Impact of nutritional status and anemia on COVID-19: Is it a public health concern? Evidence from National Family Health Survey-4 (2015–2016), India

Abstract Background Malnutrition in mothers as well as in children is a significant public health challenge in most of the developing countries. The triple burden of malnutrition is a relatively new issue on the horizon of health debate and is less explored among scholars widely. The present study examines the prevalence of the triple burden of malnutrition (TBM) and explored various factors associated with the TBM among mother-child pairs in India. Methods Data used in this study were drawn from the fourth round of the National Family Health Survey (NFHS-IV) conducted in 2015–16 (N = 168,784). Bivariate and binary logistic regression analysis was used to quantify the results. About 5.7% of mother-child pairs were suffering from TBM. Results Age of mother, educational status of the mother, cesarean section delivery, birth size of baby, wealth status of a household, and place of residence were the most important correlates for the triple burden of malnutrition among mother-child pairs in India. Further, it was noted that mothers with secondary education level (AOR: 1.15, CI 1.08–1.23) were having a higher probability of suffering from TBM, and interestingly the probability shattered down for mothers having a higher educational level (AOR: 0.90, CI 0.84–0.95). Additionally, mother-child pairs from rich wealth status (AOR: 1.93, CI 1.8–2.07) had a higher probability of suffering from TBM. Conclusion From the policy perspective, it is important to promote public health programs to create awareness about the harmful effects of sedentary lifestyles. At the same time, this study recommends an effective implementation of nutrition programs targeting undernutrition and anemia among children and obesity among women.

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Changing Scenario of Anemia Among Women in India: Understanding the Maternal Health Concern and Its Associated Predictors Through National Family Health Survey

10.21203/rs.3.rs-948470/v1 ◽

2021 ◽

Author(s):

Nivedita Roy ◽

Vijay Kumar Mishra ◽

Piyush Kumar Mishra ◽

Ashish Bandhu ◽

Rajeev Dhakad

Keyword(s):

Health Survey ◽

Economic Status ◽

Decomposition Analysis ◽

Family Health ◽

Health Concern ◽

National Family Health Survey ◽

Percentage Contribution ◽

Poor Households ◽

National Family ◽

Prevalence Of Anemia

Abstract Objectives: To study the changes in Anemia among women and to study the association between anemia and socio-demographic and economic predictors, also estimating the percentage contribution of selected predictors to Anemia among women belonging to poor and non-poor households.Methods: The State-wise percentages were taken from the extracted factsheets of National Family Health Survey 2015-2016 and 2019-2020. Absolute and relative percent changes to understand the changes in prevalence have been calculated. Multiple logistic regression was done to understand the associated varying predictors of Anemia among women. Percentage contribution of selected varying predictors through multivariate decomposition analysis have also been estimated. Results: Anemia prevalence was found the highest among the women in Goa and least in Lakshwadeep. The relative change in prevalence of Anemia was highest in Assam and lowest in Lakshwadeep. Socio-economic factors like marriage at a young age, lack of education, exposure to media, malnutrition, and poor economic status contribute significantly to the prevalence of Anemia among women of age 15-49 years.Conclusion: It is seen that the socio-demographic and economic burden on Anemia still continues to be higher than other medical predictors. The focus should be made more on education, malnutrition, and economic status to reduce the prevalence of Anemia.

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Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 2015-16

PLoS ONE ◽

10.1371/journal.pone.0244562 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0244562

Author(s):

Ankita Zaveri ◽

Pintu Paul ◽

Jay Saha ◽

Bikash Barman ◽

Pradip Chouhan

Keyword(s):

Public Health ◽

Birth Weight ◽

Low Birth Weight ◽

Health Survey ◽

Family Health ◽

Public Facility ◽

National Family Health Survey ◽

Maternal Factors ◽

Indian Children ◽

National Family

Objective Low birth weight (LBW) is a serious public health problem in low- and middle-income countries and a leading cause of death in the first month of life. In India, about 18% of children are born with LBW (<2500 grams) in 2015–16. In this study, we aim to examine the influence of maternal factors and socio-demographic covariates on LBW in Indian children. Methods Data were drawn from the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16. A cross-sectional study was designed using a stratified two-stage sampling technique. Cross-tabulation, Pearson’s chi-squared test, and multivariate logistic regression analyses were employed to assess the impact of maternal factors and other covariates on children’s LBW. Results Of total participants (n = 147,762), 17.5% of children were found to be born with LBW. The study revealed that women who had prior experience of stillbirth (Adjusted odds ratio [AOR]: 1.20, 95% CI: 1.04–1.38) and any sign of pregnancy complications (AOR: 1.08, 95% CI: 1.05–1.11) were more likely to have LBW children, even after adjusting for a range of covariates. Maternal food diversity was found to a protective factor against children’s LBW. Women with underweight and anemic condition were associated with an increased likelihood of LBW children. Regarding maternity care, women who attended ≥4 ANC visits (AOR: 0.84, 95% CI: 0.80–0.88), took iron tablets/syrup during pregnancy (AOR: 0.94, 95% CI: 0.90–0.98), and delivered in a public health facility (AOR: 0.84, 95% CI: 0.79–0.88) were less likely to have LBW babies. Besides, various socio-demographic factors such as place of residence, caste, religion, education, wealth quintile, and geographical region were significantly associated with LBW of children. Conclusion Interventions are needed for adequate ANC utilization, improvement in public facility-based delivery, providing iron supplementation, and uptake of balanced energy-protein diet among pregnant mothers. Besides, special attention should be given to the socio-economically disadvantaged women to address adverse pregnancy and birth outcomes including LBW.

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Tuberculosis patients not covered by treatment in public health services: findings from India's National Family Health Survey 2015-16

Tropical Medicine & International Health ◽

10.1111/tmi.13086 ◽

2018 ◽

Vol 23 (8) ◽

pp. 886-895 ◽

Cited By ~ 3

Author(s):

Geeta Pardeshi ◽

Andrea Deluca ◽

Sutapa Agarwal ◽

Jugal Kishore

Keyword(s):

Public Health ◽

Health Services ◽

Health Survey ◽

Family Health ◽

National Family Health Survey ◽

Public Health Services ◽

Tuberculosis Patients ◽

National Family

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Spatial Pattern of Maternal Health in Northeastern States, India-evidence from national family health survey 4 (2015-16)

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2017.4.2.25 ◽

2017 ◽

Vol 4 (2) ◽

pp. 147-156 ◽

Cited By ~ 1

Author(s):

Kh. Jitenkumar Singh ◽

◽

Swati Kadian ◽

Amandeep Kaur ◽

Kiran Saini ◽

...

Keyword(s):

Maternal Health ◽

Spatial Pattern ◽

Health Survey ◽

Family Health ◽

National Family Health Survey ◽

National Family

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Inequalities in utilisation of maternal health services in urban India: Evidences from national family health survey-4

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2020.11.005 ◽

2021 ◽

Vol 10 ◽

pp. 100672

Author(s):

Balhasan Ali ◽

Paramita Debnath ◽

Tarique Anwar

Keyword(s):

Maternal Health ◽

Health Services ◽

Health Survey ◽

Family Health ◽

Maternal Health Services ◽

National Family Health Survey ◽

Urban India ◽

National Family

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Missed opportunities for delivering nutrition interventions in first 1000 days of life in India: insights from the National Family Health Survey, 2006 and 2016

BMJ Global Health ◽

10.1136/bmjgh-2020-003717 ◽

2021 ◽

Vol 6 (2) ◽

pp. e003717

Author(s):

Phuong Hong Nguyen ◽

Rasmi Avula ◽

Lan Mai Tran ◽

Vani Sethi ◽

Alok Kumar ◽

...

Keyword(s):

Health Survey ◽

Urban Areas ◽

Family Health ◽

Universal Coverage ◽

National Family Health Survey ◽

Nutrition Interventions ◽

Missed Opportunities ◽

Health And Nutrition ◽

National Family ◽

Opportunity Gaps

ObjectivesExisting health and community nutrition systems have the potential to deliver many nutrition interventions. However, the coverage of nutrition interventions across the delivery platforms of these systems has not been uniform. We (1) examined the opportunity gaps between delivery platforms and corresponding nutrition interventions through the continuum of care in India between 2006 and 2016 and and (2) assessed inequalities in these opportunity gaps.MethodsWe used two rounds of the National Family Health Survey data from 2005 to 2006 and 2015–2016 (n=36 850 and 190 898 mother–child dyads, respectively). We examine the opportunity gaps over time for seven nutrition interventions and their associated delivery platforms at national and state levels. We assessed equality and changes in equality between 2006 and 2016 for opportunity gaps by education, residence, socioeconomic status (SES), public and private platforms.ResultsCoverage of nutrition interventions was consistently lower than the reach of their associated delivery platforms; opportunity gaps ranging from 9 to 32 percentage points (pp) during the pregnancy, 17 pp during delivery and 9–26 pp during childhood in 2006. Between 2006 and 2016, coverage improved for most indicators, but coverage increases for nutrition interventions was lower than for associated delivery platforms. The opportunity gaps were larger among women with higher education (22–57 pp in 2016), higher SES status and living in urban areas (23–57 pp), despite higher coverage of most interventions and the delivery platforms among these groups. Opportunity gaps vary tremendously by state with the highest gaps observed in Tripura, Andaman and Nicobar islands, and Punjab for different indicators.ConclusionsIndia’s progress in coverage of health and nutrition interventions in the last decade is promising, but both opportunity and equality gaps remained. It is critical to close these gaps by addressing policy and programmatic delivery systems bottlenecks to achieve universal coverage for both health and nutrition within the delivery system.

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