Open Access Open Access  Restricted Access Subscription Access

The Prevalence, Causes and Treatment of Bronchopneumonia Among Children Under Five Years in Central Hospital, Benin City

Blackie O.H., Edebiri O. E., Ifiabor L. W., Azunna U., Edomwandagbon R. E., Agidigbi S., Ehiakhamen D.O.

Abstract


In low-resource environments where malnourishment, inadequate cleanliness, and restricted access to high-quality healthcare are prevalent, bronchopneumonia continues to rank among the top causes of illness and mortality among children under five. Nigeria continues to have a significant bronchopneumonia burden in spite of numerous public health initiatives. With the goal of identifying important contributing factors and assessing management practices to guide improved nursing interventions, this study evaluated the prevalence, etiology, and treatment approaches of bronchopneumonia among children under five at Central Hospital in Benin City. The study used a descriptive cross-sectional design. 60 caregivers of children under five years old were given standardized questionnaires to complete in order to gather data. The questionnaire captured demographic information, experience with bronchopneumonia, perceived causes, and treatment approaches. Data were analyzed using tables and figures to present frequencies and percentages, and findings were interpreted to address the research questions. Results showed a high prevalence of bronchopneumonia, as a majority of caregivers reported that their child had previously suffered from the illness, with seasonal increases noted during the cold and rainy periods. Identified causes included poor hygiene, malnutrition, exposure to smoke from firewood and cigarettes, lack of exclusive breastfeeding, overcrowded housing conditions, and inadequate immunization. The majority of caregivers acknowledged the efficacy of antibiotics and indicated that they had taken their kids to the hospital when symptoms started. But a sizable portion also mentioned using home cures and delaying getting medical attention. Proper nutrition, hydration, and complete immunization were regarded as critical to recovery and prevention. The study concludes that bronchopneumonia remains prevalent due to modifiable environmental and behavioral factors. It suggests community-based nursing treatments, better access to healthcare services, and health education for caregivers. To lessen the burden of disease in children, nurses should actively participate in prevention, early detection, and thorough management.


Full Text:

PDF

References


Abdullahi, A. A., Adamu, H., & Ibrahim, M. B. (2021). Traditional medicine use among caregivers of children with respiratory infections in sub-Saharan Africa: A systematic review. African Journal of Traditional, Complementary and Alternative Medicines, 18(3), 45-58.

Adeleke, A., Oladele, T., & Hassan, I. (2020). Management of severe bronchopneumonia: A focus on oxygen supplementation and fluid therapy. Journal of Pulmonary Medicine, 45(3), 145–153.

Adeoye, A., Umeh, C., &Adeniyi, A. (2018). Environmental risk factors and indoor air pollution in Nigerian households. African Journal of Health Sciences, 15(3), 256–264.

Agboola, O., Femi, A., & Yusuf, T. (2019). Addressing disparities in access to quality healthcare in Nigeria: A case study of childhood bronchopneumonia. Tropical Medicine Reports, 12(4), 98–105.

Akinyemi, J. O., Bamgboye, E. A., &Ogunniyi, A. (2020). Health care access and utilization among Nigerian children: Evidence from the 2018 Demographic and Health Survey. BMC Health Services Research, 20, 845. https://doi.org/10.1186/s12913-020-05666-4

Black, R. E., Cousens, S., Johnson, H. L., Lawn, J. E., Rudan, I., Bassani, D. G., &Mathers, C. (2019). Global, regional, and national causes of child mortality in 2019, with projections to 2030: A systematic analysis. The Lancet Global Health, 7(5), e513e530.

Duhl, E., Nasir, A., &Tayo, O. (2019). The impact of malnutrition on respiratory infections in children under five: A systematic review. Pediatrics International, 38(2), 112–119.

Kurmi, O. P., Lam, K. B. H., & Ayres, J. G. (2018). Indoor air pollution and its contribution to respiratory illnesses in developing countries. Environmental Health Perspectives, 126(1), 1–8.

Oyelami, O. O., Adejumo, A., &Fadeyi, B. (2019). Bronchopneumonia in Nigerian children: Epidemiology and hospital admissions. Nigerian Medical Journal, 30(4), 456–463.

Rudan, I., O'Brien, K. L., Nair, H., & Liu, L. (2017). Epidemiology and etiology of childhood pneumonia in 2017. The Lancet Global Health, 5(3), e252-e263.

Troeger, C., Forouzanfar, M. H., Rao, P. C., & Khalil, I. (2018). Global burden of lower respiratory infections: Causes and mortality estimates. The Lancet, 392(10159), 178– 190.

UNICEF Nigeria. (2019). Nigeria contributes the highest number to global pneumonia child deaths. UNICEF Press Release. Retrieved from https://www.unicef.org/nigeria

UNICEF. (2021). Pneumonia in Nigeria: A major child health challenge. Retrieved from https://www.unicef.org/nigeria/reports/pneumonia-child-health

Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2020). Malnutrition and childhood infections: A two-way relationship. The Lancet Child & Adolescent Health, 4(1), 10-20.

WHO. (2021). Pneumonia: The leading infectious killer of children under five. World Health Organization. Retrieved from https://www.who.int/news-room/factsheets/detail/pneumonia

World Health Organization. (2021). Global burden of respiratory diseases and interventions for prevention. Geneva, Switzerland: World Health Organization.

World Health Organization. (2019). Pneumonia in children. Retrieved from https://www.who.int/news-room/fact-sheets/detail/pneumonia

Yousafzai, M. T., Latif, A., & Bashir, M. F. (2020). Seasonal variations in childhood pneumonia incidence: Evidence from hospital-based surveillance data. Journal of Public Health and Epidemiology, 12(7), 145-152.


Refbacks

  • There are currently no refbacks.