scholarly journals A study on assessment of nutrition and health status of the children one year after discharge from the Nutritional Rehabilitation Centre in South India

2018 ◽  
Vol 5 (8) ◽  
pp. 3492
Author(s):  
C. Chandra Sekhar ◽  
D. Surendra Babu ◽  
C. Sravana Deepthi ◽  
Shakeer Kahn Patan ◽  
Khadervali N. ◽  
...  
Keyword(s):  
Health Status ◽  
Nutritional Status ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Severe Malnutrition ◽  
Rehabilitation Centre ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs

Background: Nutrition rehabilitation centers (NRCs) were started to control severe malnutrition and follow-up of children with severe acute malnutrition is essential because mortality rate of 10-30% has been reported after discharge from hospital.Methods: A community based cross sectional study with the objectives to assess the current health status of the children discharged from the NRC and to assess the healthy practices learned by mothers during their stay at NRC. We included children those discharged from May to October 2013. The children were approached house to house visit and assessed for their health status with a pretested semi structured questionnaire. Mothers of the children were also interviewed for the knowledge and practices of the dietary and child care.Results: Among 67 children, 8 (11.9%) children could not be traced and 7 (10.4%) were reported dead, 52 were included 27 were boys and 25 were girls with a mean age of 35 months. The current nutritional status was 71.2% were not in very low weight, 17.3% were moderately underweight, and 11.5% were still severely underweight. Children who had more number of follow-ups had a better nutritional status which was significant (p<0.0001). 94% of the mothers had knowledge about correct feeding practices and food preparations; 86.5% were aware of good hygiene; 75% aware of the danger signs. Only 59.5% of the mothers could recollect the structured play therapy.Conclusions: Community based followup of the children following discharge from NRC and appropriate feedback to the mothers is very much essential for sustained results.

scholarly journals Nutritional status in under five children and their associated risk factors in an urban slum of Mumbai

2021 ◽  
Vol 9 (4) ◽  
pp. 1149
Author(s):  
Aishani Chowdhury ◽  
Animesh Gupta
Keyword(s):  
Young Children ◽  
Nutritional Status ◽  
Severe Acute Malnutrition ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Acute Malnutrition ◽  
Cross Sectional ◽  
Highly Correlated ◽  
Nutritional Status Of Children

Background: Young children living in urban slums are at high risk for acute malnutrition and stunting. Many factors contribute towards it including living conditions, gender, delivery method, or access to nutrition. Malnutrition at a young age can cause morbidity and mortality, and impact further development and educational outcomes of children, and cause lifelong impairment. The aim of this study was to assess the nutritional status of young children in an urban slum in Mumbai and the factors affecting the health of children.Methods: A community based cross sectional study was conducted in the slum community of Dharavi, Mumbai. Data was collected using pre-designed and pre-tested proforma by interview method.Results: The prevalence of wasting (W/H) was found in 48.9% of the population in this study, of which 25.0% had severe acute malnutrition (SAM) and 23.9% had moderate acute malnutrition (MAM). Stunting was found in 39.7% of the population, of which 29.5% were moderately stunted and 10.2% were severely stunted. Wasting was found to be highly correlated with the age of the child and the age of the mother, whereas Stunting was found to be highly correlated with the child, the age of the mother, and complementary feeding.Conclusions: Poor nutritional status of children in the urban slums in Mumbai needs to be addressed by improving education and awareness amid parents and access to Anganwadi, Balwadi, and nutritional supplements. 

scholarly journals PREVALENCE OF MALNUTRITION AMONG CHILDREN UNDER 5 YEARS IN KASSAB AND FATABRNO CAMPS AT KUTUM LOCALITY, NORTH DARFUR STATE, SUDAN

2020 ◽  
Vol 7 (10) ◽  
pp. 491-499
Author(s):  
Abdallah Ahmed Adam Belal ◽  
Hamed Fadalalla
Keyword(s):  
Nutritional Status ◽  
Complementary Feeding ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Nutritional Requirement ◽  
Child Feeding ◽  
Normal Children ◽  
Cross Sectional ◽  
Children Under 5

Malnutrition it’s one of main problem that lead to death among children under 5 years. There is a high nutritional requirement for children under 5 years of age because they are undergoing a period of rapid growth. This descriptive cross-sectional study saw conducted in Kutum locality – North Darfur State aimed to assess the nutritional status of children under 5 years at Kassab and Fatabarno IDPs camps, in addition to assess the others factors influence child feeding practices. To achieve these aims, a survey was carried out on 101 children, age zero to 59 months in study area. Data were collected by anthropodermic measurement as well as direct interview with mothers to collect certain socio-demographic factors which were associated with the nutritional status of study population. Age was determined from mothers and weight and height were measured using standard techniques. After analyzed of obtained data by SPSS version 20 the main results are: prevalence of malnutrition in Kassab and Fatbarno IDPs camps is 15.8%, of which 6.6% is moderate acute malnutrition (MAM) and 8.9% is severe acute malnutrition (SAM), 76% of the mothers with normal children were started complementary feeding after 6 months while 69% of mothers with malnourished children were started complementary feeding before 6 months, Most of the children identified with malnourished either SAM or MAM were in the age group between 12 – 24 months representing by 63%. Then the study recommended that: raising awareness of mothers about importance of breast feeding for infant to improve nutritional status of their children, encourage complementary feeding and begin it in right age according to WHO recommendations.

scholarly journals Nutritional Status of Under-Five Children of Chattogram Hill Tracts

2019 ◽  
Vol 14 (1) ◽  
pp. 21-23
Author(s):  
Farzana Zafreen ◽  
Md Mustafizur Rahman ◽  
Md Habibur Rahman ◽  
Md Abdul Wahab
Keyword(s):  
Nutritional Status ◽  
Family Income ◽  
Severe Acute Malnutrition ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Z Score ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Introduction: Adequate nutrition during infancy and early childhood is fundamental to the development of child’s full human potentials. Malnutrition is recognized as one of the major causes of morbidity and mortality among the children under- five years and developing countries are the worst affected. Objectives: To assess the nutritional status of under-five children of selected area of Chattogram hill tracts of Bangladesh. Material and Methods: This cross-sectional study was conducted among 300 children with age between 6 months to 5 years, reported to the outpatients department of selected hospitals were included purposively. All the data were collected by interviewing the mothers of the children by using a pretested semi-structured questionnaire. Nutritional status was assessed by using WHO recommended height for age Z-score (HAZ) for stunting, weight for age Z-score (WAZ) for underweight, height for weight Z-score (HWZ) for wasting and mid upper am circumference (MUAC) for overall nutritional status. Results: Out of 300 children 53.3% were boys and 48.4% were aged less than 2 years. About 50.7% children were tribal and 49.3% were bengali. Majority (56.45%) of the children’s mothers’ age was below 25 years, 36.7% was illiterate, 92.7% were housewives and 85.6% had monthly family income less than 10,000 taka. Regarding children nutritional status 15.6% was moderate stunted, 30.7% was mild stunted; severe, moderate and mild underweight was 4.3%, 13.3% and 24.7% respectively. About 1.7% was found severe wasted and 15.3% was moderate wasted. By MUAC 20.3% were of moderate acute malnutrition and 3.3% were of severe acute malnutrition. Conclusion: This study result revealed a high prevalence of malnutrition among under-five children in the study area. Considering the acute and long-term consequences of malnutrition special interventions program is needed to overcome the situation. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 21-23

scholarly journals Prevalence of Thinness among Santal Preschool Children Using New Body Mass Index Cut-Off Points

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Subal Das ◽  
Kaushik Bose
Keyword(s):  
Body Mass Index ◽  
Preschool Children ◽  
Nutritional Status ◽  
Body Mass ◽  
Cross Sectional Study ◽  
High Rate ◽  
Tribal Community ◽  
Community Based ◽  
Cross Sectional ◽  
Purulia District

A community-based cross-sectional study was undertaken to determine the prevalence of undernutrition using body mass index (BMI) among 2–6-year Santal preschool children of Purulia District, West Bengal, India. A total of 251 (116 boys and 135 girls) children from 12 villages were measured. Commonly used indicators, that is, weight, height, and BMI, were used to evaluate the nutritional status. More boys (59.5%) than girls (53.3%), based on BMI, were undernourished. Significant age differences in weight (F=44.29∗∗∗; df=3), height (F=58.48∗∗∗; df=3), and BMI (F=3.52∗∗∗; df=3) among boys were observed. Similarly, significant differences between ages in mean weight (F=56.27∗∗∗; df=3), height (F=64.76∗∗∗; df=3), and BMI (F=2.62∗∗∗; df=3) were observed among the girls. The present study revealed that the nutritional status of the preschool children of Santal tribal community of these villages was poor with very high rate of thinness in boys and girls (59.5% and 53.3%, resp.).

scholarly journals Health and nutritional status of school children from a rural area of Andhra Pradesh

2020 ◽  
Vol 7 (9) ◽  
pp. 1869
Author(s):  
Nanditha G. ◽  
Chandrakala R. Iyer ◽  
Chandrashekar M. A. ◽  
Poojitha Kancherla ◽  
Raghuveer Golluri ◽  
...  
Keyword(s):  
Health Status ◽  
Nutritional Status ◽  
School Children ◽  
Respiratory Infections ◽  
Good Health ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Healthy Children ◽  
Cross Sectional ◽  
Health Programmes

Background: Healthy children build a wealthy nation. Good health of children is of paramount importance to the nation’s growth. Health and nutritional status of school children is highly variable from one region to another due to different environmental, socioeconomic and cultural factors. Hence health status of school children from each area should be assessed periodically so that relevant health programmes can be applied to prevent common morbidities such as malnutrition, infections and infestations. Methods: A cross sectional study of 500 rural school children from 5 to 15 years was conducted to assess the nutritional status by anthropometry and health status by clinical examination.Results: Out of the 500 school children 46.8% girls, 71.4% were 5 to 10 years old, 70.2% studying in 1st to 5th class.  33.4% were stunted. 25.6% and 27% were underweight according to weight and Body mass index criteria respectively. Common health problems among school children in this study were anemia (31%), dental caries (27.2%), upper respiratory infections (13.4%), skin infections and scabies (12.6%), head lice infestation (6.8%), refractive errors (6%) and ear discharge (5.2%).Conclusions: Though the pattern of nutritional and health problems were same in different studies, the severity of them varied from region to region. Hence periodic screening of school children to identify them and to apply relevant health programmes goes a long way in reducing such morbidities.

scholarly journals Coverage Assessment For Community-Based Management Of Acute Malnutrition In Rural And Urban Ghana: A Comparative Cross-Sectional Study. 

2021 ◽  
Author(s):  
Joana Apenkwa ◽  
Sam K Newton ◽  
Samuel Kofi Amponsah ◽  
Reuben Osei-Antwi ◽  
Emmanuel Nakua ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Qualitative Approach ◽  
Rural District ◽  
Urban Setting ◽  
Acute Malnutrition ◽  
Rural Setting ◽  
Community Based ◽  
Cross Sectional ◽  
Study District ◽  
Point Coverage

Abstract Background: Ghana for years has implemented the Community-based Management of Acute Malnutrition (CMAM) among children in order to reduce malnutrition prevalence. However, the prevalence of malnutrition remains high. This study aimed to determine CMAM coverage levels in the Ahafo Ano South (AAS), a rural district, and Kumasi Subin sub-metropolis (KSSM), an urban district. Methods: The study was a cross-sectional comparative study with a mixed-methods approach. In all, 497 mother/caregiver and child under-five pairs were surveyed using a quantitative approach while qualitative methods were used to study 25 service providers and 40 mother/ caregivers who did not participate in the quantitative survey. Four types of coverage indicators were assessed: point coverage (defined as the number of Severe Acute Malnutrition cases [SAM] in treatment divided by total number of Severe Acute Malnutrition cases in the study district), geographical coverage (defined as total number of health facilities delivering treatment for SAM divided by total number of healthcare facilities in the study district), and treatment coverage (defined as children with SAM receiving therapeutic care divided by total number of SAM children in the study district) and program coverage (defined as number of SAM cases in the CMAM programme ÷ Number of SAM cases that should be in the programme). The qualitative approach was used to support the assessment of the coverage indicators. Data were analyzed using STATA version 14, and Atlas.ti, version 7.5 for the quantitative and qualitative data respectivelyResults: Geographically, only 6% of the facilities in the urban communities were participating in the CMAM programme as against 29% of rural district facilities. The districts had point coverage of 41% and 10% for the urban and rural districts respectively. The urban setting recorded a SAM prevalence of 52% as against 36% in the rural setting. The proportion of SAM children enrolled in CMAM was higher in KSSM when compared with AAS; 41% and 33% respectively. In both districts, the most likely factors to attract mothers/caregivers to utilize the CMAM services were: ‘free services’ and ‘a cured child.’ The qualitative approach showed that coverage improvement in both districts is hampered by barriers such: distance, transportation cost, lack of trained personnel in the communities for community mobilization and home visits, and insufficient feeds. Conclusion: To improve CMAM coverage, there is the need to train health workers to embark on aggressive health education strategies to encourage mothers/caregivers of malnourished children to utilize CMAM while ensuring that services reach those who need them. Trial registration: This study is approved and registered with The Kwame Nkrumah University of Science and Technology Committee on Human Research, Ethics and Publications (CHRPE/AP/314/15)

scholarly journals Prevalence of hypoglycemia in diarrheal dehydration at hospitalization in severe acute malnutrition

2018 ◽  
Vol 5 (3) ◽  
pp. 1092 ◽  
Author(s):  
Rameshwar Ninama ◽  
Chakshu Chaudhry ◽  
Rameshwar Lal Suman ◽  
Suresh Goyal ◽  
Ramprakash Prakash Bairwa ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Acute Diarrhea ◽  
Severe Acute Malnutrition ◽  
Cross Sectional Study ◽  
Acute Malnutrition ◽  
Severe Dehydration ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Average Blood Glucose

Background: Diarrhea is the major cause of death in children below five years of age. Hypoglycemia has been a potential fatal complication of infectious diarrhea in both well-nourished and poorly nourished children. But prevalence of hypoglycemia in diarrheal dehydration is not exactly known. This study was done to evaluate the glycemic status in children having acute diarrhea with dehydration and specifically associated with severe acute malnutrition (SAM).Methods: This descriptive cross-sectional study was conducted during July 2017 to December 2017 at Bal Chikitsalaya Udaipur, Rajasthan, India. Blood glucose levels were assessed in 150 children of acute diarrhea with dehydration, comprising of 100 SAM and 50 Non SAM children.Results: Average blood glucose of SAM children was 89 mg/dl and of non-SAM, it was 120 mg/dl. Average blood glucose was low in SAM as compared to non-SAM in both some dehydration (116.08±21.26) and severe dehydration (66.69±19.80) as well as with or without ORS intake. Overall 18 (12%) of children had hypoglycemia and all were in severe dehydration and not taking ORS. Blood glucose levels were statistically low in severe dehydration and those who were not taking ORS at the time of hospitalization (p = 0.001). In severe dehydration 25% of children had hypoglycemia means every fourth child had low blood glucose <54 mg/dl.Conclusions: Overall prevalence of hypoglycemia is 12% in diarrheal dehydration and 20% in SAM with dehydration. Twenty five percent of severe dehydration children had hypoglycemia, and all have not started ORS. None of the child started ORS developed hypoglycaemia.

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