Intestinal parasitic infections are the major public health problem globally, mostly in developing countries. World Health Organization recommends deworming to all at-risk people living in endemic areas as a prevention or intervention strategy. Therefore this study aimed to assess the deworming coverage and its predictors among Ethiopian children aged 24-59 months. The study analyzed retrospectively cross-sectional data on a weighted sample of 5,948 children aged 24-59 months nested within 645 clusters after extracting from the Ethiopian Demographic health survey. Bivariable and multivariable logistic regression was employed to assess the association of variables. Predictors at p-value < 0.25 were entered into the multivariable logistic regression model, and statistical significance was declared at P-value < 0.05. In this study, the prevalence of maternal reported deworming supplements among children aged 24-59 months was 15.1%. Predictive variables significantly associated with deworming supplementation include maternal media exposure, maternal control of household healthcare decisions, institutional healthcare delivery, and child vitamin-A supplementation. Having history of a diarrheal disease, maternal and paternal education, and family size were also statistically significant predictors of deworming supplements. Therefore, deworming supplementation among children is low. Maternal education and employment, paternal education, family size, decision-making process, maternal media exposure, place of delivery, vitamin-A supplementation, and a having history of diarrhea were predictors of deworming supplements. Multifaceted interventions aimed at those predictors should be given emphasis.
Acute respiratory tract infections, predominantly bronchopneumonia, are one of the leading causes of infant deaths in developing countries and around the world. This work models the effects of the significant risk factors on infants' bronchopneumonia status and also fits some reduced models and determines the best model with minimum number of parameters. The data for this study consist of a random sample of 433 births to women seen in the obstetrics clinic of two sampled tertiary health institutions in north-central Nigeria. These include University Teaching Hospital (UTH) Abuja, and Federal Medical Center (FMC) Keffi, Nasarawa State. Binary logistic regression was used to identify and model the effects of the various risk factors while stepwise regression technique was used to fit some reduced logistic regression models. Then the best fitting model with minimum number of parameters was identified using likelihood ratio statistic. It was observed that baby's weight at birth, baby's weight four weeks since birth, and mother's occupation have significant effects on infant's bronchopneumonia status. Additionally, among the four fitted reduced models, model4 is the best predictor of infants' bronchopneumonia status, followed by model3 and then model2. Therefore, community service like home visiting for health education, supplementation of vitamin A, etc., would be an advantage if provided for teenaged pregnant women as it would, in turn, reduce incidence of low birth weight and thereby reduce bronchopneumonia infection among these children.
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