Challenges and recommendations for addressing under-five pneumonia morbidity and mortality in Nigeria

Chidi Okafor1, Abimbola Olaniran2, Elisabeth Darj3

  • 1Norwegian University of Science and Technology, Institute of Public Health and Nursing.

African Health Sciences
|January 15, 2024
PubMed

Insights

Health providers in Nigeria perceive pneumonia as a major threat to child survival. Addressing contextual factors is crucial to reduce under-five pneumonia deaths and improve child health outcomes.

Area of Science:

  • Pediatrics
  • Public Health
  • Infectious Diseases

Background:

  • Pneumonia is a leading cause of mortality in children under five globally, particularly in Africa.
  • Malnutrition and air pollution are significant predisposing factors for severe pneumonia.
  • Nigeria faces a high burden of child mortality, with pneumonia being a major contributor.

Purpose of the Study:

  • To explore healthcare providers' perceptions of pneumonia as a cause of under-five mortality in Nigeria.
  • To understand the views of nurses and pediatricians on pneumonia prevention and management.

Main Methods:

  • Qualitative study design utilizing in-depth interviews and focus group discussions.
  • Exploration of healthcare providers' perspectives on the pneumonia situation in Nigeria.
  • Gathering insights on vaccinations and preventive strategies for childhood pneumonia.

Main Results:

  • Two major themes emerged: provider anxiety and identified impediments to care.
  • Four categories were identified: views on the current situation, policies, strategies, and suggestions for improvement.
  • Healthcare providers highlighted contextual issues influencing pneumonia mortality in Nigerian children.

Conclusions:

  • Contextual factors significantly contribute to pneumonia mortality among Nigerian children.
  • Multi-level approaches are necessary to effectively address severe pneumonia and reduce child deaths.
  • Understanding provider perspectives is vital for developing targeted interventions.
Abstract

Related Concept Videos

Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
227
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
331
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
239
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
3.9K
International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.0K