Effect of community based intervention on childhood pneumonia and its risk factors in slums of Dibrugarh, Assam
DOI:
https://doi.org/10.47203/IJCH.2024.v36i01.008Keywords:
Air Pollution, Childhood, Community, Intervention, PneumoniaAbstract
Background: Pneumonia, one leading cause of mortality in children. Preventing pneumonia related deaths is an urgent priority to meet sustainable development goals. Settings and Design: Community based cross sectional study in two registered slums Chandmarighat and Graham bazar in Dibrugarh, Assam. Methods and Material: 2 out of 10 registered slums were chosen and a baseline cross sectional study was done to list out the risk factors. Based on the risk factors, community based intervention was done by capacity building of frontline workers and monitoring and suportive supervision in one while only monitoring was done in non intervention slum. Taking 95% confidence interval for two tail distribution, the sample size in each of the slums was 300. Statistical analysis: done by using SPSS 20, rates, ratios, proportions, univariate and multivariate analysis. Results: Prevalence of pneumonia was significantly low (9.33% vs 16.33%) in intervention and non-intervention area (p<0.001). Univariate analysis reported that initiation of complementary feeding before 6 months and indoor air pollution were associated with pneumonia in intervened area(p<0.001). Multivariate analysis was done and type of family, complementary feeding before 6 months and indoor air pollution were associated with pneumonia in intervened area. Conclusions: Community based interventions targeting the established risk factors found effective in reducing the childhood pneumonia.
Downloads
References
Pneumonia [Internet]. Available from: https://www.who.int/news-room/fact-sheets/detail/pneumonia Accessed on 25.02.2024
Wardlaw T, Salama P, Johansson EW, Mason E. Pneumonia: the leading killer of children. The Lancet. 2006;368(9541):1048–50.
Turner C, Turner P, Carrara V, Burgoine K, Tha Ler Htoo S, Watthanaworawit W, et al. High Rates of Pneumonia in Children under Two Years of Age in a South East Asian Refugee Population. PLoS ONE. 2013;8(1):e54026.
Niessen L, ten Hove A, Hilderink H, Weber M, Mulholland K, Ezzati M. Comparative impact assessment of child pneumonia interventions. Bull World Health Organ. 2009;87(6):472–80.
Minz A, Agarwal M, Singh JV, Singh VK. Care seeking for childhood pneumonia by rural and poor urban communities in Lucknow: A community-based cross-sectional study. J Fam Med Prim Care. 2017;6(2):211–7.
Effect of community based interventions on childhood diarrhea and pneumonia: uptake of treatment modalities and impact on mortality | BMC Public Health | Full Text [Internet]. [cited 2022 Oct 8]. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-S3-S29
Marsh DR, Gilroy KE, Van de Weerdt R, Wansi E, Qazi S. Community case management of pneumonia: at a tipping point? Bull World Health Organ. 2008;86(5):381–9.
Nolan LB. Slum Definitions in Urban India: Implications for the Measurement of Health Inequalities. Popul Dev Rev. 2015;41(1):59–84.
Fleiss J, Levin B, Paik M. In Statistical Methods for Rates and Proportions. Stat Methods Rates Proportions. 2003;203.
Nickel S, von dem Knesebeck O. Effectiveness of Community-Based Health Promotion Interventions in Urban Areas: A Systematic Review. J Community Health. 2020;45(2):419–34.
Selvaraj K, Chinnakali P, Majumdar A, Krishnan IS. Acute respiratory infections among under-5 children in India: A situational analysis. J Nat Sci Biol Med. 2014;5(1):15–20.
Hansen CL, McCormick BJJ, Azam SI, Ahmed K, Baker JM, Hussain E, et al. Substantial and sustained reduction in under-5 mortality, diarrhea, and pneumonia in Oshikhandass, Pakistan: evidence from two longitudinal cohort studies 15 years apart. BMC Public Health. 2020;20:759.
Childhood pneumonia: Everything you need to know [Internet]. Available from: https://www.unicef.org/stories/childhood-pneumonia-explained Accessed on 25.02.2024
Lassi ZS, Mallick D, Das JK, Mal L, Salam RA, Bhutta ZA. Essential interventions for child health. Reprod Health. 2014 Aug 21;11(1):S4.
Budhathoki SS, Tinkari BS, Bhandari A, Dhimal M, Zhou H, Ghimire A, et al. The Association of Childhood Pneumonia with Household Air Pollution in Nepal: Evidence from Nepal Demographic Health Surveys. Matern Child Health J. 2020;24(Suppl 1):48–56.
Kasundriya SK, Dhaneria M, Mathur A, Pathak A. Incidence and Risk Factors for Severe Pneumonia in Children Hospitalized with Pneumonia in Ujjain, India. Int J Environ Res Public Health. 2020;17(13):4637.
Zhou W, Zuo X, Li J, Yu Z. Effects of nutrition intervention on the nutritional status and outcomes of pediatric patients with pneumonia. Minerva Pediatr. 2016;68(1):5–10.
Lamberti LM, Zakarija-Grkovi? I, Fischer Walker CL, Theodoratou E, Nair H, Campbell H, et al. Breastfeeding for reducing the risk of pneumonia morbidity and mortality in children under two: a systematic literature review and meta-analysis. BMC Public Health. 2013;13(Suppl 3):S18.
Mihrshahi S, Oddy WH, Peat JK, Kabir I. Association between infant feeding patterns and diarrhoeal and respiratory illness: a cohort study in Chittagong, Bangladesh. Int Breastfeed J. 2008;3:28.
Raheem RA, Binns CW, Chih HJ. Protective effects of breastfeeding against acute respiratory tract infections and diarrhoea: Findings of a cohort study. J Paediatr Child Health. 2017;53(3):271–6.
Sutriana VN, Sitaresmi MN, Wahab A. Risk factors for childhood pneumonia: a case-control study in a high prevalence area in Indonesia. Clin Exp Pediatr. 2021;64(11):588–95.
Hanieh S, Ha TT, Simpson JA, Thuy TT, Khuong NC, Thoang DD, et al. Exclusive breast feeding in early infancy reduces the risk of inpatient admission for diarrhea and suspected pneumonia in rural Vietnam: a prospective cohort study. BMC Public Health. 2015;15:1166.
Biks GA, Berhane Y, Worku A, Gete YK. Exclusive breast feeding is the strongest predictor of infant survival in Northwest Ethiopia: a longitudinal study. J Health Popul Nutr. 2015;34:9.
NFHS-5_India_Report.pdf [Internet]. [cited 2023 Jan 12]. Available from: http://rchiips.org/nfhs/NFHS-5Reports/NFHS-5_India_Report.pdf
Gordon SB, Bruce NG, Grigg J, Hibberd PL, Kurmi OP, Lam K bong H, et al. Respiratory risks from household air pollution in low and middle income countries. Lancet Respir Med. 2014;2(10):823–60.
Chen T, Zou C, Yuan Y, Pan J, Zhang B, Qiao L, et al. Indoor air pollution from solid fuel on children pneumonia in low- and middle-income countries: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2022;29(17):24574–88.
Mondal D, Paul P. Effects of indoor pollution on acute respiratory infections among under-five children in India: Evidence from a nationally representative population-based study. PLoS ONE. 2020;15(8):e0237611.
Kinney PL, Asante KP, Lee AG, Ae-Ngibise KA, Burkart K, Boamah-Kaali E, et al. Prenatal and Postnatal Household Air Pollution Exposures and Pneumonia Risk. Chest. 2021;160(5):1634–44.
Wahl B, Knoll MD, Shet A, Gupta M, Kumar R, Liu L, et al. National, regional, and state-level pneumonia and severe pneumonia morbidity in children in India: modelled estimates for 2000 and 2015. Lancet Child Adolesc Health. 2020;4(9):678–87.
Downloads
Published
How to Cite
License
Copyright (c) 2024 Nabanita Nirmolia, Tulika Goswami Mahanta, Sailen Roy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.