Sociodemographic Determinants of Mortality in Hospitalized Under-Five Children at a Secondary Health Care Centre in the Niger Delta.
Article
in English
| IMSEAR
| ID: sea-153153
ABSTRACT
Aims:
To determine the socio-demographic factors associated with mortality in hospitalized under-5 children in the Niger Delta region of Nigeria. StudyDesign:
Cross-sectional study. Place and Duration of Study Paediatric unit of Mariere Memorial Central Hospital Ughelli, Nigeria between October 2011 and February 2012.Methodology:
All inpatients aged 29 days to ≤ 60 months who met the inclusion criteria were consecutively enrolled and information on a range of demographic and clinical factors obtained using a structured questionnaire. The primary outcome variable was mortality. Data was coded and analysed using SPSS version 16 software.Results:
Of the 600 children recruited for the study, 345(57.5%) were males while 255(42.5%) females. The case fatality rate was 51(8.5%). Significant risk factors associated with mortality were maternal age >30 years (p=0.001), low maternal educational status (0.001), lower socioeconomic class (p=0.006), late presentation (p=0.004). However, multiple logistic regression analysis showed late presentation to be the strongest determinant of mortality. ((OR=4.83, 95%CI 1.458 to 15.993, p=0.01).Conclusion:
Social factors play a significant role in the eventual health outcomes in hospitalized under-5 children with late presentation being the strongest predictor of mortality. Effort should therefore be made at creating awareness on seeking early treatment for childhood illnesses in recognized hospitals.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
/
Risk factors
Language:
English
Year:
2012
Type:
Article
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