Stunting, wasting and underweight as indicators of under-nutrition in under five children from developing Countries: A systematic review

Background: In developing country, malnutrition of under five children was still a severe problem because it may have an impact on the quality of human resources in the future. Various program has been tried in many places to overcome this problem, one of which is through a home visit program, which is very necessary for educational purposes to manage malnutrition. This study aimed to determine how to implement a home visit program to improve the nutritional status of under five children in developing countries. Subjects and Method: A scoping review method was conducted using Arksey and O’malley (2005) framework with five steps: (1) Identify the scoping review question; (2) Identify relevant articles; (3) Article selection; (4) Mapping; (5) Present the results, discussion and conclusion. The search included Pubmed, Wiley, Ebsco, Science Direct, and Google scholar databases. The inclusion criteria were original articles in Indonesian and English from developing countries published from 2010 to 2019. The data were reported by PRISMA flow chart. Results: Five of the 159 articles were selected, and found that five themes were summarized, namely: (1) effective implementation of home visits, (2) types of rehabilitation of nutritional status of under-five children on home visits, (3) home visit officers 4) time and activities for conducting home visits and 5 ) constraints on home visits for malnutrition education purposes. Conclusion: Home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting and wasting in under five children only when combined with other programs. Several knowledge gaps identify which confirm through further research. Keywords: home visit, nutritional status of under-five children, malnutrition, developing countries Correspondence: Siti Zakiah Zulfa. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: 085641349694. DOI: https://doi.org/10.26911/the7thicph.02.11

Download Full-text

Prevalence of pneumonia and its associated factors among under-five children in East Africa: a systematic review and meta-analysis

BMC Pediatrics ◽

10.1186/s12887-020-02083-z ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Biruk Beletew ◽

Melaku Bimerew ◽

Ayelign Mengesha ◽

Mesfin Wudu ◽

Molla Azmeraw

Keyword(s):

Systematic Review ◽

East Africa ◽

Associated Factors ◽

Meta Analysis ◽

Under Five ◽

Under Five Children

Download Full-text

Nutritional status of under- five children in a city of Maharashtra: a community based study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171344 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1171 ◽

Cited By ~ 3

Author(s):

Laxmikant Purohit ◽

Priyanka Sahu ◽

Lata B. Godale

Keyword(s):

Socioeconomic Status ◽

Birth Weight ◽

Birth Order ◽

Maternal Education ◽

Sampling Technique ◽

Community Based ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Under Nutrition

Background: Children are considered to be the backbone of any nation. Nutritional problems among children cause major morbidity and mortality in India. India is home to the largest number of underweight and stunted children in the world. Aim and objectives: 1) To assess prevalence of underweight, stunting and wasting among under-five children 2) To study factors associated with underweight, stunting and wasting among under-five childrenMethods: It was community based descriptive cross sectional study conducted during January 2010 to December 2011 at Urban Health Center of the Department of Preventive and Social Medicine catering approximately 27000 populations. 650 under- fives residing in urban field practice area were included in the study with the help of Stratified random sampling technique. Data was analyzed using SPSS software 16 version and OpenEpi Software Version 2.3.Results: 40.46% under five children were stunted, 38.15% were underweight, and 16% were wasted. The difference observed between stunted and normal study subjects with reference to type of family, education of mother, birth weight and birth order were statistically significant. The proportion of under- five children with underweight showed significant association with their age, socioeconomic status, education mother, birth weight and birth order. Proportion of under-five children with SAM and MAM decreased significantly with increase in education status of mother. Significantly higher proportion of under-five children with birth weight less than 2.5 kg and higher birth order were grouped as SAM and MAM.Conclusions: Maternal education, birth weight and birth order of children were significantly associated with all three types of under nutrition i.e. underweight, stunting and wasting. Proportion of children with underweight increases significantly with increase in age and decrease in socioeconomic status. There was no religion wise or gender wise variation in proportion of children with under nutrition was reported among study subjects.

Download Full-text

Lowest wealth quintiles predispose under-five children to stunting in Ethiopia: Updates of systematic review and meta-analysis

10.21203/rs.3.rs-58090/v1 ◽

2020 ◽

Author(s):

Mesfin Wudu Kassaw ◽

Aschalew Afework ◽

Alemayehu Digssie ◽

Netsanet Fentahun ◽

Murat Açık ◽

...

Keyword(s):

Systematic Review ◽

Publication Bias ◽

Meta Analysis ◽

Public Health Problem ◽

Wealth Index ◽

Forest Plot ◽

Major Public Health Problem ◽

Under Five ◽

Under Five Children ◽

Pooled Prevalence

Abstract Background: Malnutrition remains as a major public health problem in the world, particularly in developing countries such as Ethiopia. The prevalence of stunting in Ethiopia has been decreased considerably from 58% in 2000 to 44% in 2011 and 38% in 2016. The aim of this systematic review and meta-analysis is to assess the prevalence of stunting and its associations with wealth index among under-five children in Ethiopia. Methodology: The databases screened were PubMed/MEDLINE, Scopus, HINARI and grey literatures. The studies’ qualities were assessed by two reviewers independently, and any controversy was handled by other reviewers using the JBI critical appraisal checklist. In the statistical analysis, the funnel plot, Egger’s test, and Begg’s test were used to assess publication bias. The I2 statistic, forest plot, and Cochran’s Q test were used to deal with heterogeneity. Results: The pooled prevalence of stunting was 41.5% among under-five children, despite its considerable heterogeneity (I2=97.6%, p<0.001). However, the included studies had no publication bias in calculating the pooled prevalence (Egger’s test p=0.26; Begg’s test p=0.87). Children from households with a medium or low/poor wealth index had higher odds of stunting (AOR 1.33, 95% CI: 1.07, 1.65 or AOR 1.92, 95% CI: 1.46, 2.54, respectively) compared to children from households with a high/rich wealth index. Conclusions: The pooled prevalence of stunting is great. In the subgroup analysis, the Amhara region, followed by the Oromia region and then the Tigray region had the highest prevalence of stunting

Download Full-text

Faktor Prediksi Persepsi Ibu tentang Diare pada Balita

Kesmas National Public Health Journal ◽

10.21109/kesmas.v2i4.262 ◽

2008 ◽

Vol 2 (4) ◽

pp. 179

Author(s):

Joko Supono

Keyword(s):

Developing Countries ◽

Simulation Model ◽

Significant Relation ◽

Cross Sectional ◽

Under Five ◽

Limited Knowledge ◽

Under Five Children ◽

Research Population ◽

Cross Sectional Design ◽

The Relationship

Diare pada balita masih menjadi masalah kesehatan masyarakat yang penting di Indonesia. Persepsi keseriusan penyakit diare yang rendah merupakan kendala upaya menurunkan angka kesakitan diare. Penelitian yang menggunakan desain cross sectional ini bertujuan menguji hubungan antara faktor pengetahuan, pengalaman kontak, dan kepercayaan, dengan persepsi ibu terhadap diare pada balita. Populasi pada penelitian ini adalah ibu balita yang bermukim di Kecamatan Bekasi Utara, Jawa barat. Dari hasil penelitian terbukti bahw pengetahuan, pengalaman kontak, dan kepercayaan berhubungan secara bermakna dengan persepsi ibu terhadap diare pada balita. Ibu balita yang berpengetahuan rendah berisiko 2,5 kali untuk berpersepsi diare sebagai penyakit biasa daripada ibu yang berpengetahuan tinggi (OR: 2,535; 95%CI: 1,321 – 4,866) setelah variabel pendidikan dikendalikan. Ibu balita yang tidak pernah berpengalaman kontak berisiko hampir 5 kali lebih besar untuk berpersepsi diare sebagai penyakit biasa daripada ibu balita yang pernah kontak (OR: 4,761; 95% CI: 1,853 - 12,235). Ibu balita dengan kepercayaan rendah berisiko 0,4 kali untuk mempersepsikan diare sebagai penyakit biasa lebih kecil daripada ibu dengan kepercayaan tinggi setelah variabel jumlah balita dikendalikan (OR: 0,392; 95%CI: 0,195 - 0,765). Upaya memperbaiki persepsi ibu balita disarankan dengan meningkatkan program promosi kesehatan yang dilakukan melalui peningkatan pengetahuan, menciptakan pengalaman dengan model simulasi, serta merasionalkan kepercayaan tentang diare pada balita di masyarakat.Kata kunci : Diare pada balita, persepsi, pengetahuan, pengalaman kontak, kepercayaanAbstractDiarrhea among under-five children is still a major problem in developing countries such as Indonesia. The low perception to the seriousness of diarrhea is one of the obstacles in decreasing the diarrhea frequency. Using cross sectional design, this research aims to find the relationship between knowledge, contact experience, and belief about diarrhea on under five children with the perception of mothers towards the seriousness of diarrhea. The research population is mothers with under five children in Bekasi Utara district, and 175 subjects were selected randomly across 6 regions (kelurahan). This research showed that knowledge, contact experience and belief have significant relation with the perception towards the seriousness of diarrhea on under five children. Mothers who had limited knowledge had chance 2,5 times more than mothers who had wide knowledge to perceive that diarrhea was not serious (OR: 2.535; 95%CI: 1.321 – 4.866) after education variable was controlled. Mothers who had no experience with diarrhea had chance almost 5 times more than mothers who had experience to perceive that diarrhea was not serious (OR: 4.761; 95%CI: 1.853 – 12.235). Mothers who had low belief had chance 0.4 times more than mothers who had high belief to perceive that diarrhea was not serious (OR: 0.392; 95%CI: 0.195 – 0.765) after the number of under five children was controlled. The effort to improve the perception of mothers towards diarrhea can be conducted by improving the program to promote health, such as enhancing the knowledge/ awareness, creating contact experience by simulation model, and by rationalizing belief about diarrhea.Keywords : Diarrhea, perception, knowledge, contact experience, belief

Download Full-text

Tracking Progress in Anthropometric Failure Among Under-five Children in Ethiopia: A Geospatial and Multilevel Analysis.

10.21203/rs.3.rs-130786/v1 ◽

2020 ◽

Author(s):

Binyam Tariku Seboka ◽

Samuel Hailegebreal ◽

Delelegn Emwodew Yehualashet ◽

Abel Desalegn Demeke

Keyword(s):

Logistic Regression ◽

Associated Factors ◽

Composite Index ◽

Temporal Distribution ◽

Health Concern ◽

Multilevel Logistic Regression ◽

Statistical Tool ◽

Under Five ◽

Under Five Children ◽

Under Nutrition

Abstract Background Under-nutrition is a major public health concern among under-five children in many developing countries. This work evaluated the overall prevalence of under-nutrition by using a composite index of anthropometric failure (CIAF), which helps in the detection of children with multiple anthropometric failures. Additionally, this study provides a Spatio-temporal distribution and associated factors of childhood anthropometric failures across time.Methods Secondary data was obtained from the Ethiopian Demographic and Health Survey for the survey 2005, 2011, and 2016 years. Data included 23,864 samples of children between the ages of 0-59 months, which is a nationally representative sample in Ethiopia. Analytical methods used in this paper include multivariate multilevel logistic regression to identify associated factors and Getis-Ord spatial statistical tool to identify high and low hotspots areas of anthropometric failures. ResultThe prevalence obtained with CIAF in 2005, 2011, and 2016 was, 53.5%, 51%, and 46.2% of children were suffering from under-nutrition respectively. The spatial analysis revealed areas that are at a higher risk of anthropometric failures consistently were found in northern parts of the country, largely in the Amhara, Tigray, and Afar regions. Multilevel logistic regression analysis showed that the risk of anthropometric failure was higher among older children, had low birth weight, had a mother with low BMI, was in a rural area, had mothers and fathers without formal education. Conclusion In addition to identifying wasted, stunted, and overweight children, CIAF also identified children with multiple conditions, which are generally neglected in most nutritional surveys. As revealed by this composite index, the prevalence of anthropometric failure remains considerably high and its spatial distribution also significantly varied across the regions in the country. The identified socio-demographic characteristics and districts at an increased likelihood of anthropometric failure can inform localized intervention and prevention strategies to improve the nutritional status and healthcare of children in Ethiopia.

Download Full-text