scholarly journals Nutritional status of under- five children in a city of Maharashtra: a community based study

2017 ◽  
Vol 4 (4) ◽  
pp. 1171 ◽  
Author(s):  
Laxmikant Purohit ◽  
Priyanka Sahu ◽  
Lata B. Godale
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Birth Order ◽  
Maternal Education ◽  
Sampling Technique ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Under Nutrition

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.

scholarly journals Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

2017 ◽  
Vol 4 (6) ◽  
pp. 2180 ◽  
Author(s):  
Srabani Geetanjali Sethy ◽  
Dhaneswari Jena ◽  
Parsuram Jena ◽  
Srabani Pradhan ◽  
Tapan Biswas
Keyword(s):  
Maternal Education ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Under Nutrition ◽  
Study Population

Background: Under five children constitute the most vulnerable segment and their nutritional status and mortality rate is a sensitive indicator of the community’s health and nutrition. Prevalence of underweight is 35.7%, wasting is 21% and stunting 38.4% in India and for Odisha, it is 34.4%, 20.4 % and 34.1% respectively. Health indices of slum children are worst among all urban groups and are even poorer than rural average. Severe PEM is often associated with infection contributing to high child mortality in underprivileged communities of slum dwellers. Objectives of present study were to find out prevalence of under nutrition and its severity among the study population and to identify socio-demographic factors associated with malnutrition.Methods: A community based cross-sectional study was conducted from October 2015 September2016 in urban slum area of Berhampur city. Data were collected from 300 mothers of children aged 6-59 months using pre-tested semi structured questionnaires and measuring weight, height and MUAC of the children. Analysis was done using spss version- 20, Chi-square values and proportions were calculated.Results: 69% of 300 children were having under nutrition in the form of underweight (55.3%), wasting (75%) and stunting (42%). Overlapping of different type of malnutrition was seen. Maximum number of underweight children belongs to age group 37-60 months (52.6%) followed by other two age groups. 21.3% were severely wasted and 20% were severely underweight. Factors found to be significantly associated with prevalence of malnutrition were maternal education, hygienic and feeding practices of mother.Conclusions: Malnutrition is widely prevalent among study population more than the state and national prevalence. With increasing age cumulative increase in prevalence of malnutrition is seen perhaps due to persistence and addition of causative factors. Maternal education, faulty feeding practice and hygienic practice are contributory factor of this high prevalence of disease.  

scholarly journals Water, sanitation, and hygiene as a priority intervention for stunting in under-five children in northwest Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Ayechew Ademas ◽  
Metadel Adane ◽  
Awoke Keleb ◽  
Gete Berihun ◽  
Getu Tesfaw
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene

Abstract Background Stunting was a significant public health problem for under-five in developing countries including Ethiopia. Globally, it was estimated 21.9% or 149 million (81.7 million in Asia and 58.8 million in Africa) under-five children stunted in 2018. In East Africa, 24 million are stunted which is the highest-burden from African regions. Hence, this study aimed to assess the prevalence of stunting and its association with Water Sanitation and Hygiene (WASH) in northwestern Ethiopia. Method A community-based cross-sectional study design was conducted among 630 participants from December to mid-January 2019. From five kebeles, two were selected by a simple random sampling technique for the study. To reach study participants a systematic sampling technique was used. Data were collected by using an observational checklist, pretested questionnaire, and anthropometric measurement. Anthropometric indicator, height-for-age was determined using the current World Health Organization (WHO) growth standards. Multivariable logistic regression analysis was computed to analyze the data. From the multivariable analysis the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and P-value < 0.05 were used to declare statistical significance. Result The prevalence of stunting among under-five children was 35.6% (95%CI; 31.9–39.5%). The result from this study showed that having illiterate father and mother, give birth before marriage (single), large family size, short maternal height, unimproved drinking water source, unimproved sanitation, poor hygienic practice, having diarrhea in the previous 2 weeks before the data collection, method of child feeding, age at which complementary feeding started, frequency of feeding, not deworming and mothers who had antenatal care visit of fewer than three times were statistically associated with stunting. Conclusion In this study, stunting was an important public health problem among under-five children. It remains the same as the national average prevalence of Ethiopia. To alleviate this problem proper family planning utilization, good dietary intake, maternal and paternal education, and WASH interventions are critical.

scholarly journals Nutritional status of underfive children of Mumbai suburban region

2017 ◽  
Vol 5 (7) ◽  
pp. 3190
Author(s):  
Vaishali R. Ghane ◽  
Ranjith Kumar
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Acute Malnutrition ◽  
Care Hospital ◽  
Under Five ◽  
Under Five Children ◽  
Immunization Status

 Background: Children below five years of age are an at-risk population due to their susceptibility to malnutrition. They contribute significantly for malnutrition related morbidity and mortality, especially in India. Malnutrition in under-five children belonging to middle or low-income group urban or suburban population is more severe and compounded compared to its rural counterparts. The objective of the study was to assess the nutritional status of under-five urban children. To study correlation of determinants like birth weight, exclusive breastfeeding, immunization status, maternal education and socioeconomic status with nutritional status of under five children.Methods: The prospective cross-sectional study included 315 under-five children attending paediatric outpatient department of upcoming new tertiary care hospital in Mumbai. Anthropometric assessment for underweight, wasting and stunting was calculated based on age, weight and height measurements.Results: As per WHO classification, moderate underweight (W/A) was present in 74 (23.49%) and severe underweight in 38 (18.71%). Wasting (W/H) in the form of moderate acute malnutrition (MAM) was noted in 64 (20.32%) and severe acute malnutrition (SAM) in 42 (13.33%). Height for age revealed moderate stunting in 37 (11.75%) and severe stunting in 5 (1.59%). The sociodemographic determinants birth weight, exclusive breastfeeding, immunization status, maternal education and socioeconomic status had statistically significant association with malnutrition.Conclusions: Malnutrition is common between age of 12 to 24 months. Underweight was the commonest type of malnutrition followed by wasting and stunting. None of the patient was overweight. Quality antenatal care to reduce incidence of low birth weight, exclusive breast feeding, and appropriate weaning, complete, immunization, improvement in maternal education and socioeconomic status can reduce the incidence of malnutrition.

scholarly journals Undernutrition and associated common comorbidities among 6 -59 months old children

2020 ◽  
Vol 32 (2) ◽  
pp. 461-463
Author(s):  
Abu Rehan ◽  
Surekha Kishore ◽  
Mahendra Singh ◽  
Yogesh Bahurupi ◽  
Pradeep Aggarwal ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Health Concern ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Under Five ◽  
Under Five Children ◽  
Under Nutrition ◽  
Child Morbidity ◽  
Very High

Background: Undernutrition has long been a major public health concern in developing country like India as a leading cause of child morbidity and mortality.  Aim & Objectives: To assess undernutrition in under five children and various associated factors affecting it. Methods and Material: A community based cross sectional study was conducted among 400 under five children in Rishikesh. Results: The prevalence of underweight was 37.3%, stunting was 43.3% and wasting was 24.5% respectively. Common morbidity emerged as significant predictors of under nutrition. Conclusion: The burden of common morbidities and prevalence of malnutrition among under-five children in this community is very high.

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 ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malnourished Children ◽  
Coimbatore District

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.

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 Under-five malnutrition in a South-Eastern Nigeria metropolitan city

1970 ◽  
Vol 19 (4) ◽  
pp. 3078-3084
Author(s):  
Chukwuemeka Kenechukwu Jude ◽  
Agozie Ubesie Chukwunedum ◽  
Kunle Obidike Egbuna
Keyword(s):  
Maternal Education ◽  
Sampling Technique ◽  
Relevant Information ◽  
Overweight And Obesity ◽  
Primary School Children ◽  
Categorical Variables ◽  
P Value ◽  
Cross Sectional ◽  
Socioeconomic Class ◽  
Under Five

Background: Malnutrition (under and overnutrition) presents significant threats to child health. The co-existence of under and overnutrition in a population is increasingly being described in the literature .Objective: To identify the prevalence of malnutrition among under-five children in Enugu metropolis.Methods: A cross-sectional study of pre-primary school children conducted from January to May 2016. using stratified sampling technique. Caregiver-administered questionnaire was used to obtain relevant information. Weights and heights were measured using a standard weight scale and stadiometer/ length mat respectively. Wasting, stunting, overweight and obesity were determined based on the recommended WHO Growth Standard. Data analysis was done with SPSS version 20.0. The associations between nutritional status on one hand, and categorical variables such as age grouping, sex, socio-economic status, and maternal educationwere determined using chi square. . P-value < 0.05 were reported as statistically significant.Results: Eighteen (2.4%) and 26 (3.5%) subjects were wasted and stunted respectively. Eleven (1.5%) subjects were overweight while another 11(1.5%) subjects were obese. Risk factors for undernutrition were maternal education and low socioeconomic class while risk factor for overnutrition was upper socioeconomic class..Conclusion: There is a low rate of malnutrition in the area of study. However, sustained efforts must continue to prevent further rise and possibly eliminate the scourge of malnutrition.Keywords: Malnutrition, Nigeria.

scholarly journals Diarrhea Prevention Practice and Associated Factors among Caregivers of Under-Five Children in Enemay District, Northwest Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Melese Dubie Agegnehu ◽  
Liknaw Bewket Zeleke ◽  
Yitayal Ayalew Goshu ◽  
Yonas Lamore Ortibo ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Family Size ◽  
Associated Factors ◽  
Diarrheal Disease ◽  
Good Practice ◽  
Multivariable Analysis ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Background. Diarrhea is the leading cause of mortality among infants and children younger than 5 years of age in both underdeveloped and developing countries. Factors determining the occurrence of diarrhea in children are complex, and the relative contribution of each factor varies as a function of interaction between socioeconomic, environmental, and behavioral variables. Objectives. To assess diarrhea prevention practice and associated factors of diarrheal disease among caregivers who have under-five children in Enemay district, Ethiopia, 2018. Methods. Community-based cross-sectional study was done from June 1–30, 2018, among 398 caregivers who have under-five children, in the Enemay district that were selected by using the simple random sampling technique. A structured and pretested data collection tool was used to collect the data. Data were entered using EPI DATA version 4.2, and analysis was done using SPSS version 20 statistical package to be cleaned and analyzed. Descriptive analysis was done to describe study participants, and logistic regression (bivariable and multivariable) analysis was done to identify factors that have association with the dependent variable. The P value was less than 0.05. Results. A total of 398 with a response rate of 97% under-five caregivers were participated in this study. Nearly, half (48.7%) of the participants were in the age group 25–34. The study revealed that good practice of diarrhea prevention was 52.8%. This study was also identified that occupation (AOR: 3.922, 95% CI: 1.593, 9.657), family size (AOR: 0.088, 95% CI: 0.009, 0.916), and understanding on diarrhea (AOR: 0.237, 95% CI: 0.091, 0.613) were associated factors of diarrhea prevention practice of under-five children caregivers. Conclusion. This finding showed that diarrhea prevention practice among under-five children caregivers was low and prevention practice was significantly associated with caregivers’ awareness on frequency of diarrhea in a day, occupation, and family size in a house.

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