Published: 2019-09-24

Evaluation of knowledge and perception regarding pneumonia among the mothers of under-ten children in Tangail, Bangladesh

M. Masuder Rahman, M. Khairul Azam


Background: Childhood pneumonia is a serious infection and the single largest infectious cause of death in children. The study aims to evaluate knowledge and perception among mothers on pneumonia diseases among the children.

Methods: A hospital based study was conducted to describe socio-demographic factors of mothers, their knowledge and perception of pneumonia disease. Study was conducted at Sheikh Hasina Medical College Hospital in Tangail from June to July 2018 by interviewing 215 mothers of children under-ten years attending a pediatric clinic by using structured questionnaire.  

Results: The parents were predominantly primary school graduates (70.7%). The majority of the father worked as daily laborer (61.9%) with about 5-10K BDT of family income per month. Around 88.4% of the mothers had fair knowledge about pneumonia. For children treatment, 90.2% parents consulted with qualified doctor, about 10% utilized self-medication. About 44.7% children were suffered from fever during pneumonia, about 42.8% was experienced shortness of breath, and about 28.4% experienced of wheezing. About 90.2% parents believed that the indoor temperature, humidity and air movement has effect on pneumonia. About 92.6% cares of reducing indoor smoke and dust, about 40.5% families have a smoker. The lack of knowledge among mothers about simple signs and symptoms of pneumonia and also about its causes and factors related with it has become important findings of this study.

Conclusions: Community based public health education and training for health providers at all levels have to be provided about correct and applicable prevention and assessments of pneumonia.


Pneumonia, Knowledge, Symptoms, Bangladesh

Full Text:



Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet. 2003;361(9376):2226-34.

WHO/ UNICEF, Report on ARI. CDD/ARI section, Child health division, department of health service, Ministry of Health, Nepal (1997).

Jokinen C, Heiskanen L, Juvonen H, Kallinen S, Karkola K, Korppi M, et al. Incidence of community acquired pneumonia in the population of four municipalities in eastern Finland. Am J Epidemiol. 1993;137:977-88.

World Health Organization. Penumonia. Available at: fs331/en/; Accessed on 10 August 2019.

UNICEF, Committing to child survival. A promise renewed. Progress report 2015. In: New York: the United Nations Children’s fund; 2015.

Ferdous F, Dil Farzana F, Ahmed S, Das SK, Malek MA, Das J, et al. Mothers’ perception and healthcare seeking behavior of pneumonia children in rural Bangladesh. ISRN Family Med. 2014;2014:8.

Sayem AM, Nury AT, Hossain MD. Achieving the millennium development goal for under-five mortality in Bangladesh: current status and lessons for issues and challenges for further improvements. J Health Popul Nutr. 2011;29:92–102.

Onyango D, Kikuvi G, Amukoye E, Omolo J. Risk factors of severe pneumonia among children aged 2-59 months in western Kenya: a case control study. Pan Afr Med J. 2012;13:45.

Rais H, Arif F, Santosh S. Asthmatic Children; Knowledge and practices in the parents. Prof Med J. 2014;21(4):739-74.

Iqbal I, Malik AY, Anwar M, Khan SP. Community perceptions about acute respiratory infections (ARI) in Multan, Pakistan. Nishtar Med J. 2010;2(1):2-9.

Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet. 2010;375(9730):1969-87.

Chisti MJ, Duke T, Robertson CF, Ahmed T, Faruque AS, Bardhan PK, et al. Co-morbidity: exploring the clinical overlap between pneumonia and diarrhoea in a hospital in Dhaka, Bangladesh. Ann Trop Paediatr. 2011;31(4):311-9.

Chisti MJ, Ahmed T, Faruque AS, Abdus Salam M. Clinical and laboratory features of radiologic pneumonia in severely malnourished infants attending an urban diarrhea treatment center in Bangladesh. Pediatr Infect Dis J. 2010;29(2):174-7.

Fullerton DG, Bruce N, Gordon SB. Indoor air pollution from biomass fuel smoke is a major health concern in the developing world. Trans R Soc Trop Med Hyg. 2008;102(9):843–51.

Cinar N, Dede C, Cevahir R, Sevimli D. Smoking status in parents of children hospitalized with a diagnosis of respiratory system disorders. Bosn J Basic Med Sci. 2010;10(4):319–22.

Mahalanabis D, Gupta S, Paul D, Gupta A, Lahiri M, Khaled MA. Risk factors for pneumonia in infants and young children and the role of solid fuel for cooking: a case-control study. Epidemiol Infect. 2002;129(1):65–71.