Skip to main content
Top
Published in: BMC Pediatrics 1/2019

Open Access 01-12-2019 | Research article

Risk factors of acute respiratory infections among under five children attending public hospitals in southern Tigray, Ethiopia, 2016/2017

Authors: Sielu Alemayehu, Kalayou Kidanu, Tensay Kahsay, Mekuria Kassa

Published in: BMC Pediatrics | Issue 1/2019

Login to get access

Abstract

Background

Acute Respiratory infection accounts for 94,037000 disability adjusted life years and 1.9 million deaths worldwide. Acute respiratory infections is the most common causes of under-five illness and mortality. The under five children gets three to six episodes of acute respiratory infections annually regardless of where they live. Disease burden due to acute respiratory infection is 10–50 times higher in developing countries when compared to developed countries. The aim of this study was to assess risk factors of acute respiratory infection among under-five children attending Public hospitals in Southern Tigray, Ethiopia 2016/2017.

Methods

Institution based case control study was conducted from Nov 2016 to June 2017. Interviewer administered structured questionnaire was used to collect data from a sample of 288 (96 cases and 192 controls) children under 5 years of age. Systematic random sampling was used to recruit study subjects and SPSS version 20 was used to analyze the data. Bivariate and multivariate analysis were employed to examine statistical association between the outcome variable and selected independent variables at 95% confidence level. Level of statistical Significance was declared at p < 0.05. Tables, figures and texts were used to present data.

Result

One hundred sixty (55.6%) and 128 (44.4%) of the participants were males and females respectively. Malnutrition (AOR = 2.89; 95%CI: 1.584–8.951; p = 0.039), cow dung use (AOR =2.21; 95%CI: 1.121–9.373; p = 0.014), presence of smoker in the family (AOR = 0.638; 95% CI: 0.046–0.980; p = 0.042) and maternal literacy (AOR = 3.098; 95%CI: 1.387–18.729; p = 0.021) were found to be significant predictors of acute respiratory infection among under five children.

Conclusion

According to this study maternal literacy, smoking, cow dung use and nutritional status were strongly associated with increased risk of childhood acute respiratory infection. Health care providers should work jointly with the general public, so that scientific knowledge and guidelines for adopting particular preventive measures for acute respiratory infection are disseminated.
Appendix
Available only for authorised users
Literature
1.
go back to reference WHO. Acute Respiratory infections in children: case management in small hospitals in developing countries a manual for doctors and other senior health workers (WHO/ARI/905). Geneva: WHO; 1990. WHO. Acute Respiratory infections in children: case management in small hospitals in developing countries a manual for doctors and other senior health workers (WHO/ARI/905). Geneva: WHO; 1990.
2.
go back to reference Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C. Estimates of world wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis. 2002;2:25–32.CrossRef Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C. Estimates of world wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis. 2002;2:25–32.CrossRef
3.
go back to reference Emmelin A, Wall S. Indoor air pollution: a poverty-related cause of mortality among the children of the world. Chest. 2007;132:1615–23.CrossRef Emmelin A, Wall S. Indoor air pollution: a poverty-related cause of mortality among the children of the world. Chest. 2007;132:1615–23.CrossRef
4.
go back to reference Broor S, Parveen S, Bharaj P, Prasad VS, Srinivasulu KN, Sumanth KM, Kapoor SK, Fowler K, Sullender WM. A prospective three-year cohort study of the epidemiology and virology of acute respiratory infections of children in rural India. PLoS One. 2007;2(6):e491.CrossRef Broor S, Parveen S, Bharaj P, Prasad VS, Srinivasulu KN, Sumanth KM, Kapoor SK, Fowler K, Sullender WM. A prospective three-year cohort study of the epidemiology and virology of acute respiratory infections of children in rural India. PLoS One. 2007;2(6):e491.CrossRef
5.
go back to reference van Woensel JBM, Viral lower respiratory tract infection in infants and young children. BMJ. 2003;327:36–40.CrossRef van Woensel JBM, Viral lower respiratory tract infection in infants and young children. BMJ. 2003;327:36–40.CrossRef
6.
go back to reference Miller NP, Amouzou A, Tafesse M, Hazel E, Legesse H, Degefie T, Victora CG, Black RE, Bryce J. Integrated community case management of childhood illness in Ethiopia: implementation strength and quality of care. Am J Trop Med Hyg. 2014;13:751. Miller NP, Amouzou A, Tafesse M, Hazel E, Legesse H, Degefie T, Victora CG, Black RE, Bryce J. Integrated community case management of childhood illness in Ethiopia: implementation strength and quality of care. Am J Trop Med Hyg. 2014;13:751.
7.
go back to reference Schluger NW, Koppaka R. Lung disease in a global context. A call for public health action. Ann Am Thorac Soc. 2014;11(3):407–16.CrossRef Schluger NW, Koppaka R. Lung disease in a global context. A call for public health action. Ann Am Thorac Soc. 2014;11(3):407–16.CrossRef
8.
go back to reference Matu MN. Risk factors and cost of illness for acute respiratory infections in children under five years of age attending selected health facilities in Nakuru County, Kenya: Jomo Kenyatta University of Agriculture and Technology; 2015. http://hdl.handle.net/123456789/1590. Matu MN. Risk factors and cost of illness for acute respiratory infections in children under five years of age attending selected health facilities in Nakuru County, Kenya: Jomo Kenyatta University of Agriculture and Technology; 2015. http://​hdl.​handle.​net/​123456789/​1590.
9.
go back to reference Mishra V, et al. lndoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. Int J Epidemiol. 2003;32(5):847–53.CrossRef Mishra V, et al. lndoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. Int J Epidemiol. 2003;32(5):847–53.CrossRef
10.
go back to reference Cunha AL. Relationship between acute respiratory infection and malnutrition in children under 5 years of age. Acta Pediatr. 2000;89:608–9.CrossRef Cunha AL. Relationship between acute respiratory infection and malnutrition in children under 5 years of age. Acta Pediatr. 2000;89:608–9.CrossRef
11.
go back to reference WHO. World health organization and UNICEF fulfilling the health agenda for the women and children. Countdown to 2015: Maternal, Newborn and Child survival World Health Organization and UNICEF; 2014. WHO. World health organization and UNICEF fulfilling the health agenda for the women and children. Countdown to 2015: Maternal, Newborn and Child survival World Health Organization and UNICEF; 2014.
12.
go back to reference Parker RL. Acute respiratory illness in children: PHC responses. Health Policy Plan. 1987;2:279–88.CrossRef Parker RL. Acute respiratory illness in children: PHC responses. Health Policy Plan. 1987;2:279–88.CrossRef
Metadata
Title
Risk factors of acute respiratory infections among under five children attending public hospitals in southern Tigray, Ethiopia, 2016/2017
Authors
Sielu Alemayehu
Kalayou Kidanu
Tensay Kahsay
Mekuria Kassa
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2019
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-019-1767-1

Other articles of this Issue 1/2019

BMC Pediatrics 1/2019 Go to the issue