scholarly journals Assessment of under nutrition with composite index of anthropometric failure (CIAF) among under-five children in a rural area of West Bengal, India

2018 ◽  
Vol 5 (4) ◽  
pp. 1651 ◽  
Author(s):  
Keya Roy ◽  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Lina Bandyopadhyay ◽  
Shamita Mandal ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
West Bengal ◽  
Health Centre ◽  
Composite Index ◽  
Anthropometric Measurement ◽  
Feeding Practice ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Background: Malnutrition among under-five children is an important public health problem in developing countries, and a major cause of morbidity and mortality in India, hence the present study was conducted to find out the nutritional status of under-five children and to elicit the factors associated with it.Methods: This community based cross-sectional study was conducted among 142 under-five children during May to June 2017 in the areas under the jurisdiction of Nasibpur Primary Health Centre, Singur, West Bengal, India. Data on socio-demographic characteristics, feeding habits and other biological factors were obtained from structured questionnaire, followed by anthropometric measurement. Assessment of nutritional status of the children was done with the help of Composite Index of Anthropometric Failure (CIAF). Descriptive statistics and logistic regression were performed to analyse the data by using SPSS version 16.0.Results: The mean (standard deviation) age of the sample was 28.4 (±15.2) months. About 36.1% children were found to have anthropometric failure using CIAF (wasting only 2.1%, wasting and underweight 14.5%, wasting, stunting and underweight 5.5%, stunting and underweight 6.3%, stunting only 4.9%, underweight only 2.8%). Education of mother [AOR = 3.6 (1.2–10.8)], birth order [AOR = 3.7 (1.4-9.9)], and exclusive breast feeding practice [AOR = 7.3 (2.9–18.1)] remained the significant correlates when adjusted with other variables in the multivariable analysis.Conclusions: The high prevalence of malnutrition in the community requires multipronged approach regarding nutritional education, intensive information education and communication (IEC) activities for exclusive breast feeding through antenatal clinics and adoption of family planning methods.

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.

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 2.38 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.

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 2.38 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.

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 ◽  
Vol 20 (1) ◽  
Author(s):  
Sujata Murarkar ◽  
Jayashree 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 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 3671 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 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 ◽  
Economic Status ◽  
Urban Slums ◽  
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 2.38 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- Registration number of the trial- CTRI/2017/12/010881; date of registration-14/12/2017. Retrospectively registered.

scholarly journals A community-based cross-sectional study on the nutritional status of children less than 5 years of age using Composite Index of Anthropometric Failure in a semi-urban area of northern Tamil Nadu

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain
Keyword(s):  
Nutritional Status ◽  
Urban Area ◽  
Tamil Nadu ◽  
Composite Index ◽  
Major Public Health Problem ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Nutritional Status Of Children

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.

scholarly journals Malnutrition of Under-Five Children: Evidence from Bangladesh

2011 ◽  
Vol 2 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Md. Nure Alam Siddiqi ◽  
Md. Nuruzzaman Haque ◽  
Md. Abdul Goni
Keyword(s):  
Nutritional Status ◽  
Intervention Program ◽  
Economic Status ◽  
Anthropometric Measurement ◽  
Antenatal Visit ◽  
Chi Square ◽  
Related Factors ◽  
Under Five ◽  
Under Five Children ◽  
Study Results

Objective: The objectives of this study are to describe the differentials and associated risk factors of malnutrition among under-five children in Bangladesh. Material & Methods: The data extracted from Bangladesh Demographic and Health Survey (BDHS)-2007. Basic anthropometric variables were used for finding prevalence of anthropometric indices (stunting, wasting and under weight) to assess child’s nutritional statuses. Chi- Square test and Logistic Regression technique were used to find out the significant factors associated with child’s nutritional status. Results: The study results showed the high prevalence of stunting and underweight, for instance 42% and 40% of under-five children were stunted and underweighted respectively. The analyses of the study also revealed that household economic status, mother’s education, father’s education, mother’s antenatal visit (s), mother’s age at birth and mother’s BMI are the most significant factor /determinant s of child’s malnutrition. Conclusion: The magnitude of the Child’s malnutrition still is of great concern in Bangladesh. Significant association between maternal related factors and child’s nutritional status has been found in this study. For improving the nutritional status of children or for getting healthy babies the intervention program(s) must connect not only children but also newly mothers and prospective mothers. Key Words: Anthropometric measurement; Malnutrition; Stunting; Underweight; Wasting DOI: http://dx.doi.org/10.3126/ajms.v2i2.3662 Asian Journal of Medical Sciences 2 (2011) 113-119

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