A Longitudinal Study Among Under-Five Slum Children Of Bankura District, West Bengal On Spells Of Acute Respiratory Tract Infection And Its Correlates.

Abstract

Background: ARI is the perhaps most common human ailment that resolves without any consequences. But in under five especially in vulnerable children have increased morbidity and mortality. The current study was carried out among under-five children of Bankura town, West Bengal. Total 98 children were included in this study and followed up for 09 month from August 2017-April 2018 with total duration of study was 12 months i.e. June 2017- July 2018. The samples were taken from 02 slums of Bankura town by complete enumeration. The purpose of the study was to estimate the magnitude of ARI and its correlates. The overall incidence of spell was 1.19 episodes per child per year and estimated annual incidence of spell was 1.59 episodes per child per year. In bivariate analysis significant association (p < 0.05) was found between spells of ARI and feeding during illness, regularity of ICDS meal intake, type of housing, period of gestation during delivery.   A logistic regression was performed to ascertain the effects of type of house, ICDS meal, breast feeding, and period of gestation and feeding during illness on the likelihood that participants have ARI. The model was statistically significant X2 (6) = 23.98, p< 0.0001. The model explained 35.6% (Negelkerke R2) variation in the ARI episodes and correctly classified 80% of cases. Not taking meal from ICDS regularly increases probability of having ARI is 7.63times more, where other variables kept constant. Non term delivery increases probability of having ARI is 4 times more, where other variables kept constant. Exclusive breast feeding was associated with reduction of probability of having ARI