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Your search keyword '"Julius J. Massaga"' showing total 2 results
Start Over Author "Julius J. Massaga" Publisher african field epidemiology network
2 results on '"Julius J. Massaga"'

1. Risk factors associated with under nutrition among children aged 6-59 months in Ngorongoro, Arusha region, Tanzania: a case-control study, 2017

Author

Julius J. Massaga, Ahmed Abade, Senga Sembuche, Germana H Leyna, and Ester Lucas Mdimu

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, 030231 tropical medicine, Mothers, Nutritional Status, Tanzania, Child Nutrition Disorders, Young Adult, 03 medical and health sciences, 0302 clinical medicine, children, Risk Factors, Environmental health, Prevalence, medicine, Humans, 030212 general & internal medicine, under-five, Family Characteristics, biology, Under-five, business.industry, Research, Public health, factors, Infant, Undernutrition, Feeding Behavior, General Medicine, Odds ratio, Anthropometry, biology.organism_classification, medicine.disease, Infant Nutrition Disorders, Ngorongoro, Malnutrition, Low birth weight, Caregivers, Case-Control Studies, Child, Preschool, Female, Rural area, medicine.symptom, business
Abstract

Introduction:childhood undernutrition is one of the leading causes of morbidity and mortality in children below five years of age especially in developing countries like Tanzania, particularly in rural area. Inappropriate child caring and feeding practices have been strongly associated with it. Many actions have been taken to reduce prevalence of undernutrition in children in Ngorongoro district, however, the problem persist. This study identified risk factors associated with undernutrition in children under-five years of age in Ngorongoro district, Arusha region. Methods:a health facility-based unmatched case-control study was conducted with 400 (100 cases and 300 controls) children aged 6-59 months. Cases included children with undernutrition according to the WHO anthropometric indicators. Controls were children within the normal range of these indicators. Both cases and controls, were obtained from children attending the Reproductive and Child Health (RCH) for assement of growth and development or admitted in pediatric ward. A questionnaire was used to collect demographic characteristics, child health and caring practices and environmental factors. Height, weight and Mid Upper Arm Circumference (MUAC) were measured using standard approaches. We employed logistic regression analysis to identify significant risk factors for undernutrition. Results:undernutrition was associated with young age of mothers/caregivers (adjusted Odds Ratio (aOR)=38.8, 95% CI: 15.38-59.03.); early age of initiation complementary foods (aOR=13.6, 95%CI: 3.15-59.06); a child having diarrhoea in past one month (aOR=4.0; 95%CI: 1.76-12.85); large family size (aOR=6.1, 95% CI: 2.16-16.90); low frequency of feeding (aOR=3.9, 95%CI: 1.59-9.58); low birth weight (aOR:=7.3, 95%: CI: 1.15-46.70); and source of drinking water; well (aOR=16.3, 95%: CI: 1.81-147.05) and surface water (aOR=16.18, 95%CI: 1.85-141.71). Conclusion:household and individual characteristics of the children and mother/caregiver are important predictors of undernutrition in this community. Tailored interventions, instead of blanket approaches, should be designed to mitigate and eliminate childhood undernutrition in Ngorongoro.

Published
2020

2. Factors associated with non-uptake of measles-rubella vaccine second dose among children under five years in Mtwara district council, Tanzania, 2017.

Author

Magodi R, Mmbaga EJ, Massaga J, Lyimo D, Mphuru A, and Abade A

Subjects
Adult, Caregivers statistics & numerical data, Child, Preschool, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Immunization Schedule, Logistic Models, Male, Surveys and Questionnaires, Tanzania, Waiting Lists, Young Adult, Measles Vaccine administration & dosage, Rubella Vaccine administration & dosage, Vaccination statistics & numerical data, Vaccination Coverage statistics & numerical data
Abstract

Introduction: in 2014, Tanzania introduced the combined measles-rubella vaccine in the routine immunization schedule. Two doses of measles-rubella vaccine (MR1 and MR2) are recommended at 9 and 18 months, respectively. In 2015, MR2 coverage among eligible 18-month-old children in Tanzania was only 57%, lower than the WHO-recommended coverage (95%). During the same period Mtwara District Council (MDC) reported a coverage of 52% which is lower than the nation average. We determined factors associated with non-uptake of MR2 among children in MDC Tanzania., Methods: we conducted a community-based cross-sectional survey using cluster sampling during January - April 2017 in MDC. Caretakers of children born during January 2014 - January 2015 and residing in MDC for the past three years were recruited. We interviewed participants and reviewed vaccination cards. Logistic regression modeling was employed to identify independent factors associated with uptake of MR2., Results: of 1,000 children assessed, 558 (55.8%) were unvaccinated with MR2. Factors independently associated with non-uptake of MR2 included the caretaker being unaware of the ages for MR1 and MR2 administration [aOR=3.50; 95%CI 1.98-6.21; p<0.001], having MR2 vaccination services offered at the local vaccination station fewer than three days per week [aOR=1.50; 95%CI 1.42-5.59; p<0.001], not having the vaccine available during vaccination days [aOR=3.38; 95%CI 1.08-10.61; p<0.01], unwillingness of health workers to open multi-dose vaccine vials for a single child [aOR=3.80; 95% CI 2.12-6.79; p<0.001], and long waiting times for vaccination services [aOR=1.80; 95% CI 1.08-3.00; p<0.01]., Conclusion: more than half the children under five years in MDC were not vaccinated with MR2. Lack of caretaker knowledge about appropriate vaccination age, unavailability of vaccine, having insufficient numbers of children waiting to warrant multidose vial use, and long clinic waiting times were associated with MR2 non-uptake. The community should receive education about MR vaccine; we recommend thorough screening of children?s vaccination status at each clinic visit and provision of vaccine whenever possible. Vaccine distribution should be improved in MDC., Competing Interests: The authors declare no competing interests.

Published
2019
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