scholarly journals Factors related to under nutrition among children in a rural area in Patan district of Gujarat, India

2018 ◽  
Vol 6 (1) ◽  
pp. 142
Author(s):  
Punit Patel ◽  
Shreyashkumar J. Gandhi ◽  
Pushti Vachhani ◽  
Nishant Bhimani
Keyword(s):  
Nutritional Status ◽  
Rural Area ◽  
Gender Discrimination ◽  
Rural Areas ◽  
Maternal Education ◽  
Family Income ◽  
Occupational Status ◽  
Secondary Data ◽  
Severe Malnutrition ◽  
Anthropometric Parameters

Background: Malnutrition is defined as ‘undernutrition’ resulting from inadequate consumption, poor absorption or excessive loss of nutrients and also includes ‘overnutrition’, resulting from excessive intake of specific nutrients. Infant-feeding practices play a major role in child caring practices apart from socio-cultural, demographic and economic factors. The present study was conducted to assess socio-demographic and other factors associated with undernutrition in rural areas of Patan.Methods: This present study was conducted at 6 Anganwadi centers of Kungher rural area of Patan during 2017-2018. Total 293 of 1 to 5 year children were included in the study. Secondary data was collected through study of records and reports from AWW. Mothers of selected children were interviewed for collecting desired information. The children were examined for anthropometric parameters (weight and height) and nutritional status.Results: Out of 293 children 159 (54.2%) subjects were males. Total 190 (64.8%) children were ICDS beneficiaries. More than half of children (55.6%) were undernourished. Severe malnutrition was more distributed among unregistered (54.5%). Two third of illiterate mothers had undernourished children (69.8%). More than half of children (59.9%) belonging to lower socio economic class were undernourished. More than 2/3rd of low birth weight (LBW) children were found to be undernourished.Conclusions: Child’s nutritional status had significantly affected by maternal education and occupational status. Many other key factors such as family income, gender discrimination and LBW are playing an important role in nutritional status children. 

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.

Path Analysis on the Determinants of Complementary Feeding Practice

2020 ◽  
Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Path Analysis ◽  
Maternal Education ◽  
Family Income ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Child Nutritional Status

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

scholarly journals TELAAH FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS GIZI BALITA DI KOTA PADANG BERDASARKAN BERAT BADAN PER TINGGI BADAN MENGGUNAKAN METODE CART

2017 ◽  
Vol 18 (02) ◽  
pp. 86-99
Author(s):  
Izzati Rahmi H.G
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Family Income ◽  
Regression Tree ◽  
Classification And Regression Tree ◽  
Maternal Knowledge ◽  
Number Of Children ◽  
West Sumatra ◽  
Nutritional Status Of Children ◽  
Children Under 5

This study was conducted to determine factors that affect the nutritional status of children under 5 years of age in Padang City West Sumatra based on weight-for-height using Classification and Regression Tree (CART). The study was carried out in 4 districts in Padang City.  A Total of  311 under 5 years of age children was  examined.  Children nutritional status are assess using weight-for-height Z score complied with WHO standard for children growth.  Factors those were hypothesized to influence children nutritional status were gender, age, family income, maternal education level, number of children and score of  maternal knowledge about nutrition.  Data were analyzed using tree classification methods namely CART method. It was found that there were 3 variables that affect children nutritional status i.e age, family income and maternal knowledge about nutrition. 

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 2.38 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.Conclusions 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.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 and comparison of nutritional status in children aged 0-5 years based on WHO and IAP growth charts

2017 ◽  
Vol 4 (6) ◽  
pp. 1955
Author(s):  
Perumalpillai Santhakumaran ◽  
Srinivasan Govindaraj ◽  
Sivaraman Thirumalaikumarasamy
Keyword(s):  
Birth Weight ◽  
Nutritional Status ◽  
Family Income ◽  
Negative Influence ◽  
Normal Weight ◽  
Severe Malnutrition ◽  
Growth Chart ◽  
Cross Sectional ◽  
Who Standards ◽  
Breast Fed

Background: The problems of malnutrition among under five children can be used to conclude the necessity for nutritional care, surveillance, or appropriate intervention of nutritional programmes in a community. The objective of the present study was to assess the nutritional status in under 5 children and to compare the nutritional status with WHO and IAP Growth curves and to evaluate the relationship of same with variables like literacy, income of parents, order of birth, sex of the child, birth weight and breast feeding.Methods: This was a cross-sectional study was carried out in 1052 children aged under 0-5 years hailing from middle and low socio-economic class of an urban population attended to out-patient department and ward in Government Royapettah Hospital and Anaganwadi centres in and around Royapettah during the period of November 2006 to October 2007. Anthropometric measurements such as weight, height/length, middle arm circumference (MAC) were taken for all the children and all the measurements were plotted in the IAP growth chart, WHO growth chart (Z score - 2006), BMI - WHO standards and compared.Results: Out of 1052 children, majority of the subjects were male children 535 (50.9%). As per IAP guidelines, majority of the children 513 (48.8%) were under normal weight, 5 (0.5%) of them were with very severe malnutrition. According to WHO standards most of the children 623 (59.2%) were under weight and 135 (12.8%) were under severe malnutrition. Positive correlation was observed between the nutritional status of the children with educational and employment status of parents, increasing birth weight and family income. Increasing birth order has a negative influence on nutritional status of the child. Optimally breast fed babies (Exclusively breast fed for 6 months with appropriate complementary feeds thereafter) have better nutritional status.Conclusion: The study concludes that utmost care and attention must be focused on child’s nutrition by giving priority to education for poor community especially for women, creating awareness regarding benefits of early initiation of breastfeeding and limiting family size.

scholarly journals Faktor risiko kejadian gizi buruk di Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat

2006 ◽  
Vol 2 (3) ◽  
pp. 108
Author(s):  
Khaerul Anwar ◽  
Muhammad Jufrrie ◽  
Madarina Julia
Keyword(s):  
Risk Factors ◽  
Maternal Education ◽  
Family Income ◽  
Family Characteristics ◽  
Severe Malnutrition ◽  
Feeding Practice ◽  
Growth Monitoring ◽  
Maternal Knowledge ◽  
Number Of Children ◽  
And Performance

Background: Despite numerous interventions, the preva- lence of severe malnutrition in under fives in the District of Lombok Timur during the last 5 years did not changed much and tended to increase.Objective: To assess risk factors for severe malnutrition, considered from points of view of family characteristics, children rearing practice and performance of posyandu, in 12 to 23 month-infants in the district.Methods: This was a case-control study. Cases were 65 severely malnourished children, while controls were a same number of children matched for age.Results:  In bivariate analyses, variables identified as risk factors of severe malnutrition are low family income, OR(95%CI) of 5.0 (1.9-13.5), p=0.001; low maternal education, OR(95%CI) of 2.3 (1.1-4.9), p=0.02; low maternal knowledge on growth monitoring, OR(95%CI) of 15.6 (4.4-55.1), p<0.001; not cared by mother, OR(95%CI) of 7.8 (1.7-36.5), p=0.003; low birth weight, OR(95%CI) of 5.7 (1.2-27.3), p=0.02; short duration of exclusive breastfeeding, OR(95%CI) of 2.6 (1.3-5.2), p=0.008; incomplete immunization, OR(95%CI) of 10.3 (2.3-46.9), p<0.001; and the children’s feeding practice, OR(95%CI) of 3.3 (1.5-7.4), p=0.004. In multiple logistic regression, only maternal knowledge on growth monitoring was significantly associated with the risk of severe malnutrition.Conclusion: Family characteristic and children rearing practice were important risk factors of severe malnutrition in Lombok Timur District. Performance of posyandu is not associated with occurrence of severe malnutrition.

scholarly journals FAKTOR YANG MEMPENGARUHI STATUS GIZI BALITA DI PUSKESMAS NELAYAN KOTA CIREBON

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Andy Muharry ◽  
Isti Kumalasari ◽  
Eka Rosmayanti Dewi
Keyword(s):  
Nutritional Status ◽  
Random Sampling ◽  
Growth And Development ◽  
Maternal Education ◽  
Family Income ◽  
Influential Factor ◽  
Physical Growth ◽  
Nutrition Status ◽  
Maternal Knowledge ◽  
Cross Sectional

AbstrakBalita merupakan kelompok usia yang memerlukan asupan gizi yang cukup baik karena pada masa ini terjadi proses pertumbuhan dan perkembangan yang sangat pesat. Kekurangan gizi pada masa ini akan menyebabkan kegagalan pertumbuhan fisik dan perkembangan kecerdasan. Beberapa faktor yang terkait dengan status gizi balita yaitu kondisi sosial ekonomi, pendidikan ibu, jumlah anak dan pengetahuan ibu. Adapun prevalensi gizi kurang di wilayah kerja Puseksmas Nelayan lebih tinggi dari rata-rata prevalensi gizi kurang di Kota Cirebon yaitu sebesar 10,9%. Tujuan penelitian yaitu menganalisis faktor yang mempengaruhi status gizi balita usia 12-24 tahun. Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Populasi adalah balita usia 12-24 bulan. Sampel berjumlah 93 orang diambil dengan teknik  proportional random sampling. Instrumen penelitian berupa lembar kuesioner. Analisis data dilakukan dengan analisis univariabel, bivariabel dan multivariabel. Hasil analisis dengan chi square didapatkan variabel yang hubungan dengan status gizi balita yaitu pengetahuan ibu (p=0,003; OR=3,68) pendapatan keluarga (p=0,003; OR=3,702). Faktor yang paling berpengaruh terhadap status gizi balita yaitu keaktifan posyandu. Pengetahuan ibu yang kurang tentang gizi balita, pendapatan keluarga yang rendah dan keaktifan posyandu yang tidak aktif merupakan faktor yang mempengaruhi status gizi balita usia 12-24 bulan. Ibu agar tetap aktif mebawa balita ke posyandu dan meningkatkan pengetahuan tentang gizi balita. Kata kunci: pengetahuan, pendapatan keluarga,  keaktifan posyandu, status gizi, balita AbstractToddlers are the age group that needs a good enough nutritional intake because there is a process of growth and development very rapidly. Malnutrition will lead to failure of physical growth and development of intelligence. Several factors related to the nutritional status of toddlers are socio-economic conditions, maternal education, number of children and mother's knowledge. The prevalence of less nutrition in the working area of Nelayan Public Health Centers is higher than the average prevalence of malnutrition in Cirebon City. The purpose of this research to analyze  factors that influence the nutritional status of toddlers. This research uses analytic design with cross sectional approach. The population is children aged 12-24 months. A sample of 93 people was taken with proportional random sampling technique. The research instrument is a questionnaire. Data were analized by univariable, bivariable and multivariable. The result showed that the correlation between nutrition status of toddler was maternal knowledge (p = 0,003; OR = 3,68), family income (p = 0,003; OR = 3,702). The most influential factor on the nutritional status of toddlers is the activeness of posyandu.  Mother to remain active to bring toddlers to posyandu and improve knowledge about child nutrition. Keywords: knowledge, family income, activeness of posyandu, nutritional status, toddler 

scholarly journals HUBUNGAN ASUPAN LEMAK DENGAN STATUS GIZI ANAK USIA 6 BULAN-12 TAHUN DI INDONESIA

2019 ◽  
Vol 42 (1) ◽  
pp. 41-47
Author(s):  
Fitrah Ernawati ◽  
Pusparini Pusparini ◽  
Aya Yuriestia Arifin ◽  
Mutiara Prihatini
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
Rural Areas ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Fat Intake ◽  
Z Score ◽  
School Students ◽  
Double Burden ◽  
Cross Sectional

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

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 2.38 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.Conclusions 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.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.

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