Evidence map›Paper›PMID 42205465›Full record

ArticleInfection and drug resistance2026

Prevalence of Pneumonia and Its Associated Factors Among Children Under Five Years in Eastern Uganda: A Cross-Sectional Hospital-Based Study.

John Michael Okusa, Safina Akello, James Kateregga, Abudu Rahuman Ssekabira, Jacob Eperu, Clement Munguiko, Josephine Namujju, Julius Okiror Okiria, Alice C Alum, Joseph Atukwatse and 2 more

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Article in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

John Michael OkusaDepartment of Nursing, Soroti University, Soroti City, Uganda.
Safina AkelloDepartment of Nursing, Soroti University, Soroti City, Uganda.
James KatereggaDepartment of Nursing, Soroti University, Soroti City, Uganda.
Abudu Rahuman SsekabiraDepartment of Nursing, Soroti University, Soroti City, Uganda.ORCID 0009-0006-1755-2399
Jacob EperuDepartment of Nursing, Soroti University, Soroti City, Uganda.ORCID 0009-0008-8790-7129
Clement MunguikoDepartment of Nursing, Soroti University, Soroti City, Uganda.ORCID 0000-0002-2930-1291
Josephine NamujjuDepartment of Nursing, Soroti University, Soroti City, Uganda.
Julius Okiror OkiriaDepartment of Nursing, Soroti University, Soroti City, Uganda.
Alice C AlumDepartment of Nursing, Soroti University, Soroti City, Uganda.
Joseph AtukwatseDepartment of Nursing, Soroti University, Soroti City, Uganda.ORCID 0009-0008-6239-5323
Clare NankingaDepartment of Nursing, Soroti University, Soroti City, Uganda.
Samuel OkelloDepartment of Nursing, Soroti University, Soroti City, Uganda.ORCID 0000-0001-8295-0744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pneumonia remains the leading cause of morbidity and mortality in children under five, accounting for 740,180 deaths globally and 14% of all under-five deaths. In Uganda, it is the second leading cause of mortality in this age group. Despite several studies on pneumonia risk factors, findings have been inconsistent. This study aimed to determine the prevalence and associated factors of pneumonia in children under five in Eastern Uganda. Methods: A hospital-based descriptive and analytical cross-sectional study was conducted among 385 children aged 2 to 59 months admitted to the pediatric ward. Pneumonia diagnosis followed the 2014 WHO guidelines and the Integrated Management of Newborn and Childhood Illness (IMNCI) classification. Data on socio-demographic, socioeconomic, child-related, and facility-related factors were collected using semi-structured questionnaires. Descriptive statistics determined prevalence, while logistic regression analysis using SPSS version 27 assessed factors associated with pneumonia. Results: The study found that the prevalence of pneumonia among children under five was 25.2% (95% CI: 19.1-31.2%). The factors which were found to be associated with pneumonia include; use of grass as roofing material for the house (AOR: 4.658, P-value=0.016), child being malnourished (AOR: 15.749, P-value<0.001), child not exclusively breastfed (AOR: 3.588, P-value= 0.044), child not having received vitamin A supplementation (AOR: 12.624, P-value=0.021), and staying beyond 5 km from the nearest health facility (AOR: 6.160, P-value= 0.011). Conclusion: This study found a high prevalence of pneumonia among children under five in Eastern Uganda, significantly exceeding the global target of 2.5%. The factors which were found to be associated with pneumonia included, being from household using grass as roofing material, malnutrition, nonexclusively breastfed, lack of vitamin A supplementation, staying a distance of more than 5 km from nearest health facility. These findings underpin a need for integrated community and policy-level interventions that improve child nutrition, promote optimal infant feeding practices, enhance preventive care, and strengthen access to healthcare services, while addressing underlying socioeconomic and environmental determinants.

Indexed as

children under five yearsfactors associatedpneumoniaprevalence

Identifiers

PMID42205465
PMCPMC13206274

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.