scholarly journals Causes of death among Syrian children using verbal autopsy

2021 ◽  
Vol 2 (3) ◽  
pp. 440-448
Author(s):  
N. Abou Rashid ◽  
S. Al Jirf ◽  
H. Bashour
Keyword(s):  
Public Health ◽  
Cause Of Death ◽  
Verbal Autopsy ◽  
Congenital Malformations ◽  
Causes Of Death ◽  
Public Health Importance ◽  
Related Factors ◽  
Children Under Five ◽  
The Public ◽  
Under Five

The causes of death in children under five years were studied using a structured verbal autopsy questionnaire. Possible determinants of death were also investigated. About 44% of deaths were among neonates [below 28 days of age] ; the major causes of death in neonates were prematurity [33%] and birth-related factors [30%]. In infants [1-11 months of age], the leading cause of death was congenital malformations [24%]. Accidents were responsible for one-third of deaths in children aged 1-4 years. Factors that might have contributed to death were investigated. The public health importance of causes of death was evaluated and its implications were discussed

scholarly journals A Review of the Public Health Challenges of Salmonella and Turtles

2020 ◽  
Vol 7 (2) ◽  
pp. 56
Author(s):  
Hamid Reza Sodagari ◽  
Ihab Habib ◽  
Majedeh Pakzad Shahabi ◽  
Narelle A. Dybing ◽  
Penghao Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Animal Origin ◽  
Indirect Contact ◽  
Children Under Five ◽  
The Public ◽  
Under Five ◽  
Human Salmonellosis ◽  
Public Health Challenges ◽  
Client Education

Non-typhoidal Salmonella serovars are recognized as zoonotic pathogens. Although human salmonellosis is frequently associated with ingestion of contaminated foods of animal origin, contact with animals may also be a significant source of Salmonella infection, especially contact with turtles, which have shown to be an important reservoir of Salmonella, specifically through their intestinal tracts. Turtles are among the most common reptiles kept as house pets that may pose a public health risk associated with Salmonella exposure, especially among infants and young children. This review discusses the literature reporting the link between turtles and Salmonella as well as turtle-associated human salmonellosis in the last ten years. In most outbreaks, a high proportion of patients are children under five years of age, which indicates that children are at the greatest risk of turtle-associated salmonellosis. Therefore, turtles should not be preferred as recommended pets for children under five years of age. Reducing turtle stress to minimise Salmonella shedding as well as providing client education handouts at the points of sale of these animals may reduce the risk of transmitting such significant pathogen to humans. Further studies are required to investigate the role of both direct contact with turtles as well as indirect contact through cross-contamination in the transmission of turtles-associated Salmonella to humans.

scholarly journals Relationship Between Hand-washing Habit and Toilet Use with Diarrhea Incidence in Children Under Five Years

2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Children Under Five ◽  
Under Five ◽  
Before And After

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years

scholarly journals Prevalence and determinants of intimate partner violence against mothers of children under-five years in central Malawi

2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Mohammad Nuruzzaman Khan ◽  
Liam Riley
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Intimate Partner Violence ◽  
Young Children ◽  
Sexual Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Children Under Five ◽  
Under Five ◽  
Controlling Behavior

Abstract Background: Intimate partner violence (IPV) against women is a pervasive and significant public health problem. The phenomenon is linked to adverse health effects for women and children. Mothers of young children in Malawi can be particularly at risk because of gender-based power imbalances. The objectives of this study were to examine the prevalence and the risk factors of IPV perpetrated by the current or recent partner against mothers of children under five years of age in rural Malawi.Methods: A multistage cross-sectional study design was used. A sample of 538 mothers of young children was randomly selected from postnatal clinics in Dowa district. The WHO's Violence against women instrument was used to collect data. Logistic regressions were used to determine risk factors that were associated with IPV against mothers. Results: The prevalence of IPV controlling behavior, psychological, physical, and sexual violence were 74.7%, 49.4%, 43.7% and 73.2% respectively. In multivariate analyses, mothers whose partners had extra marital affairs were more likely to experience controlling behavior (AOR: 4.97, 95% CI: 2.59-8.55, P<0.001), psychological (AOR: 2.14, 95% CI: 1.486-3.472, P<0.001) and physical (AOR: 2.29, 95% CI: 1.48-3.94, P<0.001) violence than mothers whose partners did not have extra marital affairs. Mothers whose partners consume alcohol were more likely to experience sexual violence (AOR: 2.00, 95% CI: 1.17-3.41, P<0.001) than mothers whose partners did not drink. Finally, mothers who spent more than 30 minutes drawing water were at greater risk of experiencing IPV than mothers who spent less than 30 minutes.Conclusion: This study found a significantly higher prevalence of IPV against mothers in rural Malawi compared to the national prevalence. Programs aimed at reducing the partners’ potential risk behaviors identified in this study are recommended. Public health programs that support increased household access to safe water are also recommended to help mitigate IPV against mothers.

scholarly journals Can verbal autopsy improve the diagnostic accuracy of Physicians in Shanghai? Application of SmartVA

2021 ◽  
Author(s):  
Lei Chen ◽  
Tian Xia ◽  
Rasika Rampatige ◽  
Hang Li ◽  
Tim Adair ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Verbal Autopsy ◽  
Medical Records ◽  
Community Health Centers ◽  
Causes Of Death ◽  
Practical Method ◽  
Initial Diagnosis ◽  
Hospital Death ◽  
Routine Practice ◽  
Record Review

Abstract Background Accurate data on causes of death are essential for policy makers and public health experts to plan appropriate health policies and interventions to improve population health. Whereas approximately 30% deaths of Shanghai either occur at home or are not medically attended; the recorded cause of death in these cases may be less reliable than for a hospital death. Verbal Autopsy is a practical method that can help determine causes of death in regions where medical records are insufficient or unavailable. In this research, the smart VA tool was adopted to assign the cause of death of home deaths and to validate the accuracy and efficiency of the tool, the results were compared with routine practice to ascertain the value, if any, of incorporating VA into the diagnostic practices of physician in Shanghai certifying the cause of home deaths. Methods This pilot study selected home deaths certified by 16 community health centers from 3 districts represent urban, suburb, and urban-suburb areas in Shanghai, from December 2017 to June 2018. The medical records for all deaths for which a VA was carried out in these 3 districts during same period were carefully evaluated an independent Medical Record Review (MRR) team. Causes of death from both the SmartVA sample and the UCOD from the MRR were transformed to the SmartVA cause list for comparison. The concordance between the initial diagnosis and MRR UCOD and post-VA diagnosis and MRR UCOD was assessed using Chance Corrected Concordance. Results Overall CSMF accuracy improved from 0.93, based on the initial diagnosis, to 0.96 after the application of SmartVA. The misclassification of the initial diagnosis compared to that from the MRR. 86.3% of the initial diagnoses assigned the correct CODs, after the VA investigation, 90.5% of the post-VA diagnosis assigned the correct CODs. Conclusions Although Shanghai has an established and well-functioning CRVS system, SmartVA for Physicians contributed to an improvement in the accuracy of death certification. In addition, SmartVA may be a useful tool for inferring some special causes of death, such as those CODs classified as undetermined.

scholarly journals Analisis Faktor Predisposing Terhadap Pemanfaatan Posyandu Balita di Wilayah Kerja Puskesmas Tegal Binangun Kota Palembang

2021 ◽  
pp. 181-190
Author(s):  
Citrasari Syarkowi ◽  
Misnaniarti Misnaniarti ◽  
M. Zulkarnain
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Health Center ◽  
Maternal Employment ◽  
Employment Status ◽  
Knowledge Level ◽  
Children Under Five ◽  
Public Health Center ◽  
Under Five ◽  
Level Variable

Background: The proportion of Posyandu utilization by infants decreases with age of the child. Tegal Binangun Puskesmas has the lowest coverage of posyandu visits (D / S), amounting to 66.30% of 41 puskesmas in Palembang..Methods: An analytical research was conducted with cross sectional design in December 2019 - February 2020. The population of the study was 1,909 children under five years old in the working area of Tegal Binangun Public Health Center in Palembang. The research sample was mothers of toddlers 12 - 59 months in the working area of the Tegal Binangun Public Health Center in Palembang. 189 samples were selected by proportional random sampling. Data collection instruments are data collection papers that contain research variables. Data is taken from questionnaires about respondents' predisposing factors and direct observation of posyandu register books and KIA books. Data were analyzed using chi-square and logistic regression.Result: 153 respondents (81%) with low use of posyandu (0 - 7 times). Statistical tests showed that the age variable <30 years (p = 001. PR = 3,464), variable number of children under five (p = 0.041, PR = 3.509), under five age variables (p = 0.029, PR = 2.806), mother employment status variable ( p = 0.030, PR = 4.675), the mother's last education variable (p = 0.033, PR = 2,421), the mother's knowledge level variable (p = 0,000, PR = 9,100), and the mother's attitude variable (p = 0.005, PR = 3,077) . The knowledge level variable is the most dominant variable influencing the use of posyandu by toddlers aged 12-59 months. The researcher suggests that increasing the participation of all sectors in optimizing the implementation of posyandu.Conclusion : There is a relationship between maternal age, number of toddlers, toddler age, maternal employment status, last education, mother's level of knowledge and mother's attitude towards the use of posyandu

scholarly journals Availability and Utilization of WHO Lifesaving Medicines for Children under Five in Public Health Facilities of the Jimma Zone, South West Ethiopia: A Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Tidenek Mulugeta Tujo ◽  
Tadesse Gudeta Gurmu
Keyword(s):  
Public Health ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The Past ◽  
Jimma Zone ◽  
Almost All ◽  
Medicines For Children

Background. The increased morbidity and mortality rates in children under five in developing countries are mostly attributed to poor availability and failure of prescribing lifesaving medicines. This study was aimed at evaluating the availability and utilization of the WHO-recommended priority lifesaving medicines for children under five in public health facilities. Method. A cross-sectional survey complemented with a qualitative method was conducted in 14 health centers and four hospitals in the Jimma Zone, Ethiopia. In the facilities, we assessed the availability within the last half year and on the day of the visit. Utilization of the medicines was assessed through a review of patient records of the last one year. Twelve in-depth interviews were carried out to collect the qualitative data, and the analysis was executed using thematic analysis. Results. For treatment of pneumonia, amoxicillin dispersible tablets and gentamycin injection were available in 94.4% of the facilities. For treatment of malaria, artemether/lumefantrine was available in 61.1% of the facilities. For pain management, paracetamol tablets were available in 94.4% of the facilities. AZT+3TC+NEV for HIV/AIDS management was available in all facilities. At least one essential medicine was out of stock in the past six months with the average duration of 33.6 days in health centers and 28.25 days in hospitals. Oral rehydration salt and zinc (84.7%) and AZT+3TC+NEV (100%) had better utilization. However, for almost all cases, other nonpriority medicines were highly prescribed. Lack of administrative commitment, supply of near expiry products, complexity of diseases, and lack of customized child formulations were among the challenges of availability and utilization of those medicines. Conclusions. The overall availability of lifesaving medicines on the day of the visit was fairly good but with poor utilization in almost all facilities. Some products were not available for considerable length of time in the past six months.

scholarly journals Linking mortuary data improves vital statistics on cause of death of children under five years in the Western Cape Province of South Africa

2015 ◽  
Vol 21 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Pam Groenewald ◽  
Debbie Bradshaw ◽  
Ian Neethling ◽  
Lorna J. Martin ◽  
Johan Dempers ◽  
...  
Keyword(s):  
South Africa ◽  
Cause Of Death ◽  
Vital Statistics ◽  
Western Cape ◽  
Western Cape Province ◽  
Children Under Five ◽  
Under Five
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