scholarly journals Childhood undernutrition inequalities in empowered action group states of India: evidence from NFHS, 2006-2016

2021 ◽  
Vol 8 (10) ◽  
pp. 4817
Author(s):  
Anil Kumar ◽  
Bal Kishan Gulati ◽  
Jeetendra Kumar ◽  
Damodar Sahu ◽  
Rajaram Yadav ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Education ◽  
Household Wealth ◽  
Health Care Facilities ◽  
Functional Health ◽  
Major Public Health Problem ◽  
Child Undernutrition ◽  
Action Group ◽  
Childhood Undernutrition ◽  
Eag States

Background: Child undernutrition is a major public health problem in many low and middle income countries and malnutrition alone accounted for 45% (3 million deaths annually) deaths among under-five children. Malnutrition is the concealed cause of one out of every two such deaths. A study was undertaken to examine the trends, determinants and socioeconomic-related inequalities in childhood undernutrition in empowered action group (EAG) states, India. The secondary data of the two rounds of National Family Health Survey, NFHS-3 (2005-06) and NFHS-4 (2015-16) comprising of 16,802 and 128,400 children aged 0-59 months respectively was analysed.Methods: Non-linear Fairlie decomposition was used to identify and quantify the separate contribution of different socioeconomic characteristics in gap of childhood malnutrion between 2006 and 2016.Results: Results show that the prevalence of undernutrition has decreased in EAG states during the last one decade, but the prevalence of wasting is remained almost same as 10 years back. The decomposition analysis shows that maternal education, household wealth and place of residence were contributing to socioeconomic inequality in childhood undernutrition from 2006 to 2016.Conclusions: There is a need to adopt different strategies of health policy intervention. It is important to have policies towards improving female literacy in the EAG states because maternal education plays a vital role in child health and literacy rate is very low among women in EAG states. The existence of a functional health insurance system and increasing universal coverage are recommended to mitigate child undernutrition, so that the vulnerable and deprived populations who are not able to access health care facilities, can easily access health care services for early detection and treatment of undernutrition without any financial constraint.

NEONATAL MORTALITY IN THE EMPOWERED ACTION GROUP STATES OF INDIA: TRENDS AND DETERMINANTS

2008 ◽  
Vol 40 (2) ◽  
pp. 183-201 ◽  
Author(s):  
PERIANAYAGAM AROKIASAMY ◽  
ABHISHEK GAUTAM
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Universal Coverage ◽  
Mortality Rates ◽  
Mortality Data ◽  
Registration System ◽  
Action Group ◽  
Eag States ◽  
The Impact

SummaryIn India, the eight socioeconomically backward states of Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Orissa, Rajasthan, Uttaranchal and Uttar Pradesh, referred to as the Empowered Action Group (EAG) states, lag behind in the demographic transition and have the highest infant mortality rates in the country. Neonatal mortality constitutes about 60% of the total infant mortality in India and is highest in the EAG states. This study assesses the levels and trends in neonatal mortality in the EAG states and examines the impact of bio-demographic compared with health care determinants on neonatal mortality. Data from India’s Sample Registration System (SRS) and National Family and Health Survey (NFHS-2, 1998–99) are used. Cox proportional hazard models are applied to estimate adjusted neonatal mortality rates by health care, bio-demographic and socioeconomic determinants. Variations in neonatal mortality by these determinants suggest that universal coverage of all pregnant women with full antenatal care, providing assistance at delivery and postnatal care including emergency care are critical inputs for achieving a reduction in neonatal mortality. Health interventions are also required that focus on curtailing the high risk of neonatal deaths arising from the mothers’ younger age at childbirth, low birth weight of children and higher order births with short birth intervals.

scholarly journals Ethiopia’s high childhood undernutrition explained: analysis of the prevalence and key correlates based on recent nationally representative data

2019 ◽  
Vol 22 (11) ◽  
pp. 2099-2109 ◽  
Author(s):  
Tafere Gebreegziabher ◽  
Nigatu Regassa
Keyword(s):  
Maternal Education ◽  
Age Groups ◽  
Household Wealth ◽  
Older Age ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Age Group ◽  
Representative Data ◽  
Childhood Undernutrition ◽  
Nationally Representative

AbstractObjectiveTo examine the contribution of child, maternal and household factors in stunting, wasting and underweight among children under 5 years in Ethiopia.DesignQuantitative cross-sectional design based on nationally representative data.SettingUrban and rural areas of Ethiopia.ParticipantsYounger (0–24 months; n 4199) and older age groups (25–59 months; n 5497), giving a total of 9696 children.ResultsAmong the younger age group, 29 % were stunted, 14 % were wasted and 19 % were underweight; and among the older age group, the prevalence of stunting, wasting and underweight was 47, 8 and 28 %, respectively. Being female, intake of multiple micronutrients, household having a piped source of drinking-water, high maternal BMI, higher household wealth and higher maternal education were associated with decreased odds of at least one form of undernutrition in both groups. On the other hand, children who were anaemic, had low birth weight, drank from a bottle, and children of stunted or wasted or working mothers were more likely to be stunted, wasted or underweight in both groups (P<0·05). While most predictors and/or risk factors followed a similar pattern across the two age groups, child factors had higher leverage in the younger than the older group across the three forms of undernutrition.ConclusionsMultiple set of factors predicted childhood undernutrition in Ethiopia. The study underscores the importance of intervening in the first 1000 days through promoting maternal education, maternal–child health services, mother’s nutrition and improving intrahousehold food distribution.

scholarly journals Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future

2020 ◽  
Vol 17 (16) ◽  
pp. 5781
Author(s):  
Barnali Chakraborty ◽  
Shrinivas Darak ◽  
Hinke Haisma
Keyword(s):  
Health Care ◽  
Child Survival ◽  
Public Health Problem ◽  
Health Condition ◽  
Child Growth ◽  
Health Care Facilities ◽  
Major Public Health Problem ◽  
Safe Delivery ◽  
Seek Health Care ◽  
The Future

Maternal and child survival is a major public health problem in haor areas in Bangladesh. Fathers feel responsible as expressed by their capability “to save the future”. Using the Capability Framework for Child Growth, we aimed to identify what contextual factors underlie a father’s real opportunities to secure a safe delivery, including social norms and beliefs. Parents from households having children less than two years old were asked to participate in two rounds of qualitative research. In total, 25 focus group discussions and eight in-depth interviews were conducted. Late admission to health facilities emerged as the overarching disabling factor for fathers’ capability to save the lives of mothers and children. Poor communication about the mother’s health condition between spouses and fear for caesarean birth were underlying this late admission. In addition, inadequate advice by local doctors, underdeveloped infrastructure, and seasonal extremities contributed to late admission to health care facilities. The participants indicated that mother’s autonomy in haor to seek health care is a constraint. This capability analysis points towards relevant interventions. In addition to the need for an improved health infrastructure, programs to improve maternal and child survival in haor could focus on the gendered household responsibilities and poor communication between spouses.

Do tribal children experience elevated risk of poor nutritional status in India? A multilevel analysis

2020 ◽  
pp. 1-26
Author(s):  
Tulsi Adhikari ◽  
Jeetendra Yadav ◽  
Niharika Tripathi ◽  
Himanshu Tolani ◽  
Harpreet Kaur ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Social Group ◽  
Maternal Education ◽  
Contextual Factors ◽  
Family Health ◽  
Household Wealth ◽  
Interaction Effects ◽  
Childhood Undernutrition ◽  
Nutritional Status Of Children

Abstract Economic progress in India over the past three decades has not been accompanied by a commensurate improvement in the nutritional status of children, and a disproportionate burden of undernutrition is still focused on socioeconomically disadvantaged populations in the poorest regions. This study examined the nutritional status of children under 3 years of age using data from the fourth round of Indian National Family Health Survey conducted in 2015–2016. Child undernutrition was assessed in a sample of 126,431 under-3 children using the anthropometric indices of stunting, underweight and wasting (‘anthropometric failure’) across 640 districts, 5489 primary sampling units and 35 states/UTs of India. Descriptive statistics were used to examine the regional pattern of childhood undernutrition. Multilevel logistic regression models were fitted to examine the adjusted effect of social group (tribal vs non-tribal) and economic, demographic and contextual factors on the risks of stunting, underweight and wasting accounting for the hierarchical nature of the data. Interaction effects were estimated to model the joint effects of socioeconomic position (household wealth, maternal education, urban/rural residence and geographical region) and social group (tribal vs non-tribal) with the likelihood of anthropometric failure among children. The burden of childhood undernutrition was found to vary starkly across social, economic, demographic and contextual factors. Interaction effects demonstrated that tribal children from economically poorer households, with less-educated mothers, residing in rural areas and living in the Central region of India had elevated odds of anthropometric deprivation than other tribal children. The one-size-fits-all approach to tackling undernutrition in tribal children may not be efficient and could be counterproductive.

scholarly journals Investigation of Antimicrobial Activity of the Extracts of the Leaves, Stembark and Root of Allanblackia floribunda: An Alternative Paradigm Shift Outcome.

2019 ◽  
Vol 2 (1) ◽  
pp. 14-22
Author(s):  
Azuonwu Obioma ◽  
Somba, Nyenwere
Keyword(s):  
Health Care ◽  
Antimicrobial Activity ◽  
Rural Areas ◽  
Health Care Facilities ◽  
Functional Health ◽  
Distilled Water ◽  
Pseudomonas Sp ◽  
Medical Response ◽  
Ethanol Extracts ◽  
Emergency Medical Response

Over the years, plants have been a major source of medicines, especially in the rural areas of the developing communities, with probably lack of functional health care facilities and trained health care personnel on hand for emergency medical response. However, with the dynamics and improvement in science and medicine, chemically synthesized drugs were being introduced and used to treat myriad of critical illnesses across board. Nonetheless, these were further strengthened owing to the increasing trend of drug resistance outcome, especially by the emerging and re-emerging infectious microorganisms. Thus, in the light of the above, there is a gradual but increasing steady return to the use of plants as sources of medicine and treatment of antibiotic resistance pathogens and illness across the globe. This study therefore, explores the use of antimicrobial activity of the leaves, stembark and root of Allanblackia floribunda on four bacterial isolates namely Staphylococcus aureus, Escherichia coli, Pseudomonas sp. and Bacillus sp. Methylated spirit, ethanol and distilled water were used as the extraction solvents differently. Ethanol extracts proved to be a better solvent compared with the other two while the extracts from distilled water were not active against any of the isolates. However, all the three ethanol extracts were more active against S. aureus while Pseudomonas sp. showed a higher level of resistance to the extracts. The leaves and root of the plant were more active on most of the isolates compared with the stembark as shown in the results section.

scholarly journals Child Feeding Practice and Primary Health Care as Major Correlates of Stunting and Underweight among 6- to 23-Month-Old Infants and Young Children in Food-Insecure Households in Ethiopia

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Zelalem Tafese ◽  
Fikadu Reta Alemayehu ◽  
Anchamo Anato ◽  
Yifru Berhan ◽  
Barbara J Stoecker
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Iodized Salt ◽  
Feeding Practice ◽  
Major Public Health Problem ◽  
Child Feeding ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Primary Health

ABSTRACT Background Child undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions. Objectives This study aimed to identify key factors contributing to undernutrition among 6- to 23-mo-old children. Methods A community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother–child dyads. Bivariate and multivariate logistic regression analyses were conducted. Results The prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12–23 mo (vs 6–11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food. Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utilization. Improvement of primary health care services related to micronutrient supplementation and family spacing also are important to address child undernutrition in the study area.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

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