Title :

Modelling the Ecological Comorbidity of Acute Respiratory Infection, Diarrhoea and Stunting among Children Under the Age of 5 Years in Somalia.

Abstract :

The aim of this study was to assess spatial co-occurrence of acute respiratory
infections (ARI), diarrhoea and stunting among children of the age between 6 and 
59 months in Somalia. Data were obtained from routine biannual nutrition surveys 
conducted by the Food and Agriculture Organization 2007-2010. A Bayesian
hierarchical geostatistical shared component model was fitted to the residual
spatial components of the three health conditions. Risk maps of the common
spatial effects at 1×1 km resolution were derived. The empirical correlations of 
the enumeration area proportion were 0.37, 0.63 and 0.66 for ARI and stunting,
diarrhoea and stunting and ARI and diarrhoea, respectively. Spatially, the
posterior residual effects ranged 0.03-20.98, 0.16-6.37 and 0.08-9.66 for shared 
component between ARI and stunting, diarrhoea and stunting and ARI and diarrhoea,
respectively. The analysis showed clearly that the spatial shared component
between ARI, diarrhoea and stunting was higher in the southern part of the
country. Interventions aimed at controlling and mitigating the adverse effects of
these three childhood health conditions should focus on their common putative
risk factors, particularly in the South in Somalia.

Authors :

Kinyoki, D.K., Manda, S.O., Moloney, G.M., Odundo, E.O., Berkley, J.A., Noor, A.M., Kandala, N.B.

PubMed link :

Journals :

Int Stat Rev. 2017