• Title/Summary/Keyword: Under-5 children

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Association between Sociodemographic Factors and Diarrhea in Children Under 5 Years in Rwanda

  • Claudine, Umuhoza;Kim, Ju Yeong;Kim, Eun-Min;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • v.59 no.1
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    • pp.61-65
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    • 2021
  • Diarrheal disease is the second leading cause of mortality and morbidity in children under 5 years old worldwide, and is the most common cause of malnutrition in sub-Saharan Africa. In Rwanda, diarrhea is the third leading cause of death in children under 5 years old. This study examined the association between sociodemographic factors and diarrhea in children under 5 years using the data of 7,474 households in the 2014-2015 Rwanda Demographic and Health Survey. Overall prevalence of diarrhea in this study was 12.7% in children. An increased risk for diarrhea was found for children aged 12-23 months (odds ratio (OR)=4.514), those with a low economic status (OR=1.64), those from the Western province (OR=1.439), those with poorly-educated mothers (OR=5.163), and those with families engaged in agricultural activities (OR=1.624). In conclusion, sociodemographic factors significantly affect the risk of developing diarrhea in children under 5 years in Rwanda. Designing and implementing health education promoting awareness of early interventions and rotavirus vaccination are essential to reduce diarrheal diseases for the Rwandan community.

Cost-benefit Analysis of Nutrition Management Program for Children Aged Under 5 Years in DR Congo (콩고민주공화국 5세 미만 아동대상 영양관리 프로그램의 비용편익 분석)

  • Lee, Tae Ho;Lee, Chae Eun;Nam, Eun Woo
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.385-396
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    • 2018
  • Objectives: This study aims to evaluate the economic efficiency of a nutrition management program for children under 5 years of age in Kenge, Kwango District, Democratic Republic of the Congo (DR Congo) from 2014 to 2016. Methods: The economic efficiency of a nutrition management program for children under 5 years of age who have recovered from malnutrition status was evaluated using a cost-benefit analysis. The costs were analyzed according to the executed budget incurred during the project period. The benefits were estimated as the monetary value of the saved lives of children under 5 years of age. The economic efficiency of the program was determined by the Benefit-Cost Ratio (BCR). The BCR was calculated by dividing the total discounted benefit by the total discounted costs. The project is economically efficient when the BCR is greater than 1. Results: The costs of the nutrition management program were calculated as 1,677,609,648 Korean Won (KRW). A total of 2,466 children survived with improved malnutrition status through this program. The benefit for the reduction of mortality for children under 5 years of age was estimated to be 6,814,354,467 KRW, the estimated value of life for 2,466 children. The BCR was 4.06. Conclusions: The nutrition management program for children under 5 years of age in DR Congo was found to be a cost-effective project. Successful and efficient Official Development Assistance (ODA) for a health project requires integrated and comprehensive strategies and specialized international development consulting to improve efficiency. Future nutrition management programs should take into account the national health program to maintain the sustainability of the project.

Housing Conditions Contribute to Underweight in Children: An Example From Rural Villages in Southeast Sulawesi, Indonesia

  • Tasnim, Tasnim;Dasvarma, Gouranga;Mwanri, Lillian
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.5
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    • pp.328-335
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    • 2017
  • Objectives: The prevalence of underweight in children under 5 years of age is anomalously high in Konawe District, Southeast Sulawesi Province, Indonesia. This state of affairs may be related to poor housing conditions, such as limited access to clean water, the absence of a sanitary latrine, and the use of poor housing materials. Therefore, this study aimed to examine the effect of housing conditions on underweight in under-5 children in Konawe District. Methods: This study was conducted in 2013 in 5 health centres in Konawe District, Southeast Sulawesi Province, and used a case-control study design. The study recruited 400 under-5 children, including 100 of whom were cases and 300 of whom were age-matched controls (1:3). Cases were underweight children, while the controls were children with a normal nutritional status. The independent variables were the availability and types of water and latrine facilities and housing materials (roof, wall, and floor). The statistical analysis used Cox regression. Results: A lack of water availability (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.7 to 9.5; p<0.001), a lack of latrine availability in the home (OR, 2.5; 95% CI, 1.5 to 4.0; p<0.001), and poor-quality roofing materials (OR, 1.7; 95% CI, 1.1 to 2.7; p<0.02) significantly contributed to underweight in children. In contrast, the walls and the floors did not contribute to under-5 year children being underweight (p=0.09 and p=0.71, respectively). Conclusions: Sanitation facilities and roofing were identified as important factors to address in order to improve children's nutritional status. Children's health status was directly impacted by food intake via their nutritional status.

Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey

  • Ichtiarini Nurullita Santri;Yuniar Wardani;Yohane Vincent Abero Phiri;Gunchmaa Nyam;Tyas Aisyah Putri;Khoiriyah Isni;Dyah Suryani;Grace Sambo
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.255-263
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    • 2023
  • Objectives: The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age. Methods: A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia. Results: The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father's smoking frequency, which were considered the sample's socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father's smoking frequency, and a low education level were all linked to ARI symptoms. Conclusions: The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father's smoking frequency and low education level were associated with ARI symptoms.

Clinical investigation of child dose of herb medicine (소아의 한약복용에 관한 임상적 실태 조사)

  • Seo, Jung-Min;Lee, Sang-Gon;Hwang, Sun-Yi;Kim, Sang-Chan;Wang, Hyang-Ran;Jo, Sung-Eon;Baek, Jung-Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.33-50
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    • 2006
  • Objectives : Oriental medicine has set the no herb medicamentous dose for child, on the other hand the western medicine has it standardizing of age, weight or dimension of body. Therefore, we aimed to research the herb medicamentous dose for child being in being used in clinic. Methods : We made up a question of the oriental medical doctors of the master's and doctor's course in ○○ university. Results : 1. Child dose of herb medicine a time likes this. 1 pack is written prescription most at children patients under 1 year. 1 pack and 2 packs are written prescription most at children patients over 1 under 2. 2 packs are written prescription most at children patients over 2 under 3. 4 packs are written prescription most at children patients over 3 under 4. 10 packs are written prescription most at children patients over 8 under 14. Dose of herb medicine written prescription at children patients over 5 under 8 is in decentralization from 2 to 10 packs. 2. 2 or 3 times are most in a number of taking medicine a day. 3. 3 days are common in period of taking medicine under 5, over 10 days are common over 5. 4. It is necessary to regulating child dose of herb medicine.

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A Phenomenologic Study on the Children's Living under the Institutional Care (시설아동의 삶(현상학적 접근))

  • Kim, Kwuy-Bun;Kim, Mee-Young
    • Journal of East-West Nursing Research
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    • v.6 no.1
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    • pp.23-36
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    • 2001
  • The purpose of this study was to discover knowledge about the sources and meanings of the children's living who is under the care of welfare institution. Participants were high school girls in Kwangju who offered unstructured description of their experience through interviews. The research was performed from March 2001 to September 2001. The results, analyzed and interpreted according to Gorgi's method of phenomenology, describe the structure of the phenomenon "living experience of the children under the institution care" with a relational perspective. The analysis revealed seven core themes : (1) anguish of heart against custom of institution, (2) resistance against their livelihood, (3) mortification on the distorted prejudice, (4) desire to escape, (5) fearfulness for the unreliable future, (6) self-pity, (7) challenge to the future. The foregoing argument suggest that children under the institutional care be supported by more mental health intervention and nurses be disciplined by supportive conversation technique.

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Acoustic Characteristics of Some Vowels Produced by the CI Children of Various Age Groups (인공와우 이식 시기에 따른 모음의 음향음성학적 특성)

  • Kim, Go-Eun;Ko, Do-Heung
    • Speech Sciences
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    • v.14 no.4
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    • pp.203-212
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    • 2007
  • This study was to compare some acoustic characteristics of vowels produced by children with cochlear implant (CI) and the children with normal hearing. 20 subjects under ten years old were further classified into two groups (one group of CI children under four years old and the other group of CI children over four years old). For the normal hearing group, 20 subjects are participated in the experiment. Some acoustic parameters including fundamental frequency (F0) and formant frequencies (F1, F2) were measured in the two groups according to the age of cochlear implant operation. For the CI group, three comer vowels (/a/, /i/, /u/) were recorded five times in isolation and analyzed with Multi-Speech (Kay Elemetrics, model 3700), and two independent t-tests on their formant data were conducted using SPSS 11.5. The result showed that the implanted group over four years had a significant difference in F0 and F1 comparing with the implanted group under four years of age as well as the normal hearing group. Those values of the children with the implanted group under four years old were closer to those of the children with the normal hearing. As to the F2, there was no significant difference among implanted groups. However, it was shown that the vowel space for the implanted groups regardless the operation age indicated much smaller than that for the normal hearing children. This acoustic results suggest that CI surgery would be much more effective if it is done under the age of four years old.

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STUDIES ON OCCLUSION IN THE PRIMARY DENTITION. (유치열(乳齒列)의 교합(咬合)에 관(關)한 연구(硏究))

  • Jun, Kwang-Sun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.5 no.1
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    • pp.19-26
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    • 1978
  • The author studied occlusion in the primary dentition of 3~5 year old children and the materials for the present study comprised plaster model of 266 children in Seoul. The results were as followings; 1) In sagittal canine relationship, 63.9%(170 children) showed class 1 pattern, 2.3%(6 children) showed class 2 pattern, 21%(56 children) showed class 3 pattern and 12.8%(34 children) showed a different canine relationship in each side. 2) In sagittal molar relationship, 44.3% 118 children) showed class 1 pattern, 6.1%(16 children) showed class 2 pattern, 32.3%(86 children) showed class 3 pattern and 17.3%(46 children) showed a different molar relationship in each side. 3) In overjet, 87.8%(234 children) showed under 2mm. 4) 5.3%(14 children) showed crossbite and 4.6%(12 children) showed scissors-bite. 5) 21.8%(58 children) showed midline deviation. 6) Primate space was coincided with more common position of interdental space.

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Cognition of Korean Kinship Name : Investigating the Children's Recognition of Cognate Group Ranges (한국아동(韓國兒童)의 친척명(親戚名) 인지(認知))

  • Yi, Soon Hyung
    • Korean Journal of Child Studies
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    • v.5
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    • pp.21-45
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    • 1984
  • The cognition of Korean kinship names was examined in children in the 1st, 3rd, 5th, and 9th grades (N=188) of public school. The task consisted of 43 items which identified the relative relationships of cognates and cognates-in-law. It was found that the main effects of age and residential area on cognition scores were significant and the interaction effects between the variables were also significant. As expected, older children performed the task more precisely than the younger children and children in Seoul performed better than in outlying regions. Under 15 years of age, the scores in Seoul were higher than in Andong, but at the age of l5, this trend was reversed. The gap between residential areas under 15 years of age could be explained by differences in cognitive ability and test effects, but the gap at 15 by culture.

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The Current Status, Trend, and Influencing Factors to Malnutrition of Infants and Children in China

  • Zhai, Feng-Ying;Wang, Hui-Jun;Chang, Su-Ying;Fu, Dawei;Ge, Keyou;Popkin, Barry M.
    • Journal of Community Nutrition
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    • v.6 no.2
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    • pp.78-85
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    • 2004
  • Children are the most nutrition sensitive sub-group of a population. The nutritional status of children should be especially emphasized at all levels. This study was performed to investigate the current status, trend, and influencing factors to malnutrition of infants and children in China. The study was mainly based on the China Health and Nutrition Survey which is a longitudinal study conducted in 8 provinces and the data on growth of children under 7 years of age in 9 cities in China. The result of this study showed that one fifth of the children under 5 years of age are still suffering from stunted growth and one tenth suffering from underweight. The nutrition intervention on children under 2 years of age, especially on those under 18 months should be emphasized. Better supplementary food can improve the nutritional status to decrease the prevalence of stunted children. Therefore, the development of supplementary food should be the priority and should be emphasized with breastfeeding.