DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20183081

Epidemiology of acute respiratory infections among under-fives in a rural community of Trivandrum district, Kerala

Shaliet Rose Sebastian

Abstract


Background: More than 2 million children die from pneumonia each year, accounting for almost 18 percent of under five deaths worldwide. Childhood ARI is a significant public health problem in India, although robust epidemiological data are not available on its incidence. In recent years, the burden posed by ARI in underdeveloped and developing countries has stimulated global concern. The objective of the study was to study the occurrence of acute respiratory infections (ARI) in children under the age of five years in Nellanad Panchayat, Trivandrum district and to study the factors associated with ARI in children under five years of age.

Methods: A community based cross-sectional study was conducted among 375 children below the age of five years.

Results: Occurrence of ARI was found to be 52%. A significant association was found between ARI and under-nutrition, low birth weight, poor breast feeding practices, poor parental education, exposure to passive smoking and inadequate indoor ventilation.

Conclusions: The study points towards the importance of basic health promotional measures like good antenatal care, proper breast feeding practices, proper nutrition of the child and socio-economic improvement in prevention and control of ARI.


Keywords


Acute respiratory infection, Under five children, Breast feeding, Nutrition

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References


UNICEF, WHO, Pneumonia: the forgotten killer of children, Geneva, 2006. Available at: http://www. unicef.org/publications/files/Pneumonia: The Forgotten Killer of Children.pdf. Accessed on 3 February 2018.

Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008;86:408–16.

Health Situation in the South-East Asia Region 1994- 1997. New Delhi: WHO Regional Office for SEAR; 1999. Available at: http://www.searo.who. int/entity/healthsituationtrends/documents/health situation sear 1994-1997.pdf. Accessed on 3 February 2018.

United Nations Inter-agency Group for Child Mortality Estimation (IGME), Levels and Trends in Child Mortality: Report 2012, UNICEF, New York,2012.Availablefrom:http://www.childmortality.org/filesv20/download/Levels and Trends in Child Mortality Report 2012.pdf

Prajapati B, Talsania NJ, Lala MK, Sonalia KN. Epidemiological profile of acute respiratory infections (ARI) in under five age group of children in urban and rural communities of Ahmedabad district, Gujarat. Int J Med Sci Public Health. 2012;1:52-8.

Sharma D, Kuppusamy K, Bhoorasamy A. Prevalence of acute respiratory infections (ari) and their determinants in under five children in urban and rural areas of Kancheepuram district, South India. Ann Trop Med Public Health. 2013;6:513-8.

Singh MP, Nayar S. Magnitude of acute respiratory infections in under five children. J Commun Dis. 1996;28:273-8.

Goel K, Ahmad S, Agarwal G, Goel P, Kumar V. A Cross Sectional Study on Prevalence of Acute Respiratory Infections (ARI) in Under-Five Children of Meerut District, India. J Community Med Health Educ. 2012;2:176.

Behera D, Jindal SK, Malhotra HS. Ventilatory function in non-smoking rural Indian women using different cooking fuels. Thorax. 1991:46(5):344–6.

Campbell H, Armstrong JR, Byass P. Indoor air pollution in developing countries and acute respiratory infection in children. Lancet. 1989;333:1012.

Puffer RR – Mortality in infancy and childhood in India : a report to the USAID. New Delhi, India: Aruna Printing Press; 1985: 35.

Mitra NK. A longitudinal study on ARI among rural under-fives. Indian J Community Med. 2001;26(1):8-11.

Dharmage SC, Rajapaksa LC, Fernando DN. Risk factors of acute lower respiratory tract infections in children under five years of age. Southeast Asian J Trop Med Public Health. 1996;27(1):107-10.