dc.contributor.author | Edwards, J. K | |
dc.contributor.author | Thiongó, A | |
dc.contributor.author | Bergh, Van den | |
dc.contributor.author | Kizito, W | |
dc.contributor.author | Kosgei, R J | |
dc.contributor.author | Sobry, A | |
dc.contributor.author | Vandenbulcke, A | |
dc.contributor.author | Zuniga, I. | |
dc.contributor.author | Reid, A J | |
dc.date.accessioned | 2015-02-26T08:41:43Z | |
dc.date.available | 2015-02-26T08:41:43Z | |
dc.date.issued | 2014 | |
dc.identifier.citation | Edwards JK, Thiongó A, den Bergh VR, Kizito W, Kosgei RJ, Sobry A, Vandenbulcke A, Zuniga I, Reid AJ. "Preventable but neglected: rickets in an informal settlement, Nairobi, Kenya." Public Health Action. 2014;4(2):122-127. | en_US |
dc.identifier.uri | http://www.ingentaconnect.com/content/iuatld/pha/2014/00000004/00000002/art00013 | |
dc.identifier.uri | http://hdl.handle.net/11295/80833 | |
dc.description.abstract | Setting: The primary care clinics of Médecins Sans Frontières within the informal settlement of Kibera, Nairobi, Kenya.
Objective: To describe the demographic and clinical characteristics of children clinically diagnosed with rickets from September 2012 to October 2013.
Design: Descriptive retrospective case review of diagnosis and treatment course with vitamin D and calcium using routine programme data.
Results: Of the 82 children who met the clinical diagnosis of rickets, 57% were male, with a median age of 12 months and 14 months for females. Children with rickets were found to have ≥3 hours/week sunlight exposure for 71% of the children and malnutrition in 39%. Clinical findings on presentation revealed gross motor developmental delays in 44%. The loss to follow-up rate during treatment was 40%.
Conclusions: This study found that rickets is a common clinical presentation among children living in the informal settlement of Kibera and that there are likely multiple factors within that environment contributing to this condition. As rickets is a simply and inexpensively preventable non-communicable disease, we suggest that routine vitamin D supplementation be formally recommended by the World Health Organization for well-child care in Africa, especially in the contexts of informal settlements. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Preventable but neglected: rickets in an informal settlement, Nairobi, Kenya | en_US |
dc.type | Article | en_US |
dc.type.material | en | en_US |