scholarly journals Assessment of nutritional status of children aged under five years in tribal population of Jawadhu hills in Tamil Nadu

Author(s):  
Gopinath T. T. ◽  
M. Logaraj ◽  
K. R. John

Background: Malnutrition is more common in India than in Sub-Saharan Africa. One in every three malnourished children in the world lives in India. Tribal population constitutes about 8% of the total population in India. They are particularly vulnerable to under nutrition, because of their geographical isolation, socio-economic disadvantage and inadequate health facilities. The objectives of this study were to assess the Nutritional status of children under five years in a Tribal area of Jawadhu hills under Puthurnadu PHC Sub-center and to find the associated risk factors accompanying the under five children.Methods: A community based cross sectional study was conducted in a tribal area of Jawadhu hills Puthurnadu PHC sub-center. A total of 316 children participated in the study. A predesigned, pre tested questionnaire was used to collect data on socio demographic profile (age, sex, religion, education, income) from the Mother/Guardian and measured all possible anthropometric measurements.Results: The overall prevalence of under nutrition was 26.9% in which Severely under nourished were 9.2%, the overall prevalence of stunting was 55.4% in which severely stunted were 23.4% and the overall prevalence of wasting was 10.4% in which severely wasted were 1.9% respectively. Male children were found to be more malnourished than Female children in our study. Children from joint family are more prone to get malnourished than Nuclear families.Conclusions: The overall prevalence of stunting was higher (55.4%) which is greater than the cut-off point stated by the World Health Organization to indicate that the severity of malnutrition. Adequate measures to be made to overcome malnutrition.

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

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.


Author(s):  
Qianling Tian ◽  
Xiao Gao ◽  
Tingting Sha ◽  
Qiong He ◽  
Gang Cheng ◽  
...  

Background: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. Methods: We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. Results: The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. Conclusions: Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.


Author(s):  
Phillips Edomwonyi Obasohan ◽  
Stephen J. Walters ◽  
Richard Jacques ◽  
Khaled Khatab

Background/Purpose: In recent times, Sub-Saharan Africa (SSA) had been rated by the World Health Organization (WHO) as the most malaria-endemic region in the world. Evidence synthesis of the factors associated with malaria among children aged under-five in SSA is urgently needed. This would help to inform decisions that policymakers and executors in the region need to make for the effective distribution of scarce palliative resources to curb the spread of the illness. This scoping review is aimed at identifying studies that have used multivariate classical regression analysis to determine the predictors associated with malaria among children under five years old in SSA. Methods/Design: The search terms followed population, intervention, comparator, outcome, timing, setting (PICOTS), and were used in searching through the following databases: PubMed, MEDLINE, Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, and Measure DHS. The databases were searched for published articles from January 1990 to December 2020. Results: Among the 1154 studies identified, only thirteen (13) studies met the study’s inclusion criteria. Narrative syntheses were performed on the selected papers to synchronize the various predictors identified. Factors ranging from child-related (age, birth order and use of a bed net), parental/household-related (maternal age and education status, household wealth index) and community-related variables (community wealth status, free bed net distribution) were some of the identified significant predictors. Conclusions: It is timely to have a synthesis of predictors that influence the malaria status of children under-five in SSA. The outcome of the review will increase the knowledge of the epidemiology of morbidity that will form the basis for designing efficient and cost-effective distribution of palliatives and control of malaria in SSA.


Health ◽  
2011 ◽  
Vol 03 (10) ◽  
pp. 647-655 ◽  
Author(s):  
Palanisamy Navaneethan ◽  
Thiagarajan Kalaivani ◽  
Chandrasekaran Rajasekaran ◽  
Nautiyal Sunil

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1186
Author(s):  
Shamsun Nahar Shaima ◽  
Sumon Kumar Das ◽  
Shahnawaz Ahmed ◽  
Yasmin Jahan ◽  
Soroar Hossain Khan ◽  
...  

Among all intestinal parasitosis, giardiasis has been reported to be associated with delayed growth in malnourished children under 5 living in low- and middle-income countries. Relevant data on the nutritional status of children aged 0–59 months presenting with moderate-to-severe diarrhea (MSD) and giardia infection were collected from sentinel health facilities of the Global Enteric Multicenter Study’s (GEMS) seven field settings, placed in diverse countries of Sub-Saharan Africa and South Asia between, December 2007 and February 2011. Then, this study analyzed a robust dataset of study participants (n = 22,569). Children having giardiasis with MSD constituted as cases (n = 1786), and those without MSD constituted as controls (n = 3470). Among the seven field sites, symptomatic giardiasis was 15% and 22% in Asian and African sites, respectively, whereas asymptomatic giardia infection (healthy without MSD) in Asian and African sites was 21.7% and 30.7%, respectively. Wasting and underweight were more frequently associated and stunting less often associated with symptomatic giardiasis (for all, p < 0.001). Symptomatic giardiasis had a significant association with worsening of nutritional status in under-five children. Improved socio-economic profile along with proper sanitation and hygienic practices are imperative to enhance child nutritional status, particularly in resource limited settings.


Author(s):  
Manish Jain ◽  
Jagdish Singh Bhati ◽  
Mayank Jain ◽  
Vinod Kumar ◽  
Kapil Garg ◽  
...  

Background: Adequate nutrition is essential in early childhood to ensure healthy growth and development, proper organ functions and a strong immunity. Accurate assessment of nutritional status of children is a requisite in appropriate planning and effective implementation of nutrition interventions. The objective of this study is to assess nutritional status of children under five year of age in rural area and to identify the socio-demographic factors associated with under nutrition.Methods: A cross sectional study was conducted among children aged six months to five years in rural area of Jhalawar, Rajasthan. Nutritional status of the children was assessed by measurement of mid upper arm circumference and information like birth order of children, birth weight and number of siblings was collected using a pre-coded and semi structured questionnaire.Results: Moderate under-nutrition was present in 16.8% children. Under-nutrition was present among 9.9% male and 24.2% female children. 38.1% children with birth weight less than 2.5 kg were under-nourished. Proportion of under-nutrition was 27.7% among children with number of siblings more than 2 while it was only 11.1% among those with 2 or less number of siblings.Conclusions: Gender, number of siblings and birth weight of children were significantly associated with nutrition status of children. 


Author(s):  
Dini Kesumah Dini Kesumah

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.


2010 ◽  
Vol 5 (3) ◽  
pp. 171
Author(s):  
Dadang Sukandar ◽  
Ali Khomsan ◽  
Faisal Anwar ◽  
Hadi Riyadi ◽  
Eddy Setyo Mudjajanto

<p class="MsoNormal" style="margin: 0cm 5.65pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The objectives of this research were to analyze health, nutritional status of children under five years and its influential factor</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">. This research was carried out in two sub-districts of Bogor: Sub-District of Ciomas and Sub-District of Darmaga. As many as 16 posyandu </span><span style="font-size: 10pt;">nutrition program </span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">were obtained. A total number of 240 mothers had been divided into </span><span style="font-size: 10pt;">c</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">ontrol and intervention groups. Baseline data were collected during the pre-study, while endline data were collected after conducting intervention (experiment). The experiment had been conducted for five months in the form of providing nutrition education once in two weeks and implementing home gardening. The data analysis included estimation of mean, standard deviation, minimum value, maximum value and proportion. Based on the General Linear Model (GLM) analysis, it was found that intervention had significant impact on the nutritional status</span><span style="font-size: 10pt;"> (WAZ)</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> of children under five years. Intervention did not have significant effects on the nutritional status according to </span><span style="font-size: 10pt;">HAZ and WHZ. </span><em></em></p><em><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">Key words<strong>: </strong></span><strong><span class="longtext"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">.</span></span></strong></em>


Author(s):  
Mohammad Abdul Kuddus ◽  
Atiqur Rahman Sunny ◽  
Mizanur Rahman

This study aimed to assess knowledge and practice of caregivers and its relationship to the disease and nutritional status of children under five years of age in rural areas of Sylhet, Bangladesh. A total of 110 households having 6 to 59 months aged children was selected by simple random method from ten rural communities of three Upazila of Sylhet during September 2019 to February 2020. Descriptive statistics were used to assess the WASH knowledge &amp; practice and multivariate chi-square analyses were performed to assess associations among diseases &amp; nutritional status with WASH following a structured questionnaire. The study found a significant association of WASH with childhood disease and nutritional status, and 65% of children were found to be in a diseased state and 35% of children were found to be in a disease-free state within the last six months. The findings sketched that mother with poor wash knowledge and practice was at greater risk for disease outbreaks, disease frequency and duration. The highest incidence of diarrhea was 17% in children aged 12 to 23 months. Significant effect of WASH was also found in children nutrition status, that was reflected in the ratio of stunted, underweight and wasted children. Integrated convergent work focusing on the provision of clean water within the household, stop open defecation, promotion of hand washing, behavior change and poverty alleviation is needed to improve the situation. Health, nutrition and livelihood programs should be uninterrupted, and mothers or caregivers should be encouraged to participate in these programs.


2019 ◽  
Vol 26 (2) ◽  
pp. 209
Author(s):  
Andi Nurcholiq Fadhlullah ◽  
Suriani Rauf ◽  
Chaerunnimah Chaerunnimah

Family strength structures use patterns in the family, people usually assume the most power in the family, giving special rights to get the best part of the food. This is one of the factors triggering the problem of underweight status in children under five in the family. Nutritional status in toddlers can be reflected by the distribution of individual food in a family day. Therefore, it will be more effective if the priority of individual food distribution in the family is the child who is still in the process of growth and development. This study aims to determine the distribution of family food to the nutritional status of children aged 1-5 years in Rammang-Rammang Hamlet, Salenrang Village, Bontoa Sub-district, Maros Regency. This research is an analytical research. Samples were toddlers aged 1-5 years who trained 35 people selected by purposive sampling. Data on family food distribution found through respondents' answers based on existing questionnaires and scoring on each question. Status of nutritional data was collected by weighing based on age of children under five, then calculated using the WHO Antro 2005 computer program. To determine the effect of variables on family food distribution with nutritional status of children under five, it was done using the SPSS program. Data is presented in the form of spread tables and frequencies. The results showed that the level of distribution of family food was quite adequate (77.1%). The mean nutritional status of children under five is generally good (74.3%). The results of statistical tests between variables there was no effect of food distribution on nutritional status of children aged 1-5 years.


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