000			03270nam a22003257a 4500
001			CUHAS/MPH/6000123/T/16
003			CUHAS/MPH/6000123/T/16
005			20240423161724.0
008			230323b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_b Fax: +255 28 298 3386
028			_bEmail: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
035			_aCUHAS/MPH/6000123/T/16
040			_cddc _bEnglish
041			_aEnglish
100			_aWango Chaulo Wango _948506 _d[Male] _eCUHAS/MPH/6000123/T/16
222			_aKeywords: _bCongenital Anomalies, geo-spatial, patterns, mortality and morbidity, Children.
245			_aGeo-Spatial Distribution, Patterns and Associated Factors of Congenital Anomalies Among Children Aged Below Two Years Admitted at Bugando Medical Centre in Northern Tanzania: A Three Years Retrospective Study
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] : _c2022
300			_axiv; 92 Pages
300			_aIncludes References and Appendices
520			_aAbstract: Background: Congenital anomalies has emerged as an area of public health concern to maternal health and child development, yet salient issue worldwide. Congenital anomalies or birth defects are among the leading causes of infant mortality and morbidity around the world. This study aimed to determine the geospatial distribution, patterns and associated factors of congenital anomalies among children age below two years admitted at Bugando Medical Centre in Northern Tanzania. Methodology: This was a cross-sectional hospital-based study among 326 inpatient children under the age of two years with congenital anomalies admitted at a tertiary hospital in northern Tanzania. Results: Majority (78.8%) of the participants had less than six months. Their Median age was 8(IQR: 3-20) months. Nearly half (48.8%) of the participants were diagnosed with congenital heart diseases followed by CNS hydrocephalus (10.4%) and diagnosed with congenital malformation of muscles (8.9%). Moreover, participants who didn’t use folic acid had 83% higher prevalence of CNS hydrocephalus (aPR=1.83, 95%CI=1.11-1.96) and congenital heart diseases (aPR=1.78, 95%CI=1.31-1.94) as compared to those who used folic acid., male participants had 67% higher odds of congenital malformations of muscles (aOR=1.67, 95%CI=1.23-1.89) as compared to female participants. Participants below 37 gestation age had 86% higher odds of congenital malformations of muscles (aOR=1.86, 95% CI=1.53-3.66) as compared to their reference group with 37 and above gestation age. Conclusion: Congenital anomalies in the Lake Zone of Northern Tanzania is silent neglected Public Health issue affecting maternal and child health status. Hotspots and patterns of congenital anomalies exists in the region indicating inequalities in health and calls for specific targeted health promotion based on prevailing risk factors.
600			_xPublic Health _930696
700			_aFlorentina Mashuda _922796
700			_aElias C. Nyanza _919632
942			_2ddc _cMP
999			_c18740 _d18740