Prevalence of acute morbidities and their health seeking behaviour among under-five children of urban slums in a city in Karnataka
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20172839Keywords:
Under-five children, Acute morbidities, Health-seeking behaviour, Urban slumsAbstract
Background: Morbidity and lack of health facility especially in the first five years of life would cause irreparable damage. Therefore it is important to assess the magnitude of morbidities, and their health seeking behaviour. The objectives of the study were to assess the prevalence of acute morbidities and their associated factors among Under-five (U5) children residing in slums of Davanagere city, Karnataka, and to assess the health-seeking behaviour of their mothers/caregivers
Methods: It was a cross sectional study done in the slums of Davanagere city during August-September 2016. Using 30 cluster sampling technique, the estimated sample size was 656. A total of 22 children were included in each cluster. Questionnaire consisting of demographic details, history of acute morbidities in the past two weeks and their treatment details was administered to the mother/caregiver. Data was entered in Microsoft Excel sheet and analyzed using SPSS Version 20.
Results: Totally 656 mothers/caregivers of U5 children were contacted, majority of the children were in the age group of 13 to 60 months. Total of 348 (53%) children suffered from some acute morbidity in the past 2 weeks, of whom 282 (81%) children were taken to some health care facility, and majority preferred private practitioner (73.4%). Most common reason for poor health seeking behaviour was “following the medicines which were prescribed for previous illness”.
Conclusions: More than half of the children suffered from some acute morbidity in the past 2 weeks and 81% of them were taken to health care facility.
References
Government of India, Ministry of Health and Family Welfare. Integrated Management of Neonatal and Childhood illness: Training modules for medical officers. New Delhi: 2005.
Srivastava DK, Tripathi D, Gour N, Jain PK, Singh CM, Srivastava AK. Morbidity profile of under five children in urban slums of Etawah District. Indian J Community Med. 2012:24(2):153-7.
Black RE, Morris SS, Bryce J. Child survival-where and why are 10 million children dying every year. Lancet. 2003;361:2226-34.
World Health Organization. Geneva. Technical bases for the WHO recommendations on the management of pneumonia in children at first level health facilities. 1991. Available at: http://apps.who.int/iris/bitstream/10665/61199/1/WHO_ARI_91.20.pdf Accessed on 20 February 2017.
International Institute for Population Sciences. Mumbai. National Family Health Survey-2015-16. Available at: http://rchiips.org/nfhs/pdf/NFHS4/ KA_FactSheet.pdf Accessed on 23 December 2016.
Goswami M, Kedia G. Socio demographic and morbidity profile of slum areas in Ahmedabad, India. National J Community Med. 2010;1(2):106-10.
Grover VL, Chhabra P, Malik S, Kannan AT. Pattern of morbidity and mortality amongst under-fives in an urban resettlement colony of East Delhi. Indian J Prev Soc Med. 2004;35(1):22-6.
Sarkar R, Sivarathinaswamy P, Thangaraj B, Chella KN, Sindhu, Rao SS et al. Burden of childhood diseases and malnutrition in a semi-urban slum in southern India. BMC Public Health. 2013;13:87.
Awoke W. Prevalence of childhood illness and mothers’/caregivers’ care seeking behavior in Bahir Dar, Ethiopia: A descriptive community based cross sectional study. Open J Prev Med. 2013;3(2):155-9.
Das S. A concise text book of surgery. 5th ed. Kolkata (WB): Dr. S. Das; 2008: 195-295.
Venkatesh S, Bansal RD. A longitudinal study of morbidity among under-five children in a semi-urban area. Indian J Community Med. 1986;11:11-20.
Khalid M, Kumari R, Mohan U, Manar MK, Singh VK. Morbidity profile of preschool children from below poverty line families of Lucknow district, North India. Int J Adv Res. 2014;2(11):627-34.
Lang T, Lafaix C, Fassin D, Arnaut I, Salman B, Bardon D, et al. Acute Respiratory Infection - A longitudinal study of 151 children in Burkino-Faso. International longitudinal study of 151 children in Burkino-Faso. Int J Epidemiol. 1986;15(4):553-9.
Maji S, Ray SK, Lahiri SK. A Longitudinal Study of Morbidity Pattern and Nutritional status of under Five Children in a Slum Community of Kolkata. IOSR Journal of Dental and Medical Sciences. Aug 2014;13(8):1-5.
Chavan RD, Kothari ST, Zunjarrao K, Chowdhary AS. Surveillance of Acute Respiratory Infections in Mumbai during 2011-12. Indian J Med Microbiol. 2015;33:43-50.
Simmerman JM, Uyeki T. The burden of influenza in East and Southeast Asia: A review of the English language literature. Influenza Other Respir Viruses. 2008;2:81-92.
Park AW, Glass K. Dynamic patterns of avian and human influenza in East and Southeast Asia. Lancet Infect Dis. 2007;7:543-8.
Moura FA. Influenza in the tropics. Curr Opin Infect Dis. 2010;23:415-20.
Lofgren E, Fefferman NH, Naumov YN, Gorski J, Naumova EN. Influenza seasonality:Underlying causes and modeling theories. J Virol. 2007;81:5429-36.
Marimuthu P, Meitei MH, Sharma B. General Morbidity Prevalence In The Delhi Slums. Indian J Community Med. 2009;34:338-42.
Pore PD, Ghattargi CH, Rayate MV. Study of Risk Factors of Acute Respiratory Infection In Under-fives In Solapur. National J Community Med. 2010;1:64-67.
Vyas S, Kandpal SD, Jayanthi S, Deepshikha. A Study on Morbidity Profile and Associated Risk Factors in a Rural Area of Dehradun. J Clin Diagn Res. 2014;8(8):JC01-4.
Deshmukh PR, Dongre AR, Sinha N, Garg BS. Acute childhood morbidities in Rural Wardha:Some epidemiological correlates and health care seeking. Indian J Med Sci. 2009;63(8):345-54.
Mihrete ST, Alemie AG, Teferra SA. Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia. BMC Pediatr. 2014;14:102.
Ukey UU, Chitre DS. Morbidity Profile of Pre-School Children in an Urban Slum Area. Indian Medical Gazette. 2012:300-4.
Bhakave D. Epidemiological Study of Acute Respiratory Infections in Under Six Children in Urban ICDS Block. A Dissertation for M.D. (P S.M.), 1991.
Shah N, Ramanjutty V. Risk factors for severe pneumonia in children in South Kerala, a hospital based case control study. J Trop Pediatr. 1994;40:201-26.
Dongre AR, Deshmukh PR, Garg BS. Health Expenditure and Care Seeking on Acute Child Morbidities in Peri-Urban Wardha: A Prospective Study. Indian J Pediatr. 2010;77:503-7.