Kebede Fassikaw, Markos Merkineh
Department of Epidemiology & Biostatics, Woldia University, College of Health Sciences, Woldia, Ethiopia 2022.
Int J Pediatr. 2022 Aug 5;2022:9975917. doi: 10.1155/2022/9975917. eCollection 2022.
Supplementation of zinc is a therapeutic medication for under-five children diminution incidence, severity, duration, and intensity of acute diarrhea morbidity. Nevertheless, levels of therapeutic zinc supplementation varied across public and private health institutions in Ethiopia. Thus, this study was aimed at estimating the levels of therapeutic zinc supplementation and factors associated for intent to be utilized among caregivers with their dyads, data from Ethiopia Demographic and Health Survey (EDHS 2016).
The data used were from a secondary analysis of the Ethiopia Demographic and Health Survey in 2016 (EDHS). Overall, 1090 under-five children with acute diarrheal cases of two weeks before the EDHS 2016 were included. After cleaning, editing, and coding variables, the result was presented with frequency, tables, and graphs. Bivariable and multivariable logistic regression was conducted to identify and determine factors associated after zinc is prescribed for utilizations by caregivers.
The mean (±SD) age of participant children was found to be 36.4(±7.07) month. The overall levels of therapeutic zinc supplementation were 38.7% (95% CI: 35.8, 41.6) in public (29.08%) and private 138 (12.66%), respectively. The prescribed therapeutic zinc was influenced for utilization through maternal educational status (AOR = 2.55; 95% CI: 1.95, 3.47; = 0.001), availability of health insurance (AOR = 10.7; 95% CI: 7.2, 16; = 0.001), media exposure status (AOR = 2.1; 95% CI: 1.7, 3.6; = 0.001).
More than twofold time therapeutic zinc was prescribed in public than in private health institutions. Health care workers should be encouraged both in public and private health institutions for zinc prescription.
补充锌是一种治疗五岁以下儿童急性腹泻发病率、严重程度、持续时间和强度降低的治疗药物。然而，埃塞俄比亚公共和私立医疗机构的治疗性锌补充水平各不相同。因此，本研究旨在利用埃塞俄比亚人口与健康调查（2016年埃塞俄比亚人口与健康调查）的数据，估计治疗性锌补充水平以及与之相关的因素，以便护理人员与他们的二元组使用。
所使用的数据来自2016年埃塞俄比亚人口与健康调查（埃塞俄比亚人口与健康调查）的二次分析。总体而言，纳入了在2016年埃塞俄比亚人口与健康调查前两周患有急性腹泻病例的1090名五岁以下儿童。在对变量进行清理、编辑和编码后，结果以频率、表格和图表的形式呈现。进行双变量和多变量逻辑回归，以识别和确定护理人员在开具锌处方后与之相关的使用因素。
参与研究的儿童的平均（±标准差）年龄为36.4（±7.07）个月。公共医疗机构（29.08%）和私立医疗机构（12.66%）的治疗性锌补充总体水平分别为38.7%（95%置信区间：35.8，41.6）。规定的治疗性锌的使用受到母亲教育程度（优势比=2.55；95%置信区间：1.95，3.47；P=0.001）、医疗保险的可获得性（优势比=10.7；95%置信区间：7.2，16；P=0.001）、媒体曝光状况（优势比=2.1；95%置信区间：1.7，3.6；P=0.001）的影响。
公共医疗机构开具的治疗性锌的数量是私立医疗机构的两倍多。应鼓励公共和私立医疗机构的医护人员开具锌处方。
