Increased Mortality In Children Research Articles

Do renewable energies moderate the effect of climate vulnerability on women’s socio-economic well-being? Evidence from African countries

PurposeThe purpose of this study is to assess the role of renewable energy as a means of promoting women’s economic participation and improving their health by mitigating climate vulnerability.Design/methodology/approachTo shed light on this relationship, the authors assess the capacity of renewable energy to reduce the negative impact of climate vulnerability on women’s economic empowerment and health, using the generalized method of moments estimator for 36 African countries over the period 1990–2021.FindingsThe empirical results show that climate vulnerability reduces economic empowerment and climate vulnerability increases child mortality. These results are mitigated by the use of renewable energy. The use of renewable energy mitigates the negative impact of climate vulnerability on women’s economic empowerment. Renewable energy use also reduces the pressure of climate vulnerability on child mortality. In addition, the authors take into account regional heterogeneities and find distinct effects. The results remain stable after further robustness testing.Originality/valueRenewable energy thresholds are provided at which climate vulnerability no longer reduces women’s socio-economic well-being.

The Impact of Ecological Footprint, Urbanization, Education, Health Expenditure, and Industrialization on Child Mortality: Insights for Environment and Public Health in Eastern Europe.

The purpose of this study is to examine the connection between child mortality in Eastern Europe and ecological footprint, urbanization, education, health expenditure, and industrialization. The study acknowledges the significance of understanding how these factors influence the infant mortality rates in this region from 1993 to 2022. The Grossman Health Outcome (H-O) model investigates the theoretical framework. For the existence of the cross-sectional dependency, mixed-order unit root, and cointegration problem, the famous Cross-Sectional Autoregressive Distributed Lag (CS-ARDL) approach is applied. The research also used the Augmented Mean Group (AMG) and Common Correlated Effects Mean Group (CCEMG) to check robustness. The findings illustrated that health expenditure and education lessen the infant mortality rate in Eastern European countries. But ecological footprint, industrialization and unemployment raise the infant mortality rate. According to the CS-ARDL findings, expenditure on healthcare significantly reduces child mortality. Still, the ecological footprint significantly impacts increasing child mortality. However, the AMG and CCEMG models demonstrate that investing in education is the most effective strategy for reducing child mortality. Therefore, the government of Eastern European countries should provide more priorities in the sustainable urbanization, health expenditure, and education sectors. The robustness of the AMG and CCEMG also demonstrated the strength of the CS-ARDL findings. This research paper contributes to SDG 3 by examining the environmental and health factors that influence child mortality in Eastern Europe. Policymakers, public health professionals, and other stakeholders can use the findings to inform the development and implementation of programs that specifically target the identified causes of child mortality.

Impact of Malaria on Maternal and Child Health in Uganda: Challenges and Solutions

Malaria remained a critical public health issue in Uganda, significantly affecting maternal and child health despite advances in treatment and preventive measures. Pregnant women and children under five years of age are particularly vulnerable, facing severe complications such as maternal anemia, placental malaria, and increased child mortality. This review examined the impact of malaria on these groups, highlighting the challenges posed by health system constraints, insecticide resistance, socioeconomic factors, and cultural beliefs. A comprehensive approach, including strengthening healthcare systems, implementing integrated vector management, engaging communities, and investing in research and innovation, is essential for mitigating the disease’s impact. This review was conducted through an extensive analysis of current epidemiological data, public health reports, and scientific literature to provide a detailed assessment of the challenges and potential solutions for improving maternal and child health outcomes in Uganda. Keywords: Malaria, Maternal health, Child health, Uganda, Public health interventions

Violent conflict and the demand for healthcare: How armed conflict reduces trust, instills fear, and increases child mortality

What are the health effects of violent conflict? It is well known that wars kill civilians away from the battlefield and long after the fighting has stopped. Yet why this happens remains only partially understood. While we have good evidence that factors such as the destruction of infrastructure, political neglect, and the out-migration of health workers – what may be called supply-side factors – negatively affect health outcomes, we know much less about how violence shapes the attitudes and behavior towards healthcare use among civilians exposed to violent conflict – what may be called demand-side factors. Here, I theorize that exposure to violence suppresses civilian demand for healthcare through two mediating channels – mistrust of government institutions and fear of future violence – with adverse consequences for health outcomes, particularly child health. To test this theory empirically, I combine information from over 80,000 interviews conducted in 22 conflict-affected countries in Africa with individual- and context-level measures of exposure to violent conflict. Exposure to violence is associated with significantly lower levels of political trust and increased fear of future violence, which in turn predict lower healthcare utilization, lower immunization rates, and higher infant and child mortality. To fully address the health consequences of armed conflict, it is essential that we better understand the attitudinal and behavioral correlates of exposure to violence.

Mothers’ choice of health management services for under-five children with common illnesses: evaluating social workers’ impact in Nigerian health sector

ABSTRACT Introduction Every child deserves the right to life. In Nigeria like other African countries, a high burden of child mortality prevails. Attaining a low-mortality rate of children entails that mothers who are the primary caregivers are in the best position to provide quality healthcare management. Method With the phenomenological approach in qualitative research, the researchers sourced data using Focus Group Discussions (FGDs) and In-Depth Interviews (IDI) from 38 mothers of various categories. The participants were purposively selected from four government and mission health institutions in a semi-urban Nsukka town, Enugu State. Data were analyzed thematically. Findings Results revealed that mothers utilize health institutions including government, mission, private, pharmacies and patent medicine vendors when seeking healthcare for their children. Their inability to recognize potential life-threatening conditions is the leading factor in increasing child mortality. Findings show that because participants were concerned about financial challenges; they were ready to adopt traditional medicine as an alternative to modern medicine. The study showed evidence of unsafe strategies mothers adopt for the health management of their under-five children with common illnesses. Participants indicated little knowledge of social workers’ engagement in health institutions. Conclusion Healthy living is essential in the protection from illnesses. Since under-five children are vulnerable to illnesses, their mothers should provide them with quality healthcare management. The study recommends that social workers’ engagement with health providers and users in semi-urban societies could help propagate healthcare awareness and strategies in mothers’ choice of health management for under-five children in Nigeria. Overall, adequate health policy consideration should be given to all under-five children in Nigeria.

Assessing Students' Knowledge and Attitudes Regarding the Risks and Prevention of Consanguineous Marriage: A Cross-Sectional Online Survey.

Several studies indicate a correlation between consanguinity and genetic disorders, congenital malformations, harm to reproductive health, and increased child mortality. To assess students' knowledge and attitudes about risks and prevention of consanguineous marriage. Demographic details of the participants and data on knowledge and attitudes concerning the risks and prevention of consanguineous marriage were obtained using an online self-administered questionnaire. The factors associated with good knowledge and attitude toward consanguineous marriage were investigated by logistic regression analysis. A total of 667 participants enrolled in the study. The average knowledge score about consanguineous marriage risk and prevention was 78.6% with a 95% confidence interval (CI) [77.3, 79.8], and the average attitude was 79.7% with a 95% confidence interval (CI) [79, 80.6]. A better knowledge score was observed in older participants (OR 1.01; 95% CI 1.004-1.024), females (OR 1.69; 95% CI 1.48-1.94), participants with parental history of consanguinity (OR 1.33; 95% CI 1.17-1.52), participants with family history of consanguineous marriage (OR 5.18; 95% CI 2.19-7.10), and participants with family history of inherited disease (OR 1.52; 95% CI 1.25-1.86). In general, the overall level of knowledge and attitudes toward consanguineous marriage risk and prevention was good among university students. To efficiently control and manage the adverse health impacts associated with consanguineous marriage, there is an urgent need to develop and implement evidence-based counseling and screening programs for consanguineous marriage that would significantly reduce the number of at-risk marriages.

Perceived risk of child mortality and fertility choices in climate-vulnerable regions of Bangladesh

This research examined the influence of perceived child mortality risk on the fertility choices of married women in Bangladesh. Employing a cross-sectional survey conducted in four rural areas, categorized as either vulnerable or not vulnerable to extreme climate events, a total of 759 married women were surveyed through simple random sampling, while 25 women were selected for in-depth interviews through judgment sampling. The findings indicate that women in climate-vulnerable regions express a greater desire for additional children compared to those in non-vulnerable areas. Furthermore, women who perceive increased child mortality risk and have experienced past child loss show a stronger tendency towards wanting more offspring. The qualitative insights from the interviews shed light on the underlying motivations driving these preferences, emphasizing the significance of child replacement and seeking security against potential child loss. These empirical findings provide valuable insights into the complex dynamics between perceptions of child mortality and reproductive decision-making among women in Bangladesh. The implications of this study are crucial for policymakers and practitioners, as they can guide the development of targeted interventions and policies to address reproductive health challenges in climate-vulnerable areas. By acknowledging women’s perspectives and considering contextual factors, these strategies can effectively address the reproductive implications of climate vulnerability, empowering women to make informed decisions about their fertility and promoting improved reproductive outcomes and overall well-being in vulnerable communities.

Ketahanan Pangan terhadap Stunting dan Wasting pada Anak

The problem of malnutrition is a major public health problem in various countries, so it is one of the causes of increasing child mortality rates. This is due to poor nutritional status, including undernutrition, wasting and stunting. Provide information related to stunting and wasting and the importance of food security. This research uses Systematic Review and PRISMA. Data was obtained from journals that had been collected and 15 journals were used in this research. Results: Factors that can influence stunting and wasting include; household food insecurity, socio-economic factors including family income, maternal education level, environmental factors (housing and water quality), demographic factors (family size and employment status), genetic and biological factors (low birth weight), psychosocial factors (stress and violence in the family), nutritional factors (lack of macro and micronutrients, unbalanced food consumption, and low levels of protein, Fe, and Zn adequacy), health factors (not getting antenatal care, not getting exclusive breastfeeding, and the incidence of diarrhea) factors biodiversity (food and agriculture). Conclusion: Stunting and wasting can reduce intelligence, creativity, productivity, and will affect the quality of human resources. There is a need for multisectoral strategies and policies, implementing guidelines and strategies that can increase household food security, including counseling positions for parents, training for mothers in breastfeeding and nutrition practices, as well as awareness campaigns in hygiene and sanitation practices. Empowerment and involvement of women (mothers) in household decision making as an effort to prevent stunting and malnutrition in children.

ANXIETY AND COPING IN SCHOOL-AGED CHILDREN DURING CHEMOTHERAPY TREATMENT

Cancer was a chronic disease that increased child mortality. Treatment processes and drug side effects, fear of relapse, frequent re-entry, and death, functional impairment, changes in body image, decreased self-esteem, and challenges in transitioning back to life caused considerable stress and anxiety for pediatric cancer patients. Almost all pediatric cancer patients were faced with at least one psychosocial problem, of which anxiety and depression often coexisted and were most frequently reported. Anxiety and coping affected the quality of life of children with cancer. This research aimed to identify anxiety and coping in school-age children during chemotherapy treatment. This research used a quantitative descriptive method. Forty-five children participated in this research. The research instrument used for data collection was anxiety and coping questionnaires. Data were analyzed using descriptive analysis. The result of this research showed that the majority of school-age children's anxiety during chemotherapy programs was in the moderate anxiety category, while the majority of children's coping was in the maladaptive coping category. Anxiety and coping were factors that affected the quality of life of children with cancer. Further research is expected to examine interventions that can improve adaptive coping in children undergoing chemotherapy.Keywords: anxiety, coping, chemotherapy, school-age children

Do Pentavalent (DTwP-Hib-HBV) vaccines have sex-differential nonspecific effects? An observational study

ABSTRACT Vaccines may alter the ability to combat infections unrelated to the target disease, i.e. have “nonspecific effects.” The non-live Diphtheria-Tetanus-Pertussis vaccine (DTP) has been associated with increased child mortality, especially for females. In 2008, the DTP-containing Pentavalent vaccine replaced DTP vaccine in Guinea-Bissau. We investigate female relative to male mortality after Penta vaccination. In Guinea-Bissau, Bandim Health Project (BHP) registered children’s vaccination and vital status at biannual village visits and provided vaccines. Among children Penta-vaccinated by BHP, we compared mortality of males and females in Cox proportional hazards models. Children aged 6 weeks to 8 months entered the analysis at the date of vaccination and were followed for up to 6 months. Between September 2008 and December 2017, 33,989 children aged 6 weeks to 8 months were under surveillance. Of these 12,753 (females: 6,363; males: 6,390) received Penta by the BHP and entered the study contributing with 19,667 observations. The mortality rate following Penta vaccination was 25.2 per 1,000 person years for females and 26.6 for males, resulting in an adjusted Female/Male mortality rate ratio of (F/M aMRR) 1.01 (0.82–1.25). The association between sex and mortality differed by timeliness of vaccination, F/M aMRR: 0.62 (0.41–0.93) for children vaccinated below median age, and F/M aMRR: 1.38 (0.90–2.13) for children vaccinated above median age. We did not find higher overall mortality in females than males after Penta vaccination. Our findings suggest that mortality differences between males and females following Penta vaccination may depend on timeliness of Penta vaccination.

Ramadan during pregnancy and offspring health over the life course: A systematic review

Abstract Background The Muslim population in Europe is increasing, with by now more than 5% of the population being Muslim. During pregnancy, many Muslim women choose to adhere to the Ramadan fast. Research on health effects of Ramadan during pregnancy on the offspring has been conducted through two separate literature strands. One compares offspring of women who chose vs didn't choose to fast and focuses on birth outcomes. The other strand uses an ITT-approach, classifying Muslims as potentially vs certainly not exposed based on their birthdates relative to Ramadan. The ITT-studies’ design allows to also study later-life health. This review combines both strands and evaluates their ability to identify causal effects between Ramadan during pregnancy and offspring health. Methods A systematic literature search using PubMed, EconLit and Web of Science plus a Google Scholar search yielded 35 eligible studies. Data were extracted and quality assessed using a checklist. Results Non-ITT studies often struggle to adequately address bias from self-selection in treatment, with a high risk of confounding and unknown direction of bias. ITT studies, while producing results biased toward zero, are likely to reveal causality and relied on large datasets, leading to high statistical power. Studies meeting the quality threshold find limited evidence of effects on birth outcomes, such as birthweight, but show increased child mortality rates and worse adult health outcomes along several dimensions. These effects tend to increase in magnitude with age, which is congruent with fetal programming theory. Conclusions Medical advisories, guidelines and previous literature reviews mostly focused on non-ITT studies that primarily examined birth outcomes. However, health effects mostly show up at later ages. Consequently, adverse long-run effects are often overlooked, and pregnant Muslims remain not fully informed of potential health impacts on their offspring of their Ramadan fasting decisions. Key messages • Many pregnant Muslims decide to fast during Ramadan. Rigorous quality checking of the research on offspring health effects is needed to provide informative evidence for the growing Muslim population. • Adverse health effects of Ramadan during pregnancy mostly become visible only years after birth. Medical advisories tend to focus on evidence on birth effects, overlooking long-term adverse effects.

Climate, weather and child health in Burkina Faso

AbstractIt is now clear that anthropogenic climate change is having a negative impact on human health. In this paper, we provide the first comprehensive assessment of the impact of climatic stressors on child health in Burkina Faso. We undertake a rigorous empirical analysis of the impact of climate and weather shocks on mortality, stunting (height‐for‐age Z‐score) and wasting (weight‐for‐age Z‐score), using Demographic and Health Surveys, combined with high‐resolution meteorological data, controlling for household and individual covariates. We find robust evidence that both lifetime and short‐term exposure to high temperatures and droughts have a negative impact on child health, as do increased temperature anomalies during crop seasons, suggesting a link between climate and health through domestic food production. Income and household wealth, access to electricity, sanitation and a health facility for childbirth negate some adverse impacts of climate change. Combining our econometric estimates with updated CMIP6 scenarios, we compute policy‐relevant projections of future child health. Our results show that future warming is projected to significantly increase child mortality, and share of underweight and stunted children, in all but the Paris Agreement scenario. Given the links between health, a key element of human capital, and economic growth, our findings and projections provide yet more evidence of the importance of a rapid reduction in global emissions combined with adaptation funding, if lower‐income countries are to achieve poverty reduction and increasing prosperity.

Data Collection Systems on Violence Against Children in Bulgaria

Violence against children has clearly proven demographic, health, educational, social, and economic consequences which are not limited to immediate trauma and increased child mortality rates. Establishing and maintaining sustainable data collection systems is a key component of the effort to address child abuse. The review of the indicators collected by the institutions in Bulgaria shows that there are partially collected data that are relevant to the topic of violence against children. However, it remains unclear how the collected data is integrated into a general framework. The use of the data collected by the institutions for the improvement of the existing mechanisms, as well as for the planning of effective policies to deal with violence against children, is also in question.

Perlindungan Hak Asasi Manusia Terhadap Eksploitasi Anak Bawah Umur Ditinjau Secara Yuridis

Children are God's gifts that must be protected and loved. Today there are many cases of violence against children, often even within their own families. This is usually due to family and economic factors in the family in the child. In addition, the number of abused children often shows a correlation with the number of child workers in Indonesia. This study discusses violence against children from a human rights perspective. This study uses a normative legal approach, which explains legal science and social science related to violence against children and child protection. The results of this study indicate that violence against children increases child mortality in Indonesia The method used is normative, namely those made to legal standards contained in statutory regulations. In this method there are several discussions regarding the legal provisions, Law no. 35 of 2014 concerning Child Protection..

The Breast: Premalignant Organ or Functional Gland?

Increasingly, young women are undergoing bilateral mastectomies before the completion of childbearing. This procedure, when performed prematurely, precludes any future lactation. However, not breastfeeding increases maternal and child morbidity and mortality, and carries an overall U.S. financial cost of $18.5 billion per year. The emotional and physical consequences of bilateral mastectomy in this patient population should be more carefully considered, and any prophylactic surgery deferred until childbearing has been completed.

Mapping the quality of prenatal and postnatal care and demographic differences on child mortality in 26 low to middle-income countries.

Closing the gap between child mortality in low- and middle-income countries (LMICs) and high-income countries is a priority set by the WHO in sustainable development goals (SDGs). We aimed to examine poor nutrition and prenatal and postnatal care that could increase the risk of child mortality in LMICs. The Demographic and Health Survey (DHS) was used to examine data from 26 countries to compare prenatal, postnatal, nutritional, and demographic factors across LMICs. Outcome of child death was classified into death before onemonth of age, between 1 to 11months, between one to two years, between three to fiveyears, and overall death before five years. Chi-square analyses identified differences in prenatal care, postnatal care, nutrition, and demographic factors between children who died and those who survived. Logistic regression identified factors that increased child mortality risk. The majority of deaths occurred before the ages of one month and one year. Considerably poorer quality of prenatal care, postnatal care, and nutrition were found in low-income and low-middle-income countries in the contemporary 2020s. High child mortality and poor quality of prenatal and postnatal care coincide with low income. Children in LMICs were exposed to less vitamin A-rich foods than children in higher-middle-income countries. The use of intestinal parasite drugs and the absence of postpartum maternal vitamin A supplementation significantly increased child mortality risk. Significant socio-demographic risk factors were associated with an increased mortality rate in children, including lack of education, maternal marital status, family wealth index, living rurally, and financial problems hindering access to healthcare. Poor nutrition remains a vital factor across all LMICs, with numerous children being exposed to foods low in iron and vitamin A. Significantly, most deaths occur in neonates and infants, indicating an urgent need to address risk factors associated with early child death.

An integrative literature review on the impact of COVID-19 on maternal and child health in Africa

Africa has the highest rates of maternal deaths globally which have been linked to poorly functioning health care systems. The pandemic revealed already known weaknesses in the health systems in Africa, such as workforce shortages, lack of equipment and resources. The aim of this paper is to review the published literature on the impact of the COVID-19 pandemic on maternal and child health in Africa. The integrative review process delineated by Whittemore and Knafl (2005) was used to meet the study aims. The literature search of Ovid Medline, CINAHL, PubMed, WHO, Google and Google scholar, Africa journals online, MIDIRS was limited to publications between March 2020 and May 2022. All the studies went through the PRISMA stages, and 179 full text papers screened for eligibility, 36 papers met inclusion criteria. Of the studies, 6 were qualitative, 25 quantitative studies, and 5 mixed methods. Thematic analysis according to the methods of Braun and Clark (2006) were used to synthesize the data. From the search the six themes that emerged include: effects of lockdown measures, COVID concerns and psychological stress, reduced attendance at antenatal care, childhood vaccination, reduced facility-based births, and increase maternal and child mortality. A review of the literature revealed the following policy issues: The need for government to develop robust response mechanism to public health emergencies that negatively affect maternal and child health issues and devise health policies to mitigate negative effects of lockdown. In times of pandemic there is need to maintain special access for both antenatal care and child delivery services and limit a shift to use of untrained birth attendants to reduce maternal and neonatal deaths. These could be achieved by soliciting investments from various sectors to provide high-quality care that ensures sustainability to all layers of the population.

Infant & Child Mortality in Pakistan and its Determinants: A Review.

Over the years, several developing countries have been suffering from high infant and child mortality rates, however, according to the recent statistics, Pakistan falls high on the list. Our narrative review of copious research on this topic highlights that several factors, such as complications associated with premature births, high prevalence of birth defects, lack of vaccination, unsafe deliveries, poor breastfeeding practices, complications during delivery, sudden infant death syndrome (SIDS), poor socioeconomic conditions, and a struggling healthcare system, have influenced these rates. Bearing in mind the urgency of addressing the increased infant and child mortality rate in Pakistan, multiple steps must be taken in order to prevent unnecessary deaths. An effective initiative could be spreading awareness and education among women, as a lack of education among women has been indirectly linked to increased child mortality in Pakistan across many researches conducted on the issue. Furthermore, the government should invest in healthcare by hiring more physicians and providing better supplies and improving infrastructure, especially in underdeveloped areas, to decrease child mortality due to lack of clean water and poor hygiene. Lastly, telemedicine should be made common in order to provide easy access to women who cannot visit the hospital.

What is the relationship between deprivation, modifiable factors and childhood deaths: a cohort study using the English National Child MortalityDatabase

ObjectivesThe aim of this analysis is to identify the patterns of social deprivation and childhood mortality; and identify potential points where public health, social and education interventions, or health policy...

Conflict and Child Mortality in Mali: A Synthetic Control Analysis

AbstractIndirect effects of conflict on mortality of vulnerable groups are as important, or more important, than the direct effects. However, data limitations and methodological challenges hinder the estimation of excess deaths produced by conflict, and few studies explore the mechanisms by which conflict harms civilian populations. We estimate the impact of the Malian conflict on child mortality over the period 2012–2018 using Demographic Health Survey data. We use birth histories to build time series of child mortality, and we employ novel synthetic control methods to show that the Malian conflict significantly increased child mortality in northern Mali. We conduct a difference‐in‐difference analysis of the impact of conflict on key determinants of maternal and child health and conclude that a reduction in access to safe sanitation and to child vaccinations in conflict areas was among the most likely causes of the increase in mortality. Northern Mali is today one of the poorest and most neglected areas of the world where humanitarian assistance is urgently needed.