scholarly journals Assessment of the Nutritional Status of Under-Five Years (6–59 Months) Children Attending Dalhatu Araf Specialist Hospital Lafia, Nasarawa State, Nigeria

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 183-183
Author(s):  
Emmanuel Kigbu Francis ◽  
Titilayo Bamidele ◽  
Micheal Enemali

Abstract Objectives Malnutrition is a major public health challenge in developing countries and as such the nutritional status of children serve as an indicator to rate the overall well-being of a society. In this study, we assessed the nutritional status of under-five children attending Dalhatu Araf Specialist Hospital, Lafia, Nigeria. Methods After ethical clearance, 165 under five children were randomly recruited into the study. The socio-demographic and nutritional information of the children and mother were obtained using structured questionnaires. Anthropometric assessment was done on each child and blood samples analyzed using standard biochemical techniques. The data obtained were statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Results Out of the 165 children recruited for this study, 51.5% were males. 41.2% of the children showed prevalence of Global Malnutrition, 15.8% and 25.5% indicated moderate acute malnutrition (MAM) and Severe Acute Malnutrition (SAM) respectively. 66.1% of the children had Mid-upper arm circumference (MUAC) measures in the normal range of 12.5–14.6 cm. There is a significant relationship between nutritional knowledge of the mother, socioeconomic status, child feeding practices, and the nutritional status of their children (P < 0.05). The biochemical parameters studied reported that average PCV (33.32 ± 4.49) and total protein (34.53 ± 13.26 g/L) were lower than the normal range, glucose (4.52 ± 0.97 mmol/L) and Calcium (2.14 ± 0.25 mmol/L) were within the normal range and Albumin (64.16 ± 16.87 g/L) was above the normal range. Conclusions This study has successfully revealed the nutritional status of under five years children in Nasarawa State, Nigeria. Our findings have critical implications for intervention initiatives among children in Nigeria. Funding Sources Self funded.

2019 ◽  
Author(s):  
Umesh Ghimire ◽  
Binod Kumar Aryal ◽  
Ankush Kumar Gupta ◽  
Suman Sapkota Sapkota

Abstract Background : The main objective of this study was to identify the risk factors of severe acute malnutrition in under-five children in the two districts of Nepal. Methods: Using a mid-upper arm circumference measure, nutritional status along with the associated factors underlying determinants of undernutrition of 404 children who visited the Outpatient Therapeutic Centres were assessed using a validated structured questionnaire. Multivariate logistic regression was used to determine the factors associated with severe acute malnutrition (SAM) and associated variables. Results: The odds of a child being in the SAM category increased significantly if the family have five or more children and if the household yearly income is below an average. The children in the Madhesi family were 3.6 times more likely to be malnourished. Toilet facility (Adjusted Odds Ratio [AOR]: 4.45; 95% Confidence Interval [CI]: 1.88-10.53) and family with no kitchen garden (AOR: 3.16; 95% CI: 1.28-7.89) were significantly associated with SAM among under five children. Children from moderate food insecure and severe food insecure households were 3.2 and 5.5 times more likely to be malnourished respectively. Compared to the mothers with no job, mother with some sort of paid job had more than six times higher odds of having severely acute malnourished children.Conclusions: These findings suggest that the nutrition interventions as well as awareness on child feeding practices are crucial to improve the nutritional status of children especially among Madhesi community, poorer households and among illiterate mothers.


2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Rachma Purwanti ◽  
Eka Cahyaningsih ◽  
M. Rifky Al Haedar ◽  
Noviasti Rahma Utami ◽  
Werry Lisfani ◽  
...  

Abstract. Prevalence of malnutrition among under five years old children still high. Results of nutrition problem analyzed among under five years old children at RT 01, 02, and 03 RW 08 Srondol, Semarang City showed that overweight and stunting proportions among under five years old children were still high. This community nutrition  program had objective to optimized Integrated service post (POSYANDU) function to monitor growth and development of under-five years old children (D/S ) with contribution of stakeholder, increasing maternal knowledge about complementary feeding and feeding practice for children, increasing feeding practice for under-five children, and increasing nutritional status (W/H) of under-five years old children. These community service programs were being held in December 2018 with community relation methods. This program involved stakeholders, POSYANDU cadre, and mother of overweight and stunting children at RW 08 Srondol Kulon, Banyumanik District, Semarang City. The result of “SANATA: sayang anak balita” includes : 1) there was the participation of local government for programs, increasing of POSYANDU participation (D/S) from 32,5% - 37,1%. There was an increased in mother knowledge and feeding practice. Nutritional intake of under five years old children increased and get 80-110% sufficiency for macronutrient. None children had decreased on W/H nutritional status and increasing of nutritional status (W/H) occur on 5 from 10 stunting children. We hoped that there was a sustainability of the program with knowledge updating for mothers. Reward from RW/posyandu for mother with normal nutritional status of children, haved good nutritional knowledge, and had the capability to child feeding practice would give support from them to optimized nutritional status.Keywords: nutritional status, overweight, stunting, improving nutritionAbstrak. Prevalensi masalah gizi buruk, gizi kurang, stunting, dan gizi lebih pada balita masih cukup tinggi. Hasil analisis masalah gizi pada balita di RT 01, 02, dan 03 RW 08 Srondol, Kota Semarang yaitu masih tingginya proporsi status gizi lebih dan status gizi pendek (stunting) pada balita. Program pengabdian kepada masyarakat ini bertujuan untuk mengoptimalkan fungsi posyandu dalam pemantauan tumbuh kembang anak (cakupan D/S) dengan melibatkan stakeholder terkait, meningkatkan pengetahuan ibu tentang MP-ASI dan pemberian makan pada balita, meningkatkan pola asuh ibu balita dalam pemberian makan balita sesuai kebutuhan, dan meningkatkan status gizi BB/TB pada balita. Program pengabdian kepada masyarakat ini dilaksanakan pada bulan Desember Tahun 2018 dengan metode community relation. Program melibatkan tokoh masyarakat, kader posyandu, dan ibu balita berstatus gizi lebih dan gizi pendek di wilayah RT 01, 02 dan 03 RW 08 Kelurahan Srondol Kulon Kecamatan Banyumanik, Kota Semarang. Hasil dari program SANATA: sayang anak balita ini adalah adanya partisipasi tokoh masyarakat dalam program, meningkatnya angka partisipasi posyandu (cakupan D/S) di Posyandu Mawar RW 08 yaitu dari 32,5 % menjadi 37,1 %. Terdapat peningkatan pengetahuan ibu tentang MP-ASI dan pemberian makan pada balita. Asupan zat gizi pada balita yang dilihat dari perubahan pola makan balita dapat mencapai kecukupan 80-110% zat gizi makro. Tidak terjadi penurunan status gizi BB/TB (pada 10 balita) dan terjadi peningkatan status gizi BB/TB pada 5 dari 10 balita stunting. Diharapkan adanya upaya menjaga keberlanjutan program dengan pengkayaan materi (update pengetahuan) pada ibu balita secara berkala. Penghargaan/reward/apresiasi dari pihak RW/posyandu bagi ibu yang memiliki balita berstatus gizi baik, memiliki pengetahuan gizi yang baik, serta mampu melaksanakan pola pengasuhan dan pemberian makan yang baik bagi balita akan lebih menyemangati para ibu balita dalam mengoptimalkan gizi balitanya.Kata Kunci: gizi balita, gizi lebih, stunting, perbaikan gizi


2019 ◽  
Vol 6 (6) ◽  
pp. 2489
Author(s):  
Gargi H. Pathak ◽  
Anuya V. Chauhan ◽  
Sunita O. Beniwal

Background: Indicators showing levels of nutritional status in children are often regarded as representative of the health and general well-being of a society at large. Malnutrition stands as a consequence of several key social and economic factors such as lack of education, inadequate health care services and ill-informed cultural behaviors.  In order to holistically address the issues surrounding malnutrition, a comprehensive understanding of the multi-dimensional complexities at play in society is crucial. Objective was to identify determinants of severe acute malnutrition among children with severe acute malnutrition under 5 years (between 6 months to 60 months) of age. Methods: A cross sectional study design involving 64 patients with severe acute malnutrition between 6 to 60 month of age was employed to identify the risk factors of severe acute malnutrition among children admitted in pediatric wards and nutritional rehabilitation centers, Civil hospital Ahmedabad, from April 2018 to march 2019. A detailed history of all the patients were taken and data collected using structured interviewer-administered questionnaire.Results: Thus, from the above study, it is clear  that age of the child <2 years, female gender, bigger family size, poverty, illiteracy in mother, poor feeding practices, improper complementary feed introduction, poor nutritional status of mother whose child were breastfed, acute or chronic illness in child and narrow birth spacing were the chief determinants of SAM in under five children.Conclusions: Socio demographic characters, nutrition and child caring practices, infection and other childhood illness as well as obstetric history of mother are important determinants of severe acute malnutrition in children under five years of age. As a result, collaborative efforts should be organized to improve promotion of better child caring practices through appropriate age specific child and maternal feeding practices, prevention and early treatment of acute childhood illnesses and promotion of family planning.


Author(s):  
Anthony Ekpo ◽  
Waheed Babatunde Yahya

Background and aim: In this paper, we present results regarding the outcomes of some anthropometric, epidemiological and demographic factors on the nutritional status of the under-five children which were categorized into three ordinal groups of Severe Acute Malnutrition (SAM), Moderate Acute Malnutrition (MAM) and Global Acute Malnutrition (GAM) in Kazaure Local Government Area in Nigeria. Methods: An ordinal logistic model that depicted the log-odds in favour of GAM (normal) child was fitted to the data based on surveillance indexed by Weight-For-Height (WFH). Results:The results showed that the proportional odd of measuring the nutritional status of a child in a nutrition survey using the WFH index has the OR= 7.43 (95% CI, 4.717 to 11.705) times greater, with Wald (1) 2  =74.81, p<0.001, hence a statistically significant effect. Conclusion: Based on the results and summary of findings, it can be concluded that age is a major predictor of the nutrition status of a child in a nutritional study when the surveillance is based on WFH index unlike sex and measles that do not play a major role.


2019 ◽  
Vol 14 (1) ◽  
pp. 21-23
Author(s):  
Farzana Zafreen ◽  
Md Mustafizur Rahman ◽  
Md Habibur Rahman ◽  
Md Abdul Wahab

Introduction: Adequate nutrition during infancy and early childhood is fundamental to the development of child’s full human potentials. Malnutrition is recognized as one of the major causes of morbidity and mortality among the children under- five years and developing countries are the worst affected. Objectives: To assess the nutritional status of under-five children of selected area of Chattogram hill tracts of Bangladesh. Material and Methods: This cross-sectional study was conducted among 300 children with age between 6 months to 5 years, reported to the outpatients department of selected hospitals were included purposively. All the data were collected by interviewing the mothers of the children by using a pretested semi-structured questionnaire. Nutritional status was assessed by using WHO recommended height for age Z-score (HAZ) for stunting, weight for age Z-score (WAZ) for underweight, height for weight Z-score (HWZ) for wasting and mid upper am circumference (MUAC) for overall nutritional status. Results: Out of 300 children 53.3% were boys and 48.4% were aged less than 2 years. About 50.7% children were tribal and 49.3% were bengali. Majority (56.45%) of the children’s mothers’ age was below 25 years, 36.7% was illiterate, 92.7% were housewives and 85.6% had monthly family income less than 10,000 taka. Regarding children nutritional status 15.6% was moderate stunted, 30.7% was mild stunted; severe, moderate and mild underweight was 4.3%, 13.3% and 24.7% respectively. About 1.7% was found severe wasted and 15.3% was moderate wasted. By MUAC 20.3% were of moderate acute malnutrition and 3.3% were of severe acute malnutrition. Conclusion: This study result revealed a high prevalence of malnutrition among under-five children in the study area. Considering the acute and long-term consequences of malnutrition special interventions program is needed to overcome the situation. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 21-23


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.


2020 ◽  
Vol 07 (06) ◽  
pp. 270-273
Author(s):  
Roshan Kumar Jangid ◽  
Arun Kumar ◽  
Anita . ◽  
Chinmaya Mahapatra ◽  
Manoj Yadav ◽  
...  

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