Morbidity Pattern among Under Five Children in a Selected Upazilla Health Complex

M. Begum, Nazia Elham, S. Riya, Nusrat Shoeb, F. Rahman, A. Nasreen
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Abstract

A descriptive type of cross sectional study was conducted to find out the morbidity pattern of under five children from February to March 2018. Sick child up to 5 years of age attending Sonarganon Upazila Health Complex, Narayangonj were included in this study. Total 250 respondents were selected by purposive sampling method. Data were collected through structured questionnaire by face to face interview and anthropometric measurement by cheklist. Out of 250 respondents, maximum mother 96(38.4%) were in the age group 20-24 year, only 10 (4%) were above 40 years of age. Most of the respondents (94%) were Muslims, one third of them (34%) had non formal education and nearly one third (32%) had completed primary education. About three forth of the respondents (73.6%) were house wives and 40% live in kacha houses. Monthly family incomes 12000TK of the (36.8%) respondent and more than (67%) two third had sanitary latrine. Majority of the children (59.6%) were within the age group of 12 months or less and mean age + SD was 15 + 12.8 months and majority were female child (51.2%). Mean weight + SD and mean height + SD of the children were 7.84 + 2.76 kg and 67.77 cm + 13.5 cm respectively. Among the morbidity it was found that 26.4% were ARI followed by diarrhoea 18.8%, fever 18% pneumonia 13.6%, skin diseases 6.8%, helminthiasis 6.4%, anemia 4.8%, mumps 3.6% and malnutrition 1.6%. Majority of the children (60%) completed immunization. Diarrhoea was found more common among illiterate and non-formal educated mothers (55.58%). Acute respiratory infection (ARI) was more prevalent in children who lived in kacha house. Pneumonia was more common among the children of business women (33.3%). This study reveals the existing morbidity pattern of under 5 children and would be helpful for development of health services of under 5 children. Bangladesh Med J. 2021 January; 50(1) : 33-38
某Upazilla卫生综合中心五岁以下儿童发病模式
采用描述性横断面研究,了解2018年2 - 3月5岁以下儿童的发病模式。在Narayangonj的Sonarganon Upazila保健中心就诊的5岁以下患病儿童被纳入本研究。采用目的抽样法,共抽取250名调查对象。数据收集采用面对面访谈的结构化问卷调查和核对表的人体测量法。在250名调查对象中,年龄在20 ~ 24岁的产妇最多96人(38.4%),40岁以上的产妇只有10人(4%)。大多数受访者(94%)是穆斯林,其中三分之一(34%)接受过非正规教育,近三分之一(32%)完成了初等教育。大约四分之三的受访者(73.6%)是家庭主妇,40%住在克查族的房子里。家庭月收入12000TK的受访者(36.8%)和超过三分之二的受访者(67%)拥有卫生厕所。多数患儿(59.6%)年龄在12个月及以下,平均年龄+ SD为15 + 12.8个月,以女婴为主(51.2%)。儿童平均体重+ SD为7.84 + 2.76 kg,平均身高+ SD为67.77 cm + 13.5 cm。其中,急性呼吸道感染占26.4%,其次为腹泻18.8%、发烧18%、肺炎13.6%、皮肤病6.8%、寄生虫病6.4%、贫血4.8%、腮腺炎3.6%、营养不良1.6%。大多数儿童(60%)完成了免疫接种。腹泻在文盲和非正规教育的母亲中更为常见(55.58%)。急性呼吸道感染(ARI)在居住在kacha房屋的儿童中更为普遍。肺炎在女企业家的子女中更为常见(33.3%)。本研究揭示了我国5岁以下儿童的发病规律,有助于我国5岁以下儿童卫生服务的发展。孟加拉国Med . 2021年1月;50(1): 33-38
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