Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali
DOI:
https://doi.org/10.53638/phpma.2017.v5.i1.p13Keywords:
children, severe pneumonia, delayed treatment, case control, BaliAbstract
Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia.
Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 and April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression.
Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96).
Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.
References
UNICEF. Pneumonia: The Forgotten killer of Children. September 2006. Geneva 27, Switzerland; 2006.
Ministry of Health of Indonesia. 2010. Buletin Jendela Epidemiologi. Jakarta; 2010; 3.
Ministry of Health of Indonesia. Basic Health Survey 2013. Jakarta, Badan Penelitian Pengembangan Kesehatan Kementerian Kesehatan RI; 2014.
Bali Province Health Office. Profil Dinas Kesehatan Provinsi Bali Tahun 2014. [Bali Province Health Profile 2014]. Denpasar, Dinas Kesehatan Provinsi Bali; 2014.
Scott J.Anthohy G, Brooks W.Abdullah, Peiris J.S. Malik, Holtzman Douglas, and Mulholland E.Kim, 2008, Pneumonia research to reduce childhood mortality in the develoving world. The journal of clinical investigation; 2008; 116(4).
Yudiastuti ENK, Sawitri AAS, Wirawan DN, 2015. Durasi pemberian ASI eksklusif, lingkungan fisik dan kondisi rumah sebagai faktor risiko pneumonia pada balita di Puskesmas II Denpasar Selatan [Duration of breastfeeding, physical environments, and house conditions as risk factors for pneumonia among children in South Denpasar II Community Health Centre], Public Health and Preventive Medicine Archive; 2015; 3(2).
Wonodi CB, Knoll MD, Feikin DR, Deluca AN, et al. 2012. Evaluation of risk factors for severe pneumonia in children: the pneumonia etiology research for child health study. Clinical Infectious Diseases; 2012: 54(2).
Jackson S, Mathews KH, Pulanic D, Falconer R, Rudan I, Campbell H, Nair H, 2013. Risk Factors For Severe Acute Lower Respiratory Infections in Children a Systematic Review and Meta Analysis, Croat Med Journal; 2013; 54:110-21.
Onyango D, Kikuvi G, Amukoye E, Omolo O. Risk Factors of Severe Pneumonia Among Children Aged 2-59 Months in Western Kenya: A Case Control Study. Pan Africal Medical Journal; 2012.
WHO. Pocket book of hospital care for children second edition: guidelines for management of common childhood illness; 2013.
Hendarwan H. Faktor-faktor yang Berhubungan dengan Perilaku Ibu Balita dalam Pencarian Pengobatan Pada Kasus-Kasus Balita dengan Gejala Pneumonia di Kabupaten Serang [Factors associated to health seeking behaviours of mothers with children presenting pneumonia symptoms in Serang District]. Media Litbang Kesehatan; 2005;15(3).
Mokoginta D, Arsin A, Sidik D. Faktor Risiko Kejadian Pneumonia pada Anak Balita di Wilayah Kerja Puskesmas Sudiang Kota Makasar [Risk factors of pneumonia among children in Sudiang Community Health Centre, Makasar City], Makasar, Bagian Epidemiologi FKM Universitas Hasanuddin; 2012.
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