scholarly journals Risk factors and socioeconomic inequalities in undernutrition among children 0-59 months of age in India

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Thirupathi Reddy Mokalla ◽  
Vishnu Vardhana Rao Mendu
Keyword(s):  
Nutritional Status ◽  
Birth Order ◽  
Disease Burden ◽  
Family Health ◽  
Wealth Index ◽  
Educational Status ◽  
Middle Income ◽  
Logistic Analysis ◽  
Level Data ◽  
Child Nutritional Status

In the majority of low- and middle-income counties, child health-care dissimilarities are further aggravated by nutritional status (i.e., stunting, underweight, and wasting). In India, child malnutrition is the most important contributor to disease burden. The present study uses data from the 4th round of the National Family Health Survey (NFHS-4), conducted in 2015-2016. We considered anthropometric indicators of unit-level data of 2, 48, and 174 children aged 0-59 months. This study examines the socio-economic inequality in nutritional status and their determinants among under-5 year children. The factors considered in the analysis were categorized as child age in months, mother’s educational status, mother’s nutritional-status, type of caste, wealth index, birth order, and size of a child at birth. In this study, multivariate logistic regression and concentration index (CI) have been employed to explore the effect of various factors on the child’s nutritional status. The binary logistic analysis has demonstrated a significant association between child nutritional status and mother’s education, mother’s nutritional status, type of caste, wealth index, birth order, and size of a child at birth. The results show that the CI for stunting, underweight, and wasting were −0.14, −0.16, and −0.08. Therefore, these factors were significantly high in poorer households. Our study suggests that the nutrition-specific programs to encourage nutritional adequacy, diversity, reduces the nutritional burden, and growth of child’s in India. 

scholarly journals Association between order of birth and chronic malnutrition of children: a study of nationally representative Bangladeshi sample

2016 ◽  
Vol 32 (2) ◽  
Author(s):  
Mosfequr Rahman ◽  
Keyword(s):  
Nutritional Status ◽  
Birth Order ◽  
Maternal Education ◽  
Wealth Index ◽  
Higher Order ◽  
Child Malnutrition ◽  
Maternal Body Mass Index ◽  
Media Access ◽  
Nationally Representative ◽  
Child Nutritional Status

Abstract This paper examines the net effect of birth order on child nutritional status in Bangladesh using data from the Bangladesh Demographic Health Survey, 2011 (BDHS). Analyses were restricted to 4,120 surviving, lastborn singleton children who were younger than 36 months at the time of the survey. Logistic regression was used to assess the association between birth order and child nutritional status. Results indicate 38.1% children are stunted and 8.2% children are fifth or higher order birth. Order of birth is one of the significant predictors of child being stunted. Third order, fourth order, and fifth or higher order children are 24%, 30%, and 72%, respectively, more likely to be stunted after adjusting for all other variables. Besides birth order, results also indicate that child age, size at birth, birth intention, maternal education, maternal body mass index, wealth index, place of residence and mass media access exert strong influences over child malnutrition. Reducing birth rates which limit number of births and birth order as well may reduce child malnutrition in Bangladesh.

scholarly journals Maternal/Child Social Support and Food Security in Relation to Child Height and Bmi in Four Low- and Middle- Income Countries: Mediation Analysis of Young Lives Data

2021 ◽  
Author(s):  
Hwa-Young Lee ◽  
In Han Song ◽  
Ichiro Kawachi
Keyword(s):  
Social Support ◽  
Social Capital ◽  
Food Security ◽  
Nutritional Status ◽  
Financial Support ◽  
Positive Association ◽  
Middle Income ◽  
Child Height ◽  
Child Nutritional Status ◽  
Low And Middle Income

Abstract BackgroundPoor nutritional status in childhood is associated with an elevated risk of mortality and morbidity later in life. Previous studies showed a positive association between specific types of social capital and child nutritional status. Our study examined whether improved food security mediates the impact of maternal and child social support on child height and body mass index (BMI) in four low- and middle-income countries.Methods We used data from the Young Lives cohort study comprising roughly 1,000 children at age 8 and 12 in Vietnam, Ethiopia, India, and Peru. Outcome variables were z-score for height (HAZ) and BMI (BAZ). Results Belonging to the top half of maternal financial support and child financial support was positively associated with child HAZ at age 12 in Peru. Belonging to top half of overall maternal support among children aged 8 in Vietnam, and maternal financial support among children aged 12 in India were also positively associated with child BAZ. A positive association of food security was only found with maternal financial support among children aged 12 in Peru. However, food security did not play a significant role in mediating the effect of maternal financial support on child HAZ at age 12. ConclusionsStrengthening social support to improve child nutritional status may not be a sufficient intervention in resource-poor settings because sources of supports may lack sufficient food resources to share. Considering between-country heterogeneity, a “one size fits all” approach for enhancing social capital may not be appropriate.

scholarly journals Framework for enhancing maternal nutrition: addressing under nutrition in tribal children inhabiting Central India

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Suveena Doddalingannavar ◽  
Ayushi Jain ◽  
Satish B. Agnihotri
Keyword(s):  
Child Protection ◽  
Disease Burden ◽  
Maternal Nutrition ◽  
Current System ◽  
Family Health ◽  
Central India ◽  
Population Based ◽  
District Level ◽  
Tribal Population ◽  
Level Data

AbstractOur world is transitioning into a new generation of governance with much greater emphasis on targeted actions and mission mode programmes to achieve global sustainable goals (SDG). India with its Twenty-point programme which directly maps national and state programmes to global SDGs has been pacing up for 2030 targets. One of the major programmes that has been the prime focus is Integrated Child Development Services Scheme. India ranked 103rd among 119 countries on global hunger index, 2018. Significant reduction in malnutrition was seen among children below 6 years but the pace of reduction has been slow over the past decade. The path of malnutrition reduction of central belt states (tribal population dominant) deviates from rest of the country.Our analysis of National Family Health Survey-4 (NFHS) found that 42% of tribal children are underweight (i.e. 1.5 times higher than non-tribal children), over 50% of prevalence of malnutrition is in tribal population. 100% Mother & Child Protection registration do not reciprocate to 100% all Anti-Natal Care visits showing faults in monitoring system indicating that the investment by government in all fronts, economic development has not translated into desired reduction in malnutrition. Their 8.6% population accounts to 30% cases of malaria translating to 50% malarial deaths indicative of higher disease burden. Malnutrition crisis among tribals begins way early manifesting in higher rates of Low Birth Weight deliveries (LBW) which is 3–4% higher compared to non-tribal population. This is due to low nutrient diet, laborious work during gestational period and high disease burden.The focus of Maternal nutrition enhancement projects by Tribal Welfare Depts in these states should include nutrition sensitive along with nutrition specific interventions targeting the population under risk as well as entering risk. Now with district level data (NFHS) available every 4 years can aid in district level planning, shifting focus from population based to prevalence and exclusive planning for tribals. Our study involves developing a robust framework to enhance maternal nutrition through strong community mobilization and partnership. It also addresses the convergence issue being faced in the current system and paves a way forward for convergence among inter departmental schemes for larger participation by people and greater coverage of the scheme and its benefits.

scholarly journals Nutritional status of the pre-school children in UHTC area of Santhiram Medical College, Nandyal, Kurnool district

2018 ◽  
Vol 5 (4) ◽  
pp. 1591
Author(s):  
B. S. Isaac Ebenezer ◽  
Marupuri Sushma ◽  
M. A. Mushtaq Pasha ◽  
Afsar Fatima ◽  
D. K. Veereshappa
Keyword(s):  
Nutritional Status ◽  
Economic Status ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
Medical College ◽  
Unskilled Labour ◽  
The World ◽  
Nutritional Status Of Children

Background: Malnutrition is one of the major problems in the world which suffers middle income countries in the world, malnutrition is mainly of two types over weight and underweight, the present topic is concerned to the underweight of the children among the age group between 3 yrs to 6 yrs. The aims and objectives of the study were to assess the nutritional status of children among 3-6 yrs in UHTC area of SRMC Nandyal and to identify the influence of education, occupation, and socio economic status on the nutritional status of preschool children.Methods: Community based on cross sectional study. Sampling method used is 4pq/l2. Sample size was 210.Results: Total numbers of participants in the study are 210 members. 58% are males and 42.4% are females. Among the participants 42.4% fathers and 53.8% mothers are illiterates who occupy the majority. In occupation majority of the fathers and mothers are working as unskilled labour i.e. 61.4% and 53.3%. Among the participants majority of them belong to class IV i.e. 48.6%. When we see the grading of malnutrition 51% of them are moderately malnourished. Significance difference has been observed among the educational status of the mother and the nutritional status of the baby.Conclusions: In the present study most the children malnourished are boys. Education of mother played major role in degree of malnutrition higher the educational status lower the malnutrition.

Ethical, Social, and Economic Challenges in Managing a Child with Dravet Syndrome in a Developing Country

2020 ◽  
Vol 9 (03) ◽  
pp. 094-096
Author(s):  
Sheffali Gulati ◽  
Rahul Sinha ◽  
Priyanka Madaan
Keyword(s):  
Developing Country ◽  
Disease Burden ◽  
Ethical Dilemmas ◽  
Social Stigma ◽  
Educational Status ◽  
Dravet Syndrome ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
The Cost

AbstractEpilepsy is a chronic neurological disorder with a significant impact on sociocultural and economic aspects. The management of epilepsy in low-middle income countries (LMICs) is influenced by many factors such as disease burden, poverty, educational status, the reflection of the disease as a social stigma, diverse religious beliefs, and treatment expense. Despite the improvement in educational and social parameters, the stigmatization of the disease is still evident in many LMICs. The associated comorbidities and neurodevelopmental disorders further add to the cost and stigmatization. The pediatric neurologists/epileptologists in LMICs are encountered by distinctive ethical, social, and economic dilemmas during the patient care and management of epilepsy. This article discusses the various ethical dilemmas in a child with Dravet syndrome in a developing country.

scholarly journals Cash transfer programmes in lower-income and middle-income countries: understanding pathways to nutritional change—a realist review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028314 ◽  
Author(s):  
Hilary J Floate ◽  
Geoffrey C Marks ◽  
Jo Durham
Keyword(s):  
Nutritional Status ◽  
Evidence Synthesis ◽  
Realist Review ◽  
Cash Transfer ◽  
Child Malnutrition ◽  
Health Concern ◽  
Lower Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
Child Nutritional Status

IntroductionChild malnutrition continues to be a significant global public health concern. Nutrition-related interventions have changed and diversified over the last two decades, with increasing emphasis on nutrition-sensitive programmes that address underlying determinants of child malnutrition. Cash transfer programmes (CTPs) are used with increasing popularity in lower-income and middle-income countries to improve both food/nutrition insecurity and resilience. Available studies, however, provide mixed findings on the outcomes of CTPs for child nutritional status. This review is the first stage of a research project to develop evidence-informed theories of how CTPs affect child malnutrition. These will be empirically tested in the field and contribute to a better understanding of how, why, for whom and in what circumstances CTPs can be implemented to optimise impacts on child nutritional status.Methods and analysisThis realist review is informed by available standards for realist reviews and follows a five-step process. In step 1, an initial scoping of literature identified potential contextual factors and underlying mechanisms that influence nutritional outcomes, and potential theories developed to address our research question. In step 2, a systematic literature search using multiple databases will be undertaken with papers screened using defined inclusion/exclusion criteria. In step 3, included studies will be appraised, data extracted into a bespoke data extraction tool and used to test and further refine our explanatory framework. The fourth step will synthesise, using a mix of inductive and deductive analytical processes to identify patterns, link chains of inference and tracking and linking of articles. The final step involves dissemination of a preliminary theory for feedback prior to empirically testing it in Kenya and Ethiopia where large-scale CTPs are being implemented.Ethics and disseminationThis review will not involve primary data collection. Findings will be presented in accordance with Realist and Meta-Narrative Evidence Synthesis: Evolving Standards guidelines and published in a peer-reviewed journal.Trial registration numberCRD42018110735.

Malnutrition and anaemia among adult women in India

2019 ◽  
Vol 51 (5) ◽  
pp. 658-668 ◽  
Author(s):  
Susmita Bharati ◽  
Manoranjan Pal ◽  
Soumendu Sen ◽  
Premananda Bharati
Keyword(s):  
Nutritional Status ◽  
Eating Habits ◽  
National Level ◽  
Family Health ◽  
Wealth Index ◽  
Adult Women ◽  
Percentage Points ◽  
Urban Rural ◽  
Socio Demographic Factors ◽  
Overweight Or Obesity

AbstractThe latest National Family Health Survey conducted in 2015–16 (NFHS-4) showed that malnutrition and anaemia still pose huge health challenges in India. Data on 651,642 adult non-pregnant women aged 15–49 years were taken from the survey to study the nutritional and anaemia statuses of adult women by Indian zone and state. The relationships of these two variables with the women’s urban/rural place of residence, education level, religion and eating habits, and wealth index of the family, were assessed. Body Mass Index (BMI) and haemoglobin level were used to assess nutritional status and level of anaemia, respectively. The results show that in 2015–16 in India the percentages of underweight and obese/overweight people were 22.4% and 18.4%, respectively. The percentages of undernutrition and overnutrition were more or less same. The percentage of underweight people was higher in the middle belt region of India. Zones with high levels of overweight or obesity were concentrated in the West, North and South zones. A comparison of the two national-level data sets, i.e. NFHS-4 and NFHS-3, showed that the prevalences of undernutrition and anaemia reduced by 13 and 5 percentage points, respectively, from NFHS-3 to NFHS 4, i.e. over the 10-year period from 2004–05 to 2015–16, whereas overnutrition increased by 4 percentage points during this period. Analysis of possible socio-demographic factors and eating habits thought to influence underweight, obesity and anaemia revealed substantive causal relations. More specifically, education and eating habit were found to influence underweight, overweight or obesity and anaemia significantly. The nutritional status of a woman was also found to depend on household income.

Avaliação do Perfil Nutricional dos Funcionários das Equipes Estratégia Saúde da Família e Núcleo de Apoio a Saúde da Família do Município de Pedralva – MG/ Evaluation of the Nutritional Profile of Workers from the Family Health Strategy Team and the Supp

1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob
Keyword(s):  
High Risk ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Family Health ◽  
Abdominal Circumference ◽  
Nutritional Profile ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 

3 Estimating the Burden of Dementia in Latin America and the Caribbean: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i1-i6
Author(s):  
Y Xiang ◽  
K Chan ◽  
I Rudan
Keyword(s):  
Latin America ◽  
Disease Burden ◽  
Meta Analysis ◽  
Public Health Issue ◽  
Middle Income ◽  
Dementia Prevalence ◽  
Pooled Prevalence ◽  
The Future ◽  
The Caribbean ◽  
Policy And Planning

Abstract Background and Objectives Rapid increase in life expectancy has resulted in an increase in the global burden of dementia that is expected to become a leading cause of morbidity in the future. Low- and middle-income countries are expected to bear an increasing majority of the burden, but lack data for accurate burden estimates that are key for informing policy and planning. Bayesian methods have recently gained recognition over traditional frequentist approaches for modelling disease burden for their superiority in dealing with severely limited data. This study provides updated estimates of dementia prevalence in Latin America and the Caribbean (LAC) for the years 2015, 2020 and 2030. Given the paucity of data, estimates were developed using a Bayesian methodology and confirmed by the traditional frequentist approach, with the aim of providing methodological insights for future disease burden estimates. Methods A comprehensive systematic literature search was conducted to identify all relevant primary studies published between the years 2010–2018. The quality of the included studies was critically assessed. A random-effects model (REM) and a Bayesian normal-normal hierarchical model (NNHM) were used to obtain the pooled prevalence estimate of dementia for people aged 60 and above. The latter model was also developed to estimate age-specific dementia prevalence. Using UN population estimates, total and age-specific projections of the burden of dementia were calculated. Results The prevalence of dementia in LAC was found to be 14% (10–21%) in those above age 60 based on REM, and 8% (5–11.5%) based on NNHM. The prevalence increased from 2% (1–4%) in people aged 60–69 to 29% (20–37%) in people above the age of 80. The number of people living with dementia in LAC in 2015 was estimated at 5.68 million, with future projections of 6.86 million in 2020 and 9.94 million in 2030. Conclusions The findings of this review found that burden of dementia in LAC is substantial and continues to rapidly grow. The projected rise in dementia cases in the future should prompt urgent governmental response to address this growing public health issue. We were also able to demonstrate that given the overall paucity of data, a Bayesian approach was superior for estimating disease prevalence and burden.

Sign in / Sign up

Export Citation Format

Share Document