scholarly journals Breastfeeding and complementary feeding practices and nutritional status of children under 5 years in a tribal community of Nandurbar district, Maharashtra

Author(s):  
Sanika R. Patil ◽  
Murlidhar P. Tambe ◽  
Malangori A. Parande ◽  
Aditi M. Patil ◽  
Rigved V. Jeurkar

Background: Breastfeeding is the single most effective preventive intervention for improving the survival of children. Hence, the purpose of this research study to capture the firsthand breastfeeding perceptions and practices and nutritional status of children in tribal community of Nandurbar district (Maharashtra, India).Methods: This was community based cross-sectional study carried out on parents of 100 children. A house to house survey was conducted and either one or both the parents were interviewed regarding ‘Early initiation of breastfeeding, exclusive breastfeeding and complementary feeding’ using a pretested, predesigned questionnaire after obtaining written informed consent. Every child below 5 years went through anthropometric measurements like mid upper arm circumference (MUAC), length/height and weight and was categorized as normal/MAM/SAM. The data was analyzed using Microsoft Excel and ENA (Emergency Nutrition Assessment) for SMART software.Results: 85% mothers were aware of right breastfeeding practices but only 30% babies received breastfeeding within first hour of birth and 72% children were exclusively breastfed till 6 months. Practice of healthy breast feeding was significantly associated with education of mother and awareness of breast feeding. It was found that prevalence of malnourishment was more among children not receiving exclusive breast feeding.Conclusions: The importance of breastfeeding is not well recognized by the people living in tribal area as there was a gap between knowledge and practice. There were various medical, social and psychological barriers for breastfeeding. Doctors, family members, television and ASHA have majorly contributed in spreading awareness.

2020 ◽  
Vol 6 (2) ◽  
pp. 34-46
Author(s):  
Prasanta Sabud ◽  
Tarapada Ghosh ◽  
Arup Dhar ◽  
Sarnali Dutta ◽  
Samiran Bisai ◽  
...  

Aim To assess the sanitation and hygienic practices of women and its effects on the nutritional status of the mother and preschool children of the Lodha tribal community in two districts of West Bengal. Methods A cross-sectional study was conducted during November, 2014 - December, 2018 of 941 Lodha mothers and 1043 of their preschool children in Paschim Medinipur and Jhargram districts. All information was collected by using KAP questionnaire following interview and group discussion. Mother nutritional status was assessed based on body mass index (BMI) and mid upper arm circumference (MUAC). A child was classified as underweight, stunting and wasting as weight-for-age, height-for-age and weight-of -height Z-score below -2 standard deviation of WHO standard. Results This study found 35% of the households used safe drinking water. Almost 97.2% of the mother had the low hand wash score and about 67.1% of them had an average WaSH score. Overall, 41.6% and 1.6% mothers were suffered from undernutrition (BMI <18.5 kg/m2) and overweight/obesity (BMI≥25kg/m2). Whereas, 48.9% women were undernourished based on MUAC<22.0cm. Moreover, the overall prevalence of wasting, stunting and underweight of preschool children was 31.9%, 62.1% and 61.3%, respectively. The WaSH score of family was significantly associated with child stunted and underweight. Conclusion There is a good association between poor household WaSH practices with child undernutrition and morbidity. Hence, there is an urgent need to develop the comprehensive knowledge, attitude and practice (KAP) guidelines in their language to educate them about appropriate water storage, retrieval methods, sanitation and hand washing practices.


2019 ◽  
Vol 7 (2) ◽  
pp. 592-599
Author(s):  
Farhana Akther ◽  
Tasmia Tasnim ◽  
Jesmin Rahaman ◽  
A. K. Obidul Huq ◽  
Kazi Muhammad Rezaul Karim ◽  
...  

Malnutrition is one of the major causes of mortality for children in developing countries. Inappropriate feeding practices can have profound consequences for the growth, development, and survival of infants and children. A cross sectional study was carried out among 180 mother-infant pair of the tribal (Garo) and Non-tribal (Non-Garo) households at Madhupur Upazilla in Tangail region. The objectives of the study were to assess the feeding behavior of Garo and Non-Garo mothers and also prevalence of malnutrition among infants and young children. More than half of Garo respondents had smaller family size and a higher spending on food compared to Non-Garo respondents. From the breast feeding related information it was seen that colostrum was given to their babies as the first food in Garo (81.2%) and Non Garo groups (63.4%) respectively. It was also observed that 12.2% Garo mothers gave powder milk, but the non-Garo mothers preferred honey and sugar water. Exclusive breast-feeding in Garo and Non-Garo areas were 64.6% and 45.7% respectively. In Non-Garo areas breast feeding continued longer times than Garo areas. The predominance of moderate to severe underweight in Non-Garo and Garo areas were 42.21% and 34.44% respectively. A similar trend of stunting and wasting was found in both groups of the infants. Finally, it can be clearly viewed and concluded that the feeding practices of mothers from Garo community were better compared to Non-Garo communities, and largely depends on various socioeconomic factors that affect the nutritional status of their children.


2009 ◽  
Vol 51 (3) ◽  
pp. 155-162 ◽  
Author(s):  
Jorge H. Botero-Garcés ◽  
Gisela M. García-Montoya ◽  
Dayvin Grisales-Patiño ◽  
Daniel C. Aguirre-Acevedo ◽  
Martha C. Álvarez-Uribe

Giardia intestinalis infection is prevalent throughout the world and widely distributed in developing countries. In general, children display serious consequences to their state of health, including slow height-weight development; therefore, the main aim of this study was to determine the association between Giardia infection and the nutritional status of children who participate in the program of complementary feeding (Mejoramiento Alimentario y Nutricional de Antioquia (MANA) - Instituto Colombiano de Bienestar Familiar (ICBF)). A cross-sectional study examining the association of giardiasis with nutritional status was conducted. A total of 2035 children aged eight months to six years-old were studied. Data were collected using structured questionnaires, anthropometric measurements and laboratory analysis of blood and stool samples. Analysis of the results showed that 27.6% of children were infected with G. intestinalis, while 8.1% and 1.9% were mildly and significantly underweight, respectively, and 14.1% presented stunting. Giardiasis was statistically identified as a strong predictor of stunting in this study population.


2016 ◽  
Vol 50 (1) ◽  
pp. 56 ◽  
Author(s):  
Susilowati Susilowati ◽  
Kusharisupeni Kusharisupeni ◽  
Sandra Fikawati ◽  
Kusdinar Achmad

Background Relation between breast-feeding duration and children’s nutritional status is still a controversy. Positive as well as negative relation were shown. This study aimed to support this current issue on breast feeding duration and nutritional status of children aged 12-24 months.Objective To analyze relationship between breast-feeding duration and nutritional status of children aged 12-24 months.Methods A cross sectional study was conducted with 246 proportional stratified random coupled samples (mothers and weaned children) with inclusion criteria: normal birth weight, full-term delivery and no physical and psychological problems. Data from children were measured using Seca® digital weight scale, wooden length board, while data from mothers were collected through 1x24 Hours Food Recall Form, and a questionnaire on mother’s knowledge.Results The average of breast-feeding duration was 15 months. The prevalence of malnutrition was quite low (<10%), but the prevalence of stunting was high enough (20.7%) while wasting was moderately high (10.6%). Breast-feeding duration was significantly associated to children’s nutritional status (height-for-age index and weight-for-height index). The highest correlation was found in height-for-age index (r = 0.403). Regression model revealed that breast-feeding duration, exclusive breast-feeding, diarrhea, working mother, mother’s knowledge, energy intake, and protein intake were independently associated with children’s nutritional status.Conclusions As this study found that the average of breast-feeding duration was 15 months and there was a significant association between breast-feeding duration and nutritional status (height-for-age index) of children 12-24 months old, thus these findings strengthen the recommendation of WHO to continue breast feeding up to 2 years old. [Paediatr Indones. 2010;50:56-61].


2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Subal Das ◽  
Kaushik Bose

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.).


Author(s):  
Q. H. Khan ◽  
Garima Arora ◽  
Susheel Kumar Nalli

Background: Nutritional status is the best indicator of the child health. Malnutrition has both short and long term adverse ramifications. As per NFHS III 47% children are stunted in the state of Chhattisgarh. However still many communities in the tribal dominated and naxal affected state may remain affected, hence the study was planned to identify the nutritional status of children and find out its determinant.Methods: Present cross-sectional study was conducted among 12-59 months children in the urban slum of Jagdalpur city, Bastar region of Chhattisgarh. Predesigned and pretested questionnaire was administered to the caregiver of the child, information on socio-demographic characteristics was obtained and anthropometric measurements were taken. Statistical Analysis: all frequencies were derived for completeness of data. WHO Anthro Software version 3.1.0 was used to classify the malnutrition status. Chi-square test was applied to find association between dependent variables.Results: Out of 225 children 53.3% were boys and 46.7% were girls. The overall prevalence of underweight stunting and wasting was 28.4%, 41.3%, and 19.1% respectively.Conclusions: Prevalence of underweight has reduced in the district over a period of years. However high level of stunting, a sign of chronic hunger points towards the pivotal role of socio-demographic and behavioral practices prevalent in the district. Interaction with health system in the form of ANC, institutional delivery and safeguarding effective 100% immunization coverage has shown preventive effect.


2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.


Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Asmita Shrestha ◽  
Chet Kant Bhusal ◽  
Binjwala Shrestha ◽  
Kiran Dev Bhattarai

Background. Malnutrition is a major public health problem and most enveloping cause of morbidity and mortality among children and adolescents throughout the world. This study was aimed at assessing the nutritional status and associated factors among 6-10-year-old children in selected earthquake-affected areas of Gorkha district, Nepal. Methods. A community-based cross-sectional study among 420 mothers having children of age groups 6-10 years (with anthropometric measurement among children) was conducted using a mixed method in selected earthquake-affected areas of Gorkha district, Nepal, from October 2015 to April 2016. Gorkha was selected purposively from 14 earthquake-affected districts. Two village development committees were selected randomly among 6 having severe impact. Randomly, 5 wards were selected from each of the 2 village development committees. As the sample was 420, 42 children were selected randomly from every ward. Result. Among the 420 children, 31.9% were underweight, 51.9% were stunted, and 2.9% were wasted after the earthquake. Children who were more prone to being underweight were the following: male children (RR=1.34 95% CI: 1.01-1.78) and children from illiterate mothers (RR=2.49, 95% CI: 1.85-3.36), illiterate fathers (RR=1.73, 95% CI: 1.32-2.27), and homemaker mothers (RR=0.28, 95% CI: 0.20-0.38); children whose families were using nonimproved sources of water (RR=2.60, 95% CI: 1.07-6.60); and households having food insecurity (RR=12.97, 95% CI: 3.29-51.18). Similarly, children of illiterate fathers (RR=1.67, 95% CI: 1.41-1.97), children of illiterate mothers (RR=2.32, 95% CI: 1.91-2.83), children of homemaker mothers (RR=0.59, 95% CI: 0.49-0.70), children whose family were using treated water (RR=0.32, 95% CI: 0.15-0.67), and children from food insecure households (RR=10.52, CI: 4.05-27.33) were found to be stunted. After adjustment, children from households consuming nonimproved water were 6 times more likely (OR=6.75; 95% CI: 1.59-28.62) to be wasted. Conclusion. Illiterate mothers, illiterate fathers, mothers engaged in occupation other than household work, and food insecure households were found to be independent predictors of underweight and stunting. Nonimproved source of drinking water was found to be independent predictors of wasting.


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