scholarly journals Current prevalence and determinants of anaemia in under-five children in rural Bangladesh: a cross sectional study

Author(s):  
Md. Moniruzzaman Mollah ◽  
Ashik Mosaddi ◽  
Asgor Hossain ◽  
Andrew A. Roy ◽  
Sultana Naznin ◽  
...  

Abstract Background Anaemia and its association with low physical and cognitive development in under-five children remain as a common public health burden in developing countries including Bangladesh. Childhood anemia is significantly associated with age, rural residence, infant and young child feeding (IYCF) practices, infectious disease, maternal illiteracy etc. We have studied to identify current prevalence, and to explore associated socio-demographic, health, and nutritional factors of anaemia in under-five children of rural Bangladesh. Methods and materials A cross-sectional study was conducted at five remote northern districts of Bangladesh involving rural children aged 6 - <60 months. We used an interviewer-administered questionnaire for data collection. Potential study subjects were approached conveniently at selected rural health centres. Chi-squared test was the main statistical model to identify association between explanatory variables and anaemia. A p-value <0.05 was considered as significant. Results Overall prevalence of anaemia (N = 258) was 61.23% with mild, moderate and severe anaemia of 28.29%, 28.68% and 4.26% respectively. The prevalence of anaemia was the highest (72%) in age group 6-24 months, which were followed by 63% in >24-36 months and 44.3% in >36-<60 months categories. The following explanatory variables showed statistically significant association with high anaemia: younger-age (p = <0.001), low family income, and maternal education (p = <0.001), exclusive versus non-exclusive breast feeding (p = 0.02), and timely versus delayed or early weaning (p = <0.001). Non consumption of animal proteins, fruits and green leafy vegetables were also significantly linked to high anaemia prevalence (p = 0.001). Further, underweight, stunting, and wasting were significantly related to anaemia (p = 0.02, 0.006, and 0.001 respectively). Conclusion Prevalence of anaemia in under-five children of rural Bangladesh remains noticeably high. Age, maternal education, family income, consumption of animal protein, green leafy vegetables, and fruits along with underweight, stunting and wasting are inversely related to anaemia prevalence. Exclusive breast feeding and timely weaning may reduce risk of anaemia.

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

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.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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.


2021 ◽  
Vol 7 (3) ◽  
pp. 137
Author(s):  
Mohammad Moniruzzaman Mollah ◽  
Ashik Mosaddik ◽  
Asgor Hossain ◽  
Andrew Asim Roy ◽  
Sultana Naznin ◽  
...  

Author(s):  
Anil Kumar Agarwal ◽  
Swati Sarswat ◽  
Ramniwas Mahore ◽  
Satender Saraswat ◽  
Paromita Kuity ◽  
...  

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.


2017 ◽  
Vol 41 (1) ◽  
pp. 11
Author(s):  
Indra B. Hutagalung ◽  
Bangun Lubis ◽  
Ridwanto Ridwanto ◽  
Hakimi Hakimi ◽  
Endang D. Hamid

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.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

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.


2017 ◽  
Vol 4 (6) ◽  
pp. 2180 ◽  
Author(s):  
Srabani Geetanjali Sethy ◽  
Dhaneswari Jena ◽  
Parsuram Jena ◽  
Srabani Pradhan ◽  
Tapan Biswas

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.  


2019 ◽  
Vol 14 (1) ◽  
pp. 21-23
Author(s):  
Farzana Zafreen ◽  
Md Mustafizur Rahman ◽  
Md Habibur Rahman ◽  
Md Abdul Wahab

Introduction: Adequate nutrition during infancy and early childhood is fundamental to the development of child’s full human potentials. Malnutrition is recognized as one of the major causes of morbidity and mortality among the children under- five years and developing countries are the worst affected. Objectives: To assess the nutritional status of under-five children of selected area of Chattogram hill tracts of Bangladesh. Material and Methods: This cross-sectional study was conducted among 300 children with age between 6 months to 5 years, reported to the outpatients department of selected hospitals were included purposively. All the data were collected by interviewing the mothers of the children by using a pretested semi-structured questionnaire. Nutritional status was assessed by using WHO recommended height for age Z-score (HAZ) for stunting, weight for age Z-score (WAZ) for underweight, height for weight Z-score (HWZ) for wasting and mid upper am circumference (MUAC) for overall nutritional status. Results: Out of 300 children 53.3% were boys and 48.4% were aged less than 2 years. About 50.7% children were tribal and 49.3% were bengali. Majority (56.45%) of the children’s mothers’ age was below 25 years, 36.7% was illiterate, 92.7% were housewives and 85.6% had monthly family income less than 10,000 taka. Regarding children nutritional status 15.6% was moderate stunted, 30.7% was mild stunted; severe, moderate and mild underweight was 4.3%, 13.3% and 24.7% respectively. About 1.7% was found severe wasted and 15.3% was moderate wasted. By MUAC 20.3% were of moderate acute malnutrition and 3.3% were of severe acute malnutrition. Conclusion: This study result revealed a high prevalence of malnutrition among under-five children in the study area. Considering the acute and long-term consequences of malnutrition special interventions program is needed to overcome the situation. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 21-23


Author(s):  
Manal Mohamed Alnaser Hassona ◽  
Salwa Abd El-Mageed Atlam ◽  
Safinaz El-Said Shalaby

Background: Fever is one of the most common presenting complaint in pediatric age and is the cause of nearly 70% of all pediatric clinic visits. Fever isn’t a disease but a symptom of disease, so we need to do more to communicate the message to parents. Aim: To assess knowledge, attitude and practices of mothers towards fever and its management at home among under five children and to find-out some factors influencing maternal knowledge, attitude and practices. Subjects and Methods: A cross sectional study was carried out in Maternity and Child Health Care Center in Kom Hamada city, Behira Governorate. A sample of 384 mothers was included in the study. The study was done via a pre-designed questionnaire sheet filled through direct interview with target mothers to assess their knowledge, attitude and practice regarding fever management of their under five children. Results: Most of the studied mothers had good knowledge (62%) and positive attitude (59.9%). But (39.3% and 38.8%) of them had bad and fair practice respectively. Bad practice was common in the age group 25-30, those having three or four children, urban residence and with decreased family income. Conclusion: The results found that awareness was relatively good. The study highlights the numerous misconceptions regarding fever management. So health education of mothers is needed to improve mother’s practice.


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