Christina Mbongueh Mohnchimbare, Nicholas Tendongfor, Carine Ndum Asu, Loe Gisèle Etame, Nguedia Assob, Clement Jules
{"title":"Unintended pregnancy and sexually transmissible infections amongst adolescents and young adults in Douala IV municipality, Cameroon: Prevalence, knowledge, and associated factors","authors":"Christina Mbongueh Mohnchimbare, Nicholas Tendongfor, Carine Ndum Asu, Loe Gisèle Etame, Nguedia Assob, Clement Jules","doi":"10.5897/jphe2023.1466","DOIUrl":"https://doi.org/10.5897/jphe2023.1466","url":null,"abstract":"Adolescent pregnancy remains a significant public health challenge especially in sub-Saharan Africa, with a resultant significant morbidity and mortality. The aim of this study was to determine the prevalence and knowledge of unintended pregnancy and sexually transmitted infections (STIs) amongst adolescents and young adults in the Douala IV municipality. A school-based cross-sectional study was carried out in the Douala IV municipality from January to February 2023. A questionnaire was used to collect data on the prevalence, knowledge of unintended pregnancy and STIs from adolescents and young adults from 10 secondary schools. A logistic regression was used to determine factors independently associated to the prevalence and knowledge of unintended pregnancy and STIs. The data was analysed in SPSS version 25. Of the 42 (6%) females that had been pregnant, 30 (76.9%) were unintended. The knowledge of unintended pregnancy was poor (65%). Factors independently associated with good knowledge of unintended pregnancy were the class, age, type of school, and sex. The prevalence of STI among students was 22%. The knowledge of STIs was poor (52%) with 22% reporting a past experience of STIs. Factors independently associated with the prevalence of STIs were language and being sexually active. Good knowledge of STIs was associated with the class, age, school type, and sex. The prevalence of unintended pregnancy among adolescent and young adults was high. The knowledge of adolescents and young adults on unintended pregnancy and STIs was poor. The class, gender, language, school type, and age were factors associated with the prevalence and knowledge of unintended pregnancy and STIs.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"176 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kalthan E., D. Koyazengbe T., M. Pamatika C., Ngoagouni C., O. Kpahina A., D. Boyo J., Grewa G., Vogbia Dalingat Z., E. Moussa Yagata F., B. Rawago D.
{"title":"Epidemiological, entomological and evolutionary aspects of confirmed yellow fever cases from 2021 to 2022 in CAR","authors":"Kalthan E., D. Koyazengbe T., M. Pamatika C., Ngoagouni C., O. Kpahina A., D. Boyo J., Grewa G., Vogbia Dalingat Z., E. Moussa Yagata F., B. Rawago D.","doi":"10.5897/jphe2023.1454","DOIUrl":"https://doi.org/10.5897/jphe2023.1454","url":null,"abstract":"Ten countries in the African region, including the Central African Republic (CAR), were in epidemics. The objective of this study was to describe the epidemiological, entomological and evolutionary aspects of the yellow fever epidemic in CAR. This is a retrospective study for descriptive purposes. The survey population consists of confirmed yellow fever cases from 2021 to 2022 in CAR. The data came from the basics of epidemiological surveillance, epidemiological and entomological investigations. The data was entered by word 2013 and analyzed by Excel 2013 and Epi Info 7. During the reporting period, 533 suspected cases of yellow fever were reported. Ten confirmed patients and 18 asymptomatic contacts (64%) were included in this study. The case fatality rate was 30%. The symptoms observed in the patients were jaundice (80%) and haemorrhages (10%). Farmers were affected in 61% of cases. The species Aedes aegypti and Aedes vittatus, known in yellow fever transmission, have been found among mosquitoes caught in epidemic districts. Yellow fever is still a public health problem in CAR. Its variable clinical form (symptomatic and asymptomatic) must attract the attention of epidemiological surveillance actors to double their vigilance. Key works: Yellow fever, investigation, confirmed case, outbreak, CAR.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"14 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Okoh Elizabeth, D. Solomon Mariam, H. Kiri Jaryum, D. Dabak Jonathan, Y. Gazuwa Samuel, G. Mafulul Simon, I. Daspan Raymond, S. Laka Isaac, Oche Jane-Rose, S. Wuti Isa
{"title":"Prevalence of occupational disorders in low socio-economic manual stone crushers and healthcare seeking behaviour among quarry workers in North-Central Nigeria","authors":"O. Okoh Elizabeth, D. Solomon Mariam, H. Kiri Jaryum, D. Dabak Jonathan, Y. Gazuwa Samuel, G. Mafulul Simon, I. Daspan Raymond, S. Laka Isaac, Oche Jane-Rose, S. Wuti Isa","doi":"10.5897/jphe2023.1447","DOIUrl":"https://doi.org/10.5897/jphe2023.1447","url":null,"abstract":"Manual stone crushing is an established small-scale industry in Northern Nigeria with workers exposed to several hazards that place them at high risk of several medical conditions. The study aimed to describe health-related conditions of manual stone crushers in North Central Nigeria through a cross-sectional study. Workers were selected using a multistage sampling technique with 151 participants. Information on demographic and work-related profiles was obtained and analyzed using SPPS-23. Male participants were 63.6% while females were 36.4%. The mean age of respondents was 34.2 ± 13.9 years. Children workers made up 12% of the population. All respondents (100%) had experienced at least one work-related health condition; mostly respiratory (51.0%), musculoskeletal (44.4%), and cutaneous (43.7%) systems. Common health complaints included headaches (62.3%), cough (54.3%), back pain (51.0%), and chest pain (50.3%). Longer working hours was associated with multiple system affectation (p=0.030). Over half of the respondents accessed public/private hospitals for health aid, while about 10% engaged in self-medication or traditional treatment. Manual stone crushers in Northcentral Nigeria are exposed to hazards that place them at high health risk conditions that affect their body systems. Manual stone crushing needs more organization to increase attention with regards to healthcare in terms of personal protection and management of health conditions. Key words: Health conditions, quarrying industry, cross-sectional study, labour-intensive job, health-seeking behavior, North-Central Nigeria.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136278835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarannum Noshin, M. Shafiqur Rahman F., Hossain M. Mehnaz, Tasnim T. Fahariaz, Islam Shaila, Afrin Nabila, Tabassum Noshin, Abu K. S. Mohammed
{"title":"Study of risk factors in adolescence in terms of demographic changes","authors":"Tarannum Noshin, M. Shafiqur Rahman F., Hossain M. Mehnaz, Tasnim T. Fahariaz, Islam Shaila, Afrin Nabila, Tabassum Noshin, Abu K. S. Mohammed","doi":"10.5897/jphe2023.1458","DOIUrl":"https://doi.org/10.5897/jphe2023.1458","url":null,"abstract":"Adolescence is addressed as a life phase where the prospects for health are tremendous and future patterns of adult health are confirmed. Health in youth is the consequence of communications between prenatal and early childhood development and the precise biological, social-role, and demographical changes that accompany puberty, molded by social determinants, risk, and protective factors that affect the uptake of health-related attitudes. The model of adolescence is speedily changing; the average age of onset of adolescence is declining, and the age at which mature social roles are achieved is rising. In this work, several adolescent risk factors have been studied. Statistical data on the preference for drug consumption among adolescents was collected. Surveys were conducted, and data were gathered from ten different regions covering the world's entire demography. The health problems because of drug consumption and the consequences of drug abuse among adolescents were analyzed. The reasons for drug abuse and adolescents' age groups were statistically analyzed. A statistical report establishes the relationship among drug preference, health problems, and crime rates and demonstrates a way to reduce adolescent drug abuse and risk behavior. The report can demonstrate how demographic changes vary the risk factors, abnormal behaviors, and adolescent health problems. Details of the study will provide more information. Key words: Life, attitudes, social, report, behaviors, statistical.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136278832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diendere Jeoffray, Kabore Jean, Nawidimbasba Zeba Augustin, Kofi Bosu William, Winbetourefa Some Jerome, Garanet Franck, Victor Ouedraogo Pingdewende, Aziz Savadogo Abdoul, Millogo Athanase
{"title":"Modifiable lifestyle factors and their relationships with metabolic disorders among adults in Burkina Faso: Findings from the First National Survey","authors":"Diendere Jeoffray, Kabore Jean, Nawidimbasba Zeba Augustin, Kofi Bosu William, Winbetourefa Some Jerome, Garanet Franck, Victor Ouedraogo Pingdewende, Aziz Savadogo Abdoul, Millogo Athanase","doi":"10.5897/jphe2022.1429","DOIUrl":"https://doi.org/10.5897/jphe2022.1429","url":null,"abstract":"Modifiable lifestyle factors should primarily be targeted for the cardiovascular diseases’ prevention. This study aimed to report the magnitude of modifiable lifestyle factors, their relationships with metabolic disorders in Burkinabè adults using nationally representative data. This cross-sectional study included 4100 adults selected through multistage cluster sampling performed during the first national survey conducted in Burkina Faso. The modifiable factors considered were tooth cleaning, fruit and/or vegetable (FV) intake, substances’ use, physical activity and overweight/obesity, while metabolic syndrome abnormal components defined metabolic disorders. We performed logistic regressions. 31.1% cleaned the teeth at least twice a day, 4.9% consumed five or more FV, 39.7% used alcohol and/or tobacco, the prevalence of physical inactivity and overweight/obesity was, respectively 6.6 and 17.7%. About 41.0% had at least two metabolic disorders and 9.5% had at least three. Lifestyle factors associated with having at least two metabolic disorders were overweight/obesity, more FV intake (when five or more aOR=1.7, p<0.001), physical inactivity (aOR=1.3, p<0.05), and tooth cleaning (aOR=0.8, p<0.01). The same trend of relationships was observed with having at least three metabolic disorders. Excluding overweight/obesity and physical inactivity, unhealthy modifiable lifestyle factors were common and tooth cleaning was found as a protective practice for metabolic disorders. Key words: Modifiable lifestyle factors, metabolic disorders, prevalence, relationships, Burkina Faso.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135264453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vinoj H Sewberath Misser, Arti Shankar, Ashna Hindori-Mohangoo, Jeffrey Wickliffe, Maureen Lichtveld, Dennis R A Mans
{"title":"The distribution of disease in the Republic of Suriname - A pharmacoepidemiological analysis using the claims database of the State Health Foundation of the year 2017.","authors":"Vinoj H Sewberath Misser, Arti Shankar, Ashna Hindori-Mohangoo, Jeffrey Wickliffe, Maureen Lichtveld, Dennis R A Mans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patterns of prescription drug use in Suriname in the year 2017 have been determined with the purpose of obtaining indications about the distribution of disease in the country. The claims database of the State Health Foundation (Staatsziekenfonds, SZF) of Suriname was used for calculations of prescription rates of the fifty most prescribed drugs overall and after stratification according to gender, age, and residence of the insured persons. Information in the database had been de-identified, and the prescribed medicines had been coded according to the Anatomic Therapeutic Chemical Classification System. Statistically significant differences among the prescription rates were assessed with the two samples test of proportions using normal theory method and χ<sup>2</sup> Goodness of Fit tests (p < 0.05). Additionally, the Bonferroni adjustment was used to adjust for type 1 error inflation resulting from multiple comparisons. Overall, drugs for the cardiovascular, respiratory, and musculo-skeletal systems had the highest prescription rates (p < 0.001). Furthermore, rates were generally higher in females than in males, in the older age groups than in younger individuals, and in the coastal regions compared to the country's interior (p < 0.001). These findings are largely in line with data found in the literature and support the use of this pharmacoepidemiological approach to assess the distribution of disease in Suriname.</p>","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"13 4","pages":"272-281"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682966/pdf/nihms-1762635.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39601163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Bosco Alege, Russall Okudra Jurua, Judith Drazidio
{"title":"Prevalence of tobacco use and associated risk factors among pregnant women in Maracha District, Uganda.","authors":"John Bosco Alege, Russall Okudra Jurua, Judith Drazidio","doi":"10.5897/jphe2020.1276","DOIUrl":"10.5897/jphe2020.1276","url":null,"abstract":"<p><p>Globally, tobacco use has become the largest public health threat that kills around 7 million people annually, of which about 6 million deaths are due to direct tobacco use, and 890,000 are attributed to passive smoking. This study assessed prevalence and associated risk factors of tobacco use among pregnant women, 15 to 49 years. Health facility-based analytical cross-sectional study was conducted among 199 pregnant women using purposive sampling technique and convenient sampling technique for the respondents. Chi-square test and binary logistic regression were used to compare quantitative data at a 95% CI. Prevalence of tobacco use among respondents was 39.2%. The results gives those who starting to smoke at more than 30 years (p≤0.001), agreeing that smoking makes pregnant women feel they have total control over their health and life (p≤0.008); the likelihood of tobacco use reduced among pregnant women aged 20-29 years (p≤0.032), those disagreeing that tobacco use as a sign of maturity (p≤0.003) and disagreeing that smoking can help calm nerves, control moods, and alleviates stress (p≤0.002). However, cultural factors that reduced the chances of smoking in pregnancy include smoking more than five times a day (p≤0.01) and smoking cigarettes (p≤0.017), were statistically associated with smoking. High prevalence of tobacco use among pregnant women in Kijomoro and Eliofe health center III was recorded. Thus, there is need to sensitize pregnant women about tobacco-related health problems on them and their unborn children.</p>","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"13 2","pages":"64-73"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Client Satisfaction with Quality of Health Care in a Rural area in Southern India.","authors":"Enakshi Ganguly, Pawan Kumar Sharma","doi":"10.5897/JPHE2014.0625","DOIUrl":"10.5897/JPHE2014.0625","url":null,"abstract":"Background Client satisfaction is an important method to assess the pattern of utilization of health care services amongst all sectors indirectly reflecting on the quality of services. Most of the clients prefer private over government services due to multiple reasons. Aim To assess the level of satisfaction of patients attending rural government and private health facilities in rural Andhra Pradesh. Methods Ten villages were randomly selected from the field practice area of a teaching medical institution, and all patients who visited any facility during the past three months were interviewed using a semi-structured questionnaire focusing on access to care, competence of the providers, quality and cost of the services and overall satisfaction with the services. Data was analysed using Microsoft Access software. Results One hundred and eight clients who visited different facilities for common ailments, chronic diseases, maternal and child health services were interviewed. The average time to reach the facility was 52.23 ± 44.52 minutes. The average waiting time was 34.25 ± 42.47 minutes. More than 80% were satisfied with the clinic hours, cleanliness and comfort of the facility, and privacy maintained during examinations. 40% were satisfied with the cost of services. Conclusion The client satisfaction with different health care providers in rural areas of Andhra Pradesh is high. Clients expect the quality of services to be better; nevertheless they continue to use the available services without complaining much.","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"6 8","pages":"239-245"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5897/JPHE2014.0625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jason Tran, Somrat Lertmaharit, Vitool Lohsoonthorn, Wipawan C Pensuksan, Thanapoom Rattananupong, Mahlet G Tadesse, Bizu Gelaye, Michelle A Williams
{"title":"Daytime Sleepiness, Circadian Preference, Caffeine Consumption and Use of Other Stimulants among Thai College Students.","authors":"Jason Tran, Somrat Lertmaharit, Vitool Lohsoonthorn, Wipawan C Pensuksan, Thanapoom Rattananupong, Mahlet G Tadesse, Bizu Gelaye, Michelle A Williams","doi":"10.5897/JPHE2014.0620","DOIUrl":"https://doi.org/10.5897/JPHE2014.0620","url":null,"abstract":"<p><p>We conducted this study to evaluate the prevalence of daytime sleepiness and evening chronotype, and to assess the extent to which both are associated with the use of caffeinated stimulants among 3,000 Thai college students. Demographic and behavioral characteristics were collected using a self-administered questionnaire. The Epworth Sleepiness Scale and the Horne and Ostberg Morningness-Eveningness Questionnaire were used to evaluate prevalence of daytime sleepiness and circadian preference. Multivariable logistic regression models were used to evaluate the association between sleep disorders and consumption of caffeinated beverages. Overall, the prevalence of daytime sleepiness was 27.9 % (95% CI: 26.2-29.5%) while the prevalence of evening chronotype was 13% (95% CI: 11.8-14.2%). Students who use energy drinks were more likely to be evening types. For instance, the use of M100/M150 energy drinks was associated with a more than 3-fold increased odds of evening chronotype (OR 3.50; 95% CI 1.90-6.44), while Red Bull users were more than twice as likely to have evening chronotype (OR 2.39; 95% CI 1.02-5.58). Additionally, those who consumed any energy drinks were more likely to be daytime sleepers. For example, Red Bull (OR 1.72; 95% CI 1.08-2.75) or M100/M150 (OR 1.52; 95% CI 1.10-2.11) consumption was associated with increased odds of daytime sleepiness. Our findings emphasize the importance of implementing educational and prevention programs targeted toward improving sleep hygiene and reducing the consumption of energy drinks among young adults.</p>","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"8 6","pages":"202-210"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5897/JPHE2014.0620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32781619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roselyne Akugizibwe, Josephine Kasolo, Duncan B Makubuya, Ali M Damani
{"title":"Missed opportunities in the diagnosis and management of protein energy malnutrition among children under 5 years in Wakiso district, Uganda.","authors":"Roselyne Akugizibwe, Josephine Kasolo, Duncan B Makubuya, Ali M Damani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Protein energy malnutrition (PEM) is one of the leading causes of death among children below 5 years in Uganda. It develops after acute childhood illnesses despite children having received treatment from health facilities. This study assessed knowledge and practices of health workers in the diagnosis and management of PEM, which was used to establish missed opportunities to prevent severe acute malnutrition (SAM) in its management. This was a cross sectional descriptive study that used questionnaires and observation of health workers at Health Center IV (HCIV) in Wakiso district, Uganda. The clinical nutrition diagnosis of the children was then obtained. There were 44 health workers that assessed 225 children. Most of the health workers 32 (72.7%) had education in PEM management and over 60% of them knew the forms of PEM, clinical signs of kwashiorkor and marasmus and the factors that predispose to PEM. Health workers did not weigh 56 (24.9%) of the children, 193 (86%) children had no height taken and only 32 (14.2%) had mid upper arm circumference measured. The weight for height of 223 (99.2%) and weight for age of 109 (93%) children was not calculated. Only 38 (16.89%) were examined for edema and 40 (17.78%) for muscle wasting. Health workers diagnosed only 21 (9%) children with malnutrition, while researchers found 94 (31.9%) with malnutrition. Children who missed opportunity to have malnutrition diagnosed at the health facility were 73 (32.9%). The knowledge of health workers on PEM is adequate, but their practice is inadequate. There is missed opportunity to diagnose and manage PEM among children who present with acute illnesses at the health centers, hence missed opportunity to prevent SAM.</p>","PeriodicalId":16885,"journal":{"name":"Journal of public health and epidemiology","volume":"5 11","pages":"463-470"},"PeriodicalIF":0.0,"publicationDate":"2013-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096943/pdf/nihms565003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32513930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}