Yimam, Hamid (2014) Assessment of the Relationship between Under-Nutrition and Malaria in Preschool Children at Bahir Dar Special Zone, Ethiopia: A Comparative Cross-Sectional Study. Masters thesis, Addis Ababa University.
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Abstract
Background: Malaria and under-nutrition are the two major causes of childhood mortality in subSaharan Africa. More than half of child mortality related to major infectious diseases is attributed at least in part to under nutrition. In Ethiopia both under nutrition and malaria are very important public health problem. Although the relationship of malnutrition and respiratory infection, diarrheal diseases is well studied, the relation with malaria is still controversial. The information that obtained in this study will help to develop clear guideline on management of under nutrition and malaria at individual as well as at community level. Objective: To assess the relationship between under- nutrition and malaria in preschool children at Bahir Dar special zone, Ethiopia Methodology: A cross sectional study that compared two groups (with confirmed malaria and without confirmed malaria) was conducted to assess the relationship between malaria and undernutrition at Bahir Dar special zone. A total of 621 Samples was calculated based on sample size calculation for comparative cross sectional study design using EpiInfo Statcalc. Anthropometric measurements and clinical data were recorded by trained clinical nurses and blood film results were taken by laboratory technician in respective health centers. Stunting, wasting, and underweight of children were determined using the International Reference Population defined by the WHO using WHO Anthro software. Data were entered using EpiInfo version 3.5.4 and transformed to SPSS version 21 for cleaning and analysis. Result: The prevalence rates of stunting, underweight and wasting were 50.3%, 34.2% and 12.1% among cases respectively. Stunting (AOR = 1.614; 95%C.I. = 1.192–2.514), underweight (AOR = 1.690; 95%C.I. = 1.112– 2.903) and wasting (AOR = 2.44; 95%C.I. = 1.15–5.20) were significantly associated with confirmed cases of malaria. Other important predictors were place of residence (rural) (AOR = 2.35; 95%C.I. = 1.39 – 3.98), sex (male) (AOR = 1.88; 95%C.I. = 1.19 – 2.98), LLIN use (AOR = 0.20; 95%C.I. = 0.13 – 0.33), IRS (AOR = 0.26; 95%C.I. = 0.15 – 0.43) and educational status of the mother (above grade 12) (AOR = 0.30; 95%C.I. = 0.11 – 0.79). Conclusion and Recommendation: the major contributor factors to malaria were wasting, stunting, underweight, rural residence, male sex, LLIN use, indoor residual spray and low educational status of the mother/caregiver. Therefore, governmental and non-governmental organizations need to consider integration of malaria control program with nutrition intervention.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Jul 2018 10:07 |
| Last Modified: | 02 Jul 2018 10:07 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6403 |
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