<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-09-24T12:13:47Z</responseDate><request verb="GetRecord" identifier="oai:dspace.unza.zm:123456789/6142" metadataPrefix="dim">https://dspace.unza.zm/server/oai/request</request><GetRecord><record><header><identifier>oai:dspace.unza.zm:123456789/6142</identifier><datestamp>2020-07-09T14:44:52Z</datestamp><setSpec>com_123456789_18</setSpec><setSpec>col_123456789_83</setSpec></header><metadata><dim:dim xmlns:dim="http://www.dspace.org/xmlns/dspace/dim" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.dspace.org/xmlns/dspace/dim http://www.dspace.org/schema/dim.xsd">
   <dim:field mdschema="dc" element="contributor" qualifier="author">Nachalwe, Namwinga.M.</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="accessioned">2020-07-09T12:44:48Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="available">2020-07-09T12:44:48Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="issued">2019</dim:field>
   <dim:field mdschema="dc" element="description" lang="en">Thesis</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="abstract" lang="en">Around 3 billion people cook and heat food in their homes using biomass fuels like wood,&#xd;
crop wastes, charcoal, coal and dung. Up to 81% of Sub Sahara Africa (SSA) relies on biomass&#xd;
fuel for cooking. In Zambia, about 98% of rural households and 63% in urban areas use biomass&#xd;
fuel as their main source of cooking energy.&#xd;
Research indicates that, extended exposure to high levels of biomass smoke can impair the&#xd;
clearing ability of the lungs and render them more susceptible to developing acute respiratory&#xd;
infection (ARI). ARI have been said to cause 15% of all deaths in children under the age of&#xd;
five and over half of these deaths occur in developing countries including Zambia. According&#xd;
to the 2013/14 Zambia demographic and health survey (ZDHS), ARI is the leading cause of&#xd;
childhood morbidity and mortality in Zambia.&#xd;
This was a cross-sectional study. Children below the age of five from all the 10 provinces of&#xd;
Zambia were recruited. Secondary data from 2013/14 ZDHS was used for the study. Analytical&#xd;
statistical methods were performed using STATA software version 14. Descriptive statistics&#xd;
were used to provide overall characteristics. Variables such as age, sex, vaccination, mothers’&#xd;
education status are presented as proportions and frequencies. Bivariate analysis was done to&#xd;
establish association between dependent variable ARI and all the independent variables.&#xd;
Finally, multiple logistic regression model was performed to examine the association between&#xd;
our outcome of interest, ARI and biomass fuel which is our priori independent variable while&#xd;
controlling for other variables.&#xd;
The prevalence of ARI was 30% (n=2,795). After controlling for confounders like type of&#xd;
housing unit walls, sex of the child, nutritional status, mothers age, smoking status, marital&#xd;
status and wealth quantile, it was found that children in households with biomass fuel had&#xd;
higher odds of ARI compared to those with electricity (OR, 1.53, 95%CI 1.04- 2.27).&#xd;
At least 93 percent of children with ARI come from homes that rely on biomass fuel. There is&#xd;
therefore need to sensitize the mothers about the health problems associated biomass&#xd;
combustion and shift to cleaner fuels or promote stoves designed to reduce exposure to smoke.&#xd;
Keywords: Biomass Fuel and Acute Respiratory Infections.</dim:field>
   <dim:field mdschema="dc" element="identifier" qualifier="uri">http://dspace.unza.zm/handle/123456789/6142</dim:field>
   <dim:field mdschema="dc" element="language" qualifier="iso" lang="en">en</dim:field>
   <dim:field mdschema="dc" element="publisher" lang="en">The University of Zambia</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en">Biomass Fuel</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en">Acute Respiratory Infections.</dim:field>
   <dim:field mdschema="dc" element="title" lang="en">Assessment of biomas fuel use and its association with acute respiratory infections among under-five children in Zambia</dim:field>
   <dim:field mdschema="dc" element="type" lang="en">Thesis</dim:field>
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