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首页> 外文期刊>Journal of Global Health Care Systems >Influence of Health System Factors on Morbidity of Diarrheal Disease among Under Five Years Children Living in Internally Displaced Population Camps of Hodan District, Mogadhishu-Somalia
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Influence of Health System Factors on Morbidity of Diarrheal Disease among Under Five Years Children Living in Internally Displaced Population Camps of Hodan District, Mogadhishu-Somalia

机译：卫生系统因素对居住在索马里霍丹地区霍丹地区内部流离失所者营地的5岁以下儿童中腹泻病发病率的影响

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Background: Diarrheal disease (DD) among children under 5 years old remains a major cause of morbidity and mortality worldwide. DD is the main killer with an estimate of 200 deaths per 1,000 live births in Somalia. Non-functioning government; disintegrated health system (HS); and recurrent droughts contributed to circumstances for severe infectious diarrhea including poor environmental sanitation and hygiene; and inadequate water supplies. This study sought to establish the influence of HS factors on morbidity of diarrhea among under-five children living in Hodan camps. Methods: Study used descriptive cross-sectional survey design. Multistage sampling technique was used to select 236 primary household caregivers and key informants for face-to-face interviews using questionnaires and key informant interviews. Descriptive and inferential statistical findings were presented as text, tables, and graphs. Results: Children in 48% households had suffered from diarrhea in the preceding past 2 weeks. Previously, diarrhea had affected most (45.3%) under-five children as compared to other diseases like malaria (22.9%). DD occurrence rate was highest (74.3%) among children of illiterate Caregivers. The health facilities (HFs) had enough stockpile of drugs though inadequately staffed and overstretched by demand causing increased turnaround time. Project-based HFs collapsed and stopped operating upon termination of projects. Poor health seeking behavior and failed follow-up visits resulted to negative health outcomes and re-lapse. The facilities and staff also lacked adequate supportive supervision. Conclusion: Poor HS contributed to increased morbidity of DD. Additional HFs and staff would enhance access to health services. Health education on DD would promote prompt health seeking and ensure timely treatment.
机译：背景：5岁以下儿童的腹泻病（DD）仍然是全球发病率和死亡率的主要原因。 DD是主要杀手，索马里每千名活产婴儿中有200人死亡。不能运转的政府;分解卫生系统;反复干旱导致严重的传染性腹泻，包括不良的环境卫生和个人卫生;和水供应不足。这项研究试图确定HS因素对住在Hodan营地的5岁以下儿童腹泻发病率的影响。方法：研究采用描述性横断面调查设计。多阶段抽样技术被用来选择236名主要的家庭护理人员和关键信息提供者，以进行问卷调查和关键信息提供者访谈。描述性和推断性统计结果以文本，表格和图形的形式呈现。结果：在过去的2周中，有48％的家庭的儿童出现了腹泻。以前，腹泻对五岁以下儿童的影响最大（45.3％），而疟疾等其他疾病（22.9％）则受到影响。文盲看护儿童中DD发生率最高（74.3％）。卫生设施（HFs）拥有足够的药品储备，尽管人员不足且需求旺盛，导致周转时间增加。基于项目的HF崩溃并在项目终止时停止运行。不良的寻求健康行为和失败的随访导致不良的健康结果和复发。设施和人员也缺乏足够的支持性监督。结论：不良的HS导致DD发病率增加。额外的HF和工作人员将增加获得保健服务的机会。 DD的健康教育将促进及时寻求健康并确保及时治疗。

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