关键词: Complex survey MICS Prevalence Risk factors Survey logistic regression Under-five children

来  源:   DOI:10.1016/j.heliyon.2024.e29335   PDF(Pubmed)

Abstract:
UNASSIGNED: Diarrhea is a leading cause of illness and mortality among children under five, posing a significant public health challenge in Malawi. The current study assesses the prevalence and risk factors linked to diarrhea among under-five children in Malawi.
UNASSIGNED: The researcher used the Malawi Multiple Indicator Cluster Survey (MICS) 2019-20 as the dataset for this study. Due to the complex sampling design, survey logistic regression was used to accomplish the study objectives. The sample size was 15569 children who were aged under five.
UNASSIGNED: The study found that the prevalence of diarrhea was 24.9%, with a higher percentage observed among children aged 12-23 months (38.5%) compared to other age groups. Additionally, children from the southern region had a higher prevalence of diarrhea at 27% compared to those from the northern region at 19.3%. Children from the poorest households also had a higher prevalence of diarrhea at 28.9% compared to those from the richest households at 22.6%. Furthermore, children with fever had a higher prevalence of diarrhea at 33.3% compared to those who did not have fever at 19.4%.
UNASSIGNED: The current study concluded that the prevalence of diarrhea was higher among children aged 12-23 months. Subsequently, policymakers should apply policies to reduce this high prevalence among this age group of children. In addition, the government needs special consideration in diarrhea control for children from the southern region because of the high prevalence of the disease compared to the other regions in Malawi. My study can help policymakers understand the scope and nature of the problem, which can notify the development of policies and programs intended to decrease the prevalence of risk factors and enhance child health outcomes.
摘要:
腹泻是五岁以下儿童患病和死亡的主要原因,在马拉维构成了重大的公共卫生挑战。本研究评估了马拉维五岁以下儿童腹泻的患病率和危险因素。
研究人员使用马拉维多指标类集调查(MICS)2019-20作为本研究的数据集。由于采样设计复杂,调查逻辑回归用于完成研究目标。样本量为15569名五岁以下儿童。
研究发现,腹泻的患病率为24.9%,与其他年龄组相比,在12-23个月的儿童中观察到的百分比更高(38.5%)。此外,南部地区儿童的腹泻患病率为27%,高于北部地区儿童的19.3%.最贫困家庭的儿童腹泻患病率也较高,为28.9%,而最富有家庭的儿童为22.6%。此外,发热儿童的腹泻患病率为33.3%,高于未发热儿童的19.4%.
目前的研究得出的结论是,在12-23个月的儿童中,腹泻的患病率更高。随后,政策制定者应该运用政策来降低这一年龄段儿童的高患病率.此外,由于与马拉维其他地区相比,该疾病的患病率较高,因此政府需要特别考虑南部地区儿童的腹泻控制。我的研究可以帮助决策者了解问题的范围和性质,这可以通知旨在降低风险因素的流行率和增强儿童健康结果的政策和计划的制定。
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