Factors associated with nutritional status of under five children among Satar Community of Bhadrapur Municipality, Jhapa, Nepal

Background: Adequate feeding is basic right of human being. According to NDHS 2016, prevalence of stunting, wasting and underweight are 36%, 10% and 27% respectively. The prevalence may be more in underprivileged community like Satar community who reside in eastern part of Nepal. This study was conducted to assess the factors associated with under nutrition of under five years children of Satar community in Bhadrapur Municipality.Methods: A community based cross sectional study was conducted in Bhadrapur Municipality of Jhapa district which were purposively selected. Four wards where Satar community reside were selected for collection of data. Verbal informed consent was taken from the mothers of the under five children and approval was taken from research committee of Central Institute of Science and Technology College. Bivariate analysis was performed to detect the factors associated with nutrition status of children.Results: In the study, prevalence of stunting, wasting and underweight were high as compared to national data i.e. 39.5%, 14.2% and 29.5% percent respectively. The study found that maternal education, paternal education, family income, exclusive breastfeeding and food frequency was significantly associated with under nutrition (stunting, wasting and underweight). Stunting was significantly associated with age of child and mother and religion. Underweight was associated with religion and weaning of children.Conclusions: High prevalence of stunting, wasting and underweight are due to socio demographic factors like religion, educational status of father and mother, family income and child feeding practice. Programs should be focused on socio demographic and economic factors and child feeding practice to reduce problem of malnutrition.

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Spatial distribution and determinants of childhood stunting among under-five children in Ethiopia: evidence from the 2019 Ethiopian demographic and health survey

10.21203/rs.3.rs-689775/v1 ◽

2021 ◽

Author(s):

Delelegn Emwodew ◽

Binyam Tariku ◽

Getanew Aschalew ◽

Elias Seid ◽

Samuel Hailegebreal ◽

...

Keyword(s):

Health Survey ◽

Maternal Education ◽

Demographic And Health Survey ◽

Community Level ◽

Feeding Practice ◽

Under Five ◽

Factors Associated ◽

Under Five Children ◽

The World ◽

Childhood Stunting

Abstract Background: Childhood stunting is a major challenge to the growth and development of nations by affecting millions of children across the world. Although Ethiopia has made steady progress in reducing stunting, the prevalence of stunting is still one of the highest in the world. This study aims to investigate the spatial variation and factors associated with childhood stunting in Ethiopia.Methods: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). A total of 4,971 children aged 0–59 months were included in the analysis. The Getis-Ord statistics tool has been used to identify areas with high and low hotspots of stunting. A multilevel logistic regression model was used to identify factors associated with stunting.Results: The prevalence of stunting was found to be 36.86% in Ethiopian under-five children. Statistically significant hotspots of stunting were found in northern parts of Ethiopia. Both individual and community-level factors determined the odds childhood stunting among under-five children. Children in the age group between 24–35 months were more likely to be stunted than children whose age was less than one year [AOR = 3.74; 95 % CI: (3.04–4.59)]. Children with mothers who had completed higher education had lower odds of being stunted compared to children whose mothers had no formal education [AOR = 0.55; 95%CI: (0.38–0.82)]. Children from the poorest wealth quintile had higher odds of being stunted compared to children from the richest wealth quintiles [AOR = 2; 95 % CI: (1.46–2.73)]. Children living in Tigray (AOR =3.64; 95 % CI: 2.17–6.11), Afar (AOR 2.02; 95 % CI 1.19-3.39), Amhara (AOR =2.29; 95 % CI: 1.37–3.86), Benishangul Gumz (AOR=1.87; 95% CI: 1.10-3.17) and Harari (AOR=1.95; 95% CI: 1.17-3.25) regions were more likely to be stunted compared to children living in Addis Ababa.Conclusion: This study showed that both individual and community-level factors were significant predictors of childhood stunting. Improving maternal education, improving the economic status of households, improving age-specific child feeding practice, and providing additional resources to regions with high hotspots of childhood stunting are recommended.

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Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20174753 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2180 ◽

Cited By ~ 3

Author(s):

Srabani Geetanjali Sethy ◽

Dhaneswari Jena ◽

Parsuram Jena ◽

Srabani Pradhan ◽

Tapan Biswas

Keyword(s):

Maternal Education ◽

Cross Sectional Study ◽

Feeding Practice ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Under Nutrition ◽

Study Population

Background: Under five children constitute the most vulnerable segment and their nutritional status and mortality rate is a sensitive indicator of the community’s health and nutrition. Prevalence of underweight is 35.7%, wasting is 21% and stunting 38.4% in India and for Odisha, it is 34.4%, 20.4 % and 34.1% respectively. Health indices of slum children are worst among all urban groups and are even poorer than rural average. Severe PEM is often associated with infection contributing to high child mortality in underprivileged communities of slum dwellers. Objectives of present study were to find out prevalence of under nutrition and its severity among the study population and to identify socio-demographic factors associated with malnutrition.Methods: A community based cross-sectional study was conducted from October 2015 September2016 in urban slum area of Berhampur city. Data were collected from 300 mothers of children aged 6-59 months using pre-tested semi structured questionnaires and measuring weight, height and MUAC of the children. Analysis was done using spss version- 20, Chi-square values and proportions were calculated.Results: 69% of 300 children were having under nutrition in the form of underweight (55.3%), wasting (75%) and stunting (42%). Overlapping of different type of malnutrition was seen. Maximum number of underweight children belongs to age group 37-60 months (52.6%) followed by other two age groups. 21.3% were severely wasted and 20% were severely underweight. Factors found to be significantly associated with prevalence of malnutrition were maternal education, hygienic and feeding practices of mother.Conclusions: Malnutrition is widely prevalent among study population more than the state and national prevalence. With increasing age cumulative increase in prevalence of malnutrition is seen perhaps due to persistence and addition of causative factors. Maternal education, faulty feeding practice and hygienic practice are contributory factor of this high prevalence of disease.

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Spatial Distribution of Stunting and Its Associated Factors Among Under-five Children in Ethiopia: Spatial and Multilevel Analysis

10.21203/rs.3.rs-990384/v1 ◽

2021 ◽

Author(s):

Delelegn Emwodew Yehualashet ◽

Binyam Tariku Seboka ◽

Getanew Aschalew Tesfa ◽

Elias Seid ◽

Samuel Hailegebreal ◽

...

Keyword(s):

Maternal Education ◽

Addis Ababa ◽

Statistical Significance ◽

Wealth Quintile ◽

P Value ◽

Feeding Practice ◽

Under Five ◽

Factors Associated ◽

Under Five Children ◽

The World

Abstract Background: Childhood stunting is a major challenge to the growth and development of nations by affecting millions of children across the world. Although Ethiopia has made steady progress in reducing stunting, the prevalence of stunting is still one of the highest in the world. This study aimed to assess the spatial variation and factors associated with stunting among under-five children in Ethiopia.Methods: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). The Getis-Ord statistics tool has been used to identify areas with high and low hotspots of stunting. A multilevel logistic regression model was used to identify factors associated with stunting. Adjusted odds ratios (AOR) with its 95% confidence intervals (CI) at p-value < 0.05 were used to declare statistical significance.Results: The result of this study shows that about 37% of under-five children were stunted. Statistically significant hotspots of stunting were found in northern parts of Ethiopia. Children in the age group between 24–35 months were more likely to be stunted than children whose age was less than one year [AOR = 3.74; 95 % CI: (3.04–4.59)]. Children with mothers who had completed higher education had lower odds of being stunted compared to children whose mothers had no formal education [AOR = 0.55; 95%CI: (0.38–0.82)]. Children from the poorest wealth quintile had higher odds of being stunted compared to children from the richest wealth quintiles [AOR = 2; 95 % CI: (1.46–2.73)]. Children living in Tigray (AOR =3.64; 95 % CI: 2.17–6.11), Afar (AOR 2.02; 95 % CI 1.19-3.39), Amhara (AOR =2.29; 95 % CI: 1.37–3.86), Benishangul Gumz (AOR=1.87; 95% CI: 1.10-3.17) and Harari (AOR=1.95; 95% CI: 1.17-3.25) regions were more likely to be stunted compared to children living in Addis Ababa.Conclusion: This study showed that both individual and community-level factors were significant predictors of stunting. Improving maternal education, improving the economic status of households, improving age-specific child feeding practice, and providing additional resources to regions with high hotspots of stunting are recommended.

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Nutritional status of under- five children in a city of Maharashtra: a community based study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171344 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1171 ◽

Cited By ~ 3

Author(s):

Laxmikant Purohit ◽

Priyanka Sahu ◽

Lata B. Godale

Keyword(s):

Socioeconomic Status ◽

Birth Weight ◽

Birth Order ◽

Maternal Education ◽

Sampling Technique ◽

Community Based ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Under Nutrition

Background: Children are considered to be the backbone of any nation. Nutritional problems among children cause major morbidity and mortality in India. India is home to the largest number of underweight and stunted children in the world. Aim and objectives: 1) To assess prevalence of underweight, stunting and wasting among under-five children 2) To study factors associated with underweight, stunting and wasting among under-five childrenMethods: It was community based descriptive cross sectional study conducted during January 2010 to December 2011 at Urban Health Center of the Department of Preventive and Social Medicine catering approximately 27000 populations. 650 under- fives residing in urban field practice area were included in the study with the help of Stratified random sampling technique. Data was analyzed using SPSS software 16 version and OpenEpi Software Version 2.3.Results: 40.46% under five children were stunted, 38.15% were underweight, and 16% were wasted. The difference observed between stunted and normal study subjects with reference to type of family, education of mother, birth weight and birth order were statistically significant. The proportion of under- five children with underweight showed significant association with their age, socioeconomic status, education mother, birth weight and birth order. Proportion of under-five children with SAM and MAM decreased significantly with increase in education status of mother. Significantly higher proportion of under-five children with birth weight less than 2.5 kg and higher birth order were grouped as SAM and MAM.Conclusions: Maternal education, birth weight and birth order of children were significantly associated with all three types of under nutrition i.e. underweight, stunting and wasting. Proportion of children with underweight increases significantly with increase in age and decrease in socioeconomic status. There was no religion wise or gender wise variation in proportion of children with under nutrition was reported among study subjects.

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Unintentional Injuries among Under-Five Children in Mid- Western Nepal

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v38i1.18250 ◽

2018 ◽

Vol 38 (1) ◽

pp. 46-52

Author(s):

Bharat Kafle ◽

Uday Narayan Yadav ◽

Sujan Babu Marahatta ◽

Durga Mishra ◽

Narayan Dutt Pant

Keyword(s):

Family Income ◽

Time Frame ◽

Urban Setting ◽

Unintentional Injuries ◽

Cross Sectional ◽

Under Five ◽

Factors Associated ◽

Under Five Children ◽

Western Development ◽

Development Region

Introduction: Unintentional injury is the biggest threat to the survival of the under-five children, which impact is immeasurable to families and often entire communities. The objectives of this study were to assess the prevalence of unintentional injuries among under-five children and the factors associated with it.Material and Methods: A facility-based quantitative cross-sectional study was conducted from August 2016 to January 2017. Multistage time frame convenient sampling method was applied to collect the data from 259 mothers of under-five children in the selected district of Mid-Western Development region of Nepal. The data was collected from 10 rural health facilities and two from urban setting using a semi-structured questionnaire. An analysis was performed using SPSS ver.15.Results: The prevalence of unintentional injuries was found to be 33.20 % among the under-five children. The present study showed that ecological belt, the age of mothers, education of mothers, education of fathers, the occupation of mothers, the occupation of fathers, family income quintiles, household type, numbers of a sibling, age and gender of children were significant factors associated with unintentional injuries among under-five children. More than 70% of the respondents were not aware of how to provide first aid care to the children with respect to unintentional injury.Conclusion: This study highlights the burden of unintentional injuries among under-five children in mid-western development region of Nepal. Intervention targeting multifactorial issues in line with all type of fall injuries, burns and injuries with the use of sharp objects might be helpful to tackle the problems.

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LACK OF NUTRITION AND POOR NUTRITION RISK FACTORS IN CHILDREN OF 12-59 MONTHS

JURNAL BORNEO AKCAYA ◽

10.51266/borneoakcaya.v2i1.83 ◽

2015 ◽

Vol 2 (1) ◽

pp. 7-11

Author(s):

Dedi Alamsyah

Keyword(s):

Risk Factors ◽

Maternal Education ◽

Family Income ◽

Severe Malnutrition ◽

Bivariate Analysis ◽

Nutrition Risk ◽

Children Under Five ◽

Under Five ◽

Number Of Children ◽

Poor Nutrition

Background, Moderate and severe malnutrition in Pontianak each years trend of decreasing prevalence of cases malnutrition , but case numbers are still above 10 % . Non Problem Based Health according to WHO , the prevalence of the area is less weight above 10.0 % , while malnutrition has increased well as the decline is not drastic cases of less nutrition . The prevalence of malnutrition and malnutrition in 2011 by weight for age amounted to 18.94 % and 1.94 %, in 2012 10.91 % and 2.75 % , while in 2013 amounted to 10.60 % and 2,47 % . The purpose of this study prove the environmental risk factors that affect the incidence of moderate and malnutrition among children under five years old aged 12-59 months. Method: The type of research was observational using the quantitative study design of case control study. Results, The bivariate analysis found five (5) variables significantly associated with the prevalance of moderate and severe malnutrition in children under five years old aged 12-59 months, i.e.: low maternal education (OR: 7.07 p = 0.001 95% CI 2.06 - 16.079), poor of attitude toward food (OR: 5.76 p = 0.001 95% CI 2.51 - 19.85), poor environmental sanitation (OR: 4.33 p = 0.004 95% CI -11.06 - 1.69), low family income (OR: 4.20 p = 0.020 95% CI 1.35 - 13.06) and low family income and a larger number of children two (OR : 0,040 p = 0,040 95 % CI 1,14-7,39).

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Relationship Between Mother Feeding Practices And Eating Behavior In Children Of 3-5 Years Old

Journal of Maternity Care and Reproductive Health ◽

10.36780/jmcrh.v1i1.15 ◽

2018 ◽

Vol 1 (1) ◽

Author(s):

Citra Windani Mambang Sari ◽

Lusi Sri Solihah ◽

Sari Fatimah

Keyword(s):

Feeding Behavior ◽

Eating Behavior ◽

Eating Behaviour ◽

Sampling Technique ◽

Bivariate Analysis ◽

P Value ◽

Feeding Practice ◽

Cross Sectional ◽

Under Five ◽

Under Five Children

The underweight and overweight of under-five children in Indonesia are considered as a serious problem by WHO. One of factor affecting is parents' urge in fulfilling their child's nutritional needs is often behind a less precise of feeding practice, this will have an impact on children's daily eating behaviour because children with 3 to 5 years old showed an attitude picky eater and included into active consumers. This study is intended to identify the relationship between mother's feeding behavior with 3 to 5 years old children’s eating behavior in Babakan Sari, Kiaracondong District. The study used a descriptive correlation method with the cross-sectional approach and proportional random sampling technique. The samples of the study were 89 people. The data were collected through the instrument Comprehensive Feeding Practice Questionnaire (CFPQ) for the practice of children feeding and Child Eating Behavior Questionnaire (CEBQ) for the children eating behavior. The data were analyzed through univariate and bivariate analysis used Chi-Square test. The results showed that 58,4% of the respondents conducted a less precise feeding practice and 78,7% of the mothers perceives eating behavior children have a good eating behavior. It can be concluded that is no relation between the practice of mother’s feeding behavior with the 3 to 5 years old children’s eating behavior in Babakan Sari, Kiaracondong District (p-value > 0,05).Keywords: eating behavior, feeding practice, nutrition, preschool, under-five children

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Malnutrition prevailing trend study among under five children of urban slum area of Gwalior city Madhya Pradesh

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210211 ◽

2021 ◽

Vol 8 (2) ◽

pp. 623

Author(s):

Anil Kumar Agarwal ◽

Swati Sarswat ◽

Ramniwas Mahore ◽

Satender Saraswat ◽

Paromita Kuity ◽

...

Keyword(s):

Maternal Education ◽

Age Groups ◽

Urban Slum ◽

Cross Sectional Study ◽

Contributory Factor ◽

Feeding Practice ◽

Slum Area ◽

Cross Sectional ◽

Under Five ◽

Under Five Children

Background: Under five children constitute the most vulnerable segment and their nutritional status and mortality rate is a sensitive indicator of the community’s health and nutrition. Health indices of slum children are worst among all urban groups and are even poorer than rural average.Methods: A community based cross-sectional study was conducted from October 2019 to January 2020 in urban slum area of Gwalior city. Data were collected from 550 mothers of children aged 6-60 months using pre-tested semi structured questionnaires and measuring weight, height and mid upper arm circumference of the children.Results: 68.36% of 550 children were having under nutrition in the form of underweight (53.09%), wasting (22.18%) and stunting (59.45%). Maximum number of underweight children belongs to age group 24-60 months (64.54%) followed by <24 months age groups. Stepwise regression showed that the risk of underweight and stunting was significantly (p<0.001) higher among children of illiterate mothers and children from lowest and middle households wealth index.Conclusions: Malnutrition is widely prevalent among study population more than the state and national prevalence. With increasing age cumulative increase in prevalence of malnutrition is seen perhaps due to persistence and addition of causative factors. Maternal education and faulty feeding practice are contributory factor of this high prevalence of disease.

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Factors associated with zinc utilization for the management of diarrhea in under-five children in Ethiopia

BMC Public Health ◽

10.1186/s12889-020-09541-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Achamyeleh Birhanu Teshale ◽

Alemneh Mekuriaw Liyew ◽

Getayeneh Antehunegn Tesema

Keyword(s):

Formal Education ◽

Maternal Education ◽

Multivariable Analysis ◽

Media Exposure ◽

Household Size ◽

Media Campaigns ◽

Under Five ◽

Factors Associated ◽

Under Five Children ◽

Zinc Utilization

Abstract Background Zinc has a tremendous advantage to save the life of children. It reduces the mean duration of diarrhea and mortality due to diarrhea. Besides, it reduces the severity of the initial episode, and also it prevents future diarrhea episodes. But there is low utilization of zinc for the management of diarrhea in under-five children in Ethiopia and there is a paucity of literature regarding the factors associated with the utilization. Method The 2016 Ethiopian demographic and health survey data were used as a data source. A total weighted sample of 1228 under-five children with diarrhea within 2 weeks preceding the survey were used. A mixed-effects logistic regression analysis was done to account for the complex sample design of the data. Variables with p-value < 0.20 in the bivariable analysis were eligible for multivariable analysis and those variables with p value< 0.05 in the multivariable analysis were declared to be determinants of zinc utilization for the management of diarrhea in under-five children. Result In this study, we found multiple determinants of zinc utilization. Mothers with formal education (adjusted odds ratio (AOR) = 1.83;95% CI; 1.30–2.58) and media exposure (AOR = 1.46;95% CI; 1.04–2.04) had higher odds of zinc utilization. But mothers from five and above household size (AOR = 0.57;95% CI; 0.39–0.82) had lower odds of zinc utilization for the management of diarrhea in under-five children. Conclusion In our study maternal education, media exposure, and household size were determinants of zinc utilization for the management of diarrhea in under-five children. Being having a formal education and being exposed to all or either of the three media (radio, TV, and newspaper) increases the likelihood of zinc utilization while being mothers from large household size decreases the likelihood of zinc utilization. Therefore, giving special attention to those mothers with no formal education, and mothers from high family size could increase the utilization of zinc for the management of diarrhea in under-five children. Also, media campaigns regarding diarrhea management could be scaled up to potentially achieve the desired impact.

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