Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Acta Paediatrica, Journal Year: 2022, Volume and Issue: 111(7), P. 1341 - 1353

Published: April 25, 2022

Millions of Ukrainian children have been internally displaced or fled to other countries because the Russian war. This systematic review focused on their health needs and future challenges for clinicians.A literature search Medline, Embase MedRxiv databases from 1 January 2010 31 March 2022 identified 1628 papers 112 were relevant this review.In 2019, under-5 mortality was 8 per 1000 live births in Ukraine. Underweight adverse childhood experiences, including child abuse, frequent compared European countries, while obesity seemed less common. Alcohol consumption common women reproductive age, during pregnancy, risking foetal alcohol syndrome. Neonatal screening programmes provided low coverage. Vaccine hesitancy vaccination rates low. Other concerns measles, HIV, antibiotic resistance multi-resistant tuberculosis. Many are expected suffer psychological physical trauma due healthcare include COVID-19 a preference secondary tertiary care, rather than primary care. people cannot afford medication.Ukrainian often poor host need be aware needs.

Language: Английский

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Spatial variation and determinants of delayed breastfeeding initiation in Ethiopia: spatial and multilevel analysis of recent evidence from EDHS 2019

International Breastfeeding Journal, Journal Year: 2024, Volume and Issue: 19(1)

Published: Feb. 7, 2024

Abstract Background Despite the World Health Organization’s firm recommendation to start breastfeeding during first hour after delivery, nearly 54% of children in low- and middle-income countries are unable initiate within recommended time frame. Understanding initiation is essential for optimal child health maternal well-being. Methods This study was conducted using recent Ethiopian Demographic Survey (EDHS) data (2019) on a weighted sample 1982 mothers aged under 24 months. The extraction between August 1 30, 2023. Delayed’ defined as failure one birth. STATA version 17 used non-spatial analysis. ArcGIS Pro Sat Scan 9.6 were map visual presentation delayed initiation. Global Moran’s I computed determine whether randomly distributed, clustered, or dispersed. Getis-Ord Gi* Spatial Statistics done identify significant spatial clusters cold hot spot areas. Multilevel mixed-effect logistic regression analysis determinants Results prevalence 26.4% (95% CI 24.4, 28.3). Significant clustering practice found Somali region. Less identified Northern Amhara, Addis Ababa Dire Dawa. Being young mother (15–24 years) (AOR 1.66; 95% 1.06, 2.62), no antenatal care 1.45; 1.04, 2.02), cesarean section 4.79; 3.19, 7.21) home birth 1.53; 1.14, 2.06) be breastfeeding. Conclusions In Ethiopia, distributed non-randomly. hotspot areas eastern part Ethiopia. Thus, deploying additional resources high regions recommended. Programs should focus promoting facility increasing visits. Further emphasis considered supporting those giving via improve timely

Language: Английский

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Socioeconomic and geographic inequalities in antenatal and postnatal care components in India, 2016–2021

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: May 3, 2024

Despite the well-known importance of high-quality care before and after delivery, not every mother newborn in India receive appropriate antenatal postnatal (ANC/PNC). Using India's National Family Health Surveys (2015-2016 2019-2021), we quantified socioeconomic geographic inequalities utilization ANC/PNC among women aged 15-49 years their newborns (N = 161,225 2016; N 150,611 2021). For each eighteen components, assessed absolute relative by household wealth (poorest vs. richest), maternal education (no higher than secondary), type place residence (rural urban) evaluated state-level heterogeneity. In 2021, national prevalence components ranged from 19.8% for 8 + ANC visits to 91.6% weight measurement. Absolute were greatest ultrasound test (33.3%-points wealth, 30.3%-points education) (13.2%-points residence). Relative (1.8 ~ 4.4 times). All declined over time. State-specific estimates overall consistent with results. Socioeconomic varied significantly across states. To optimize health India, future interventions should aim achieve universal coverage all components.

Language: Английский

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Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022–23

International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 11, 2025

Initiating breastfeeding immediately within the first hour following birth has positive effects on mother's and newborn's health wellbeing. Little is known about early initiation of associated factors in Afghanistan. In this study, we addressed research gap. We used data from Afghanistan Multiple Indicator Cluster Survey (MICS) 2022-23. Data were analysed 11,992 ever-married women, aged 15-49 years, who delivered a live child last 2 years before survey. The outcome was defined as initiating birth. A logistic regression model to identify with breastfeeding. Out 46.9% initiated likelihood greater women secondary or higher education (AOR 1.44 [95% CI 1.26, 1.63]), belonging second wealth quintile 1.17 1.04, 1.31]), had access media 1.15 1.03, 1.29]), mobile phones 1.25 1.15, 1.37]). lower gave at home 0.60 0.55, 0.66]), private hospitals clinics 0.65 0.56, 0.76]), compared public hospitals, living rural areas 0.88 0.78, 0.95]). Women C-section for their latest 0.26 0.21, 0.32]), very small-sized babies 0.89 0.79, 0.99]) less likely report With nearly half Afghan delaying beyond birth, targeted policies interventions are crucial. Addressing key socioeconomic healthcare disparities through education, equitable maternal care, community-based awareness programs can promote practices improve neonatal outcomes

Language: Английский

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Mother and newborn skin-to-skin contact and timely initiation of breastfeeding in sub-Saharan Africa

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(1), P. e0280053 - e0280053

Published: Jan. 10, 2023

Mother and newborn skin-to-skin contact (SSC) plays a key role in breastfeeding practices of mothers. In this study, we examined the association between mother SSC timely initiation sub-Saharan Africa (SSA).This cross-sectional study utilized nationally representative data from Demographic Health Surveys 17 countries SSA 2015 to 2020. Multilevel binary logistic regression analysis was performed examine breastfeeding. The results are presented using adjusted odds ratios (aOR), with 95% confidence interval (CI).The pooled prevalences were 45.68% (95% CI = 34.12-57.23) 62.89% 55.67-70.11), respectively. Mothers who practiced more likely practice compared those did not [aOR 1.68, 1.58, 1.78] persisted after controlling for all covariates 1.38, 1.29, 1.47]. At country level, increased Angola 1.99, 1.44, 2.76], Cameroon 1.43, 1.02, 1.99], Ethiopia 1.62, 1.16, 2.28], Guinea 1.69, 1.10, 2.60], Liberia 2.03, 1.33, 3.12], Malawi 1.47, 2.12], Mali 1.42, 1.84], Sierra Leone 1.87, 1.23, 2.83], South 2.59, 1.41, 4.76], Tanzania 1.60, 1.27, 2.01], Uganda Zambia 1.86, 1.50, 2.30], Zimbabwe 1.65, 1.24, 2.21].The prevalence SCC relatively low but high. is strong predictor SSA. To enhance birth, recommends that child maternal healthcare interventions focused on improving should be implemented.

Language: Английский

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Determinants of early initiation of breastfeeding in The Gambia: a population-based study using the 2019–2020 demographic and health survey data

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: June 22, 2023

Abstract Background Early initiation of breastfeeding within the first hour life prevents neonatal and infant mortality. Sustainable Development Goals (SDGs) Target 3.2 aims to reduce mortality under 5 globally. The decline in early Gambia coincides with deviations from SDGs, due poor indicators child survival. Our work studied determinants Gambia. Methods We used 2019–2020 Demographic Health Survey (GDHS) conducted across all regions country. Since our population interest was children born two years preceding study, we only included less than 24 months age, living an eligible respondent. Thus, a weighted sample 5691 mother-child pairs applied analysis. reported summary statistics individuals’ sociodemographic, obstetrics antenatal, household, community-level factors. A logistic regression model determine associations between covariates. Results prevalence 64.3% ( n = 3659). Mothers who had secondary education or higher educational level odds (AOR 1.22; 95% CI 1.07, 1.40). Regions rural notably Lower Central Upper River Region lower [Mansakonko 0.37; 0.26, 0.15), Kerewan 0.26; 0.19, 0.36), Kuntaur 0.39; 0.28, 0.54), Janjanbureh 0.48; 0.35, 0.66) Basse 0.64; 95%CI 0.49, 0.85)]. Also, women high quintile wealth index were more likely initiate 1.29; 1.06, 1.57). Four antenatal care visits did not increase breastfeeding. Conclusions results analyses demand affirmative action improve maternal education, poverty inequality empower communities IYCF component needs be strengthened. Programs policies on must resonate address timely chart progress towards SDG.

Language: Английский

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Predictors of late initiation of breastfeeding practice in Ethiopia: a multilevel mixed-effects analysis of recent evidence from EDHS 2019

BMJ Open, Journal Year: 2024, Volume and Issue: 14(4), P. e081069 - e081069

Published: April 1, 2024

Objectives To identify the predictors of late initiation breastfeeding practice in Ethiopia. Design Cross-sectional study design. Setting Participants A total 1982 weighted samples mothers with children aged under 24 months were included. Outcome measure Late practice. Results The prevalence is 26.4% (95 CI 24.4 to 28.3). Being a young mother (15–24 years) (adjusted odds ratio (AOR) =1.66; 95 1.06 2.62), no antenatal care (ANC) visit (AOR=1.45; 1.04 2.02), caesarean section (AOR=4.79; 3.19 7.21) and home delivery (AOR=1.53; 1.14 2.06) found be determinants breast feeding. Conclusion More than one-fourth newborn do not start feeding within WHO-recommended time (first hour). Programmes should focus on promoting health facility birth increasing ANC visits. Further emphasis placed those who deliver via improve timely

Language: Английский

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A Major Gap Between the Knowledge and Practice of Mothers Towards Early Initiation and Exclusive Breastfeeding in Afghanistan in 2021

Maternal and Child Health Journal, Journal Year: 2024, Volume and Issue: 28(9), P. 1641 - 1650

Published: June 26, 2024

Language: Английский

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Prediction of delayed breastfeeding initiation among mothers having children less than 2 months of age in East Africa: application of machine learning algorithms

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Sept. 2, 2024

Background Delayed breastfeeding initiation is a significant public health concern, and reducing the proportion of delayed in East Africa key strategy for lowering Child Mortality rate. However, there limited evidence on this issue assessed using advanced models. Therefore, study aimed to assess prediction associated factors among women with less than 2 months child machine learning approach. Methods A community-based, cross-sectional was conducted most recent Demographic Health Survey (DHS) dataset covering years 2011 2021. Using statistical software (Python version 3.11), nine supervised algorithms were applied weighted sample 31,640 performance measures. To pinpoint predict Africa, also employed widely used outlines Yufeng Guo’s steps learning. Results The pooled prevalence 31.33% 95% CI (24.16–38.49). highest Comoros low Burundi. Among algorithms, random forest model fitted study. association rule mining result revealed that home delivery, delivered by cesarean section, poor wealth status, access media outlets, aged between 35 49 years, who had distance problems accessing facilities Africa. Conclusion high. findings highlight multifaceted nature practices need consider socioeconomic, healthcare, demographic variables when addressing timelines region. Policymakers stakeholders pay attention we recommend targeted interventions improve healthcare accessibility, enhance outreach, support lower socioeconomic status. These measures can encourage timely address identified contributing delays across

Language: Английский

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Socioeconomic Moderators of the Association Between Delayed Breastfeeding Initiation and Place of Delivery: Cross-Sectional Study

JMIR Public Health and Surveillance, Journal Year: 2024, Volume and Issue: 10, P. e57254 - e57254

Published: Sept. 24, 2024

Background Breastfeeding is a crucial and irreplaceable method of feeding infants. Despite the well-established advantages early breastfeeding initiation, its progress remains constrained. Over half Indian mothers witness delayed initiation. Various factors have been implicated to influence with institutional deliveries emerging as factor among them. Objective We tested hypothesized association between delivery initiation delays identified how various socioeconomic variables moderate (weaken, strengthen, or reverse) place delivery. Methods This cross-sectional study analyses data 106,569 from NFHS-5 (National Family Health Survey, 2019-21). Missing were managed by using complete case analysis approach. The outcome variable was timing for most recent child, being explanatory variable. Socioeconomic including age, education level, marital status, residence, wealth index considered moderating variables. Logistic regression–based moderation explored these relationship Separate binary logistic regression models analyzed effect each Statistical conducted IBM SPSS Statistics 26. Results highest occurrence observed aged ≥36 years (58.3%), lacking formal (60.9%), belonging lower groups (58.1%), residing in rural areas (57.4%), having home births (64.1%). confirmed primary hypothesis that significantly negatively affects (odds ratio [OR] 0.705, 95% CI 0.676-0.735, P<.001). Age affected this (adjusted OR [aOR] 0.757, 0.696-1.307, P=.02 15-25 age group). Notably, level (aOR 0.616, 0.429-1.930, P=.005 no aOR 0.510, 0.429-1.772, P=.04 education) poor 0.672, 0.528-1.432, P=.004) strengthened negative on Poor those without (primary) when delivering child at health institution further reduced chances witnessing Conclusions Institutional lowers likelihood uneducated women lesser-educated deliver their children facilities, underscoring significance factors. Developing strategies targeting crucial. Tailored awareness programs crafted address needs economically disadvantaged backgrounds can enhance coverage. Outreach initiatives aimed promoting care service use during pregnancy delivery, well raising about practices, are warranted adoption implementation

Language: Английский

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