scholarly journals Burden and Predictors of Underweight among Preschool Orphan Children in Southern Ethiopia

Author(s):  
Adane Tesfaye ◽  
Andnet Tadesse Wete ◽  
Belay Negassa ◽  
Yawkal Chane ◽  
Tekle Ejajo ◽  
...  

ABSTRACTBackgroundUnderweight is one of the public health problems in Ethiopia. Underweight children had lower resistance to diseases, lower school performance, and poor quality of life. In Ethiopia, most of the available evidences are related to the general community children, which had different risks and severity level than orphan children. Even though under-five orphan children had a higher risk of underweight, they are the most neglected population. Therefore, the aim of the study to determine the burden and predictors of underweight among preschool orphan children in Dilla Town, Southern Ethiopia.MethodA community-based cross-sectional study was conducted among 367 orphans from December 5, 2017 to January 30, 2018. The survey data were entered into EPi-info version 3.5.4 software and exported to SPSS version 20 for analysis. The burden of underweight was assessed by calculating the percentages using ENA SMART software was used for anthropometric data management using WHO standard cutoff point below-2 S.D using z-scores. All variables with a p-value of < 0.25 during bivariate logistic regression analysis were entered into a multivariate analysis to identify predictors variables independently associated with underweight at a p-value of 0.05 with 95% CI.ResultsIn this study, the burden of underweight among orphan children was 27.4%. The main predictors of underweight were sex of child (AOR = 5.29, 95% CI (2.83-9.92)), type of first complementary food (AOR = 2.47; 95% CI (1.24-4.94)), household food security (AOR = 1.98; 95% CI (1.23-3.21)) and age of child (AOR = 7.19; 95% CI (3.81-13.60)).ConclusionUnderweight is a public health problem in the study area. Sex of a child, type of first complimentary food, household food security status, and child age were the predictors of underweight. Therefore, dietary appropriate intervention, nutrition education of mothers, and increase food security status of orphan children are highly recommended.

2017 ◽  
Vol 1 (2) ◽  
pp. 143
Author(s):  
Isma Nur Amalia ◽  
Trias Mahmudiono

  Background: The realization of household food security is one of the indicators of national development. Efforts to improve food security by the fulfillment of food people on poverty dominated by smallholders.Objectives: of this research is to analyze the level of household food security according to income, expenditure and proportion of food of smallholder farmers. Methods: This study used cross sectional design with 51 sample households taken through propotional sampling method which has represented 7 farmer groups. Then the data analysis used by spearman and chi-square statistic test. Result: This result showed relation between income p-value = 0.001 (p < 0.05), household food expenditure p = 0.001 (p < 0.05) and proportion of household food expenditure p = 0.001 (p < 0.05) and household food security status. Conclusion: All variable are income, expenditure and proportion of food related to the level of food security of smallholder households.ABSTRAK Latar belakang: Terwujudnya ketahanan pangan rumah tangga menjadi salah satu indikator pembangunan nasional. Upaya untuk meningkatkan ketahanan pangan dengan pemenuhan pangan masyarakat di bawah kemiskinan yang didominasi oleh petani gurem.Tujuan: penelitian adalah  menganalisis tingkat ketahanan pangan rumah tangga menurut akses ekonomi yang terdiri dari pendapatan, total pengeluaran, proporsi pengeluaran pangan.Metode: Penelitian menggunakan desain cross sectional dengan besar sample sebesar 51 rumah tangga yang diambil melalui metode propotional sampling yang telah mewakili 7 kelompok tani. Analisis data menggunakan uji statistik spearman dan chi-square.Hasil: terdapat hubungan pendapatan (p-value= <0,001), total pengeluaran (p-value= 0,001) dan proporsi pengeluaran pangan (p-value= 0,001) dengan status ketahanan pangan rumah tangga petani gurem.Kesimpulan: Semua variabel yakni pendapatan, total pengeluaran dan proporsi pangan berhubungan dengan tingkat ketahanan pangan rumah tangga petani gurem.


2017 ◽  
Vol 1 (2) ◽  
pp. 143
Author(s):  
Isma Nur Amalia ◽  
Trias Mahmudiono

  Background: The realization of household food security is one of the indicators of national development. Efforts to improve food security by the fulfillment of food people on poverty dominated by smallholders.Objectives: of this research is to analyze the level of household food security according to income, expenditure and proportion of food of smallholder farmers. Methods: This study used cross sectional design with 51 sample households taken through propotional sampling method which has represented 7 farmer groups. Then the data analysis used by spearman and chi-square statistic test. Result: This result showed relation between income p-value = 0.001 (p < 0.05), household food expenditure p = 0.001 (p < 0.05) and proportion of household food expenditure p = 0.001 (p < 0.05) and household food security status. Conclusion: All variable are income, expenditure and proportion of food related to the level of food security of smallholder households.ABSTRAK Latar belakang: Terwujudnya ketahanan pangan rumah tangga menjadi salah satu indikator pembangunan nasional. Upaya untuk meningkatkan ketahanan pangan dengan pemenuhan pangan masyarakat di bawah kemiskinan yang didominasi oleh petani gurem.Tujuan: penelitian adalah  menganalisis tingkat ketahanan pangan rumah tangga menurut akses ekonomi yang terdiri dari pendapatan, total pengeluaran, proporsi pengeluaran pangan.Metode: Penelitian menggunakan desain cross sectional dengan besar sample sebesar 51 rumah tangga yang diambil melalui metode propotional sampling yang telah mewakili 7 kelompok tani. Analisis data menggunakan uji statistik spearman dan chi-square.Hasil: terdapat hubungan pendapatan (p-value= <0,001), total pengeluaran (p-value= 0,001) dan proporsi pengeluaran pangan (p-value= 0,001) dengan status ketahanan pangan rumah tangga petani gurem.Kesimpulan: Semua variabel yakni pendapatan, total pengeluaran dan proporsi pangan berhubungan dengan tingkat ketahanan pangan rumah tangga petani gurem.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Neda Ezzeddin ◽  
Naser Kalantari ◽  
Zahra Veysi

Purpose Coronavirus Disease 2019 (COVID-19) pandemic has affected many different aspects of people’s lives around the world, including household food security. This study aims to investigate the food security status and its determinants, with emphasis on perceived social support among the Iranian population during the epidemic.. Design/methodology/approach This cross-sectional study was conducted among 2,871 Iranian adults by social media in all provinces of the country. Demographic and socioeconomic information, household food security status and perceived social support status were assessed by the validated questionnaires. Data was analyzed by statistical package for the social sciences version 22.0, with one-way ANOVA, Chi-square and multinomial logistic regression tests. Findings The prevalence of food security among the studied population was 55.2%. The results indicated that perceived social support plays a protective role on food security [odds ratio (OR) = 1.07, confidence interval (CI) = 1.06, 1.09, P-value < 0.001]. Reduced income during the epidemic [OR = 0.29, CI = 0.17, 0.47, P-value < 0.001] and presence of an old person (>65 years old) in the household [OR = 1.72, CI = 1.14, 2.60, P-value < 0.05], were significantly higher among moderate to severe food insecure group than food-secure group. More monthly income [OR = 0.28, CI = 0.13, 0.57, P-value < 0.001] and homeownership [OR = 1.83, CI = 1.22, 2.75, P-value < 0.05] were also predictors of food security status. Originality/value The development of supportive strategies which act immediately can protect vulnerable people against the consequences of the epidemic, including food insecurity. Long-term planning should also be considered to improve society’s resistance against such disasters.


2021 ◽  
Vol 9 (2) ◽  
pp. 111-122
Author(s):  
Pradita Putri Ramadhani ◽  
Fillah Fithra Dieny ◽  
Dewi Kurniawati ◽  
Hartanti Sandi ◽  
Deny Yudi Fitranti ◽  
...  

Background: Chronic energy deficiency (CED) that occurs at risk preconception women during pregnancy increased low birth weight (LBW) in infants. Household food security and diet quality are factors that cause CED. Therefore, this study aims to determine the relationship between household food security and diet quality with CED preconception women.Materials and Methods: We used a cross-sectional study design. The subject of 70 preconception women aged 16-35 years registered in the religious affairs office in Sumowono and Pringapus Subdistrict were selected by consecutive sampling method. Weight and height were measured to assess body mass index to determine CED. Household food security was measured using the Household Food Security Scale Module (HFSSM). Food intake data were obtained using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and DQI-I (Diet Quality Index-International) to measure diet quality. Bivariate analyses were tested using Rank Spearman and Pearson Product Moment.Results: The prevalence of subjects with CED risk was 48.6% and subjects with  CED was 15.7%. 38.6% of subjects married at the age of 16-20 years, 75.1% of subjects had low household food security and 80% of subjects had low diet quality. There was no significant relationship between household food security and diet quality with CED, namely (p = 0.537) and (p = 0.711). The components of diet quality, namely variation, adequacy, moderation and balance also did not show a significant relationship with CED, respectively with p-value (p = 0.711), (p = 0.523), (p = 0.412), (p = 0.604 )Conclusions: There was no correlation between household food security and CED, also no correlation between diet quality and CED.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zinat Mortazavi ◽  
Ahmad Reza Dorosty ◽  
Mohammad Reza Eshraghian ◽  
Mohtasham Ghaffari ◽  
Alireza Ansari-Moghaddam ◽  
...  

Background.Today, more than one billion people globally suffer from poverty and food insecurity. This study aimed to determine the severity of and factors related to household food insecurity in Zahedan, Southeastern Iran.Methods.This cross-sectional study was conducted on a total of 2,160 households between November 2014 and December 2015. Demographic and socioeconomic data were collected through interviewing the household mothers. Household food security status was assessed through the USDA 18-item questionnaire. The data were analyzed using chi-square test, one-way ANOVA, and logistic regression model.Results.Total food insecurity in the households investigated was 58.8%. There were significant associations (P<0.001) between household food insecurity status and the socioeconomic status of the households, ethnicity, education, age, and employment status of the head of the household and the mother of the household.Discussion.The results showed that more than half of the households examined suffer from food insecurity. Interventions to improve the food security status of people should be designed and implemented to improve people’s knowledge, skills, and attitudes related to healthy eating and food preparation. People’s access to healthy foods and knowledge of how to select healthy foods (especially on a limited budget) should also be improved.


2020 ◽  
Vol 34 (3) ◽  
pp. 247-257
Author(s):  
Annis Catur Adi ◽  
Dini Ririn Andrias ◽  
Qonita Rachmah

PurposeThis study aims to assess the household food security status and explore the potency of wild edible animals as a food source in the food insecurity–prone area of Bangkalan district, Madura, Indonesia.Approach/methodology/designThis cross-sectional quantitative study used a mixed-method approach. A total of 66 participants were purposively recruited. Household food security was assessed using the short version of the U.S. Household Food Security Survey Module (US-HFSSM). A list of available wild edible animals was obtained from each interview using a structured questionnaire. For the qualitative study, an in-depth interview was conducted among key informants at subvillage level.FindingsWe found that 33.4 percent of households were food insecure. At least 18 kinds of wild edible animal protein consumed by the respondents were identified in the study area, which consisted of five kinds of insects, five kinds of fish, three types of birds, and two mammals. Most of the wild edible animals were rich in protein.Originality/valueWild edible animals can be promoted to support household food security. Villagers did not usually consider consuming wild edible animals as a normal practice as there were concerns about the taste and safety of eating wild animal foods. Methods of processing and cooking foods to improve the taste and safety aspects need to be explored. The information obtained from this study adds more evidence related to the potential of edible wild animals as a food alternative for households in food-insecure areas.


2019 ◽  
Vol 3 (2) ◽  
pp. 100
Author(s):  
Aisyah Fitria Susanti

 Background: Household food security in coastal areas can be seen from indicators of availability, access, food utilization and stability. One of the pillars of house hold food security can be influenced by household income.Objective: This study aimed to analyze the relationship between the level of household income and the status of household food security in isolated coastal areas in Kalikajang Hamlet, Gebang Sub-District, District of Sidoarjo, Sidoarjo Regency.Method: This type of research was observational study with cross sectional design. The population in this study were all households in the area of Kalikajang Hamlet, Sub-District of Gebang. Sample was determined using simple random sampling technique and using formula from Lemeshow, resulted in 52 respondents included in this study. Primary data was collected through interviews with questionnaires. Data analysis using Chi Square statistical test to test the relationship between independent variables and dependent variables, and logistic regression tests to test whether there is a relationship between all independent variables with the dependent variable.Results: The results of the study showed that from the eight of independent variables tested, there was one variable that was positively related to the level of household food security, namely household income (p-value<0.001).Conclusion: There is a significant relationship between the level of income and the status of household food security in coastal areas in the District of Sidoarjo.ABSTRAKLatar Belakang: Ketahanan pangan rumah tangga di wilayah pesisir dapat dilihat dari indikator ketersediaan, akses, pemanfaatan pangan dan stabilitas.  Salah satu pilar yang mempengaruhi adalah pendapatan rumah tangga.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pendapatan rumah tangga dengan status ketahanan pangan rumah tangga di wilayah pesisir tambak terisolir di Dusun Kalikajang, Kelurahan Gebang, Kecamatan Sidoarjo, Kabupaten Sidoarjo.Metode: Jenis penelitian adalah observasional dengan desain cross sectional. Populasi pada penelitian ini yaitu seluruh rumah tangga yang berada di wilayah Dusun Kalikajang Kelurahan Gebang. Teknik penentuan sample menggunakan simple random sampling dengan rumus dari Lemeshow dan didapatkan 52 responden. Data Primer dikumpulkan dengan wawancara dengan kuesioner. Analisis data menggunakan uji statistik Chi Square untuk menguji hubungan antar variabel bebas dan variabel dependen, dan uji regresi logistik untuk menguji adakah hubungan seluruh variabel bebas dengan variabel terikat.Hasil: Hasil penelitian menunjukkan dari delapan variabel independen yang diujikan, terdapat satu variabel yang berhubungan positif dengan tingkat ketahanan pangan rumah tangga, yaitu pendapatan rumah tangga (p-value<0.001).Kesimpulan: Terdapat hubungan yang bermakna antara tingkat pendapatan dengan status ketahanan pangan rumah tangga  di wilayah pesisir di Kecamatan Sidoarjo.


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


2017 ◽  
Vol 1 (3) ◽  
pp. 189
Author(s):  
Rika Kusuma Nagari ◽  
Triska Susila Nindya

Background: The nutritional status of elementary school children can be influence by many factors such as levels adequacy of energy and proteinand household food security status. Unbalanced levels adequacy of energy and protein possibility can cause nutritional problems in children. While the status of household food security has an impact on the household ability to access a good food. Objectives: aims of this study are to analyze the relationship between nutritional adequacy level and household food security status with nutritional status of children aged 6-8 years. Method: This study used cross sectional design with sample of 62 families with children aged 6-8 years enrolled in SDN 1 and 2 Sambirejo. Anthropometric measurement of height and weight is used to determine the nutritional status of children. The instruments used 2x24-hours food recall form (energy and protein adequacy level), and US-HFSSM (household food security status). While the statistical test used is spearman correlation test. Results: The results showed a correlation between levels of energy (p=0.000) and protein (p=0.000) adequacy and household food security status (p=0.010) with child nutritional status. Conclusion: Households with food insecurity had a higher proportion of nutritional problem than food secure family, so it is needed to children for having supplemental food, especially them who have nutritional problems and on food insecurity condition. It is intended to provide children with additional nutritious food to reduce the risk of nutritional problems.ABSTRAK Latar Belakang: Status gizi anak sekolah dasar dapat dipengaruhi oleh banyak faktor diantaranya tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga. Ketidakseimbangan tingkat kecukupan energi dan protein, kemungkinan dapat menyebabkan masalah gizi pada anak. Status ketahanan pangan rumah tangga berdampak kepada kemampuan dalam mengakses pangan yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat kecukupan energi dan protein serta status ketahanan pangan rumah tangga dengan status gizi anak usia 6-8 tahun.Metode: Penelitian ini menggunakan desain cross sectional dengan sampel sebanyak 62 keluarga yang memiliki anak usia 6-8 tahun yang terdaftar di SDN 1 dan 2 Sambirejo. Pengukuran antropometri tinggi badan dan berat badan digunakan untuk mengetahui status gizi anak. Selain itu, instrumen yang digunakan adalah  formulir 2x24-hours food recall (tingkat kecukupan energi dan protein), dan US-HFSSM (status ketahanan pangan rumah tangga). Statistik uji yang digunakan adalah uji korelasi spearman.Hasil: Hasil dari penelitian ini yaitu terdapat hubungan antara tingkat kecukupan energi (p=0,000) dan protein (p=0,000) serta status ketahanan pangan rumah tangga (p=0,010) dengan status gizi anak.Kesimpulan: Rumah tangga yang rawan pangan akan memiliki risiko mengalami masalah gizi yang lebih tinggi bila dibandingkan dengan rumah tangga yang tahan pangan, sehingga perlu adanya pemberian makanan tambahan kepada anak, terutama kepada anak yang memiliki masalah gizi dan berada pada kondisi rawan pangan. Hal tersebut dimaksudkan untuk memberikan anak tambahan makanan yang bergizi agar menurunkan risiko masalah gizi.


2021 ◽  
Vol 5 (1) ◽  
pp. e001039
Author(s):  
Alemselam Zebdewos Orsango ◽  
Eskindir Loha ◽  
Bernt Lindtjørn ◽  
Ingunn Marie Stadskleiv Engebretsen

BackgroundIn Ethiopia, 38% of children less than 5 years of age are stunted and 57% are anaemic. Both have a negative impact later in life on physical growth and cognitive development and often coexist. There are few studies in Ethiopia that assessed co-morbid anaemia and stunting (CAS) and context-specific factors associated with it.ObjectiveThe objective of this study was to assess the prevalence of CAS, and factors associated with CAS among children aged 2 to 5 years, in southern Ethiopia.MethodsA community-based cross-sectional survey was conducted among 331 randomly selected children in 2017. Mothers were interviewed using a structured questionnaire to obtain child and household information. Anthropometric measurements and blood samples for haemoglobin were collected. Stunting was defined as height-for-age Z-scores (HAZ) less than −2 SDs and anaemia was defined as altitude-adjusted haemoglobin levels less than 11.0 g/dL. CAS was defined when a child was both stunted and anaemic. Crude and adjusted multinomial logistic regression analyses were used to identify factors associated with CAS.ResultsOut of 331 children studied, 17.8% (95% CI 13.87% to 22.4%) had CAS. Factors found significantly linked with higher odds of CAS were increased child age (adjusted OR (AOR) 1.0 (1.0 to 1.1)) and no iron supplementation during the last pregnancy (AOR (95% CI) 2.9 (1.3 to 6.2)). One factor found significantly linked to lower odds of CAS was food secured households (AOR (95% CI) 0.3 (0.1 to 0.9)).ConclusionsCo-morbid anaemia and stunting among children in the study area is of concern; it is associated with household food security, iron supplementation during pregnancy and child age. Therefore, comprehensive interventions focusing on improving household food security and promoting iron supplementation for pregnant women are suggested.


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