scholarly journals Nutritional status and its corelates in under five slum children of Kanpur Nagar, India

2018 ◽  
Vol 5 (2) ◽  
pp. 584 ◽  
Author(s):  
S. K. Gautam ◽  
Mahesh Verma ◽  
S. K. Barman ◽  
A. K. Arya

Background: In Kanpur, overall there were an estimated 43.6% stunted, 24.1% wasted and 41.8% underweight under-five children. There is a critical window of opportunity to prevent undernutrition by taking care of the nutrition of children in the first two years of life. With this background the present study was undertaken with the aim to assess the nutritional status in under five children in the slum area of Kanpur Nagar.Methods: The present study was conducted in 30 slums of Kanpur Nagar selected through 30 cluster sampling technique. The sample size was calculated as 390. From each cluster, approximate 13 study subjects aged 0-60 months were studied. Mothers of study subjects were interviewed to illicit the requisite information, using a predesigned and pretested questionnaire. Anthropometric measurements were taken using standard technique for each study subject. Data collected was analyzed using statistical tool.Results: Based on WHO classification, the prevalence of stunting and severe stunting was observed to be 31.28% and 13.59%. 14.62% study subjects were wasted while 6.15% subjects had severe wasting. 40.51% had mild-moderate malnutrition and 7.95% had severe malnutrition as per the criteria of mid upper arm circumference. Malnutrition was significantly associated with the age of the study subjects (p <0.05). The prevalence of malnutrition decreased significantly with higher maternal education and among those whose mother’s were housewives (p <0.05). Lower birth order and middle socio-economic class was associated with decreased prevalence of malnutrition (p <0.05). Conclusions: The nutritional status of children is dependent on maternal education and occupation and socioeconomic status. Nutrition education can have a significant effect in its reduction.

Author(s):  
Shaza O. H. Kanan ◽  
Abd Elmoneim O. Elkhalifa

Background: Malnutrition among under-five children have significant interest for the health authorities in Sudan. This is considered by the fact that the prevalence of underweight children in Sudan is among the highest in the world and it is essential to determine its prevalence and causes, as this problem affects the future of the under-five children and the community as general. This review aimed to assess the prevalence and causes of undernutrition among under-five children in Sudan. Methods: Published data such as peer-reviewed articles, published dissertations and official reports on malnutrition and its causes among under-five Sudanese children during the last twenty years, were collected from Science Direct, Google Scholar, PubMed, and others. The information restored was reviewed and analyzed for inconsistency. Results: Data shows that the prevalence of under-nutrition among under-five children was high and diverse widely, and the majority of the studies were carried out in Khartoum state, which showed the prevalence of wasting (3.3 to 21.1%) stunting (20.3 to 51.0%), severe stunting (12.9 to 25.2%) and underweight and severe underweight represent 24.4 to 35.0% and 6.6 to 48.0%, respectively. The prevalence rate of malnutrition was reported to be 14.1, 23.6, and 10.7% in South Darfur IDP camps, while in North Darfur it was 14.7, 48.9, and 35.6%, for wasting, stunting, and underweight, respectively. In El Fau, Gadarif state the prevalence of moderate and severe malnutrition of the under-five children were 6% and 3.3%. Many causes were reported for malnutrition among the under-five children including bad feeding practices, childhood diseases, hygiene and sanitation, and low socioeconomic status. Conclusion: The prevalence rate of undernutrition among the under-five Sudanese children was very high, and stunting is the main shape of malnutrition. Many causes were contributed to under-five malnutrition and improvement in infant feeding and better maternal education are significant to get a high nutritional status of the children.


Author(s):  
Siti Zakiah Zulfa ◽  
◽  
Cesa Septiana Pratiwi ◽  

Background: In developing country, malnutrition of under five children was still a severe problem because it may have an impact on the quality of human resources in the future. Various program has been tried in many places to overcome this problem, one of which is through a home visit program, which is very necessary for educational purposes to manage malnutrition. This study aimed to determine how to implement a home visit program to improve the nutritional status of under five children in developing countries. Subjects and Method: A scoping review method was conducted using Arksey and O’malley (2005) framework with five steps: (1) Identify the scoping review question; (2) Identify relevant articles; (3) Article selection; (4) Mapping; (5) Present the results, discussion and conclusion. The search included Pubmed, Wiley, Ebsco, Science Direct, and Google scholar databases. The inclusion criteria were original articles in Indonesian and English from developing countries published from 2010 to 2019. The data were reported by PRISMA flow chart. Results: Five of the 159 articles were selected, and found that five themes were summarized, namely: (1) effective implementation of home visits, (2) types of rehabilitation of nutritional status of under-five children on home visits, (3) home visit officers 4) time and activities for conducting home visits and 5 ) constraints on home visits for malnutrition education purposes. Conclusion: Home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting and wasting in under five children only when combined with other programs. Several knowledge gaps identify which confirm through further research. Keywords: home visit, nutritional status of under-five children, malnutrition, developing countries Correspondence: Siti Zakiah Zulfa. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: 085641349694. DOI: https://doi.org/10.26911/the7thicph.02.11


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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.


2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.


Author(s):  
Laxmikant Purohit ◽  
Priyanka Sahu ◽  
Lata B. Godale

Background: Children are considered to be the backbone of any nation. Nutritional problems among children cause major morbidity and mortality in India. India is home to the largest number of underweight and stunted children in the world. Aim and objectives: 1) To assess prevalence of underweight, stunting and wasting among under-five children 2) To study factors associated with underweight, stunting and wasting among under-five childrenMethods: It was community based descriptive cross sectional study conducted during January 2010 to December 2011 at Urban Health Center of the Department of Preventive and Social Medicine catering approximately 27000 populations. 650 under- fives residing in urban field practice area were included in the study with the help of Stratified random sampling technique. Data was analyzed using SPSS software 16 version and OpenEpi Software Version 2.3.Results: 40.46% under five children were stunted, 38.15% were underweight, and 16% were wasted. The difference observed between stunted and normal study subjects with reference to type of family, education of mother, birth weight and birth order were statistically significant. The proportion of under- five children with underweight showed significant association with their age, socioeconomic status, education mother, birth weight and birth order. Proportion of under-five children with SAM and MAM decreased significantly with increase in education status of mother. Significantly higher proportion of under-five children with birth weight less than 2.5 kg and higher birth order were grouped as SAM and MAM.Conclusions: Maternal education, birth weight and birth order of children were significantly associated with all three types of under nutrition i.e. underweight, stunting and wasting. Proportion of children with underweight increases significantly with increase in age and decrease in socioeconomic status. There was no religion wise or gender wise variation in proportion of children with under nutrition was reported among study subjects.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Ana Samiatul Milah ◽  
Ade Zaqiah

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.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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 2.38 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.Conclusions 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.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.


2021 ◽  
Vol 4 (1) ◽  
pp. 25-31
Author(s):  
Sahira Aaraj ◽  
Alia Halim ◽  
Syed Kaleem ur Rehman ◽  
Iffat Fatima Zaman ◽  
Sameera Ahmed

Background: Malnutrition in under five children is prevalent in our country.  It makes them prone to infections and increases child mortality. This can be controlled by identifying and modifying the predisposing factors. Objective: To assess nutritional status and to analyze the influence of various demographic factors on nutritional status of under five children. Methodology: This cross-sectional study was conducted in Shifa Falahi and Community Health center in Islamabad. Children under five years of age were included. Information was collected from mothers on a self-designed questionnaire. Weight and height of children was recorded and classified according to WHO Z score. Data was evaluated on SPSS 20. Univariate analysis was done to determine independent effect of each predictor on outcome. Results: Total of 280 patients were enrolled. 162 (57. 9%) of them were malnourished. Stunting was seen in 24.6% cases, while 26.1% were underweight. Wasting was seen in 19.6% cases. More males were stunted (27.9%) and underweight (27.27%) as compared to females (21.2%) and (24.8%) respectively. Low household income (p value 0.014), poor maternal education (p value 0.018), joint family system (0.002), unboiled drinking water (0.008) and repeated diarrheas (0.02) were found significantly associated with malnutrition. Most of the mothers (>75%) had adequate knowledge of breast feeding, vaccination, seeking medical advice for their babies. Conclusion: All forms of childhood malnutrition are prevalent. Poor socioeconomic status and maternal illiteracy are strong contributors towards malnutrition. Unboiled drinking water and diarrheas are further aggravating the nutritional status of children.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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 2.38 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.Conclusions 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.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.


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