOR = 1.36, 95%CI: 1.26, 1.46), being married (AOR = 1.18, 95%CI: 1.01, 1.38), currently working (AOR = 1.08, 95%CI:1.00, 1.15), vaccinated for Rotavirus (AOR = 1.30, 95%CI:1.19, 1.43) and living in Central and eastern African countries (AOR = 1.82, 95%CI: 1.12, 2.97) and (AOR = 2.23, 95%CI: 1.37, 3.61) respectively were significantly associated with appropriate feeding practice. Conclusion The prevalence of appropriate feeding practice during child diarrheal disease aged 6–23 months of age was strictly low which implies that child diarrhea and appropriate feeding practice is still a great issue in in Sub-Saharan African countries. Enhancing maternal education, strengthening media exposure and vaccination for rotavirus, and designing interventions that address the mother’s marital status, mother’s work status, and country category are recommended to enhance appropriate feeding practices. Furthermore, special consideration should be given to older mothers to increase appropriate feeding practices during diarrheal disease.
Background Diarrhea is the second leading cause of morbidity and mortality for under-five children which cause about 525,000 deaths annually. Even though diarrheal diseases have decreased substantially at the global level, low-income countries are still faced with a huge number of diarrheal diseases. Thus, our aim was to assess the child feeding practices during diarrheal diseases and associated factors among children aged 6 to 23 months in Sub-Saharan African countries using the recent demographic and health survey. Methods The appended and most recent demographic and health survey (DHS) dataset of 19 Sub-Saharan African countries from 2015 to 2020 was used for data analysis. A total of 64,628 living children aged 6–23 months with diarrhea were used as a weighted sample. The determinants of appropriate feeding practice were determined using a multilevel mixed-effects logistic regression model. Significant factors associated with appropriate feeding practice in the multilevel mixed-effect logistic regression model were declared significant at p-values < 0.05. The adjusted odds ratio (AOR) and confidence interval (CI) were used to interpret the results. Result The overall prevalence of appropriate child feeding practice during diarrhea in this study was 6.24% (95% CI: 6.06, 6.43). Maternal age (15 to 19 years and 20 to 35 years) (AOR = 1.32, 95%CI: 1.12, 1.55 and AOR = 1.14, 95%CI: 1.03, 1.27), mothers education (primary and secondary level) (AOR = 1.23, 95%CI: 1.12, 1.35 and AOR = 1.28, 95%CI: 1.15, 1.43), having media exposure(AOR = 1.36, 95%CI: 1.26, 1.46), being married (AOR = 1.18, 95%CI: 1.01, 1.38), currently working (AOR = 1.08, 95%CI:1.00, 1.15), vaccinated for Rotavirus (AOR = 1.30, 95%CI:1.19, 1.43) and living in Central and eastern African countries (AOR = 1.82, 95%CI: 1.12, 2.97) and (AOR = 2.23, 95%CI: 1.37, 3.61) respectively were significantly associated with appropriate feeding practice. Conclusion The prevalence of appropriate feeding practice during child diarrheal disease aged 6–23 months of age was strictly low which implies that child diarrhea and appropriate feeding practice is still a great issue in in Sub-Saharan African countries. Enhancing maternal education, strengthening media exposure and vaccination for rotavirus, and designing interventions that address the mother’s marital status, mother’s work status, and country category are recommended to enhance appropriate feeding practices. Furthermore, special consideration should be given to older mothers to increase appropriate feeding practices during diarrheal disease.
BACKGROUND: Rotaviruses are the single most important cause of severe diarrhoeal illness in infants and young children worldwide. In Africa, Nigeria has one of the highest under 5 years rotavirus disease prevalence of 56% and mortality due to rotavirus accounted for an estimated 31,000 deaths in 2013. On 22 August, 2022, targeting universal immunization, the government of Nigeria through the National Primary Health Care Development Agency (NPHCDA), with support from the World Health Organization (WHO) and partners, introduced the rotavirus vaccine into Routine Immunization (RI) Schedule. The study aimed to assess parents’ acceptance to have their children vaccinated against rotavirus METHODS: We conducted A descriptive cross-sectional questionnaire-based study among 217 childbearing mothers attending clinics of Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka Anambra State. Data analysis was performed with SPSS version 27. RESULTS: One hundred and sixty-six (166/217,76.5%) of respondents had heard of rotavirus infection., while 86.5% (142/166) of them had knowledge that vaccine is the main preventive measure and 69.3% (115/166) were aware of the recent rotavirus vaccine introduction into the National Immunization Programme (NIP). Ninety-one percent (91%) (169/217) were ready to accept rotavirus vaccine because it is safe and useful to the health of their children. Only 3.7% (7/217) of respondents had some safety concerns about rotavirus vaccine. Fifty percent (50%; 108/217) respondents had given their children rotavirus vaccines (either from private facilities before introduction into NPI or following the introduction. Regarding associated factors, women who had tertiary education were three times more likely than those with lower educational level to have knowledge of rotavirus (aOR=2.992; 95%CI=1.425-6.028; p=<0.001). Respondents emphasized the need for more information on the vaccine effectiveness and safety with the Medical Doctor having the highest confidence in the doctor to provide information about immunization.
BACKGROUND: Rotaviruses are the most important cause of severe diarrheal illness in infants and young children worldwide. Nigeria, with a prevalence of 56%, has one of the highest rates of rotavirus sickness in children under five years old, and rotavirus-related deaths were estimated to have caused 31,000 deaths in 2013. On August 22, 2022, aiming for universal immunization, the Nigerian government, through the National Primary Health Care Development Agency (NPHCDA), in collaboration with partners and the World Health Organization (WHO), introduced the rotavirus vaccine into her Routine Immunization (RI) Schedule. This study aimed to assess parents’ acceptance of having their children vaccinated against rotavirus. METHODS: We conducted a descriptive cross-sectional questionnaire-based study among 217 childbearing mothers attending clinics at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka, Anambra State. Data analysis was performed with SPSS version 27. RESULTS: One hundred and sixty-six (166/217,76.5%) of respondents had heard of rotavirus infection., while 86.5% (142/166) of them had knowledge that vaccines are the main preventive measure, and 69.3% (115/166) were aware of the recent rotavirus vaccine introduction into the National Programme on Immunization (NPI). Ninety-one percent (91%) (169/217) were ready to accept the rotavirus vaccine because it is safe and useful to the health of their children. Only 3.7% (7/217) of respondents had some safety concerns about the rotavirus vaccine. Fifty percent (50%; 108/217) respondents had given their children rotavirus vaccines (either from private facilities before introduction into NIP or following the introduction). Regarding associated factors, women who had tertiary education were three times more likely than those with lower educational levels to have knowledge of rotavirus (aOR=2.9; 95%CI=1.425-6.028; p=<0.001). Respondents emphasized the need for more information on vaccine effectiveness and safety, with the medical doctor having the highest confidence to provide information about immunization. CONCLUSION: Although the present study showed high levels of knowledge and good attitudes towards rotavirus and rotavirus vaccination, there are still some vaccine effectiveness and safety concerns by mothers that need to be addressed through more public awareness and campaigns.
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