SciELO - Scientific Electronic Library Online

 
vol.10 issue1Situational Analysis of Maternal Deaths in Paraguay: scopes from 2008 to 2018Reasons for children dropouts of the Comprehensive Nutritional Food Program in Asunción author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista de salud publica del Paraguay

On-line version ISSN 2307-3349

Abstract

RAQUEL, Escobar,; PALOMA, Rodero,  and  IVAN, Merino,. Biosocial components and prevalent childhood diseases in children under 5 years from the Bañado Sur of Asunción. Rev. salud publica Parag. [online]. 2020, vol.10, n.1, pp.23-31. ISSN 2307-3349.  https://doi.org/10.18004/rspp.2020.enero.23-31.

Introduction:

Prevalent childhood diseases in adverse conditions such as poverty can be serious or fatal. Integrated Management of Childhood Illness (IMCI) addresses the social determinants of health. Objective: Know the prevalent diseases and environmental conditions of children under 5 years old from Bañado Sur applying IMCI.

Methodology:

Observational, descriptive, cross-sectional study, non-probabilistic sampling by quotas in 4 neighborhoods of the Bañado Sur, through weekly visits to 23 households (2016-2017). The health condition was interpreted and classified according to IMCI (severe red, moderate yellow, good green). Participation was voluntary, considering ethical recommendations for research in vulnerable contexts. The selected sample is not representative of the entire population of children from the Bañado.

Results:

42 children under 5 years (26 girls, 16 boys). 71% classified red and yellow simultaneously (by background and/or findings). From 4 (<2 months), one classified red and yellow (bloody diarrhea); other, yellow (low weight, nutrition problems, infections, anemia); two, green. Of 38 children (> 2 months <5 years) 55% classified red and yellow; 29% yellow; 16%, green. Of the red, 54% registered severe respiratory conditions; 21%, malnutrition and anemia; 10%, diarrhea with severe dehydration. Developmental surveillance: 1 classified red (hearing loss, language delay); 5, yellow per alert (absence of age skills); 36, yellow for normal development with risk factors such as low schooling of mothers, violence, polluted environment, overcrowding, and poverty. None of them classified green in all its dimensions. Protective factors: stable caregiver, breastfeeding in the first years.

Conclusion:

The prevalent childhood diseases in children of the Bañado Sur acquire a serious and repetitive character; its socio-environmental conditions are negative. Comprehensive and cross-sector public policies are urgently needed, such as Primary Health Care. IMCI is particularly recommended in its community component.

Keywords : Integrated Care for Prevalent Diseases of Children; poverty; social determinants of health.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )