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    Prevalence and Associated Factors of Pneumonia among Under-fives with Acute Respiratory Symptoms: A Cross Sectional Study at a Teaching Hospital in Bushenyi District, Western Uganda

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    Research article (344.7Kb)
    Publication Date
    2021-12-01
    Authors
    Kiconco, Gloria
    Turyasiima, Munanura
    Ndamira, Andrew
    Yamile, Ortiz Arias
    Egesa, Walufu Ivan
    Ndiwimana, Martin
    Maren, Melvis Bernis
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    (7 total)
    Type
    Article, Journal
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    Citation

    Kiconco G, Turyasiima M, Ndamira A, Yamile OA, Egesa WI, Ndiwimana M, et al. Prevalence and associated factors of pneu monia among under-fives with acute respiratory symptoms: a cross sectional study at a Teaching Hospital in Bushenyi District, Western Uganda. Afri Health Sci. 2021;21(4):1701-10. https://dx.doi.org/10.4314/ahs.v21i4.25

    Abstract/Overview

    Objectives: This study assessed the prevalence and associated factors of pneumonia among children under-five years pre senting with acute respiratory symptoms. Methodology: This was a cross sectional study at the Pediatric Department of Kampala International University – Teaching Hospital, from the month of April to August 2019. The study included 336 children aged 2 to 59 months presenting with acute respiratory symptoms to the pediatric clinic. Pneumonia diagnosis was made according to the World Health Organi zation definition, modified by a chest radiograph. Structured questionnaires were used to collect data on socio-demographic, environmental and nutrition factors and multivariate logistic regression analysis using STATA version 13.0 was done to assess for the factors independently associated with pneumonia. Results: Of the 336 children with acute respiratory symptoms, eighty-six, 86 (25.6%) had pneumonia. Factors significantly associated with pneumonia included: age below 6 months (OR=3.2, 95%CI=1.17-8.51, p=0.023), rural residence (OR=5.7, 95%CI=2.97-11.05, p <0.001), not up-to-date for age immunization status (OR=2.9, 95%CI=1.05-7.98, p=0.039), severe acute malnutrition (OR=10.8, 95%CI=2.01-58.41, p=0.006), lack of exclusive breastfeeding during the first six months (OR=2.9, 95%CI=1.53-5.53, p=0.001) and exposure to cigarette smoke (OR=3.0, 95%CI=1.35-6.80, p=0.007). Conclusion: The prevalence of pneumonia in children under-five years was high. Most of the factors associated with pneu monia are modifiable; addressing these factors could reduce this prevalence.

    Subject/Keywords
    Pneumonia; Prevalence; Under-fives
    Further Details

    © 2021 Kiconco G et al. Licensee African Health Sciences. This is an Open Access article distributed under the terms of the Creative commons Attribution Li cense (https://creativecommons.org/licenses/BY/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Publisher
    African Health Sciences
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    https://repository.amref.ac.ke/handle/123456789/803
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    • General - GEN [355]

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