Modifiable risk factors for community-acquired pneumonia in children under 5 years of age in resource-poor settings:

James Samwel Ngocho1, Marien Isaäk de Jonge2, Linda Minja3

  • 1Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Insights

Community-acquired pneumonia (CAP) in young children is linked to not exclusively breastfeeding for six months, being underweight, using unclean cooking fuel, and low income. Vaccination status did not affect CAP risk in this study.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Pneumonia remains a leading cause of death in children under five, despite available vaccines and antibiotics.
  • Identifying modifiable risk factors is crucial for reducing childhood mortality from community-acquired pneumonia (CAP).

Purpose of the Study:

  • To identify modifiable risk factors for community-acquired pneumonia (CAP) in children under five within a vaccinated population.

Main Methods:

  • A case-control study was conducted from January to December 2017.
  • Cases were children aged 2-59 months with X-ray-confirmed pneumonia; controls were healthy community children.
  • Multivariable logistic regression was used to determine modifiable risk factors for CAP.

Main Results:

  • Key predictors of CAP included lack of exclusive breastfeeding for six months (aOR=1.7), underweight (aOR=2.1), unclean cooking fuel (aOR=1.8), and low income (aOR=2.9).
  • No association was found between vaccination status and CAP.
  • One death occurred post-enrollment among 113 CAP cases and 350 controls.

Conclusions:

  • Children lacking exclusive breastfeeding and those from low-income families are at higher risk for CAP.
  • Addressing CAP mortality requires a collaborative, multi-sectoral approach involving health, agriculture, and development sectors due to complex risk factors.
Abstract

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