ArticleBMJ paediatrics open2022
Prevalence of pneumonia and malnutrition among children in Jigawa state, Nigeria: a community-based clinical screening study.
Article in BMJ paediatrics open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 6 citations in OpenAlex.
- Review
- Hypoxaemia and risk of death among children: rethinking oxygen saturation, risk-stratification, and the role of pulse oximetry in primary care.The Lancet. Global health · 2024Review
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16 authors at 7 institutions in 5 countries.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the point prevalence of pneumonia and malnutrition and explore associations with household socioeconomic factors.
designCommunity-based cross-sectional study conducted in January-June 2021 among a random sample of households across all villages in the study area.
settingKiyawa Local Government Area, Jigawa state, Nigeria.
participantsChildren aged 0-59 months who were permanent residents in Kiyawa and present at home at the time of the survey.
main outcome measuresPneumonia (non-severe and severe) defined using WHO criteria (2014 revision) in children aged 0-59 months. Malnutrition (moderate and severe) defined using mid-upper arm circumference in children aged 6-59 months.
results9171 children were assessed, with a mean age of 24.8 months (SD=15.8); 48.7% were girls. Overall pneumonia (severe or non-severe) point prevalence was 1.3% (n=121/9171); 0.6% (n=55/9171) had severe pneumonia. Using an alternate definition that did not rely on caregiver-reported cough/difficult breathing revealed higher pneumonia prevalence (n=258, 2.8%, 0.6% severe, 2.2% non-severe). Access to any toilet facility was associated with lower odds of pneumonia (aOR: 0.56; 95% CI: 0.31 to 1.01). The prevalence of malnutrition (moderate or severe) was 15.6% (n=1239/7954) with 4.1% (n=329/7954) were severely malnourished. Being older (aOR: 0.22; 95% CI: 0.17 to 0.27), male (aOR: 0.77; 95% CI: 0.66 to 0.91) and having head of compound a business owner or professional (vs subsistence farmer, aOR 0.71; 95% CI: 0.56 to 0.90) were associated with lower odds of malnutrition.
conclusionsIn this large, representative community-based survey, there was a considerable pneumonia and malnutrition morbidity burden. We noted challenges in the diagnosis of Integrated Management of Childhood Illness-defined pneumonia in this context.
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