Kimberly Jin, Inas F Aboobakar, Mary C Whitman, Isdin Oke
Mental Health Conditions Associated With Strabismus in a Diverse Cohort of US Adults
JAMA ophthalmology
despite decrease global underfive mortality rate highest rates mortality reported subsaharan africa onethird deaths among underfive children either lower respiratory tract infections diarrhea malaria poor treatmentseeking behavior fever among mothers underfive children big concern subsaharan africa however pooled prevalence prompt treatment fever associated factors among underfive children region using nationally representative data known therefore findings study inform policymakers program managers work child health design interventions improve timely appropriate treatment fever among underfive children data recent demographic health surveys 36 countries subsaharan africa conducted 2006 2022 used total weighted sample 71503 living children aged five years fever included study data extracted dhs data sets cleaned recorded analyzed using statase version 140 statistical software multilevel mixedeffects logistic regression used determine factors associated outcome variable intraclass correlation coefficient likelihood ratio test median odds ratio deviance 2llr values used model comparison fitness finally variables pvalue 005 adjusted odds ratio 95 confidence interval declared statistically significant pooled prevalence prompt treatment fever among underfive children subsaharan african countries 2611 95 ci 2579 2644 factors like maternal education aor 118 95 ci 113 125 maternal working status aor 134 95 ci 127 141 media exposure aor 105 95 ci 101 110 household wealth index aor 113 95 ci 106 119 distance health facility aor 118 95 ci 113 123 healthcare decisions aor 134 95 ci 101 177 visited healthcare facility last 12 months aor 145 95 ci 138 152 antenatal care attendance aor 179 95 ci 161 199 place delivery aor 155 95 ci 147 163 communitylevel antenatal care utilization aor 108 95 ci 102114 significantly associated prompt treatment fever among underfive children pooled prevalence prompt treatment fever among underfive children subsaharan african countries low educated women working mothers media exposure rich household wealth status perceiving distance health facility big problem making healthcare decisions husband partner visiting healthcare facility last 12 months antenatal care attendance health facility delivery high communitylevel antenatal care utilization increase odds prompt treatment fever therefore womens empowerment information dissemination mass media maintaining regular visits healthcare facilities strengthening health facility delivery antenatal care services strongly recommended