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Disease Pattern among Children attending Pediatric Outpatient Department in Community Based Medical College Hospital,
M Begum1, M K Khan, M T Hossain
1Dr Maksuda Begum, Assistant Professor, Department of Community Medicine, Community Based Medical College, Bangladesh (CBMCB), Mymensingh, Bangladesh.
Insights
This study found Acute Respiratory Infections (ARI) and diarrheal diseases are common in Bangladeshi children. Improved sanitation and safe water access correlate with reduced disease incidence.
Area of Science:
- Pediatric Health
- Public Health
- Epidemiology
Background:
- Disease patterns in children are influenced by socio-demographics, healthcare access, and environmental factors.
- Illness and treatment-seeking behaviors also play a role in disease presentation.
- Understanding these determinants is crucial for effective public health interventions.
Purpose of the Study:
- To describe the disease patterns among children attending a pediatric outpatient department in Bangladesh.
- To identify the common diseases and associated socio-demographic and environmental factors.
- To explore the relationship between environmental improvements and disease trends.
Main Methods:
- A descriptive cross-sectional study was conducted from January 2014 to December 2015.
- Data collected via face-to-face interviews, clinical examinations, and anthropometric measurements from 310 children.
- Case record forms were utilized for data collection.
Main Results:
- The most common diseases were Acute Respiratory Infections (39.03%) and diarrheal diseases (13.87%).
- Under-five children predominated (64.84%), with 36.77% from poor families and 24.52% underweight.
- High access to sanitary latrines (80.97%) and safe drinking water (95.81%) was observed.
Conclusions:
- Acute Respiratory Infections and diarrheal diseases are significant pediatric health issues in the study area.
- Improvements in safe water supply and sanitary latrine usage show a decreasing trend in diarrheal diseases and helminthiasis.
- Socio-economic factors and housing conditions remain critical determinants of child health.
Abstract:
Disease pattern is based on socio-demographic characteristics, comprehensive health care services, and environmental variables like water supply, basic sanitation and housing, illness behavior like quick decision to arrive at health care facility, and treatment behavior like the modality of treatment they receive. The descriptive cross-sectional study was conducted during the period of January 2014 to December 2015. The study was carried out among 310 purposively selected children attended at Pediatric Outpatient department of Community Based Medical College Hospital, Bangladesh. Data were collected by face to face interview of the parents and clinical examination and anthropometric measurement of children using case record form. Mean age of the children was 4.11 years with a SD of 4.35 years, male-female ratio was 1.25:1 with predominance 201(64.84%) of under-five children. The common diseases were 121(39.03%) with Acute Respiratory Infections (ARI), while 43(13.87%) diarrheal diseases, 25(8.06%) each with bronchial asthma and helminthiasis. Other diseases 96(30.97%) include anemia 17(5.48%), urinary tract infection 15 (4.84%), peptic ulcer disease 9(2.90%), enteric fever, oral candidiasis, apthous ulcer of mouth, scabies and vulvovaginitis. Average number of children per family was 2.2 including 251(80.97%) children having sanitary latrine in the family, 297(95.81%) with safe drinking water facilities and 270(87.10%) were fully vaccinated under EPI. More than three fourth 76(24.52%) of the children were underweight, 114(36.77%) were from poor families and 136(43.87%) lived in Kancha house. With the improvement of safe water supply and use of sanitary latrine diseases like diarrhoeal disease and helminthiasis are showing a decreasing trend.
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