Child Health Indicators in Shareq Elneel Locality, Khartoum State, Sudan: A Cross-Sectional Study

Authors

  • Ibrahim Awad Eljack Department of Community and Family Medicine, Faculty of Medicine, Al-Baha University, Saudi Arabia
  • Abdel Rahman Al-Asha Hamedel Niel Research Department, Ministry of Health, Khartoum state, Sudan

DOI:

https://doi.org/10.6000/1929-4247.2015.04.02.1

Keywords:

Under five children, Immunization, Exclusive breastfeeding, Malnutrition, Rural administrative Units.

Abstract

Objective: To study child health status in Shareq Elneel Locality and its administrative units, Khartoum State, Sudan.

Methods: A two stages cluster sampling, cross-sectional study was conducted in Shareq Elneel Locality and it is eight administrative units in Khartoum State, Sudan, in 2008. Questionnaires were collected from the caretakers of 5858 child under-5 years of age and anthropometric measurements were taken for children whose parents were consented.

Results:69.4% of under 5 years children received the third dose of Poliomyelitis vaccine (Polio3) in the locality, 66.5% of under 5 years children received DPT3 vaccination in the locality, 71.9% of under 5 years children received Measles vaccination in the locality and 91.4% of the children under- 5 years in the locality had immunization card. There was evidence of a significant association between children under -5 measles vaccination and women’s highest level of school attended (P-Value= 0.04). Nearly one third of the under 5 children were moderately underweight and 16.2% them were severely underweight, More than one fifth of under 5 years children were moderately wasted, and 12% of children under -5 years old were severely wasted, 44.6% of children under -5 years of age were moderately stunted with obviously high percentage in the rural administrative units. More than one quarter of the children under- 5 years old were severely stunted and overweight prevalence of children under-5 years old in the locality was 14.6%. Only 21.4% of the children aged less than 2 years in the locality were exclusively breastfed. 27.5% of children under -5 years of age in the locality had diarrhea in the last 2 weeks preceding the survey, highest percentage found in the rural administrative units.6.5% of children under 5 years of age in the locality had fever in the last 2 weeks preceding the survey and nearly one third of under 5 years children in the locality had cough in the last 2 weeks preceding the survey. 87.9% of children targeted by vitamin A supplementation in the locality ever receive vitamin A dose.

Conclusions: The study reveal pronounced variations among urban and rural administrative units in regard to many of the survey indicators. Immunization activities do not reach their target in almost all the times in the locality and there were other aspects of child health related to hygiene, poverty, malnutrition and health services like diarrhea, respiratory tract infections and malnutrition which need more consideration to be improved. Malnutrition prevalence was high. The rates of diarrhea and suspected pneumonia are somehow higher in the study area than previous studies figures. Reduce the pronounced variations among urban and rural administrative units in regard to Primary Health Care services and activities in order to improve many of the Child Health indicators in the rural areas. Use effective methods of health promotion and new attractive material of health education in the locality concerning the weak Child Health indicators.

References

Sudan National Strategy for Reproductive health, Federal Ministry of Health, Sudan, august 2006 (internet communication, 2005 at http://www.fmos.gov).

East Nile locality. Annual report of the PHC activities, East Nile locality, for the year 2007; pp. 5-42.

UNICEF Multiple indicator cluster survey manual (2005), Monitoring the situation of the children and women, The United Nations Children's Fund (UNICEF) 2006; pp. 83-135.

Sudan Household Health Survey (SHHS), 200, Gov. Printting office, Khartoum, pp. 40-194.

WHO Multicentre Growth Reference Study Group: WHO Child Growth Standards: Length/ height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva, World Health Organization, 2006. Available at: http://www.who. int/childgrowth/standards/technical_report/en/ index.html

Statistic and monitoring, country statistic. Unicef/unite for children, 2007 (internet communication, 15 july 2009 at www.unicef.org/infobycountry/Ethiopia.html).

Statistic and monitoring, country statistic. Unicef/unite for children, 2007 (internet communication, 15 July 2009 at www.unicef.org/infobycountry/Indonesia.html)

Abedalrahman SK, Sarhat AR, Tawfeek RS. Factors predicting immunization coverage in Tikrit city. Middle East J Family Med 2008; 6: 1.

Dayan GH, Orellana LC, Forlenza R, et al. Vaccination coverage among children aged 13 to 59 months in Buenos Aires, Argentina, 2002. PAHO J 2004; 16(3): 158-67. http://dx.doi.org/10.1590/S1020-49892004000900002

Agarwal N, Goel N K, Galhotra A, et al. Immunization Status in a Slum in Chandigarh (U.T) India: A Perspective to Enhance the Service. Internet J of Health 2009.

Tapare VS, Borle PS. Assessment of Vaccination Performance by Lot QualityTechnique in an Urban Community of Miraj. Indian J Commun Med 2006; 31: 3.

United Nations Children’s Fund (UNICEF). New York, NY. "Safe Drinking Water." Excerpt from "Progress since the World Summit for Children: A Statistical Review." September 2001.

Rahman M, Mostofa G, Nasrin SO. Nutritional status among children aged 24-59 months in rural Bangladesh: An assessment measured by BMI index. Intern Biol Anthropol 2009; 3: 1.

Mittal A, Singh J, Ahluwalia SK. Effect of Maternal Factors on Nutritional Status of 1-5-Year-Old Children in Urban Slum Population. Indian J Commun Med 2007; 32: 4. http://dx.doi.org/10.4103/0970-0218.37691

UNICEF Multiple indicator cluster survey manual (2005), Monitoring the situation of the children and women, The United Nations Children's Fund (UNICEF) 2006; pp. 83-135.

Chudasama, Rajesh K, Amin et al. Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: A prospective study: Online J of Health and Allied Sciences, 2009.

Association of Labor Assistants & Childbirth Educators. Prevalence of breastfeeding among U.S. infants. The Third National Health and Nutrition Examination Survey American J.

Mohammed H B, Yagob Y A, Khawaja M S, et al. Coverage and Quality of Natal and Postnatal Care: Women's Perceptions, Saudi Arabia. J of Tropical Pediatrics, 1995; 41: 30-37.

Chaudhari VP, Srivastava RK, Moitra M, et al. Domestic environment & morbidity of under five children. Intern J Epidemiol 2009; 7: 1.

Sembaa RD, Peeb S de Suna K. Coverage of the National Vitamin A Supplementation Program in Ethiopia. J Tropical Pediatrics, 2008; 54:141-144. http://dx.doi.org/10.1093/tropej/fmm095

Ayoya MA, Bendech MA, Baker SK. Determinants of high vitamin A supplementation coverage among pre-school children in Mali: the National Nutrition Weeks experience. Public Health Nutrition J 2007; 10: 1241-1246. http://dx.doi.org/10.1017/S1368980007687138

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Published

2015-06-01

How to Cite

Eljack, I. A., & Hamedel Niel, A. R. A.-A. (2015). Child Health Indicators in Shareq Elneel Locality, Khartoum State, Sudan: A Cross-Sectional Study. International Journal of Child Health and Nutrition, 4(2), 67–77. https://doi.org/10.6000/1929-4247.2015.04.02.1

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General Articles