Proposal

Menelik II Medical and Health Science College
Department of Public Health Nutrition

The magnitude of rickets and associated factors among under
five children in Addis Ababa, Ethiopia, 2024
Principal investigator
Melaku Addise (BSC)............. PHN/Ex/34/15

ADVISORS
Dessalegn A. (MPH in Epidemiology, Assistant professor).
Outline
• Introduction
• Statement of the problem
• Significant of the study
• Methods
• Work plan
• Budget
• References
Introduction;
• There is an unacceptably high world-wide
prevalence of nutritional rickets, a preventable
disabling disease of children. Rickets is the
softening and weakening of bones in children,
usually because of an extreme and prolonged
vitamin D deficiency.
Con…
• The greatest burden is in Africa, the Middle
East and Asia, and, increasingly, in families
originating from these countries resident in
Europe, Australasia and the Americas. For
many children, vitamin D deficiency is the
predominant cause and is associated with
limited UVB exposure by the mother before
and during pregnancy and subsequently by
the child .
Statement of the Problem
• Rickets, a common childhood disease
impacting growth, is widespread in low-
income countries and ranks among the top
five paediatric diseases. Its prevalence and
causes are understudied in eastern Ethiopia,
prompting a study to assess its extent and
associated factors in under-five children at
selected public hospitals in the region
Significance of this study
• This document provides a literature review of
nutritional rickets among infants and children,
aiming to establish a baseline for future research.
It summarizes key public health aspects of rickets,
including its burden, and serves as an indicator of
rickets prevalence in the Addis Ababa community.
Additionally, it provides a foundation for
policymakers to develop strategies and
interventions for rickets prevention and
management.
Objective
• General Objective
• To assess magnitude of rickets and associated
factor among under five children in Addis Ababa
hospital, Ethiopia on 2024.
• Specific Objective
• To determine the magnitude of rickets among
under five children in Addis Ababa public hospital.
• To identify associated factors of rickets among
under five children in Addis Ababa public hospital.
Methods
• An institution-based retrospective-cross-sectional study
will be conducted from march15 -April15 ,2024 in Addis
Ababa, Ethiopia. The Hospital will be a total of 122
participants will be selected using simple random
Sampling technique by lottery method. A chart review
from chart, pretested and structured questionnaire will
be used to collect data. After checking for its
completeness the data will be entered into
kobocolletv2024.2.4 and then exported to SPSS
(Statistical Package for Social Sciences) Version 23 for
analysis.
Con…
• Descriptive statistics, including frequency
distribution, Percentage, measure of central
tendency, and measure of dispersion will be
used for describing different variables.
• A binary logistic regression will be used to
identify the factors associated with magnitude
of rickets.
Con….
• The bivariable analysis will be carried out for
all independent variables with the outcome
variable. Variables with a p value of <0.25 in
the bivariable analysis will be fitted into
multivariable logistic regression model to
control the possible effect of confounders.
Con…
• The strength of association will be measured
by odds ratios with a 95% confidence interval.
Variables with a p value of <0.05 in the
multivariable logistic regression model will be
considered as significant factors.
Work Plan:
• The duration of this project will be from
December 01/ 2024 to may 30, 2025.
Budget
• An estimated Budget will be 23660ETB
ACKNOWLEDGEMENT
• First and for most, special thanks and praise to
God almighty who kept me safe, secured and
healthy. Next I would like to thankMenelik II
Medical and health College Department of Public
Health for giving us such a great opportunity and
exposure.
• I would like to forward my deepest appreciation
and thanks to my advisor DesalegnA. for their
unreserved and continuous guidance, constructive
advice, valuable comments and suggestions for
the development of this research proposal.
con
• More thanks go to the entire administration ,
for their information and cooperation. Lastly I
thank all my family members and friends for
the financial support, prayers,
encouragements, care, love and their
presence whenever I needed them.
Thank you

Proposal

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Proposal

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Menelik II Medical and Health Science College

Department of Public Health Nutrition

Melaku Addise (BSC)............. PHN/Ex/34/15

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