塞拉利昂五岁以下腹泻儿童口服补液疗法和持续喂养的趋势与不平等。

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-10-02 DOI:10.1186/s41182-024-00633-0
Augustus Osborne, Camilla Bangura
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引用次数: 0

摘要

背景:近几十年来,塞拉利昂的儿童健康状况有所改善。然而,腹泻疾病仍然是一个公共卫生问题,尤其是在五岁以下儿童中。本研究调查了 2008 年、2013 年和 2019 年塞拉利昂五岁以下腹泻儿童口服补液疗法和持续喂养的趋势和不平等现象:分析利用了 2008 年、2013 年和 2019 年进行的塞拉利昂人口健康调查的数据。计算各种不平等度量(包括简单差异、比率、人口可归因风险和人口可归因分数)所使用的软件是世界卫生组织健康公平评估工具包。对六个分层因素进行了不平等评估:母亲年龄、母亲经济状况、母亲教育水平、居住地、儿童性别和国家以下地区:我们的研究结果表明,塞拉利昂五岁以下腹泻儿童接受口服补液疗法和持续喂养的比例从2008年的56.5%上升到2019年的59.7%。随着时间的推移,母亲年龄在 20-49 岁之间的儿童的覆盖率高于母亲年龄在 15-19 岁之间的儿童。与贫困、受教育程度低和居住在农村地区的母亲相比,富裕、受教育程度高和居住在城市地区的母亲的子女的覆盖率随时间推移而下降。男性儿童的覆盖率高于女性儿童。地区不平等略有下降,从 2008 年的 21.5 个百分点降至 2019 年的 21.2 个百分点:研究结果显示,塞拉利昂五岁以下儿童口服补液疗法和持续喂养方面的进展喜忧参半。虽然全国覆盖率有所提高,但不平等现象依然存在。年龄较大的母亲和贫困家庭的儿童的情况有所改善,而城市地区年龄较小、家境较富裕、母亲受教育程度较高的儿童的覆盖率则有所下降。性别和地区不平等依然存在。扩大以社区为基础的保健计划、提供补贴或免费用品以及加强服务不足地区的保健系统,是确保塞拉利昂所有儿童获得公平、有效保健的关键战略。
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Trends and inequalities in oral rehydration therapy and continued feeding for children under five with diarrhoea in Sierra Leone.

Background: Sierra Leone has improved child health outcomes in recent decades. However, diarrhoeal diseases remain a public health concern, particularly among children under five. This study investigates the trends and inequalities in oral rehydration therapy and continued feeding for children under five with diarrhoea in Sierra Leone in 2008, 2013 and 2019.

Methods: The analysis utilised data from the Sierra Leone Demographic Health Survey rounds conducted in 2008, 2013, and 2019. The software utilised for the calculation of various measures of inequality, including simple difference, ratio, population-attributable risk, and population-attributable fraction, was the World Health Organization Health Equity Assessment Toolkit. An inequality assessment was conducted for six stratifiers: maternal age, maternal economic status, maternal level of education, place of residence, sex of the child, and sub-national region.

Results: Our findings reveal that children under five with diarrhoea receiving oral rehydration therapy and continued feeding increased from 56.5% in 2008 to 59.7% in 2019 in Sierra Leone. Children of mothers aged 20-49 had more coverage over time than those with mothers aged 15-19. Children of mothers who are wealthy, more educated, and living in urban areas show a decrease in coverage with time compared to the poor, the lowly educated, and those residing in rural areas. Male children had higher coverage than female children. Regional inequality decreased slightly from 21.5 percentage points in 2008 to 21.2 percentage points in 2019.

Conclusion: The findings revealed a mixed picture of progress in oral rehydration therapy and continued feeding for children under five in Sierra Leone. While national coverage has increased, inequalities persist. Children of older mothers and those from disadvantaged backgrounds have experienced improvements, while children of younger, wealthier, and more educated mothers in urban areas have seen a decline in coverage. The gender and regional inequalities remain. Expanding community-based health programs, providing subsidised or free supplies, and strengthening health systems in underserved areas are key strategies to ensure equitable and effective healthcare for all children in Sierra Leone.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
期刊最新文献
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