Study of Morbidity Pattern of Under-Fives in Paediatrics OPD of a tertiary care Hospital in a Rural Area of Uttar Pradesh
Morbidity Pattern of Under-Fives in Paediatrics OPD
Keywords:
Morbidity pattern, Under-fives, PaediatricsAbstract
Background: Children under-five are most vulnerable for malnutrition and infection. Morbidity pattern of this age group has several determinants like socio-economic status, basic education, occupation, socio-cultural practices, living environment etc. Objectives: To study the morbidity pattern in under-five children and to find out it’s association with various factors. Methods: This was a cross-sectional study conducted in paediatrics OPD of a tertiary care level hospital in rural area of Etawah District of Uttar Pradesh for three months. We included 379 children by random sampling design. Mothers of children were interviewed using a predesigned schedule. Chi-square test was used for statistical analysis. Results: Commonest morbidity was malnutrition (70.71%), followed by ARI (63.59%), anaemia (47.76%), diarrhea (20.58%), malaria (13.33%) and worm infestation (10.03%) while around 25 percent suffered from other illnesses. Most common symptom was fever (70.71%) and cough (62.8%). A statistically significant association was found in morbidity pattern of ARI, diarrhea, malaria, malnutrition and anaemia with various factors like education, socio-economic status, and occupation. Congenital anomalies were found in around 3 percent children. 3.69 percent children were admitted in wards from OPD. Conclusion: Common childhood illnesses were prevalent though children suffered from serious illnesses on very few occasions.
References
2. WHO (1992) Global Health Situations and Projection, Estimates, Division of Epidemiological Surveillance and Health Situation and Trend Assessment.
3. WHO (2005) World Health Report-2005, Make Every Mother and Child Count,Report of Director General WHO.
4. WHO (2005), Improving Maternal, Newborn and Child Health in the South-East Asia Region, New Delhi.
5. WHO, The use and interpretation of Anthropometry-Report of WHO Expert Committee. WHO Tech Rep Series 854, WHO, Geneva.1995.
6. National Family Health Survey III
7. http/www.tibet.com/Govt/doh.html. Disease Incidence in 30 Settlements and 47 scattered communities pp-4
8. Dogra S ; Kumar B: Epidemiology of Skin Diseases in School Children, a study from Northern India, Pediatr. Dermatol. 2003; 20(6): 470-3 (ISSN: 0736-8046),
9. Valia R A, Pandey SS, Kaur Paramjeet, Singh Gurm; Prevalence of Skin Diseases in Varanasi School Children, Ind Jour. Of Dermatology and Venerology and Leprology 1991, Vol 57, issue: 3 pp-141-14320.
10. World Health Organization. Monitoring Antimalarial Drug Resistance. WHO/CDS/CDR/EPH/2002.1,WHO.CDS/RBM/2002.39.Geneva.WHO,2002.
11. BBC News, 24 November 2005 , 00:43 GMT
12. T Sahu, N C Sahani, L Patnaik; Childhood Anaemia- A study in Tribal Area of Mohana Block in Orissa, IJCM Vol. 32 No.1 Jan 2007 pp43-45
13. Bhanderi D, S K Choudhary ; An Epidemiological Study of Health and Nutritional Status of Under-five Children in Semi-urban Community of Gujrat: Ind. Jour of Pub Health pp 213-219 ISSN 009-557X, Vol. XXXXX No.4, Oct-Dec,2006
14. N Seetharaman, T V Chacko, S L R Shankar, A C Mathew; Measuring Malnutrition-The role of Z Score and Composite Index of Anthropometric Failure (CIAF), IJCM, Vol. 32 No 1 Jan 2007, pp35-39.
15. Shib Shekhar Datta, N Sinha, P R Deshmukh, B S Garg; Morbidity Profile of Under Three Children in Rural Wardha, Maharashtra-Abstract- 51st All India Annual Conference-IPHA
