scholarly journals Assessment of Breast Feeding Practice and Risk Factors Associated with Severe Acute Malnutrition among Children Admitted to Addis Ababa Governmental Hospitals, Ethiopia, 2014: A Cross-Sectional Facility Based Study

2017 ◽  
Vol 05 (02) ◽  
Author(s):  
Gebre Gelana ◽  
Berhanu Dessalegn ◽  
Girma Alemu
Keyword(s):  
Risk Factors ◽  
Breast Feeding ◽  
Severe Acute Malnutrition ◽  
Addis Ababa ◽  
Acute Malnutrition ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Prevalence and Associated Factors of Utero-Vaginal Prolapse in AddisAbaba, Ethiopia: A Cross-Sectional Study.

2021 ◽  
Author(s):  
Zelalem Mekuria ◽  
Abdu Mengesha ◽  
Girma Seyoum
Keyword(s):  
Risk Factors ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Health Concern ◽  
Uterovaginal Prolapse ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.

scholarly journals Common Mental Disorders in Mothers of Children Attending Out-patient Malnutrition Clinics in Rural North-western Nigeria: A Cross-sectional Study

2020 ◽  
Author(s):  
Aminu Taura Abdullahi ◽  
Zubaida Ladan Farouk ◽  
Abdulazeez Imam
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Common Mental Disorders ◽  
Severe Acute Malnutrition ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
North Western

Abstract BackgroundChildren with uncomplicated severe acute malnutrition are managed routinely within out-patient malnutrition treatment programs. These programs do not offer maternal mental health support services, despite maternal mental health playing a significant role in the nutritional status of children. Additionally, the burden of maternal Common Mental Disorders (CMDs) is poorly described among mothers of children attending these programs. This study thus determined the burden and risk factors for maternal CMDs among children attending out-patient malnutrition clinics in rural North-western Nigeria.MethodsWe conducted a cross-sectional study among 204 mothers of children with severe acute malnutrition who attending eight out-patient malnutrition clinics in Jigawa, North-western Nigeria. We used the World Health Organization Self-Reporting Questionnaire-20 (WHO SRQ-20) screening tool, a recognised and validated proxy measure for CMDs to identify mothers with CMDs. The prevalence of maternal CMDs was determined by identifying the proportion of mothers with SRQ scores of ≥8. Risk factors for CMD were determined using multivariable logistic regression. ResultsMaternal CMD prevalence in children attending these facilities was high at 40.7%. Non-receipt of oral polio vaccine (OPV) (AOR 6.23, 95%CI 1.85 to 20.92) increased the odds for CMD. While spousal age above 40 (AOR 0.95, 95%CI 0.90 to 0.99) and long years spent married (AOR 0.92, 95%CI 0.85 to 0.98) decreased the odds for CMD. ConclusionsOur findings indicate maternal CMD burden is high in out-patient malnutrition clinics in North-western Nigeria. Maternal mental health services would need to be integrated into the community management of acute malnutrition programs to provide more holistic care, and possibly improve long-term outcomes after discharge from these programs

scholarly journals Obesity and associated risk factors in adolescents in rural areas of Buryatia, Russia

2018 ◽  
Vol 15 (3) ◽  
pp. 42-48 ◽  
Author(s):  
Lyubov V. Rychkova ◽  
Zhanna G. Ajurova ◽  
Anna V. Pogodina
Keyword(s):  
Risk Factors ◽  
Breast Feeding ◽  
Rural Areas ◽  
Dietary Pattern ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Skilled Worker ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Factors Associated

Background: According to WHO forecasts, childhood obesity can soon become equally dangerous to public health as malnutrition and infectious diseases. Elimination of modifiable risk factors is important for the disease and disease-associated complications prevention. At the same time it is shown that the risk factors can vary widely not only from country to country but also from area to area within one country. Aim: To establish risk factors associated with obesity in adolescents in rural areas of Buryatia, Russia. Materials and methods: The cross-sectional study included 1117 year old adolescents with normal weight (BMI 2575 percentile) and obesity (BMI 95 percentile). We assessed anthropometric measures of adolescents and their parents, sociodemographic characteristics, early-life exposures, eating and lifestyle patterns. Results: The study included 128 adolescents with normal weight and 72 adolescents with obesity. Both groups were comparable by sex, age and ethnicity. Factors, associated with obesity in rural adolescents, were: parents obesity (odds ratio (OR) 3.63 (95% confidence interval (CI) 1.926.87); the mothers body mass index (OR 1.17 (95% CI 1.11.25)); duration of breast-feeding less than 4 months (OR 2.42 (95% CI 1.145.13)); disturbed dietary pattern (OR 2.54 (95% CI 1.15.88)). Factors showing protective effect were total breast-feeding duration (OR 0.94 (95% CI 0.890.99)) and mothers employment as a skilled worker (OR 0.51 (95% CI 0.270.96)). Conclusions: Characteristics of family (obesity in parents, mothers BMI), breast-feeding less than 4 months and the disturbed dietary pattern are the risk factors associated with obesity in adolescents living in rural areas of Buryatia which are worth considering when local obesity prevention programs are being developed.

Retrospective Assessment of Malnutrition among Under-five Children in Ayder Referral Hospital, Tigray Ethiopia

2015 ◽  
Vol 4 (2) ◽  
pp. 71
Author(s):  
Teklemariam Gultie ◽  
Desta Mebrahtu ◽  
Girum Sebsibie
Keyword(s):  
Breast Feeding ◽  
Severe Acute Malnutrition ◽  
Age Groups ◽  
Referral Hospital ◽  
Acute Malnutrition ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Under Five ◽  
Under Five Children ◽  
Ayder Referral Hospital

Currently worldwide there are about 60 million children with moderate acute and 13 million with severe acute malnutrition. About 9% of sub-Saharan African and 15%of south Asian children have moderate acute malnutrition and about 2% of children in developing countries have severe acute malnutrition. The objective of aim the study was<strong> </strong>to assess the magnitude of malnutrition in under five children in Ayder referral hospital using a retrospective cross-sectional study design. This study showed that male children, 168(58.1%), were higher than female, 121(41.9%).. Majority, 133(46%), were in the age group b/n 12 to 24 months .More than half, 186(64.4%) were rural dwellers.  The types of malnutrition identified were Marasmus, kwashiorkor, Marasmic kwash and underweight which account for 116(40.1%), 69(23.9%), 54(18.7%) and 50(17.5%) respectively. Marasmus was the predominant type of malnutrition in all age groups of under five malnourished children with prevalence of 40.1% where as underweight was the prevalent type of malnutrition (17.3%). More over the infant feeding practices such as exclusive breast feeding, timely initiation of complementary feeding, and having history of breast feeding once in their life during infancy were relatively higher among the children as compared with other studies.

scholarly journals Common mental disorders in mothers of children attending out-patient malnutrition clinics in rural North-western Nigeria: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aminu T. Abdullahi ◽  
Zubaida L. Farouk ◽  
Abdulazeez Imam
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Common Mental Disorders ◽  
Severe Acute Malnutrition ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Sectional Study ◽  
Cross Sectional ◽  
North Western

Abstract Background Children with uncomplicated severe acute malnutrition are managed routinely within out-patient malnutrition treatment programs. These programs do not offer maternal mental health support services, despite maternal mental health playing a significant role in the nutritional status of children. Additionally, the burden of maternal Common Mental Disorders (CMDs) is poorly described among mothers of children attending these programs. This study thus determined the burden and risk factors for maternal CMDs among children attending out-patient malnutrition clinics in rural North-western Nigeria. Methods We conducted a cross-sectional study among 204 mothers of children with severe acute malnutrition who attending eight out-patient malnutrition clinics in Jigawa, North-western Nigeria. We used the World Health Organization Self-Reporting Questionnaire-20 (WHO SRQ-20) screening tool, a recognised and validated proxy measure for CMDs to identify mothers with CMDs. The prevalence of maternal CMDs was determined by identifying the proportion of mothers with SRQ scores of ≥8. Risk factors for CMD were determined using multivariable logistic regression. Results Maternal CMD prevalence in children attending these facilities was high at 40.7%. Non-receipt of oral polio vaccine (OPV) (AOR 6.23, 95%CI 1.85 to 20.92) increased the odds for CMD. While spousal age above 40 (AOR 0.95, 95%CI 0.90 to 0.99) and long years spent married (AOR 0.92, 95%CI 0.85 to 0.98) decreased the odds for CMD. Conclusions Our findings indicate maternal CMD burden is high in out-patient malnutrition clinics in North-western Nigeria. Maternal mental health services would need to be integrated into the community management of acute malnutrition programs to provide more holistic care, and possibly improve long-term outcomes after discharge from these programs.

scholarly journals Severe Acute Malnutrition and Feeding Practice of Children Aged 6-59 Months in Pastoral Community, Afar, Ethiopia: Descriptive Cross-Sectional Study

2020 ◽  
Vol 9 (4) ◽  
pp. 156-163
Author(s):  
Getahun Fentaw Mulaw ◽  
Bizunesh Fantahun Kase ◽  
Adebabay Dessie Manchilo ◽  
Bereket Lopiso Lombebo ◽  
Begna Melkamu Tollosa
Keyword(s):  
Public Health ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
Health Interventions ◽  
Acute Malnutrition ◽  
Feeding Practice ◽  
Sectional Study ◽  
Public Health Interventions ◽  
Cross Sectional

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality among children in developing countries, including Ethiopia. Knowing the local burden of SAM has huge importance for public health interventions. Therefore this study aimed to assess the level of severe acute malnutrition and feeding practice of children aged 6–59 months in Abaa’la district, Afar, Northeast, Ethiopia. Methods: Community-based descriptive cross-sectional study was conducted on 422 mother-child pairs of children aged 6–59 months. Kebeles were selected randomly after stratifying the district in to urban and rural, and study participants were selected using a cluster sampling technique. Data were collected using an interviewer-administered questionnaire, and child nutritional status was measured using WHO Mid upper arm circumference measuring tape. Data were entered into Epi data version 3.1 and exported to SPSS version 22 for analysis. The result was presented using Descriptive statistics. Results: The prevalence of severe acute malnutrition (SAM) was found to be 4.3% (95% CI, 2.3-6.1%) and that of moderate acute malnutrition (MAM) was 21.1 %. Almost all (98.8%) of children were ever breastfed. Prelacteal feeding and bottle feeding was practiced by 31% and 33.9% of children, respectively. Only 68.5% of children were feed colostrum. Around 45.5% of children were exclusively breastfed for the first six months, and 70.4% of children wean breastfeeding before the age of two years. Conclusion: The prevalence of severe acute malnutrition in the study area was lower than the regional figures, but still, it is a public health priority. There are improper child care and feeding practices. Therefore, public health interventions that can improve those practices should be strengthened.

scholarly journals Complimentary feeding practices in severe acute malnutrition children admitted in malnutrition treatment centre of RNT medical college

2017 ◽  
Vol 4 (3) ◽  
pp. 972
Author(s):  
Rupali Jain ◽  
Vivek Arora ◽  
Sandip Gediya
Keyword(s):  
Breast Feeding ◽  
Severe Acute Malnutrition ◽  
Goat Milk ◽  
Acute Malnutrition ◽  
Cow Milk ◽  
Feeding Practice ◽  
Nutritional Requirement ◽  
Age Group ◽  
Treatment Centre ◽  
Anthropometric Assessment

Background: To assess the complimentary feeding practice in Severe Acute Malnutrition (SAM) children aged between 6months to 5years.Methods: 110 SAM children admitted in Malnutrition Treatment Centre (MTC) of MBGH Hospital, Udaipur over a period of 3 months were taken in the study. Structured questionnaire including child’s personal data, socioeconomic status of the family, breast feeding and complementary feeding status were used. Clinical and anthropometric assessment of children was done.Results: Out of the 110 children included in the study, 58 (52.7%) were males and 52 (47.2%) were females. Mean age of children included was 16.8 ± 10.73 months. Maximum children were in the age group of 6-12months 60 (54.5%), followed by 13-24 months of age 38 (34.5%), followed by >2-5years of age 12 (10.9%). Thirty-four (30.9%) children were on exclusive breast feeding, with 30 (27.3%) in age group of 6-12 months and 4 (3.6%) in 12- 24 months. Breast feeding with complimentary feeding was practiced in 30 (27.3%) children of 6-12 months of age and 22 (20%) children of 13-24 months. Out of the 76 children on additional feed with or without breast feeds, 70 (92.1%) consumed milk- either goat milk, cow milk or buffalo milk.Conclusions: Anthropometric assessment revealed that maximum number of SAM children also had chronic malnutrition. Diet of SAM children mainly included milk and cereals. They did not obtain a balanced diet to meet their nutritional requirement. 

scholarly journals Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronutrient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study

2017 ◽  
Vol 4 (4) ◽  
pp. 1198 ◽  
Author(s):  
Kamatham Madhusudhan ◽  
Rajeev P.K ◽  
Shireesha A ◽  
Gummadi Vandana Ushashree
Keyword(s):  
Risk Factors ◽  
Breast Feeding ◽  
Case Control Study ◽  
Severe Acute Malnutrition ◽  
Significant Rise ◽  
Acute Malnutrition ◽  
P Value ◽  
Micronutrient Supplementation ◽  
Exclusive Breast Feeding ◽  
Control Study

Background: Although risk factors for malnutrition have been identified earlier, individual factors potentially change in specific areas over time and a current characterization of risk factors provide the basis for preventative intervention strategies. No guidelines in relation to duration of micronutrient supplementation for treatment of SAM are available. Thus, the study was done to know the adequacy of dose of micronutrients that are presently being supplemented (WHO Protocols) for treating SAM.Methods: It is a case-control study involving 100 cases with severe acute malnutrition and 100 controls having normal nutrition status 6 months to 5 years of age. Detailed clinical data (using a predesigned questionnaire) and anthropometric measurements were recorded for analysis. Blood assay of Zinc, Magnesium and serum Proteins were done on the day of admission (day 1) and again after 2 weeks of treatment with nutritional supplementation (WHO protocols).Results: Out of 100 SAM Cases, 42% were from rural area whereas 76% of controls belonged to urban region (p value 0.03). Twenty-four (24%) mothers of SAM cases were Illiterate, whereas only 6 % of mothers in controls were illiterate. 57 % SAM cases were given breast feeding after 4 hours of life, where as 61% controls were given their first feed within 1 hour of birth with p value <0.01. Eighty-eight controls (88%) were given colostrum, whereas only 62 % SAM cases were given colostrum feeds with p value <0.01. Seventy controls (70%) were given exclusive breast feeding for 6 months whereas only 40% of cases (SAM) was given exclusive breast feeding till 6months of age (p value of <0.01). 57% of top fed cases were given over diluted feeds, only 27% of top fed controls were given over diluted feeds (p value 0.02). 53% of cases were bottle fed and 14% of controls were bottle fed with p value <0.01. Mean value of magnesium and zinc before supplementation was 2.4 mg/dl and 117 mcg/dl respectively with no significant rise after supplementation.Conclusions: Here is a correlation of severe acute malnutrition with rural area, maternal Illiteracy and low socioeconomic status, deprivation of colostrums feeding, lack of exclusive breast feeding for 6 months, over dilution of top feeds and use of bottle feeding. There is no correlation between SAM and immunization status and demographic parameters like age, sex and religion. SAM is inversely related to duration of exclusive breast feeding. 23% of severely malnourished children had delay of developmental milestones. No significant rise of serum levels was seen with WHO recommended doses of micronutrient supplementation

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