ArticleSSM - population health2019
Prevalence and determinants of Acute Lower Respiratory Infections among children under-five years in sub-Saharan Africa: Evidence from demographic and health surveys.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 3 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Association between caesarean birth and childhood acute respiratory infection in low- and middle-income countries: a meta-analysis of population-based data.BMC medicine · 2026Pooled it
- Indoor air pollution exposure and acute respiratory infection among under-five children in low- and middle-income countries: a systematic review and meta-analysis of epidemiological studies.BMC infectious diseases · 2025Pooled it
- Adherence of iron and folic acid supplementation and determinants among pregnant women in Ethiopia: a systematic review and meta-analysis.Reproductive health · 2019Pooled it
- A sustainable house design to improve child health in rural Africa: a cluster-randomized controlled trial.Nature medicine · 2026Trial
- Variations in the association between standalone and coexisting forms of undernutrition and common infectious morbidities among children in sub-Saharan Africa.Global health research and policy · 2026Article
- Respiratory Pathogen Detection Among Febrile Inpatients in Northern Tanzania, 2016-2019.Open forum infectious diseases · 2026Article
- Determinants of diarrhea and acute respiratory infection among under-five children in urban-rural Somalia: a nationally representative cross-sectional study.BMC infectious diseases · 2026Article
- High proportion of pneumonia morbidity and risk factors in sick under-five children, northwest Ethiopia: a health facility based cross-sectional study.Scientific reports · 2026Article
- Indoor Air Pollution and Associated Factors of Acute Respiratory Infections Among Under-Five Children in East Gojjam Zone, Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- Regional variations and determinants of acute respiratory infection in Ethiopian children under five years: a multilevel analysis.Tropical medicine and health · 2026Article
- Geographical Weighted Regression Analysis of Hotspots of Acute Respiratory Infection and Its Associated Factors among Children <5 Years in Ethiopia: A Spatial and Multilevel Analysis.Ethiopian journal of health sciences · 2025Article
- Factors Associated with Acute Respiratory Infection among Children Under 5 Years in India: Results from 2019 to 2021 National Family Health Survey.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Disparities and inequalities of lower respiratory infections in Iran, 1990-2021: the role of socioeconomic and demographic factors.BMC infectious diseases · 2025Article
- Overview of mucosal immunity and respiratory infections in children: a focus on Africa.Current opinion in pediatrics · 2025Review
- Bacterial profile, antimicrobial susceptibility patterns, and associated factors among lower respiratory tract infection patients attending at Debre Markos comprehensive specialized hospital, Northwest, Ethiopia.BMC infectious diseases · 2025Article
- Assessment of bioaerosol composition and public health implications in high-traffic urban areas of Southwest, Nigeria.Environmental research communications · 2024Article
- Article
- Care seeking for childhood illnesses in rural Mtwara, south-east Tanzania: a mixed methods study.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2024Article
- Pneumococcal colonization and coinfecting respiratory viruses in children under 5 years in Addis Ababa, Ethiopia: a prospective case-control study.Scientific reports · 2024Article
- Population modifiable risk factors associated with under-5 acute respiratory tract infections and diarrhoea in 25 countries in sub-Saharan Africa (2014-2021): an analysis of data from demographic and health surveys.EClinicalMedicine · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute Lower Respiratory Infections (ALRIs) account for 5.8 million deaths globally and 50% of these deaths occur in sub-Saharan Africa. In this paper, we examined the prevalence and determinants of ALRIs among children under-five years in 28 sub-Saharan African countries. We used data from the most recent (2011-2016) Demographic and Health Surveys of the 28 countries. Women aged 15-49 (N = 13,495) with children under-five years participated in the study. Data were extracted and analysed using STATA version 14.2. Bivariate and multivariate analyses were done to establish associations between the outcome and explanatory variables. The prevalence of ALRI for all the countries was 25.3%. Congo (39.8%), Gabon (38.1%), Lesotho (35.2%), and Tanzania (35.2%) were the countries with the highest prevalence of ALRIs. The results from the multivariate analyses showed that children aged 24-59 months (AOR = 1.15; 95% CI = 1.04-1.28), and children who received intestinal parasite in the 6 months preceding the survey (AOR = 1.11; 95% CI = 1.02-1.22) had higher odds of developing ALRIs. However, children whose mothers were employed (AOR = 0.77; 95% CI = 0.64-0.94) and those whose households used improved toilet facilities (AOR = 0.72; 95% CI = 0.64-0.97) had lower odds of contracting ALRIs. Our findings underscore the need for stakeholders in health in the various sub-Saharan African countries, especially those worst affected by ALRIs to implement programmes and develop policies at different levels aimed at reducing infections among children under-five years. Such strategies should specifically focus on improving the administration of medications for intestinal worms, health education to mothers with children under five on ALRIs and improving the sanitation situations of households through the provision of improved toilet facilities.
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