MORBIDITY PATTERNS IN UNDERFIVE CHILDREN IN AN URBAN LOW SOCIOECONOMIC COMMUNITY OF GUNTUR CITY IN ANDHRA PRADESH

Authors

  • Prasada Rao Udaragudi Assistant Professor, Dept. of Community Medicine, NRI Medical College, Chinakakani, Mangalagiri Mandal, Guntur District, Andhra Pradesh, India https://orcid.org/0000-0001-8960-2961
  • Samson Sanjeeva Rao Nallapu Professor, Dept. of Community Medicine, NRI Medical College, Chinakakani, Mangalagiri Mandal, Guntur District, Andhra Pradesh, India

DOI:

https://doi.org/10.29121/granthaalayah.v9.i6.2021.4025

Keywords:

Underfives, Morbidity, Prevalence, ARI, Diarrhoea, Health Seeking Behaviour

Abstract

Background: Retrospective morbidity data helps in prioritizing health conditions according their burden on the child and the family and to plan effective interventions. This study is set to look at the morbidity patterns in in a low area of Guntur city. Methodology: This descriptive study conducted in the service area of the Urban Health Center (UHC) at in Guntur city involved 740 children from 6 randomly selected areas. After taking informed consent, the mothers of the children were subjected to a pretested structured questionnaire on current illnesses, 2 weeks recall of illnesses and illnesses over the last one year. The data is presented in the form of tables and percentages. Significant findings are subjected to tests of significance at 5% Level of Significance. Results: Point prevalence of morbidity was 16.1% among boys and 10.7 % among girls (p value 0.03). Children with morbidity over last two weeks are 12.4% (boys 10.9% & girls 13.9%). Over one year, 52.2% had some illness (Boys 47.2% and Girls 52.8%). The had the maximum illness burden (69.5%) and the infants had the least (31.1%) (p value 0.00000001). Chronic illnesses like asthma, skin conditions etc. were seen in 5% of the children (5.2% male and 4.8% female). 63% of the children were seen in private facilities while 37% were seen in a Govt. health facility. 11.1% of the children were seen only by unqualified practitioners. Discussion: Morbidity in is mainly focused on Acute Respiratory Infections (ARI) and which are the common causes of mortality in this age group. Chronic conditions of childhood may persist into adulthood and can influence both health and academic outcomes. Private sector health facilities including unqualified practitioners are sought after more than Government health facilities. Conclusion: There is an essential need to empower primary caregivers of children especially the mother to recognize early signs of childhood illness and seek appropriate care while also facilitating structural and procedural changes in the public healthcare system.

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References

Awasthi, S., Kumar, D., Mishra, N., Agarwal, M. & Pandey, C. M. (2019). Effectiveness of various communication strategies for improving childhood pneumonia case management: a community based behavioral open labeled trial in rural Lucknow, Uttar Pradesh, India. BMC Public Health 19(1), 1721. Retrieved from https://dx.doi.org/10.1186/s12889-019-8050-0 10.1186/s12889-019-8050-0 DOI: https://doi.org/10.1186/s12889-019-8050-0

Dhirar, N., Dudeja, S., Khandekar, J. & Bachani, D. (2018). Childhood Morbidity And Mortality In India - Analysis Of National Family Health Survey. 4, 335–338. DOI: https://doi.org/10.1007/s13312-018-1276-6

Goel, K., Ahmad, S., Agarwal, G., Goel, P. & Kumar, V. (2012). A Cross Sectional Study On Prevalence Of Acute Respiratory Infections (ARI) In Under-Five Children Of Meerut District. India. J Community Med Health Educ 9, 1000176.

Hernandez, J. & Kim, P. Y. (2020). Epidemiology Morbidity And Mortality. [Updated 2020 Feb 2]. In: Statpearls [Internet]. Treasure Island (FL) . Retrieved from Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK547668/

Indrayan, A. & Satyanarayana, L. (2000). Measures Of Mortality And Morbidity In Children. Indian Pediatrics 37, 515–521.

Kumar, S., Majumdar, A., Kumar, V., Naik, B., Selvaraj, K. & Balajee, K. (2015). Prevalence of acute respiratory infection among under-five children in urban and rural areas of puducherry, India. Journal of Natural Science, Biology and Medicine 6(1), 3. Retrieved from https://dx.doi.org/10.4103/0976-9668.149069 10.4103/0976-9668.149069 DOI: https://doi.org/10.4103/0976-9668.149069

Kuppusamy, K., Bhoorasamy, A. & Sharma, D. (2013). Prevalence of acute respiratory infections (ari) and their determinants in under five children in urban and rural areas of Kancheepuram district, South India. Annals of Tropical Medicine and Public Health 6(5), 513. Retrieved from https://dx.doi.org/10.4103/1755-6783.133700 10.4103/1755-6783.133700 DOI: https://doi.org/10.4103/1755-6783.133700

Manesh, A. O., Sheldon, T. A., Pickett, K. E. & Carr-Hill, R. (2008). Accuracy of child morbidity data in demographic and health surveys. International Journal of Epidemiology 37(1), 194–200. Retrieved from https://dx.doi.org/10.1093/ije/dym202 10.1093/ije/dym202 DOI: https://doi.org/10.1093/ije/dym202

Mathew, J. L., Patwari, A. K., Gupta, P., Shah, D., Gera, T., Gogia, S., Mohan, P., Panda, R. & Menon, S. (2011). Acute respiratory infection and pneumonia in India: A systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian Pediatrics 48(3), 191–218. Retrieved from https://dx.doi.org/10.1007/s13312-011-0051-8 10.1007/s13312-011-0051-8 DOI: https://doi.org/10.1007/s13312-011-0051-8

Miller, G. F., Coffield, E., Leroy, Z. & Wallin, R. (2016). Prevalence and Costs of Five Chronic Conditions in Children. The Journal of School Nursing 32(5), 357–364. Retrieved from https://dx.doi.org/10.1177/1059840516641190 10.1177/1059840516641190 DOI: https://doi.org/10.1177/1059840516641190

Minz, A., Agarwal, M., Singh, J. & Singh, V. (2017). Care seeking for childhood pneumonia by rural and poor urban communities in Lucknow: A community-based cross-sectional study. Journal of Family Medicine and Primary Care 6(2), 211. Retrieved from https://dx.doi.org/10.4103/2249-4863.219987 10.4103/2249-4863.219987 DOI: https://doi.org/10.4103/2249-4863.219987

Mohapatra, I., Mishra, K. & Kumar, A. (2019). A study on the health seeking behavior among caregivers of under-five children in an urban slum of Bhubaneswar, Odisha. Journal of Family Medicine and Primary Care 8(2), 498. Retrieved from https://dx.doi.org/10.4103/jfmpc.jfmpc_437_18 10.4103/jfmpc.jfmpc_437_18 DOI: https://doi.org/10.4103/jfmpc.jfmpc_437_18

Mokomane, M., Kasvosve, I., Melo, E. de, Pernica, J. M. & Goldfarb, D. M. (2018). The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management. Therapeutic Advances in Infectious Disease 5(1), 29–43. Retrieved from https://dx.doi.org/10.1177/2049936117744429 10.1177/2049936117744429 DOI: https://doi.org/10.1177/2049936117744429

Park, K. (2011). Epidemiology Of Communicable Diseases. Park′S Textbook Of Preventive And Social Medicine. 21sted. Jabalpur. 156.

Takele, K., Zewotir, T. & Ndanguza, D. (2019). Risk factors of morbidity among children under age five in Ethiopia. BMC Public Health 19(1), 942. Retrieved from https://dx.doi.org/10.1186/s12889-019-7273-4 10.1186/s12889-019-7273-4 DOI: https://doi.org/10.1186/s12889-019-7273-4

(2019). The State Of The World’s Children. Children, Food And Nutrition: Growing Well In A Changing World. UNICEF .

Tyagi, B. B., Mohanti, B. K., Hazarika, N. & R. V. (2016). An Epidemiological Study On Morbidity Patterns Amongst Hospitalized Children In A New Tertiary Care Hospital Of Gurgaon. India International Journal Of Medical And Health Research 2(11), 6–14.

Venkatachalam, J., Singh, Z., Purty, A. J., Narayanan, S. & Sathya, G. R. (2014). A Study of Morbidity Pattern of Under Fives and Health Seeking Behavior of their Parents in a Coastal Region of Pondicherry, South India. Indian Journal of Public Health Research & Development 5(4), 41. Retrieved from https://dx.doi.org/10.5958/0976-5506.2014.00009.6 10.5958/0976-5506.2014.00009.6 DOI: https://doi.org/10.5958/0976-5506.2014.00009.6

Vyas, S., Kandpal, S., Semwal, J. & D. (2014). A Study On Morbidity Profile And Associated Risk Factors In A Rural Area Of Dehradun. J Clin Diagn Res 8(8). DOI: https://doi.org/10.7860/JCDR/2014/8595.4706

Wadgave, H. (2013). Burden of health morbidities in under-fives in urban slum areas. Journal of Dr. NTR University of Health Sciences 2(2), 96. Retrieved from https://dx.doi.org/10.4103/2277-8632.112333 10.4103/2277-8632.112333 DOI: https://doi.org/10.4103/2277-8632.112333

(2020). WHO, Children: Improving Survival And Well-Being, WHO Fact Sheets. Retrieved from Https://Www.Who.Int/En/News-Room/Fact-Sheets/Detail/Children-Reducing-Mortality

(2018). World Health Statistics, Monitoring Health For The Sdgs, Sustainable Development Goals, Geneva: World Health Organization.

Published

2021-07-05

How to Cite

Udaragudi, P. R., & Rao Nallapu, S. S. (2021). MORBIDITY PATTERNS IN UNDERFIVE CHILDREN IN AN URBAN LOW SOCIOECONOMIC COMMUNITY OF GUNTUR CITY IN ANDHRA PRADESH. International Journal of Research -GRANTHAALAYAH, 9(6), 214–224. https://doi.org/10.29121/granthaalayah.v9.i6.2021.4025