ArticlePublic health action2014
Preventable but neglected: rickets in an informal settlement, Nairobi, Kenya.
Article in Public health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The impact of rickets on growth and morbidity during recovery among children with complicated severe acute malnutrition in Kenya: A cohort study.Maternal & child nutrition · 2018Trial
- Nutritional rickets and its associated factors among under-five children in Assela referral and teaching hospital, Ethiopia: a hospital based cross-sectional study design.BMC pediatrics · 2025Article
- Prevalence and predictors of hypocalcaemia in severe acute malnutrition.Public health nutrition · 2020Article
- Nutritional rickets among children admitted with severe pneumonia at Mulago hospital, Uganda: a cross-sectional study.BMC pediatrics · 2018Article
- Vitamin D deficiency causes rickets in an urban informal settlement in Kenya and is associated with malnutrition.Maternal & child nutrition · 2018Article
- Using data from a multi-hospital clinical network to explore prevalence of pediatric rickets in Kenya.Wellcome open research · 2017Article
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Authors and funding
9 authors.
Funding
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Abstract
settingThe primary care clinics of Médecins Sans Frontières within the informal settlement of Kibera, Nairobi, Kenya.
objectiveTo describe the demographic and clinical characteristics of children clinically diagnosed with rickets from September 2012 to October 2013.
designDescriptive retrospective case review of diagnosis and treatment course with vitamin D and calcium using routine programme data.
resultsOf the 82 children who met the clinical diagnosis of rickets, 57% were male, with a median age of 12 months and 14 months for females. Children with rickets were found to have ⩽3 hours/week sunlight exposure for 71% of the children and malnutrition in 39%. Clinical findings on presentation revealed gross motor developmental delays in 44%. The loss to follow-up rate during treatment was 40%.
conclusionsThis study found that rickets is a common clinical presentation among children living in the informal settlement of Kibera and that there are likely multiple factors within that environment contributing to this condition. As rickets is a simply and inexpensively preventable non-communicable disease, we suggest that routine vitamin D supplementation be formally recommended by the World Health Organization for well-child care in Africa, especially in the contexts of informal settlements.
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