A CROSS-SECTIONAL STUDY OF MORBIDITY AND ITS CORRELATES IN UNDER-FIVE CHILDREN IN SLUMS OF SHILLONG, MEGHALAYA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 61
Abstract
BACKGROUND One-fourth of the worldwide under-five deaths annually occur in India. Over 70% of these deaths are due to preventable diseases. Malnutrition, socio-economic status, place of residence, mother’s education, access to quality health services and living environment are important determinants of morbidity and mortality of under-five children. There is a gap in literature regarding the morbidity pattern and its correlates among under-five children in the slums of Shillong city. Therefore, this study was designed to study the morbidity status and its pattern in under-five children and to find out the correlates of morbidity. MATERIALS AND METHODS A cross-sectional study with a pre-tested questionnaire was used to interview primary caregivers of 225 under-five children regarding the morbidity pattern currently and in the last three months. Anthropometric measurements of under-five children were also taken. Data was analysed using MS Excel and MedCalc version 16.2. Chi-square test was used to find association between categorical variables. RESULTS Majority (47.7%) of under-five children belonged to SES II, majority (45.8%) of them were of first birth order, 40% had only one sibling, 13.3% of the fathers and 27.6% of the mothers were illiterate. In the last 3 months, 61.8% children experienced some morbidity. ARI (64%), fever (35.6%) and diarrhea (11.5%) were the most common morbidities. Among under-fives with normal nutritional status 62.2% had any morbidity compared to 60.7% of those with malnutrition. Significant statistical association (p < 0.05) was found between number of siblings and morbidity status. CONCLUSION The most common morbidity among the study population were ARI, undernutrition followed by fever and diarrhea. All of which being preventable highlights the importance of family health counseling comprehensive of awareness about prevention and homebased care of these diseases.
Authors and Affiliations
Amrita Sarkar, Pallavi Boro, Gajendra Kumar Medhi, Ophelia Mary Kharmujai, Himashree Bhattacharyya, Star Pala, Sucharita Rath, Neilatuo-U Suokhrie
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