|Under five children’s acute respiratory infection dropped significantly in Bangladesh: an evidence from Bangladesh demographic and health survey (BDHS), 1996-2018|
||Md. Sabbir Hossain,Sumaiya Tasnim,Md. Alamgir Chowdhury,Fardin Ibn Farhad Chowdhury,Daluwar Hossain, and Mohammad Meshbahur Rahman
||Acta Paediatrica, DOI:https://doi.org/10.1111/apa.16447
Children under five
This study aims to systematically identify and review the most significant risk factors and the trends that follow Acute Respiratory Infection (ARI) among children under five in Bangladesh.
A total of 6863 under-five children were eligible for our analysis, retrieved from Bangladesh Demographic and Health Survey, 2014. ARI cases were defined if a child experienced of coughing with short and rapid breathing at the chest that occurred during two weeks prior to the study. Logistic regression and systematic review methods were appraised to explore the various risk factors involving ARI in Bangladesh. Furthermore, a trend analysis was performed to overlook the historical trend of ARI prevalence and affiliated determinants from 1996/97 to 2017/18 in Bangladesh.
Over the past two decades, Bangladesh experienced a significant drop in ARI prevalence from 12.8% in 1996 to only 3.0% in 2018. The cross-sectional findings revealed that boys (OR=1.35, 95% CI: 1.03-1.78), stunted children (OR=1.35, 95% CI: 1.03-1.78) and mothers with primary or no education (OR=2.53, 95% CI: 1.43-4.90) and secondary education (OR=1.77, 95% CI: 1.00-3.44) has the higher odds of ARI than their counterparts.
ARI prevalence significantly declined in Bangladesh while boys, stunted children and uneducated or primary educated mothers were identified as potential risk factors.