The impact of social determinants on growth and health in preschool children

Kalcev, Goce and Zisovska, Elizabeta (2018) The impact of social determinants on growth and health in preschool children. Зборник на трудови од регионална конференција „Социјални детерминанти и здравјето на населението“, 2 (1). pp. 110-115.

Zbornik na trudovi - Regionalna konferencija, Socijalnite detrrminanti i zdravjeto na naselenieto, 2018, Vol 2, No(1)-pages-1-5.pdf

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Introduction: It is worldwide known that social, cultural, political, and economic environment has a direct impact on the preschool children's health and growth. Although, there is a significant rate of preschool child morbidity and mortality in Macedonia, and there is not precise data about the impact of social determinants on health and growth of preschool children yet. Aim of the study: The purpose of this thesis is to gain insight into the causal link between the common social determinants and the health and growth of preschool children, on the other hand. The results should serve to improve prevention and develop local programs to promote a sustainable system for improving children's health, with the help of reliable data. Material and methods of work: As a material, it was used health documentation from the parent pediatric institutions from Public Health Center – Zeleznicar (Skopje), and from outpatient clinic in municipality of Butel (Skopje). Statistically, there were processed 50 health documents randomly selected from both institutions, a total of 100, in the period of 2013 - 2017. Results: With the help of this paper, it will be possible to identify the link between social determinants and health with growth in children under five years of age. Of the group of mothers with primary education, 71% had a newborn with low birth weight, of the mothers with secondary education 18% had a newborn with low birth weight and a group of mothers with a university education, 2% had a newborn with low birth weight. In the study, one congenital anomaly was observed in a mother of age 36. That was congenital non – neoplastic nevus. In families where there are no employees 100% of the pre-school children had chronic infections, in families with 1 employee 87% of pre-school children had chronic infections and in families with 2 employees 77% of pre-school children had chronic infections. In children who only had healthy drinking water, there was no episode of diarrhea coming from contaminated drinking water, while pre-school children who came in contact with, in 100% there was diarrhea caused by contaminated drinking water. In the group of pre-school children living in homes with sanitary conditions, 100% are absent digestive disorders caused by unsecured sanitation in the home. In the group of pre-school children living in homes where no sanitary conditions are provided, 100% of them were digestive diseases where unsecured sanitation appeared as an aetiological moment. Conclusion: Determining levels of inequality is essential for improving the health and nutrition of the poor. This does not mean only a set of solutions that involve multiple institutions, but also their effective dealing with all levels of determination. The social determinants of health are not vacuumed. Their quality and accessibility to the population are usually the result of public policy decisions made by the authorities. Keywords: social determinants, preschool children, health, growth.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Elizabeta Zisovska
Date Deposited: 20 Nov 2018 13:21
Last Modified: 20 Nov 2018 13:21

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