Diarrhoea management practices and child health outcomes in Nigeria: Sub-national analysis.
Introduction This paper examined the management of diarrhoea at sub-national levels with the aim of providing an analytic view towards linking diarrhoea management to sources of care within the Nigeria context. Methods We used the 2013 NDHS data. Based on the 2004 WHO/UNICEF guidelines, we classifie...
| Publicado en: | Advances in Integrative Medicine Vol. 5; no. 1; pp. 15 - 23 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
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Elsevier B.V.
Apr2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130225293&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130225293 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22129588 GBYI jtl: Advances in Integrative Medicine issn: 22129588 maglogo: N pubinfo: dt: Apr2018 vid: 5 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 130225293 130225293 130225293 10.1016/j.aimed.2017.10.002 130225293 ppf: 15 ppct: 8 formats: tig: atl: Diarrhoea management practices and child health outcomes in Nigeria: Sub-national analysis. aug: au: Akinyemi, Akanni Ibukun Fagbamigbe, Adeniyi F. Omoluabi, Elizabeth Agunbiade, Ojo Melvin Adebayo, Samuel Olanipekun affil: Demography and Social Statistics Department, Obafemi Awolowo University, Ile Ife, Nigeria sug: subj: Diarrhea Therapy Diarrhea Epidemiology Child Health Nigeria Treatment Outcomes Nigeria Child Care Nigeria Descriptive Statistics Chi Square Test Logistic Regression Surveys Sampling Error Prevalence Age Factors Mothers Health Services Accessibility Feces Analysis Defecation Odds Ratio Confidence Intervals Urban Areas World Health Organization United Nations Practice Guidelines Quality of Health Care Parenting Education Infant Maternal Age Data Analysis Software Socioeconomic Factors Educational Status Infant: 1-23 months ab: Introduction This paper examined the management of diarrhoea at sub-national levels with the aim of providing an analytic view towards linking diarrhoea management to sources of care within the Nigeria context. Methods We used the 2013 NDHS data. Based on the 2004 WHO/UNICEF guidelines, we classified the quality of diarrhoea management practice as good, fair or poor. Having ‘Good’ diarrhoea management is our dependent variable. Descriptive statistics, Chi-square statistics, logistic regression models and life table techniques were used to analyse the data. All analyses were carried out using Stata version 13, weighted and adjusted for survey design and sampling errors at 5% significance level. Results The overall prevalence of diarrhoea was 9% with 6% among 0–6 months old children and 16% among those aged 7–23 months. Diarrhoea prevalence was highest in the North-East region of Nigeria (16%). Prevalence was 10% among children whose mothers had no education and 11% among children from the poorest households. Quality of diarrhoea management was significantly associated with child’s age, mother’s age, wealth quintile, place where treatments were taken, health care accessibility, parental education, having blood in stool, quality of water and open defecation. Children who had care from the hospital were over 8 times more likely to experience good diarrhoea management compared with other children who didn’t receive care from hospitals (OR = 8.18, 95% CI: 5.73–11.69). Furthermore, children from urban areas (OR = 2.03, 95% CI: 1.58–2.60) or whose mother reported access to modern health care services (OR = 2.23, 95% CI: 1.72–2.88) were more likely to experience good diarrhoea management. Child survival increased with higher levels of good diarrhoea management. Conclusion In Nigeria, treatment of childhood diarrhoea at home and in the community is not as effective as that obtained from the health facility. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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