scholarly journals Effect of nutrition education intervention on undernutrition among under five children in urban and rural areas of Bhopal district, Madhya Pradesh

Author(s):  
Shailendra Meena ◽  
Pratibha Meena

Background: Nutrition education is defined as instruction or training intended to lead to acquired nutrition-related knowledge and/or nutrition-related skills and be provided in individual. It is also demonstrably capable of improving dietary behaviour and nutrition status on its own.Methods: A prospective observational study was conducted in the urban and rural ICDS projects of Bhopal district, Madhya Pradesh from July 2014 to June 2015. Three types of instruments were used: NIPCCD Suposhan Guide, a structured questionnaire and anthropometric measurements including weight, height and MUAC. Data was entered into Microsoft Excel and was analyzed by using EPI Info version 7.Results: As per Z score 7.9% children had normal weight (Z score above -1SD), 31.7% had mild underweight (Z score between -1SD to -2SD), 40.7% had moderate underweight (Z score between -2SD to -3SD) and 19.6% had severe underweight (Z score below -3SD). Reduction in moderate underweight was from 39.2% to 33.9% and in severe underweight it was from 19.3% to 15.2% in urban area. In the rural area reduction in moderate underweight was from 44.1% to 36.6% and in the severe underweight group it was from 20.4% to 9.7%.Conclusions: In our nutrition education intervention we found that a well planned, short, simple, focused and based on locally available food items delivered with little empathy can do a lot even in weaker sections of the society. 

2015 ◽  
Vol 34 (3) ◽  
pp. 181-187 ◽  
Author(s):  
DK Yadav ◽  
N Gupta ◽  
N Shrestha ◽  
A Kumar ◽  
DK Bose

Introduction: Maternal and child mortality have declined significantly in Nepal to the extent that Nepal is on track to meet the Millennium Development Goals for maternal and child mortality. Similar improvements have not been seen in general nutrition status of them. Objective of this study was to evaluate a nutrition-education intervention designed to improve nutritional status (reduce stunting, wasting and underweight) of children. Materials and Methods: It was an intervention with separate sample pretest posttest design. Two groups of Village Development Committee (VDC) from Mahottari district were recruited as interventional and control areas. The intervention was a 12-months nutrition education program and comprised of twelve times with 2-3 hour nutrition lectures and discussion classless conducted by the Female Community Health Volunteers (FCHVs). Results: The Present study found that number of underweight children increased by 7.6% in control group while it decreased by 17.7% in intervention group from baseline to endline in both groups. So, intervention programme was able to decrease the number of underweight children significantly. Study shows that wasting status of children increased by 11.4% in control group from baseline to endline period. While in intervention group wasting status of children decreased by more than 5% from baseline to endline period. Conclusion: Nutrition education intervention was effective to reduce wasting and underweight but did not reduce the stunting status of children. Stunting reflects failure to receive adequate nutrition over a long period of time and is affected by recurrent and chronic illness. Findings suggested that nutrition programme of longer duration should be implemented to control the stunting status of children. DOI: http://dx.doi.org/10.3126/jnps.v34i3.10286   J Nepal Paediatr Soc 2014;34(3):181-187


Author(s):  
Fitrah Ernawati ◽  
Pusparini Pusparini ◽  
Aya Yuriestia Arifin ◽  
Mutiara Prihatini

ABSTRACT Indonesia still faces a double burden of malnutrition where malnutrition problems still exist, and the prevalence of obesity continues to increase. The study was intended to evaluate the association between fat intake adequacy and nutritional status in children aged 6 months to 12 years with a middle to upper socioeconomic level. The study design was cross-sectional study using secondary data from the Basic Health Research in 2013 and  Indonesian Food Consumption Survey in 2014. The results of the study concluded that more than 50 percent of children aged 6 months to 9 years and 38 percent of children aged 10-12 years old consumed  fat  more than 100 percent of Recommended Dietary Allowances (RDA). The study revealed a signidficant association between  fat intake and body mass index for age Z-score (BAZ)  (p <0.05) and fat intake with height for age Z-score (HAZ)  (p <0.05). Fat intake of children live in urban was higher than at rural areas (p <0.05) and fat intake of boys was slightly  higher than girls. The results of this study suggest  the importance of providing nutrition education started from elementary school students on balanced nutrient intake and reduce fat intake, because obesity in early age contribute to obesity in adulthood. Keywords: children aged 6 month to12 years old, fat intake, nutritional status   ABSTRAK Indonesia menghadapi masalah gizi ganda yaitu masalah gizi kurang masih ada, dan  persentase masalah kegemukan terus meningkat. Tujuan dari analisis ini untuk melihat kecukupan asupan lemak anak usia 6 bulan sampai 12 tahun dengan tingkat sosial ekonomi menengah keatas dan hubungannya dengan status gizi. Desain penelitian adalah potong lintang, jenis data yang digunakan data sekunder dari Riskesdas 2013 dan Survey Konsumsi Makanan Indonesia (SKMI) 2014.  Hasil penelitian disimpulkan bahwa lebih dari 50 persen anak usia 6 bulan-9 tahun dan 38 persen anak usia 10-12 tahun mengonsumsi lemak ≥ 100 persen AKG. Terdapat hubungan yang signifikan antara tingkat asupan lemak dengan status gizi menurut indikator IMT/U (p<0,05) dan asupan lemak dengan status gizi TB/U (p<0,05). Asupan lemak anak yang tinggal di kota lebih tinggi dari pada di perdesaan (p<0,05) dan asupan lemak anak laki-laki lebih tinggi dari anak perempuan (p<0,05). Hasil penelitian ini memberikan bukti tentang pentingnya  memberikan edukasi kepada siswa sekolah dasar tentang makanan gizi seimbang dan mengurangi asupan lemak, karena kegemukan pada usia dini akan terbawa hingga usia dewasa. [Penel Gizi Makan 2019, 42(1):41-47] Kata kunci: anak usia 6 bulan-12 tahun, asupan lemak, status gizi


2015 ◽  
Vol 18 (18) ◽  
pp. 3406-3419 ◽  
Author(s):  
Lydiah M Waswa ◽  
Irmgard Jordan ◽  
Johannes Herrmann ◽  
Michael B Krawinkel ◽  
Gudrun B Keding

AbstractObjectiveLack of diversity is a major factor contributing to inadequate nutrient intakes among children during the complementary feeding period in many rural areas in developing countries. This has been attributed to inadequate feeding practices and nutrition knowledge among their caregivers. The aim of the present study was to assess the effect of an educational intervention on children’s dietary diversity and nutrition knowledge of caregivers.DesignCluster randomization was applied and twenty matched village pairs were randomly assigned to the intervention or control group. The nutrition education intervention consisted of four sessions comprising of group trainings and cooking demonstrations that were conducted over a period of 5 months.SettingHouseholds in rural communities in Bondo and Teso South sub-counties, western Kenya.SubjectsCaregivers with children aged 6–17 months receiving nutrition education.ResultsThe children’s dietary diversity scores (CDDS) and nutrition knowledge scores of the caregivers improved significantly in the intervention group at endline. The treatment effect on CDDS was positive and significant (P=0·001). The CDDS rate of the children in the intervention group was 27 % larger than it would have been without the treatment effect. The intervention also had a significant effect on the caregivers’ nutrition knowledge scores (incidence rate ratio=2·05; P<0·001). However, the nutrition knowledge of the caregivers did not have a significant effect on CDDS (P=0·731).ConclusionsThe nutrition education intervention led to improvements in children’s dietary diversity and nutrition knowledge of the caregivers.


2020 ◽  
Author(s):  
Arjun Agarwal ◽  
Rukmini Banerji ◽  
Peter Boone ◽  
Diana Elbourne ◽  
Ila Fazzio ◽  
...  

Abstract Background Rural areas of India exhibit high neonatal mortality, and low literacy and numeracy. We assess the effect of a complex package of health interventions on neonatal survival, and the effect of out-of-school-hours teaching on children’s literacy and numeracy, in rural Madhya Pradesh. Methods/Design This is a cluster-randomised controlled trial with villages (clusters) receiving either a health (CHAMPION2) or education (STRIPES2) intervention. Building on the design of the earlier CHAMPION/STRIPES trial villages receiving the health intervention are controls for the education intervention, and vice versa. Clusters 196 villages in Satna district, Madhya Pradesh, India: each at least five kilometres from a Community Health Centre, a population below 2,500, and at least 15 children eligible for the education intervention. Participants CHAMPION2 - resident married women under 50 without a family planning operation, provided they are enumerated pre-randomisation, or marry a man enumerated pre-randomisation. STRIPES2 - resident children born 16June 2010-15June 2013, not in school before the 2018-2019 school year and intending to enrol in first grade in 2018-2019 or 2019-2020.


2006 ◽  
Vol 96 (S1) ◽  
pp. S20-S22 ◽  
Author(s):  
Cecilio Morón

The Food and Agriculture Organization of the United Nations promotes nutrition interventions considering food as the basis for action, given the strategic role of food and the agricultural sector to improve food security for the community; thus, a large number of people, especially the poor, who participate directly or indirectly in agricultural activities are able to obtain benefits from its multifunctional character. Food-based nutrition interventions have the purpose of improving food production and availability, processing and conservation, supply and commercialization, as well as access and food consumption. The basis of this focus is community and local government participation in the planning, execution, supervision and evaluation of specific interventions. Food-based nutrition interventions include the development of community gardens and farms in urban and rural areas; hydroponic gardens and other related initiatives in urban and periurban agriculture; as well as the promotion of traditional crops with nutritional value and the development of small agro-industries. Food-based nutrition interventions can be implemented to improve the food supply in street and itinerant markets, town squares and rural markets, and street food sales. In all food-based interventions, food safety and quality control must be taken into consideration throughout the food chain. The interventions on nutrition education increase the family's capacity to improve access to and consumption of food. Food-based dietary guidelines and nutrition education in schools are highlighted, as well as the utilization of school gardens.


2005 ◽  
Vol 26 (2_suppl2) ◽  
pp. S267-S274 ◽  
Author(s):  
Judhiastuty Februhartanty

The root of Indonesian education can be traced back to the Dutch colonial period. The country adopts the 6–3–3–4 system of education, which consists of public schooling, Islamic schooling, and out-of-school education. In addition, the country has also been exposed to distance education. The call for this type of education was due to the geographic condition of Indonesia where face-to-face instruction has become limited. Studies on nutrition education in Indonesia covered various topics and teaching methods that were delivered mostly in after-class sessions. Effects on improved knowledge and attitudes were more marked than that of practices in relation to each nutrition topic. Nutrition and its related topics are delivered separately in different school subjects, such as biology, sport, health science, and home economics. Moreover, as the country keeps developing malnutrition problems, the Indonesian government through the Ministry of Health has run a feeding program that covers only children in elementary school aged 6–12 years old both in urban and rural areas. Efforts from private sectors and NGOs on the feeding program for schoolchildren seem to give complementary effects to the existing program. Human resources development of nutrition professionals was started in the early 1950s when a school for food scientists was first established. However, the professionals responsible for delivering nutrition-related topics in the school are the schoolteachers who mostly have never received relevant training for delivering such topics. For achieving effective children's nutrition education through schools, a solid partnership among stakeholders must be encouraged.


2020 ◽  
Vol 27 (4) ◽  
pp. 114-122
Author(s):  
Janet Antwi ◽  
Agartha Ohemeng ◽  
Laurene Boateng ◽  
Esi Quaidoo ◽  
Boateng Bannerman

This study was performed to evaluate the effect of a six-week nutrition education intervention on the nutrition knowledge, attitude, practices, and nutrition status of school-age children (aged 6–12 years) in basic schools in Ghana. Short-term effects of nutrition education training sessions on teachers and caregivers were also assessed. Pre-post controlled design was used to evaluate the program. Intervention groups had significantly higher nutrition knowledge scores (8.8 ± 2.0 vs. 5.9 ± 2.1, P < 0.0001) compared to controls in the lower primary level. A higher proportion of children in the intervention group strongly agreed they enjoyed learning about food and nutrition issues compared to the control group (88% vs. 77%, P = 0.031). There was no significant difference in dietary diversity scores (4.8 ± 2.0 vs. 5.1 ± 1.4, P = 0.184) or in measured anthropometric indices (3.6% vs. 8.2%, P = 0.08). A marginally lower proportion of stunted schoolchildren was observed among the intervention group compared to the control group (3.6% vs. 8.2%, P = 0.080). Nutrition knowledge of teachers and caregivers significantly improved (12.5 ± 1.87 vs. 9.2 ± 2.1; P = 0.031) and (5.86 ± 0.73 to 6.24 ± 1.02, P = 0.009), respectively. Nutrition education intervention could have positive impacts on knowledge and attitudes of school children, and may be crucial in the development of healthy behaviors for improved nutrition status.


Author(s):  
Clemens Drenowatz ◽  
Franz Hinterkörner ◽  
Klaus Greier

Physical fitness is an important component in the development and health of children and adolescents. Given the equivocal results of previous research regarding the influence of the living environment on physical fitness, this study examined differences in physical fitness in urban and rural elementary school children in Upper Austria. A total of 18,168 (51% male) children between 6 and 11 years of age participated in anthropometric assessments and completed eight fitness tests that assessed cardiorespiratory endurance, muscular power, speed, agility, flexibility, and ball handling skills during a single test session in the school’s gymnasium. Urban living environment was associated with higher body weight (p = 0.01) and lower physical fitness (p < 0.01), except for flexibility, which was better in urban children (p < 0.01) and upper body strength (no difference), even after accounting for differences in body weight. Furthermore, it was shown that urban–rural differences in physical fitness are more pronounced in normal weight children and that these differences increase with age. These results highlight the potential of the living environment for the promotion of an active lifestyle that enhances physical fitness. The availability of safe spaces that facilitate unstructured and structured physical activity, as well as active transportation provide viable options for the promotion of physical fitness in children.


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