Pneumonia among children under five in Uganda: symptom recognition and actions taken by caretakers

Tuhebwe, Doreen; Tumushabe, Elly; Leontsini, Elli; Wanyenze, Rhoda K.

doi:10.4314/ahs.v14i4.31

Cited by 30 publications

(34 citation statements)

References 6 publications

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“…This may be related to the ease of noticing these symptoms in children compared to chest wall indrawing and stridor. The proportion of caregivers who had knowledge of these signs was more than what was observed in a similar study in Uganda [14]. On the other hand, fever, fast breathing, and cough were the most perceived and experienced danger sign among respondents in this study.…”

Section: Discussioncontrasting

confidence: 59%

See 1 more Smart Citation

Danger Signs of Childhood Pneumonia: Caregiver Awareness and Care Seeking Behavior in a Developing Country

Ndu

Ekwochi

Osuorah

et al. 2015

International Journal of Pediatrics

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Background. Efforts to reduce child mortality especially in Africa must as a necessity aim to decrease mortality due to pneumonia. To achieve this, preventive strategies such as expanding vaccination coverage are key. However once a child develops pneumonia prompt treatment which is essential to survival is dependent on mothers and caregiver recognition of the symptoms and danger signs of pneumonia. Methods. This community based cross-sectional study enrolled four hundred and sixty-six caregivers in Enugu state. It aimed to determine knowledge of caregivers about danger signs of pneumonia and the sociodemographic factors that influence knowledge and care seeking behaviour of caregivers. Results. There is poor knowledge of the aetiology and danger signs of pneumonia among caregivers. Higher maternal educational attainment and residence in semiurban area were significantly associated with knowledge of aetiology, danger signs, and vaccination of their children against pneumonia. Fast breathing and difficulty in breathing were the commonest known and experienced WHO recognized danger signs while fever was the commonest perceived danger sign among caregivers. Conclusion. Knowledge of danger signs and health seeking behaviour among caregivers is inadequate. There is need for intensified public and hospital based interventions targeted at mothers to improve their knowledge about pneumonia.

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Section: Discussioncontrasting

confidence: 59%

“…Another study in Uganda corroborated the poor knowledge among caregivers. It was noted in that study that none of the caregivers surveyed was able to mention the four standard danger signs of childhood pneumonia and only 9.4% of the respondents knew that lower chest wall indrawing was a danger sign in childhood pneumonia [14]. …”

Section: Discussionmentioning

confidence: 99%

Danger Signs of Childhood Pneumonia: Caregiver Awareness and Care Seeking Behavior in a Developing Country

Ndu

Ekwochi

Osuorah

et al. 2015

International Journal of Pediatrics

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“…This might be related to the large number of mothers with limited income, low education level and poor knowledge. However, home treatment with antibiotics has been reported in a variety of previous studies (14,20).…”

Section: Discussionmentioning

confidence: 99%

Medical management of pneumonia in children aged under 5 years in Alexandria, Egypt: mothers’ perspective

Fadl

Ashour

Muhammed

2020

East Mediterr Health J.

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Background: Pneumonia is among the top causes of morbidity and mortality among the under-fives worldwide.Objectives: A cross-sectional study was conducted to assess health-seeking behaviour and first medical management of pneumonia among children aged under 5 years in Alexandria, Egypt from the mothers' perspectives.Methods: Using a pre-designed questionnaire, we interviewed 507 mothers of pneumonic children aged under 5 years who had been admitted at 4 governmental children's hospitals. The study was conducted during August-November 2017.Results: We found that 57.2% of children received home treatment before seeking medical advice. Around 26% of mothers waited ≥ 2 days before seeking medical advice; insufficient knowledge about the disease was their main contention (89%). Factors significantly associated with the delay were: rural residence (P = 0.006); low income (P = 0.002); home treatment given before seeking medical advice (P < 0.001) and previous episodes of pneumonia (P = 0.002). Diagnosis of pneumonia had not been made by more than half of the first consulted sources (52.7%).Conclusion: There is an urgent need to improve mothers' knowledge and train physicians for appropriate management of pneumonia in children under 5 years.

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“…In general, pneumonia is an inflammatory condition of the lung parenchyma, affecting the alveoli with the infection of pathogenic microorganisms, immune injury, allergies, drugs or other physical, and chemical factors, which was also one of the leading causes of death among children under 5 years of age . While, the acute infection of the pulmonary parenchyma, developing outside the hospital or diagnosing within 48 hours of admission to the hospital, was credited as community‐acquired pneumonia (CAP), which was common in children .…”

Section: Introductionmentioning

confidence: 99%

Genetic polymorphisms of rs9313422 G>C and rs41297579 G>A at the promoter of TIM‐1 gene contribute to the risk of community‐acquired pneumonia in children

Liu

2019

Clinical Laboratory Analysis

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Objective To investigate the association of genetic polymorphisms of rs9313422 G>C and rs41297579 G>A at the promoter of TIM‐1 gene with the risk of community‐acquired pneumonia (CAP) in children. Methods A total of 112 children with CAP were included as the case group. Another 120 healthy children were enrolled as the control group. Polymerase chain reaction‐restriction fragment length polymorphism (PCR‐RFLP) was applied for the genotyping of rs9313422 G>C and rs41297579 G>A in the promoter region of TIM‐1. Results rs9313422 G>C was related to the risk of CAP in children under codominant model, dominant model, recessive model, and allele model. Besides, the A allele of rs41297579 G>A could increase the risk of CAP in children. Besides, the haplotype GA (rs9313422‐rs41297579) and GG reduced the risk of children CAP, while haplotype CA had an elevated risk. rs9313422 G>C and rs41297579 G>A polymorphisms were both associated with the severity of CAP in children, and the rs9313422 G>C was also related to the ICU admission rate. In addition, patients carried with the mutant homozygotes of rs9313422 G>C and rs41297579 G>A showed higher levels of white blood cell (WBC), procalcitonin (PCT), and C‐reactive protein (CRP) than the wild type and heterozygous genotypes carriers. Conclusion rs9313422 G>C and rs41297579 G>A polymorphisms in the promoter region of TIM‐1 could increase the risk of CAP in children and showed a relation with inflammatory responses and severity.

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Pneumonia among children under five in Uganda: symptom recognition and actions taken by caretakers

Cited by 30 publications

References 6 publications

Danger Signs of Childhood Pneumonia: Caregiver Awareness and Care Seeking Behavior in a Developing Country

Danger Signs of Childhood Pneumonia: Caregiver Awareness and Care Seeking Behavior in a Developing Country

Medical management of pneumonia in children aged under 5 years in Alexandria, Egypt: mothers’ perspective

Genetic polymorphisms of rs9313422 G>C and rs41297579 G>A at the promoter of TIM‐1 gene contribute to the risk of community‐acquired pneumonia in children

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