Women Care and Practices in the Management of Childhood Diarrhea in Northeast India

Marbaniang, Strong P.

doi:10.1080/13575279.2020.1812534

Cited by 6 publications

(7 citation statements)

References 36 publications

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“…2 Health inequalities which differ mainly across space and socio-economic inequalities are often disadvantageous to the hilly people. 32 The child mortality rate was higher in the hill community. 3 According to NFHS-4, the highest degree of fertility (TFR) is among the projected tribe (3.19) who are predominantly Christians (3.18) living in the hill districts.…”

Section: Introductionmentioning

confidence: 97%

Geographical divide led inequality in accessing maternal healthcare services between hills and valley regions of Manipur state, India

Mishra

Pautunthang

Marbaniang

et al. 2021

Clinical Epidemiology and Global Health

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Geographically, Manipur is composed of two sets of landmasses known as the valley and the hills districts. As compared to the valley districts, the hilly district is largely remained undeveloped and lack basic infrastructure and services like healthcare facilities, educational institutions, public distribution system, transportation, etc. Little is known about the differentials in the utilization of maternal healthcare services between the hills and the valley of Manipur state of India. The paper tries to understand the inequalities in accessing maternal healthcare services between the hills and valleys region. Logistic regression and concentration index was adopted to assess the utilization of maternal healthcare services. Results indicate low utilization of maternal healthcare services in the hilly region, with only 19%, 22%, and 21% have access to 4+ ANC visit, institutional delivery, and PNC visits respectively. The odds of utilizing 4+ ANC visits [Odds Ratio (OR): 0.

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Section: Introductionmentioning

confidence: 97%

Geographical divide led inequality in accessing maternal healthcare services between hills and valley regions of Manipur state, India

Mishra

Pautunthang

Marbaniang

et al. 2021

Clinical Epidemiology and Global Health

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“…Northeast India, which is located in the Northeastern part of India, is composed of eight small states, namely Assam, Arunachal Pradesh, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, and Tripura. The region is mostly inhabited by tribal communities belonging to different ethnic groups [ 6 ]. Geographically, the region is mostly hilly, which acts as a major hurdle to transportation and communication, affecting the access to and the proper functioning of healthcare facilities in the rainy season [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A structured additive modeling of diabetes and hypertension in Northeast India

2022

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Background Multiple factors are associated with the risk of diabetes and hypertension. In India, they vary widely even from one district to another. Therefore, strategies for controlling diabetes and hypertension should appropriately address local risk factors and take into account the specific causes of the prevalence of diabetes and hypertension at sub-population levels and in specific settings. This paper examines the demographic and socioeconomic risk factors as well as the spatial disparity of diabetes and hypertension among adults aged 15–49 years in Northeast India. Methods The study used data from the Indian Demographic Health Survey, which was conducted across the country between 2015 and 2016. All men and women between the ages of 15 and 49 years were tested for diabetes and hypertension as part of the survey. A Bayesian geo-additive model was used to determine the risk factors of diabetes and hypertension. Results The prevalence rates of diabetes and hypertension in Northeast India were, respectively, 6.38% and 16.21%. The prevalence was higher among males, urban residents, and those who were widowed/divorced/separated. The functional relationship between household wealth index and diabetes and hypertension was found to be an inverted U-shape. As the household wealth status increased, its effect on diabetes also increased. However, interestingly, the inverse was observed in the case of hypertension, that is, as the household wealth status increased, its effect on hypertension decreased. The unstructured spatial variation in diabetes was mainly due to the unobserved risk factors present within a district that were not related to the nearby districts, while for hypertension, the structured spatial variation was due to the unobserved factors that were related to the nearby districts. Conclusion Diabetes and hypertension control measures should consider both local and non-local factors that contribute to the spatial heterogeneity. More importance should be given to efforts aimed at evaluating district-specific factors in the prevalence of diabetes within a region.

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“…A possible reason for this finding could be that one main way of suspecting diarrhoea at the household level is the passage of watery stool; since babies aged below 1 mostly pass watery stools due to the foods they eat, symptoms of diarrhoea may be missed and treatment not sought compared to children aged 1 year and above whose stools are not expected to be watery due to the food eaten. Hence any watery stool can be an indication of diarrhoea and treatment sought [ 26 , 27 ]. Also, children aged one year and above can express any discomfort to parents and seek medical treatment compared to those aged 0 who might not be able to express discomfort well [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of oral rehydration therapy, zinc, and other treatments for diarrhoea among children under-five in sub-Saharan Africa

et al. 2022

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Background Despite the evidence-based effectiveness of diarrhoea treatment in preventing diarrhoea-related child mortality, the accessibility and utilization of diarrhoea treatments remain low in sub-Saharan Africa, even though these treatments are available. Therefore, this study aimed to assess the prevalence and predictors of diarrhoea treatment among under-five children in sub-Saharan Africa. Methods This study involved cross-sectional analyses of secondary data from the most recent Demographic and Health Surveys of 30 countries in sub-Saharan Africa. Percentages with their respective 95% confidence intervals (CI) were used to summarise the prevalence of diarrhoea treatment. A multivariable multilevel binary logistic regression analysis was employed to examine the predictors of diarrhoea treatment among children under five years in sub-Saharan Africa. The regression results were presented using adjusted odds ratio with their accompanying 95% confidence intervals. Statistical significance was set at p<0.05. Stata software version 16.0 was used for the analyses. Results The overall prevalence of diarrhoea treatment among under-five children in sub-Saharan Africa was 49.07% (95% CI = 44.50–53.64). The prevalence of diarrhoea treatment ranged from 23.93% (95% CI = 20.92–26.94) in Zimbabwe to 66.32% (95% CI = 61.67–70.97) in Liberia. Children aged 1 to 4 years, those whose mothers had at least primary education, those whose mothers had postnatal care visits, those whose mothers believed that permission to go and get medical help for self was a big problem, and those whose mothers’ partners had at least primary education were more likely to undergo diarrhoea treatment as compared to their counterparts. The odds of diarrhoea treatment increased with increasing wealth index with the highest odds among those in the richest quintile. Also, the odds of diarrhoea treatment was higher in the Central, Eastern, and Western geographical subregions compared to those in the Southern geographical subregion. However, children whose mothers were cohabiting, those whose mothers were exposed to watching television, and those living in female-headed households were less likely to undergo diarrhoea treatment. Conclusion The study found that the prevalence of diarrhoea treatment among children in sub-Saharan Africa was relatively low and varied across countries. The sub-regional estimates of diarrhoea treatment and identified associated factors can support country-specific needs assessments targeted at improving policy makers’ understanding of within-country disparities in diarrhoea treatment. Planned interventions (e.g., provision of quality and affordable supply of oral rehydration salts and zinc) should seek to scale up diarrhoea treatment uptake among under-five children in sub-Saharan Africa with much focus on the factors identified in this study.

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Women Care and Practices in the Management of Childhood Diarrhea in Northeast India

Cited by 6 publications

References 36 publications

Geographical divide led inequality in accessing maternal healthcare services between hills and valley regions of Manipur state, India

Geographical divide led inequality in accessing maternal healthcare services between hills and valley regions of Manipur state, India

A structured additive modeling of diabetes and hypertension in Northeast India

Prevalence and predictors of oral rehydration therapy, zinc, and other treatments for diarrhoea among children under-five in sub-Saharan Africa

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