Determinants and Spatial Modeling of Acute Respiratory Infections (ARI) Among Children Less Than Five Years in Kenya

Muthoni, Kinyua Ann

doi:10.11648/j.ajtas.20170602.18

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Another unexpected finding of this study was that, with an increase in the number of household members, the chances of having ARI among children decreased, contradicting the finding of a study in Kenya and one in Copenhagen, Denmark (Von Linstow et al, 2008;Muthoni, 2017). This might be caused by children in Afghanistan getting more attention and care from household members.…”

Section: Discussioncontrasting

confidence: 85%

Do fuel type and place of cooking matter for acute respiratory infection among Afghan children? Evidence from the Afghanistan DHS 2015

Rasooly

Barua

2019

J. Biosoc. Sci.

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In Afghanistan, acute respiratory infection (ARI) is a leading cause of under-five mortality. Previous studies on the effects of cooking fuel on ARI have only looked at the types of cooking fuel, and not the effects of the location of the cooking place. The present study aimed to assess the effects of fuel type and place of cooking on the prevalence of ARI among under-five children in Afghanistan. Descriptive statistics and multilevel logistic regression analysis were performed for 31,063 children using data from the first round of the Afghanistan Demographic and Health Survey conducted in 2015. Overall, 13% of the children suffered from ARI symptoms in the 2 weeks before the survey, but this varied widely across the country. The multilevel analysis showed that, compared with households using clean cooking fuel in a separate building or outside, households using clean cooking fuel within the house and without a separate kitchen had a 32% lower risk [95% confidence interval (CI)=0.51–0.91] of having under-five children with ARI, and those using clean fuel in a separate kitchen in the house had a 17% lower risk (95% CI=0.67–1.03). On the other hand, households using polluting cooking fuel in the house without a kitchen had a 14% (95% CI=0.91–1.44) higher risk of having under-five children with ARI, and those using polluting cooking fuel in the house with a separate kitchen had a 5% (95% CI=0.85–1.30) higher risk, after adjusting for other covariates. The findings indicate that type of cooking fuel is not the only issue affecting ARI in children. Place of cooking (in a house with or without a separate kitchen versus outside) also affects the risk of ARI among under-five children. The study also found that mother’s education and occupational status, community poverty and ethnicity are other important factors affecting the prevalence of ARI in under-five children in Afghanistan.

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Section: Discussioncontrasting

confidence: 85%

Do fuel type and place of cooking matter for acute respiratory infection among Afghan children? Evidence from the Afghanistan DHS 2015

Rasooly

Barua

2019

J. Biosoc. Sci.

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“…This study reported a prevalence of 59.2%. In agreement with this finding, Muthoni & Ngesa [9], reported an estimated ARI prevalence of 55-60 % for Kwale County from models based on national health and demographic survey data. Additionally, a high individual risk of infection by various respiratory viruses, up to 93.4% was reported in a large household survey in rural North Coast with similar settings [23], suggesting a high likelihood of occurrence of ARIs along the larger coastal region.…”

Section: Discussionsupporting

confidence: 64%

“…Over half of all diagnosis among children presenting with ARI symptoms are usually due to acute upper respiratory tract infections [6,7]. A child can experience up to eight episodes of ARIs of varying severity in a year [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Occurrence of Acute Respiratory Tract Infections among Children Under Five Years Attending Kinango Sub-County Hospital, Kenya

Muriithi¹,

Karanja²,

Karama³

et al. 2021

austinjpublichealthepidemiol

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Objective: To examine occurrence of Acute Respiratory tract Infections (ARIs) and determine factors associated with ARIs among children under five years attending Kinango Sub-County Hospital. Methods: A cross-sectional survey was conducted among mother-child aged between 0-59 month’s pairs attending outpatient care. Participants were recruited using systematic sampling method. Data was collected using an interviewer-administered structured questionnaire. Descriptive statistics were used to summarize child, parental and environmental characteristics. Factors associated with ARIs were established using binary logistic regression analysis. Odds Ratio (OR), at 95% Confidence Interval (CI) and p <0.05 significant level was used to describe an association between covariates and the outcome variable. Independent factors associated with occurrence of ARIS were determined by stepwise logistic regression. Results: 385 children participated in this study. 228 children (59.2%) presented with ARIs, of which 90.8% were due to acute upper respiratory tract infections. 9.2% of the cases were due to pneumonia. Female gender aOR 3.39 [1.21-9.46], stunting aOR 3.62 [1.04-12.61], high parity aOR 11.45 [2.38-55.09], low maternal education aOR 3.54 [1.10-11.32] and recent hospitalization aOR 8.19 [1.75-38.43] increased the odds of occurrence of an ARI while normal birth weight aOR0.06 [0.01-0.62] was protective of ARIs. Conclusion: A high prevalence of ARIs among children aged below five years was observed in this study, associated with gender, stunting, parity, maternal education, birth weight and recurring hospitalization. Improvements in literacy levels, child nutrition and maternal and child health at large could help to reduce morbidity due to ARIs in this population.

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Breathing in danger: unveiling cooking fuel transitions in India and alarming effect of household air pollution on under-five children’s health

Bajpayee,

Mohanty,

Yadav

2024

J. Biosoc. Sci.

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Air pollution in households is a prime contributor to health issues in developing countries, as in the case of India. According to the latest National Family Health Survey Report 2022, more than half of India’s rural population and 41 per cent overall still depend on solid or unclean fuel combustions, which may reflect in future health hazards. Thus, it is crucial to understand the issue empirically. To that end, the study traces the transitional pattern of unclean cooking fuel users towards clean fuel over the last 30 years using responses from all five National Family Health Survey rounds. Further, the study uses an adjusted probit model to analyse the determinants that lead to the choice of cooking fuel in a household and a logistic model to examine the association between the choice made and the respiratory health of children under five. The empirical results show that the number of households using unclean fuel has declined over the years, with a slightly higher decline in the last five years. Moreover, it also shows that poverty status and place of residence significantly influence cooking fuel choice. Additionally, children residing in households that use clean fuels are less likely to suffer respiratory infections. In conclusion, the present study provides strong evidence to ameliorate the existing policies in a way that exhorts clean energy use. The authors propose pro-poor, pro-rural policies to expedite the clean energy transition, benefitting the most vulnerable households.

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Determinants and Spatial Modeling of Acute Respiratory Infections (ARI) Among Children Less Than Five Years in Kenya

Cited by 3 publications

References 10 publications

Do fuel type and place of cooking matter for acute respiratory infection among Afghan children? Evidence from the Afghanistan DHS 2015

Do fuel type and place of cooking matter for acute respiratory infection among Afghan children? Evidence from the Afghanistan DHS 2015

Occurrence of Acute Respiratory Tract Infections among Children Under Five Years Attending Kinango Sub-County Hospital, Kenya

Breathing in danger: unveiling cooking fuel transitions in India and alarming effect of household air pollution on under-five children’s health

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