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):  
Rural Area ◽  
Maternal Education ◽  
Protective Factor ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Trial Registration ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
The Family

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.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 the house to house survey by interviewing mothers of under five children. Logistic regression method was used for multivariate analysis to determine the association between the variables like sex of the child, type of family, the income of the family, birth order, exclusive breastfeeding, immunization status, ARI, diarrhea, maternal age, maternal education with outcome variables underweight, stunting and wasting.Results: Total 2929 mothers and their 3,671 under five children were covered. Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.Exclusive breastfeeding up to 6 months was the protective factor against wasting in both rural area (Adj OR=0.35,p<0.001)and urban slum(Adj OR=0.47,p<0.05),Acute diarrhea was associated with wasting in rural area(Adj OR=0.11,p=0.001).Boys were more prone to stunting in the urban slum(Adj OR=1.77,p<0.05). Children with birth order 2 or less than 2 were more affected by stunting in the rural area (Adj OR=.11, p<0.05). The joint family acted as a protective factor against stunting in the urban slum(Adj OR=0.56,p<0.05).Whereas exclusive breastfeeding up to six months of age was seen as a protective factor against underweight in the rural area (Adj OR=0.50,p<0.05). The low income of the family has resulted in underweight children in an urban slum (Adj OR=2.16, p<0.05). Low maternal education was related to underweight in children (Adj OR=0.44, p,0.05)Conclusion: Undernutrition was related to the sex of the child, the economic status of the family, diarrhea (Past 1 month), and maternal education. Improvement of maternal education will improve the nutritional status of the child.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.

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):  
Rural Area ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Trial Registration ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Abstract Background Undernutrition among under five children in India is a major public health problem. In India almost 60 million children are underweight. Despite India’s growth in economy, child mortality rate due to undernutrition is still high in both urban and rural area. Studies that focuses on undernutrition in urban slums are scarce. Hence present study was carried out to measure all forms of undernutrition like underweight, stunting and wasting. Methods A community based cross sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state,India. All 2,929 mothers of under five children from these clusters were included in the study. Data was collected by house to house survey by interviewing mothers of underfive children.Odds ratio was calculated to determine association between the variables. Results Total 3,671 under five children were covered. Mean age of the children was 2.38 years (± SD 1.365).Stunting (45.9%) was found to be the commonest form of undernutrition among under five children, followed by underweight (35.4%), and wasting (17.1%). Sex of the child (urban slum; OR=1.32, rural area OR=1.63) birth order (rural area; OR= 0.47), immunization status (urban slum; OR=0.23) exclusive breast feeding (urban slum; OR=0.51), childhood infections like diarrhea(rural area OR= 1.69) acute respiratory tract infection (ARI) (rural area OR= 0.82), economic status of the family, (urban slum OR= 1.32), maternal age (P = 0.001)and maternal education(P <0.001) had either positive or negative influence on nutritional status of the children from urban slums and rural area. Conclusion Undernutrition in the form of underweight and stunting is more prevalent than wasting in the urban slum and rural area. It was related to sex of the child, economic status of the family, partial immunization of the child, ARI (Past 1 month) and maternal education. Improvement of immunization of under five children and maternal education will improve the nutritional status of the child. 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 Malnutrition prevailing trend study among under five children of urban slum area of Gwalior city Madhya Pradesh

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.

scholarly journals Nutritional status of underfive children of less privileged families in Medan

2017 ◽  
Vol 41 (1) ◽  
pp. 11
Author(s):  
Indra B. Hutagalung ◽  
Bangun Lubis ◽  
Ridwanto Ridwanto ◽  
Hakimi Hakimi ◽  
Endang D. Hamid
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Occupational Status ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Number Of Children ◽  
Significant Difference ◽  
The Family

A cross sectional study was done on 94 under five children taken from Keluarga Pra-sejahtera (pre-prosperous family=-pre-PF) and Keluarga Sejahtera Tahap-1 (prosperous family phase-I=PF-I) in the East Medan subdistrict, municipality of Medan in period of August 1995 up to February 1996. The aim of the study was to measure nutritional status of under five children in both groups. There were 94 under five children in group of ore-PF and 94 under five children in group of PF-l. It was found that the nutritional status of both groups was significantly different. Significant difference was also noted when they were classified according to father's occupational status and father's education level. However when they were grouped according to maternal education, number of children in the family, and occurrence of disease in the previous month no significant difference was detected.

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.

scholarly journals ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Malnourished Children ◽  
Coimbatore District

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.

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 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 PREVALENCE OF ACUTE DIARRHEAL DISEASES AND ASSOCIATED RISK FACTORS AMONG UNDER FIVE CHILDREN IN AN URBAN SLUM OF MUMBAI

2021 ◽  
Vol 9 (10) ◽  
pp. 690-694
Author(s):  
Swapnil Bele ◽  
◽  
S.R. Suryawanshi ◽  
Shailesh Palve ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Family Type ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Child Deaths ◽  
Associated Risk Factors

Introduction: Diarrhoea is one of the single most common causes of death among children under age five worldwide. Diarrheal disorders in childhood account for a large proportion (18%) of childhood deaths, with an estimated 1.5 million deaths per year globally, making it the second most common cause of child deaths worldwide1.So the study was undertaken in order to study the prevalence and associated risk factors causing diarrhoea in urban slum of Metropolitan city. Methods- A cross sectional study was done from January 2012 to December 2012 in Cheetah Camp area. Toal 478 under five children were selected and the parent/guardian of the child was interviewed using pre-designed, semi-structured and pre-tested questionnaires. Results and Conclusion-The prevalence of diarrhoea in children under 5 years during past 2 weeks was 17.8%. Diarrheal episodes in the past 2 weeks was significantly associated with education of mother, socioeconomic status of family, type of family, source of water supply, housefly nuisance in home, child hand-washing before meals, mother hand-washing before meals and immunization status.

scholarly journals Prevalence of ‘at risk’ under five children in a rural area of central India: a cross sectional study

2018 ◽  
Vol 5 (4) ◽  
pp. 1671
Author(s):  
Mohd Junaid ◽  
A. R. Deoke
Keyword(s):  
Health Care ◽  
At Risk ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
At Risk Children

Background: Children constitute the most vulnerable section of the community. The health status of children serves as sensitive indicator of overall health of entire community. The major causes of deaths in the age group 0-5 years are preventable. At Risk group is a group of individuals in whom the frequency of risk factors is more than the other groups. It is therefore necessary to identify particularly those 'At Risk' and provide them with efficient paediatric services, because it is these 'At Risk' babies, which contribute so largely to perinatal, neonatal and infant mortality.Methods: A community based cross sectional study was carried out in a rural area of Nagpur during period of December 2010 to May 2012 to identify prevalence of At Risk under five children and associated demographic, socioeconomic and environmental factors. Sample size taken was 400. By systematic sampling method every 14th house was selected for the study. Epi info software was used for analysis.Results: In the study we found that the prevalence of ‘At Risk’ children were 70.5%. A total of 71.6% male children were ‘At Risk’ as compared to 68.9% female children. Significant association of ‘At Risk’ children was found with education of parents, type of family, socioeconomic status, housing, overcrowding and ventilation.Conclusions: Special provisions of health care facilities for under five children, need based training to the health care providers and necessary information, education & communication campaigns are need of the hour to bring down infant morbidity and mortality.

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