{"title":"Investigating Key Determinants of Childhood Diarrheal Incidence among Patients at Hoima Regional Referral Hospital, Western Uganda","authors":"Kateregga Joseph","doi":"10.59298/inosres/2023/1.1.12322","DOIUrl":"https://doi.org/10.59298/inosres/2023/1.1.12322","url":null,"abstract":"This study aimed to analyze the determinants impacting diarrhea incidence among children under five at Hoima Regional Referral Hospital, Western Uganda. Through a cross-sectional investigation, quantitative data was collected via self-administered and investigator-led questionnaires utilizing digital tools such as Google Sheets for both online and offline data collection. From a randomized sample of 323 caregivers selected through convenience sampling, a diarrhea prevalence of 27.3% among children under five was observed at the time of data collection as reported by caregivers. Among the children studied, 136 (43.7%) were male, and 175 (56.3%) were female. The average age of the participants was 2 years with a standard deviation of 1.25 years. The analysis revealed higher rates of diarrhea among children aged 1 and 3 years, constituting 24 (28%) cases in each group, followed by 20 cases (24%) in the 2-year-old group. Additionally, 12 (14%) cases were reported in children aged 6- 11 months, while only 5 (6%) cases were found in 4-year-olds out of the total 85 reported cases of diarrhea. Regarding breastfeeding practices, 11 (3.7%) children were breastfed 1-3 times a day, 77 (26.1%) were breastfed 3-5 times, 150 (50.8%) were breastfed 5-7 times, 34 (11.5%) were breastfed 7-9 times, and 23 (7.8%) were breastfed more than 9 times a day. The introduction of supplementary food varied with 25 (8.0%) initiated at 3-4 months, 80 (25.7%) at 5-6 months, and the majority, 181 (58.2%), introduced to supplementary food after 6 months. The study highlighted maternal occupation influencing weaning practices; 152 (48.9%) of mothers who weaned their children at 2 years were self-employed, followed by 56 (18.0%) engaged in casual labor and 36 (11.6%) in civil service. Merely 6 (1.9%) civil servant mothers, 47 (15.1%) self-employed, and 14 (4.5%) casual laborers practiced weaning at three years of age. The elevated prevalence of diarrhea (27.3%) was associated with factors such as health-seeking behavior, early introduction of supplementary foods, premature weaning, and breastfeeding frequency. Notably, exclusive breastfeeding practices were scarce, with mothers introducing other foods early and weaning their children prematurely. Keywords: Diarrhoea, Children under five, Breastfeeding, Weaning, Supplementary foods.","PeriodicalId":507942,"journal":{"name":"INOSR Experimental Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139358912","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}
{"title":"Determinants of Malnutrition in Children Under Five Years at Soroti Regional Referral Hospital: A Comprehensive Analysis","authors":"Acen Brenda","doi":"10.59298/inosres/2023/5.3.21322","DOIUrl":"https://doi.org/10.59298/inosres/2023/5.3.21322","url":null,"abstract":"This cross-sectional study aimed to examine the factors associated with malnutrition among children under five years attending Soroti Regional Referral Hospital (SRRH). Conducted over six months, anthropometric measurements and caregiver interviews were collected from 204 children aged 3 to 59 months. Z-scores for height-for-age (H/A) and weight-for-height (W/H) indices were employed for analysis, supplemented by qualitative insights from two focus group discussions. Statistical analysis using Epi Data version 3.1, EPI-INFO version 7.0, and SPSS version 25.0 unveiled striking figures: global stunting due to chronic malnutrition stood at 55.4%, with severe stunting reaching 25.8%. Age groups 6-12 months and 13-24 months exhibited higher prevalence of acute malnutrition. Malaria and male gender emerged as significant predictors of acute and chronic malnutrition, respectively. Logistic regression highlighted the age group 3-24 months as a significant risk factor for acute malnutrition, while recent deworming served as a protective factor. This study underscores the alarming prevalence of childhood malnutrition at SRRH, delineating crucial predictors and age-related vulnerabilities demanding targeted interventions. Keywords: Acute malnutrition, Children under five years, Stunting, Chronic malnutrition, Malaria","PeriodicalId":507942,"journal":{"name":"INOSR Experimental Sciences","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139360202","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}