The Prevalence and Associated Factors of Protein Energy Malnutrition Among Under Five Year Children in Paediatric OPDs of Public Health Institution in Yirgalem Town, Southern Ethiopia, 2017

2019 ◽  
Author(s):  
Kaleab Tesfaye ◽  
Iyasu Berisha
2019 ◽  
pp. 65-73
Author(s):  
Kaleab Tesfaye Tegegne ◽  
◽  
Iyasu Estiphanos Berisha

ntroduction: Protein energy malnutrition is one of the leading causes of morbidity and mortality in children under the age of five in developing countries. Ethiopia being one of these countries malnutrition is an important public health problem and among the highest in the world Objectives: The main objective of this study is to assess the prevalence and associated factors of protein energy malnutrition among under-five children in pediatric OPDs of public health institutions at Yirgalem town, Dale woreda, Sidama zone, SNNPR, Ethiopia from September 18-26, 2017. Methodology: Institutional based cross sectional study was conducted in pediatric OPDs of public health institutions in Yirgalem town, on a total of 204 children age less than five years from September 18-26, 2017. Study subjects were selected by using quota sampling technique. Interviewer administered structured questionnaire and anthropometric measurements were used to collect data. Data was analysed using SPSS version 20.0statistical software. Result: This study indicated that the prevalence of stunting wasting and Under-weight was 41.2%, 1.7% and 25% respectively. Factors showed statistically significant association in multivariate analysis were family planning use by mother, children eat together with older siblings and exclusive breast feeding with P-value (0.02), (0.036) and (0.002) respectively. Conclusion: This study reviled that the prevalence of stunting, wasting and under-weight were higher among under-five children participated in this study. Thus children are at a higher risk of under nutrition related morbidity and mortality. Further progress in under nutrition prevention can be achieved by specifically targeting children at their early age and conducting tailored public education to improve the nutritional status of the study subjects.


Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yeshimebet Gebereselassie ◽  
Mesganaw BirhanSelassie ◽  
Tadesse Menjetta ◽  
Jemal Alemu ◽  
Aster Tsegaye

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.


2020 ◽  
Author(s):  
Safiu Adewale SUBERU ◽  
Leila Aweis MAALIM ◽  
Saheed Adekunle AKINOLA ◽  
Yusuf Olusola FASEUN

Abstract Background Undernutrition immensely contribute to the death of almost half of the children under 5 years, translating into the loss of about 3 million young lives a year. In developing countries, penultimate to hunger that constitute to the death of most children, Protein Energy Malnutrition (PEM) amongst other factors account for the death of 49% of children below the age of five. Due to incessant increase in poverty level in Uganda, Jinja District five-year development plan of 2011 was designed to curb menace posed by malnutrition not only on children but also adults in this district. The objective of this study is to assess the prevalence and factors associated with PEM among under-fives admitted in the paediatric wards of Jinja Regional Referral Hospital (JRRH). Methods To carry out this study, a descriptive questionnaire-based and facility-based cross-sectional study design was used which will apply both qualitative and quantitative approaches. The study involved a sample size of 364 with the study population being under-fives admitted in the paediatric wards of JRRH between March and August 2019.Results Results of this study shows that 52 out of 364 admissions were due to PEM giving a prevalence of 14.29%, males being affected more than females, with suboptimal immunization history. Children aged between 12 – 24 months contributed the highest (34.62%) cases of PEM and most are living in rural areas with low family socio-economic status and poor breastfeeding and feeding practices. The under-five PEM case-fatality rate was 2% (1 out of 52). Conclusion In conclusion, both the prevalence and case fatality rates of under-five PEM were high, calling for appropriate interventions based on the associated factors.


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