Pattern of Morbidities in Under Five Children and Health Seeking Behaviour of their Parents

Anne, Rownok Azad; Akhter, Neelima; Shapla, Nahid Reaz; Jesmin, Eva; Begum, Nazma

doi:10.3329/jafmc.v11i1.30674

Cited by 4 publications

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“…A study suggests that more than 20 percent of under-five children were suffering from cold and fever and 16.69 percent were sufferings from diarrhea in Bangladesh [ 19 ]. Childhood fever is also the most common clinical symptom found in children under 5 years of age and treated as a measure of the public health burden of the disease [ 20 , 21 ], and in low- and middle-income countries (LMICs), viral infections are the most common cause of fever in children under the age of five [ 22 – 24 ].…”

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confidence: 99%

Prevalence and determinants of fever, ARI and diarrhea among children aged 6–59 months in Bangladesh

Rahman

2022

BMC Pediatr

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Background Although efforts have been made by the international community to improve childhood health, risk factors linked with the healthiness of preschool-age children in low and middle-income countries (LMICs) are very diverse. Therefore, this paper examines the prevalence and determinants of fever, acute respiratory infection and diarrhea of preschool children in Bangladesh. Methods A sample of 8,421 children from the latest country representative BDHS-2017–18 survey was analyzed by utilizing both the bivariate and multivariate techniques. Results The results revealed that about 4.7, 33.1, and 35.8% of the children aged under 5 years had suffered from diarrhea, fever and ARI respectively during the 2 weeks preceding the date of the survey. Demographic, socio-economic, and community and health characteristics likely to play an important role in suffering under-five children from diarrhea, fever, and ARI in Bangladesh. The child’s age of 13–24 months, delivery by cesarean section, unsafe drinking water, unhygienic toilet facility, low level of family wealth index and parental education, a higher number of living children in the household, rural residency and regional difference were all found to be most crucial determinants of the occurrences of fever, ARI and diarrhea. Conclusion Interventions should focus on improving these significant demographic, socioeconomic, and community and health risk factors. A special attention is necessary to the people who live in rural areas and geospatially disadvantaged regions.

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Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of fever, ARI and diarrhea among children aged 6–59 months in Bangladesh

Rahman

2022

BMC Pediatr

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Determining the risk factors of under-five morbidity in Bangladesh: a Bayesian logistic regression approach

Hossain,

Islam,

Saleheen

et al. 2023

Discov Soc Sci Health

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Purpose Child morbidity prevents Bangladesh from reaching the target for the Sustainable Development Goals (target 3.2) despite the country’s success in reducing child mortality rates. As a result, it's crucial to consider a child's health-related issues. Therefore, this study aims to explore the prevalence and factors associated with under-five child morbidity in Bangladesh. Methods The Bangladesh Demographic and Health Survey, 2017–2018, a secondary cross-sectional survey data, was used in this study, which collected information using a two-stage systematic sampling design. After association test, Bayesian estimation of binary logistic regression model was used to identify the significant risk factors of morbidity among under-five children, and a trace plot was used to try to figure out the convergence of simulation. Results According to the prevalence analysis of this study, it can be noted that more than one-thirds of under-five children in Bangladesh suffered from at least one of the child health-related problems, and of these, the highest prevalence of child morbidity was found in the Barisal division of Bangladesh (~ 42%). According to the Bayesian logistic regression results, higher child age and maternal education are associated with a potential decrease in the risk of child morbidity in Bangladesh. Again, male children had a 7% higher risk of morbidity than female children. Another finding was that underweight children suffered 31% more fever/diarrhea/ acute respiratory infection (ARI) related problems than others. Conclusions According to this study’s findings, child morbidity is still a significant issue in Bangladesh. Therefore, progress on risk factors, such as maternal education, child nutrition, etc., should be the focus of policymakers' intervention.

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Application of a count regression model to identify the risk factors of under-five child morbidity in Bangladesh

Hossain,

Rouf,

Rukon

et al. 2023

International Health

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Background Bangladesh has seen a significant decline in child mortality in recent decades, but morbidity among children <5 y of age remains high. The aim of this analysis was to examine trends and identify risk factors related to child morbidity in Bangladesh. Methods This analysis is based on data from four successive cross-sectional Bangladesh Demographic and Health Surveys for the years 2007, 2011, 2014 and 2017–18. Several count regression models were fitted and the best model was used to identify risk factors associated with morbidity in children <5 y of age. Results According to the results of the trend analysis, the prevalence of non-symptomatic children increased and the prevalence of fever, diarrhoea and acute respiratory infections (ARIs) decreased over the years. The Vuong's non-nested test indicated that Poisson regression could be used as the best model. From the results of the Poisson regression model, child age, sex, underweight, wasted, stunting, maternal education, wealth status, religion and region were the important determinants associated with the risk of child morbidity. The risk was considerably higher among women with a primary education compared with women with a secondary or greater education in Bangladesh. Conclusions This analysis concluded that child morbidity is still a major public health problem for Bangladesh. Thus it is important to take the necessary measures to reduce child morbidity (particularly fever, diarrhoea and ARI) by improving significant influencing factors.

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Pattern of Morbidities in Under Five Children and Health Seeking Behaviour of their Parents

Cited by 4 publications

References 0 publications

Prevalence and determinants of fever, ARI and diarrhea among children aged 6–59 months in Bangladesh

Prevalence and determinants of fever, ARI and diarrhea among children aged 6–59 months in Bangladesh

Determining the risk factors of under-five morbidity in Bangladesh: a Bayesian logistic regression approach

Application of a count regression model to identify the risk factors of under-five child morbidity in Bangladesh

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