Do tribal children experience elevated risk of poor nutritional status in India? A multilevel analysis

2020 ◽  
pp. 1-26
Author(s):  
Tulsi Adhikari ◽  
Jeetendra Yadav ◽  
Niharika Tripathi ◽  
Himanshu Tolani ◽  
Harpreet Kaur ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Social Group ◽  
Maternal Education ◽  
Contextual Factors ◽  
Family Health ◽  
Household Wealth ◽  
Interaction Effects ◽  
Childhood Undernutrition ◽  
Nutritional Status Of Children

Abstract Economic progress in India over the past three decades has not been accompanied by a commensurate improvement in the nutritional status of children, and a disproportionate burden of undernutrition is still focused on socioeconomically disadvantaged populations in the poorest regions. This study examined the nutritional status of children under 3 years of age using data from the fourth round of Indian National Family Health Survey conducted in 2015–2016. Child undernutrition was assessed in a sample of 126,431 under-3 children using the anthropometric indices of stunting, underweight and wasting (‘anthropometric failure’) across 640 districts, 5489 primary sampling units and 35 states/UTs of India. Descriptive statistics were used to examine the regional pattern of childhood undernutrition. Multilevel logistic regression models were fitted to examine the adjusted effect of social group (tribal vs non-tribal) and economic, demographic and contextual factors on the risks of stunting, underweight and wasting accounting for the hierarchical nature of the data. Interaction effects were estimated to model the joint effects of socioeconomic position (household wealth, maternal education, urban/rural residence and geographical region) and social group (tribal vs non-tribal) with the likelihood of anthropometric failure among children. The burden of childhood undernutrition was found to vary starkly across social, economic, demographic and contextual factors. Interaction effects demonstrated that tribal children from economically poorer households, with less-educated mothers, residing in rural areas and living in the Central region of India had elevated odds of anthropometric deprivation than other tribal children. The one-size-fits-all approach to tackling undernutrition in tribal children may not be efficient and could be counterproductive.

scholarly journals Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia

2017 ◽  
Vol 60 (10) ◽  
pp. 320 ◽  
Author(s):  
Tantut Susanto ◽  
Syahrul ◽  
Lantin Sulistyorini ◽  
Rondhianto ◽  
Alfi Yudisianto
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Complementary Feeding ◽  
Local Food ◽  
Nutritional Status Of Children

scholarly journals WASH Practices and Its Association With Disease and Nutritional Status of Under Five Children: Evidence From Rural Bangladesh

2022 ◽  
Author(s):  
Mohammad Abdul Kuddus ◽  
Atiqur Rahman Sunny ◽  
Mizanur Rahman
Keyword(s):  
Rural Communities ◽  
Nutritional Status ◽  
Rural Areas ◽  
Disease Outbreaks ◽  
Nutrition Status ◽  
Chi Square ◽  
Under Five ◽  
Knowledge And Practice ◽  
Diseased State ◽  
Nutritional Status Of Children

This study aimed to assess knowledge and practice of caregivers and its relationship to the disease and nutritional status of children under five years of age in rural areas of Sylhet, Bangladesh. A total of 110 households having 6 to 59 months aged children was selected by simple random method from ten rural communities of three Upazila of Sylhet during September 2019 to February 2020. Descriptive statistics were used to assess the WASH knowledge & practice and multivariate chi-square analyses were performed to assess associations among diseases & nutritional status with WASH following a structured questionnaire. The study found a significant association of WASH with childhood disease and nutritional status, and 65% of children were found to be in a diseased state and 35% of children were found to be in a disease-free state within the last six months. The findings sketched that mother with poor wash knowledge and practice was at greater risk for disease outbreaks, disease frequency and duration. The highest incidence of diarrhea was 17% in children aged 12 to 23 months. Significant effect of WASH was also found in children nutrition status, that was reflected in the ratio of stunted, underweight and wasted children. Integrated convergent work focusing on the provision of clean water within the household, stop open defecation, promotion of hand washing, behavior change and poverty alleviation is needed to improve the situation. Health, nutrition and livelihood programs should be uninterrupted, and mothers or caregivers should be encouraged to participate in these programs.

scholarly journals Manuscript title: Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slums ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract BackgroundUndernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37).Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.ConclusionsFactors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registration-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.

scholarly journals Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Urban Slums ◽  
Trial Registration ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract Background Undernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. Results The mean age of the children was 2.38years (±SD 1.365) and mean age of mothers was 24.25(± SD6.37) years.Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001)in children underfive were associated with wasting, children with birth order 2 or less than 2 were more affected by stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight.Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.Conclusion Factors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.The trial registration-This article is part of baseline data of the project, hence not related to trial registration. After baseline data principal investigator had done trial registration retrospectively.

Association of childhood undernutrition with water supply, sanitation and hygiene interventions in Kersa and Omo Nada districts of Jimma Zone, Ethiopia: A case-control study

2020 ◽  
Author(s):  
Negasa Eshete Soboksa ◽  
Sirak Robele Gari ◽  
Abebe Beyene Hailu ◽  
Bezatu Mengistie Alemu
Keyword(s):  
Nutritional Status ◽  
Water Supply ◽  
Case Control Study ◽  
Case Control ◽  
Sanitation And Hygiene ◽  
Jimma Zone ◽  
Childhood Undernutrition ◽  
Nutritional Status Of Children ◽  
Control Study ◽  
Critical Times

Abstract Objective: This study aimed to describe the association of childhood undernutrition with water supply, sanitation, and hygiene interventions in Kersa and Omo Nada districts of the Jimma Zone, Ethiopia.Design: A case-control study design was undertaken from December 2018 to January 2019.Setting: Kersa and Omo Nada districts of the Jimma Zone, Ethiopia.Subjects: 128 cases and 256 controls were randomly selected from malnourished and well-nourished children, respectively.Outcome measures: Bodyweight, length/height, mid-upper arm circumference and presence of edema of the children were measured according to the WHO references. Then, the nutritional status of children was identified as case or control using cutoff points recommended by the WHO based on the Z-score, edema, and MUAC values recorded.Results: A total of 378 children were included in this study, with a response rate of 98.44%. Undernutrition was significantly increased among children who delayed breastfeeding initiation (AOR=2.60; 95% CI: 1.02-6.65), diarrhea (AOR=9.50; 95% CI: 5.19-17.36), living with households indexed as the poorest (AOR=2.57; 95% CI: 1.09-6.07) and defecated in a pit latrine without slab/open pit (AOR=2.49; 95% CI: 1.17-5.30), and sometimes practiced hand washing at the critical times (AOR=2.52; 95% CI: 1.10-5.75) compared with their counterparts. However, lactating during the survey (AOR=0.35; 95% CI: 0.18-0.71) and collection and disposal of under-five children feces elsewhere (AOR = 0.08; 95% CI: 0.01-0.75) significantly reduced the likelihood of undernutrition.Conclusions: Early initiation of exclusive breastfeeding, diarrhea prevention, the use of improved latrine, and always handwashing practices at critical times could be important variables to improve the nutritional status of children.

scholarly journals Disparities in the Nutritional Status of Children (0–23 Months) in Kenya

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 867-867
Author(s):  
Teresia Mbogori
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Economic ◽  
Economic Status ◽  
Wealth Index ◽  
Childhood Malnutrition ◽  
Social Economic Status ◽  
Z Scores ◽  
Nutritional Status Of Children

Abstract Objectives To determine the social economic and rural/urban disparities in the nutritional status of children aged 0–23 months in Kenya. Methods This study utilized data from the most current Kenya Demographic and Health Survey (KDHS), a nationally representative cross-sectional study conducted in 2014. Data from children 0–23 months with complete information on weight, height, age and sex were used for analysis. Height for Age Z scores (HAZ), Weight for Age Z scores (WAZ), Weight for Height Z scores (WHZ), and BMI for Age Z scores (BAZ) were computed using WHO Anthroplus program to determine the nutritional status of the children. Chi square statistics were used to determine the relationship between wealth index, education status of mother, rural/urban residence, gender, and the nutritional status of the children. Significance was set at P &lt; 0.05. Results Among all participating children aged 0–23 months (n = 7578), 22.7% were stunted (HAZ &lt; −2), 10.7% were underweight (WAZ &lt; −2), 6.2% were wasted (WHZ &lt; −2), and 6.1% were either overweight or obese (BAZ &gt; 2). Wasting, stunting, and underweight were significantly higher in children from rural areas, poorer wealth index and from mothers with no education. In contrast, children from urban areas, from richest wealth index category and from mothers with secondary or higher education were significantly more likely to be either overweight or obese. There were no gender differences in all the indicators of malnutrition. Stunting, wasting and underweight were also significantly higher in older children (6–23 months) as compared to the younger children (0–5 months). Conclusions Disparities exist in childhood malnutrition in Kenya with children from low social economic status and those living in rural areas experiencing higher rates of under-nutrition whereas those living in urban areas and those from higher social economic status experiencing higher rates of overweight and obesity. Current and new policies need to address these disparities to ensure that childhood malnutrition continues to improve in all sectors of the society. Funding Sources No funding source.

scholarly journals Household food consumption and nutritional status of children aged 6 to 59 months in Zinder, Niger Republic

2020 ◽  
Vol 20 (06) ◽  
pp. 16652-16668
Author(s):  
Diadie Halima Oumarou ◽  
◽  
HA Issaka ◽  
A Balla ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Consumption ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Severe Form ◽  
Household Level ◽  
Food Diversity ◽  
Household Food ◽  
Female Headed Households ◽  
Nutritional Status Of Children

Malnutrition exists in both urban and rural areas in Niger. An analysis of food and nutrition situation was carried out in the urban municipality of Zinder in order to contribute to a better understanding of the situation.This work was done from February to March 2018, at the household level,sampled by probabilistic method.The study involved 168 children from 6 to 59 months selected from 150 households in 15neighborhoods in the urban municipalities of Zinder. An analysis of the Food Consumption Score and Household Food Diversity Score showed acceptable food consumption and high food diversity respectively in58.7% and 67.3% of households.Furthermore, the results showed that the socio-economic characteristics that determined Score of food consumption were the main activities of heads of households and their wives. Food diversity was generally acceptable, although 2.7 %of households still had low dietary diversity in the study area.Also,food diversity remained low overall for nearly 8.9% of children with a rate of 6.0% for households headed by a woman.Nevertheless, the latter female-headed households had an estimated 13.7% of children with average individual food diversity. The prevalence of acute global malnutrition is 13.1% with the severe form at3%. It should be noted that girls were much more affected by this severe form (3.4%) compared to 2.5% for boys.However, stunting was more prevalent in males than in females with 57.5% and 46.6%,respectively. Moderate form accounting for 28.4% in females compared to 17.5% in males.This nutritional status reflects the relatively acceptable food situation in which these children lived. Furthermore, the appreciation of different foods and modes of consumption have shown on the one hand that the diet remains monotonous. On the other hand, this analysis revealed that cereal-based dishes accompanied by vegetable/leafy sauces predominated in these households in the study area.This situation exposes the members of these households and especially young children to the risk of malnutrition.

scholarly journals TELAAH FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS GIZI BALITA DI KOTA PADANG BERDASARKAN BERAT BADAN PER TINGGI BADAN MENGGUNAKAN METODE CART

2017 ◽  
Vol 18 (02) ◽  
pp. 86-99
Author(s):  
Izzati Rahmi H.G
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Family Income ◽  
Regression Tree ◽  
Classification And Regression Tree ◽  
Maternal Knowledge ◽  
Number Of Children ◽  
West Sumatra ◽  
Nutritional Status Of Children ◽  
Children Under 5

This study was conducted to determine factors that affect the nutritional status of children under 5 years of age in Padang City West Sumatra based on weight-for-height using Classification and Regression Tree (CART). The study was carried out in 4 districts in Padang City.  A Total of  311 under 5 years of age children was  examined.  Children nutritional status are assess using weight-for-height Z score complied with WHO standard for children growth.  Factors those were hypothesized to influence children nutritional status were gender, age, family income, maternal education level, number of children and score of  maternal knowledge about nutrition.  Data were analyzed using tree classification methods namely CART method. It was found that there were 3 variables that affect children nutritional status i.e age, family income and maternal knowledge about nutrition. 

scholarly journals HUBUNGAN PENDIDIKAN IBU DENGAN STATUS GIZI ANAK USIA 3-5 TAHUN DI DESA SINDANGSARI KECAMATAN CIKONENG KABUPATEN CIAMIS TAHUN 2019

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Ana Samiatul Milah ◽  
Ade Zaqiah
Keyword(s):  
Life Cycle ◽  
Nutritional Status ◽  
Growth And Development ◽  
Maternal Education ◽  
Hypothesis Test ◽  
Sampling Technique ◽  
P Value ◽  
Children Under Five ◽  
Under Five ◽  
Nutritional Status Of Children

Nutrition / nutrition problems occur in every life cycle and throughout the life cycle of women, starting from the womb (fetus), infants, children, adults and old age. The period of the first two years of life is a critical period, because during this period there was very rapid growth and development. Nutritional disorders that occur in this period are permanent, cannot be recovered even though nutritional needs in the next period are met. Data obtained from the Cikoneng Health Center in Cikoneng Sub-district of Ciamis District in 2017 in January the nutritional status of children under five was obtained, but the total number of malnourished sufferers was 29 children. Then in 2018 experienced an increase of 46 children consisting of 42 undernourished children and 4 malnourished children out of 789 children who could be measured and in 2019 there were 213 people. The method used in this research is analytic descriptive research method. The population in this study were all mothers and toddlers aged 3-5 years in Sindangsari Village, Cikoneng District, Ciamis Regency amounted to 213 people. The sampling technique used was using random sampling technique. The results of this study were the results of research of 68 respondents, mother's education in the secondary education category with good nutritional status in children as many as 15 (62.5%) respondents. Hypothesis test results using chi square obtained p value of 0.014 smaller than alpha 0.05. From the results of this study it can be concluded that there is a relationship between maternal education and nutritional status of children aged 3-5 years in Sindangsari Village, Cikoneng District, Ciamis Regency with a p-value of 0.014 smaller than alpha = 0.05. The results of the study are expected to contribute scientifically to the improvement of knowledge related to child growth and development problems and can be used as information to increase knowledge about the importance of child development for the community in order to improve the health and welfare of mothers and children, can also be for children to be healthy in terms of nutritional intake, good health status from nutritional status and health assessment, one of the steps in efforts to conduct nutrition counseling to the community, especially mothers who have children under five at the age of 3-5 years.

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