Title : In-house environmental factors and childhood acute respiratory infections in under-five children: a hospital-based matched case-control study in Bangladesh


Authors : Moktarul Islam, Kariul Islam, Koustuv Dalal, and Mohammad Delwer Hossain Hawlader


Journal Article Title: BMC Pediatrics Volume Number: 24 Publication Year : 2024
Index: other (PubMed) Ranking: Q2 Publisher Name: Springer Nature (BMC)
Pages : 10
Funding Information:
Funding Source : None
Other Information:
Direct Sustainable Development Goals :
SDG3 Good Health & Well-being
Indirect Sustainable Development Goals :
SDG6 Clean Water & Sanitation
SDG11 Sustainable Cities & Communities
Sustainable Development Sub Goals :
End preventable deaths of newborns and children under 5 years of age
Reduce premature mortality from non-communicable diseases and promote mental health and well-being
Achieve universal health coverage
Impact statement: This hospital-based matched case-control study provides critical evidence on the environmental drivers of childhood ARIs in Bangladesh, revealing that unimproved toilets, overcrowding (>3 people per bedroom), and indoor smoking significantly elevate infection risks for children under five. The research highlights a vital protective factor: exclusive breastfeeding, which was found to reduce the likelihood of ARI by 50%. By identifying that children from rural dwellings using unclean cooking fuels face over double the risk of infection, the study offers a clear mandate for poverty reduction and public health education focused on improving domestic living conditions to meet the 2025 global target of reducing pneumonia mortality. Collaboration: Partner University Keywords: Acute respiratory infections, Under–five children, Environmental factors, Case-control study, Bangladesh