Abstract
BackgroundPneumonia is a significant public health problem globally. The early identification and management of the determinants of pneumonia demands clear evidence. But, there is a limited data on this issue in the current study area. Thus, this study aimed to identify the determinants of pneumonia among 2–59 months old children at Debre Markos Referral Hospital, Northwest Ethiopia.MethodsA Hospital based unmatched case-control study was conducted among 334 (167 Cases and 167 Controls) children at Debre Markos Referral Hospital from February 1 to March 30, 2018. Consecutive sampling technique was employed and data were collected with a pre-tested interviewer administered questionnaire. Data were entered into Epi-Data version 4.2, and analyzed using SPSS version 25 software. Bi-variable and multi-variable logistic regression analyses were fitted. Variables having p-value < 0.05 were considered as statistically significant.ResultsA total of 328(164 cases and 164 controls) 2–59 months old children were included in this study. Not opening windows daily [AOR:6.15(2.55,14.83)], household near to the street [AOR:4.23(1.56,11.44)], child care by the house workers and relatives [AOR:2.97 (1.11,7.93)], using only water for hand washing before child feeding [AOR:3.81 (1.51, 9.66)], mixed feeding practice from birth to six months [AOR: 7.62 (2.97, 19.55)], having upper respiratory tract infection in the last 2 weeks for the child [AOR: 5.33 (2.16, 13.19)] and children with history of co- residence with URTI family [AOR: 6.17 (2.36,16.15)] were found to be determinants of pneumonia.ConclusionsThe main contributing factors for pneumonia in this study are preventable with no or minimal cost. Therefore, we recommend appropriate and adequate health education regarding pneumonia prevention and control.
Highlights
Pneumonia is a significant public health problem globally
Diagnosis of pneumonia was determined by the assigned physician using the Federal Democratic Republic of Ethiopia Ministry of Health Integrated Management of Newborn and Childhood Illness (IMNCI) guideline [22] adopted from World Health Organization (WHO)
By using backward logistic regression method, 7 variables had showed significant association with pneumonia at p- value less than 0.05
Summary
Pneumonia is a significant public health problem globally. The early identification and management of the determinants of pneumonia demands clear evidence. This study aimed to identify the determinants of pneumonia among 2–59 months old children at Debre Markos Referral Hospital, Northwest Ethiopia. Pneumonia remains the leading cause of death in children under five years old worldwide. In 2016, pneumonia accounts for 15.6 and 17% of all deaths in this age group globally and in Sub-Saharan Africa respectively [1]. Most of these deaths occurred in developing countries where access to care is limited and interventions that have improved care in developed countries are scarce [2]. In. Ethiopia, pneumonia contributes for 16.4% of all deaths of children under five years of age more than diarrhea, malaria, AIDS and measles combined [1]. Despite the global and Getaneh et al BMC Pulmonary Medicine (2019) 19:147 government efforts, pneumonia in Ethiopia remains a considerable problem
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
