scholarly journals Maternal mental health and child nutritional status in an urban slum community in Bangladesh

2021 ◽  
Author(s):  
Ahad Mahmud Khan
Keyword(s):  
Mental Health ◽  
Multivariate Analysis ◽  
Nutritional Status ◽  
Diarrheal Disease ◽  
Maternal Mental Health ◽  
Urban Slum ◽  
Feeding Practice ◽  
Hygiene Practice ◽  
Child Feeding ◽  
Child Nutritional Status

Abstract Objective: Poor mental health may diminish a mother's capacity to adequately care for her child, resulting in a negative impact on the child’s nutrition. This study aims to determine the association between maternal mental health and child nutritional status in a poor urban population in Bangladesh.Methods: We carried out a cross-sectional study among 264 mother-child pairs in an urban slum area of Bangladesh. The Self-Reporting Questionnaire-20 (SRQ-20) was used to assess maternal mental health. An SRQ-20 score ≥7 was considered a common mental disorder (CMD). Anthropometric measurements were performed to assess child nutritional status.Results: The prevalence of maternal CMD was 46.2%. Maternal CMD was associated with poorer child feeding practice (p<0.001), poorer hygiene practice (p<0.001), poorer preventive care service use (p=0.016) and suffering from diarrheal disease (p=0.049). The prevalence of stunting, wasting and underweight was 44.3%, 18.2% and 33.7%, respectively. Poorer child feeding practice was associated with wasting (p=0.004) and underweight (p<0.001) but not with stunting. Poorer hygiene practice and suffering from diarrheal disease were associated with stunting and underweight but not with wasting. In multivariate analysis, maternal CMD was associated with child wasting (AOR=2.25, 95% CI=1.15-4.43). Association between maternal CMD and child underweight found in bivariate analysis was attenuated and no longer statistically significant after multivariate analysis (AOR=1.77, 95% CI=0.94-3.33). No statistically significant association was observed between maternal CMD and stunting in this study (AOR=1.46, 95% CI=0.84-2.54).Conclusions: Maternal mental health affects child nutritional status through child feeding practice, hygiene practice and preventive care use. Interventions to address the mental health of mothers in child nutrition programs might contribute to improving child nutritional status.

scholarly journals Maternal mental health and child nutritional status in an urban slum community in Bangladesh

2020 ◽  
Author(s):  
Ahad Mahmud Khan ◽  
Meerjady Sabrina Flora
Keyword(s):  
Mental Health ◽  
Multivariate Analysis ◽  
Nutritional Status ◽  
Diarrheal Disease ◽  
Maternal Mental Health ◽  
Urban Slum ◽  
Feeding Practice ◽  
Hygiene Practice ◽  
Child Feeding ◽  
Child Nutritional Status

Abstract Objective: Maternal poor mental health might diminish her capability of taking adequate care of her child, resulting in negative impact on child’s nutrition. This study aims to determine the association between maternal mental health and child nutritional status.Methods: It was a cross-sectional study carried out in 264 mother-child pairs in an urban slum area of Bangladesh. Self-Reporting Questionnaire-20 (SRQ-20) was used for assessing maternal mental health. SRQ-20 score ≥7 was considered as common mental disorders (CMD). Anthropometric measurements were done for assessing child nutritional status. Results: The prevalence of maternal CMD was 46.2%. Maternal CMD was associated with poorer child feeding practice (p<0.001), poorer hygiene practice (p<0.001), poorer preventive care service use (p=0.016) and suffering from diarrheal disease (p=0.049). The prevalence of stunting, wasting and underweight were 44.3%, 18.2% and 33.7%, respectively. Poorer child feeding practice was associated with wasting (p=0.004) and underweight (p<0.001) but not with stunting. Poorer hygiene practice and suffering from diarrheal disease were associated with stunting and underweight but not with wasting. In multivariate analysis, maternal CMD was associated with child underweight (adjusted OR=2.25, 95% CI=1.15-4.43). Association between maternal CMD and wasting found in bivariate analysis that disappeared after multivariate analysis. No association was observed between maternal CMD and stunting in this study.Conclusions: Maternal mental health affects child nutritional status through child feeding practice, hygiene practice and preventive care use. Interventions to address mental health of mothers in child nutrition programmes might contribute to improve child nutritional status.

scholarly journals Program SANATA (Sayang Anak Balita) di Wilayah Posyandu RW 08 Srondol Kulon

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Rachma Purwanti ◽  
Eka Cahyaningsih ◽  
M. Rifky Al Haedar ◽  
Noviasti Rahma Utami ◽  
Werry Lisfani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Feeding Practice ◽  
Maternal Knowledge ◽  
Nutritional Knowledge ◽  
Child Feeding ◽  
Under Five ◽  
Service Programs ◽  
Knowledge Updating ◽  
Nutritional Status Of Children ◽  
Nutrition Problem

Abstract. Prevalence of malnutrition among under five years old children still high. Results of nutrition problem analyzed among under five years old children at RT 01, 02, and 03 RW 08 Srondol, Semarang City showed that overweight and stunting proportions among under five years old children were still high. This community nutrition  program had objective to optimized Integrated service post (POSYANDU) function to monitor growth and development of under-five years old children (D/S ) with contribution of stakeholder, increasing maternal knowledge about complementary feeding and feeding practice for children, increasing feeding practice for under-five children, and increasing nutritional status (W/H) of under-five years old children. These community service programs were being held in December 2018 with community relation methods. This program involved stakeholders, POSYANDU cadre, and mother of overweight and stunting children at RW 08 Srondol Kulon, Banyumanik District, Semarang City. The result of “SANATA: sayang anak balita” includes : 1) there was the participation of local government for programs, increasing of POSYANDU participation (D/S) from 32,5% - 37,1%. There was an increased in mother knowledge and feeding practice. Nutritional intake of under five years old children increased and get 80-110% sufficiency for macronutrient. None children had decreased on W/H nutritional status and increasing of nutritional status (W/H) occur on 5 from 10 stunting children. We hoped that there was a sustainability of the program with knowledge updating for mothers. Reward from RW/posyandu for mother with normal nutritional status of children, haved good nutritional knowledge, and had the capability to child feeding practice would give support from them to optimized nutritional status.Keywords: nutritional status, overweight, stunting, improving nutritionAbstrak. Prevalensi masalah gizi buruk, gizi kurang, stunting, dan gizi lebih pada balita masih cukup tinggi. Hasil analisis masalah gizi pada balita di RT 01, 02, dan 03 RW 08 Srondol, Kota Semarang yaitu masih tingginya proporsi status gizi lebih dan status gizi pendek (stunting) pada balita. Program pengabdian kepada masyarakat ini bertujuan untuk mengoptimalkan fungsi posyandu dalam pemantauan tumbuh kembang anak (cakupan D/S) dengan melibatkan stakeholder terkait, meningkatkan pengetahuan ibu tentang MP-ASI dan pemberian makan pada balita, meningkatkan pola asuh ibu balita dalam pemberian makan balita sesuai kebutuhan, dan meningkatkan status gizi BB/TB pada balita. Program pengabdian kepada masyarakat ini dilaksanakan pada bulan Desember Tahun 2018 dengan metode community relation. Program melibatkan tokoh masyarakat, kader posyandu, dan ibu balita berstatus gizi lebih dan gizi pendek di wilayah RT 01, 02 dan 03 RW 08 Kelurahan Srondol Kulon Kecamatan Banyumanik, Kota Semarang. Hasil dari program SANATA: sayang anak balita ini adalah adanya partisipasi tokoh masyarakat dalam program, meningkatnya angka partisipasi posyandu (cakupan D/S) di Posyandu Mawar RW 08 yaitu dari 32,5 % menjadi 37,1 %. Terdapat peningkatan pengetahuan ibu tentang MP-ASI dan pemberian makan pada balita. Asupan zat gizi pada balita yang dilihat dari perubahan pola makan balita dapat mencapai kecukupan 80-110% zat gizi makro. Tidak terjadi penurunan status gizi BB/TB (pada 10 balita) dan terjadi peningkatan status gizi BB/TB pada 5 dari 10 balita stunting. Diharapkan adanya upaya menjaga keberlanjutan program dengan pengkayaan materi (update pengetahuan) pada ibu balita secara berkala. Penghargaan/reward/apresiasi dari pihak RW/posyandu bagi ibu yang memiliki balita berstatus gizi baik, memiliki pengetahuan gizi yang baik, serta mampu melaksanakan pola pengasuhan dan pemberian makan yang baik bagi balita akan lebih menyemangati para ibu balita dalam mengoptimalkan gizi balitanya.Kata Kunci: gizi balita, gizi lebih, stunting, perbaikan gizi

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

Maternal mental health symptoms are positively associated with child dietary diversity and meal frequency but not nutritional status in Eastern Democratic Republic of Congo

2020 ◽  
Vol 23 (10) ◽  
pp. 1810-1819
Author(s):  
Jillian A Emerson ◽  
Laura E Caulfield ◽  
Espoir Musafiri Kishimata ◽  
Jean-Pierre Nzanzu ◽  
Shannon Doocy
Keyword(s):  
Mental Health ◽  
Nutritional Status ◽  
Democratic Republic ◽  
Mental Health Problems ◽  
Democratic Republic Of Congo ◽  
Dietary Diversity ◽  
Maternal Mental Health ◽  
Meal Frequency ◽  
Z Score ◽  
High Distress

AbstractObjective:The objective was to examine the association between symptoms of maternal mental health problems and child diet and nutritional status in South Kivu, Democratic Republic of Congo.Design:Maternal depression and anxiety symptoms were measured by the Hopkins Symptom Checklist-25 (HSCL-25), and post-traumatic stress was measured by the Harvard Trauma Questionnaire (HTQ). Participants were classified as having high psychological distress if their mean item score was in the upper quartile of both measures. Dependent variables included child dietary diversity, meal frequency, height-for-age z score (HAZ), weight-for-age z score (WAZ), weight-for-height z score (WHZ), stunting and underweight. Bivariate and multivariate regression analyses were conducted.Setting:The study was nested in a larger quasi-experimental study evaluating Jenga Jamaa II, a food and nutrition assistance project in Uvira and Fizi territories.Participants:In total, 812 mother–child pairs participated. Children ranged from 2·6 to 5·6 years of age.Results:HSCL-25 (ß: 0·18, P < 0·05) and HTQ (ß: 0·19, P < 0·05) were statistically significantly associated with higher dietary diversity scores, and all maternal mental health measures were associated with higher meal frequency (HSCL-25: ß: 0·13, P = 0·001; HTQ: ß: 0·12, P = 0·001; high distress: ß: 0·15, P < 0·05) and consumption of at least three meals/snacks per day (HSCL-25: OR: 2·06, HTQ: OR: 1·93, high distress: OR: 2·68, P < 0·001 for all). No significant associations were found with HAZ, WAZ, WHZ, stunting or underweight indicators.Conclusions:More severe symptoms of maternal mental health problems were positively associated with child diet, but not anthropometry indicators. More research is needed to understand the role of maternal mental health in child feeding practices in food insecure and resource-poor settings.

Mental health, quality of life, and nutritional status of adolescents in Dhaka, Bangladesh: Comparison between an urban slum and a non-slum area

2006 ◽  
Vol 63 (6) ◽  
pp. 1477-1488 ◽  
Author(s):  
Takashi Izutsu ◽  
Atsuro Tsutsumi ◽  
Akramul Md. Islam ◽  
Seika Kato ◽  
Susumu Wakai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Nutritional Status ◽  
Urban Slum ◽  
Slum Area ◽  
Health Quality ◽  
Health Quality Of Life

scholarly journals Complacent Child feeding practices versus Infant feeding practices affecting the nutritional status of Under Two children situational analysis

2020 ◽  
Vol 32 (1) ◽  
pp. 43-50
Author(s):  
Sonali Kar ◽  
Angeleena Esther
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Cluster Sampling ◽  
Feeding Practice ◽  
Situational Analysis ◽  
Child Feeding ◽  
Targeted Interventions ◽  
Under Nutrition

Background: -To enhance child health, Indian Child Development Scheme (ICDS) and National Health Mission (NHM) strategized that reinforcement of Infant and Young Child Feeding (IYCF) practices would be a good take off. Anganwadis, where 78% of mothers of children below 6 receive services, can serve as an effective platform for mothers to receive counseling on appropriate breast feeding and complementary foods, in a priority state like Odisha.  Aim: -As a prelude to a detailed intervention, a rapid baseline situational analysis was planned in 4 intervention districts to know about the district specific variations and also the overall IYCF practices in the area. Objective: Assess the IYCF indicators in the districts with focus on feeding practices above 6 months of age. Assess the factors responsible for breast feeding and complementary feeding in the sample Materials and Methods: - Final sample of 600 was chosen using 30 cluster sampling based on proportions of less than 2 years children in the study districts (districts named A-D, as the interventions are in progress and state refrains the identity of districts), 30 clusters to be divided in the ratio of 10:8:5:7. From each cluster-mothers of 20 children, nearly equal proportions of children in 0-6months and 7-23 months, were interviewed for sociodemographic, health seeking and prevailing IYCF practices. BMI (Body Mass Index) and MUAC (Mid Upper arm Circumference) were used to corroborate the nutritional status of child. Results: - 606 interviews were conducted. Age groups ratio was 2:1.5. Exclusive breast feeding was noted at 68% and under nutrition was 59.2%. Advanced maternal age  were positively associated with declining breast-feeding practice; however good spacing and male child was protective for good IYCF practices. The complementary feeding practices, measured with 2 major indicators i.e. Minimum Food Diversity and Minimum Meal Frequency, were calculated as 40.7% and 20.6% respectively. Gender representation for both indicators was positively skewed for females, which was reasoned in FGDs as purely by chance and did not mean a preference for boys. Both service provider and the mothers’ knowledge was compromised regarding complementary feeding indicators, in spite of the fact that former had been trained on this aspect. Conclusion: - Targeted interventions are envisaged as scope for improvement in the IYCF indicators in the mixed mileu of a state, wherein some districts indicators markedly affect the overall state indicators. In Odisha, this study may give guidelines to the intervening districts to overhaul the load of under nutrition which is now more district and select population specific.

scholarly journals The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis

2021 ◽  
Author(s):  
Rashidul Alam Mahumud ◽  
Sophiya Uprety ◽  
Nidhi Wali ◽  
Andre M.N. Renzaho ◽  
Stanley Chitekwe
Keyword(s):  
Systematic Review ◽  
Nutritional Status ◽  
Dietary Diversity ◽  
Meta Analysis ◽  
Grey Literature ◽  
Child Feeding ◽  
Random Effects Models ◽  
Young Child Feeding ◽  
Child Nutritional Status ◽  
The Impact

Abstract This systematic review and meta-analysis aimed to assess the robustness of designs and tools used in NSBCC interventions and establish their effectiveness. EBSCOhost as an umbrella database including Medline (Ovid) and CINAHL, EMBASE and ProQUEST databases were searched for peer-reviewed articles from January 1960 to October 2018. Additional sources were searched to identify all relevant studies including grey literature. Studies’ biases were assessed according to Cochrane handbook. Pooled estimate of effectiveness of interventions on infant and young child feeding (IYCF) practices and child nutritional status with 95% confidence intervals were measured using random-effects models. Eighty studies were included in this review: Fifty-one (64%) were cluster randomised trials (RCTs), 13 (16%) were RCTs and 16 (20%) quasi-experimental. Of the included studies, 22 (27%) measured early initiation of breastfeeding, 38 (47%) measured exclusive breastfeeding, 29 (36%) measured minimum dietary diversity, 21 (26%) measured minimum meal frequency, 26 (32%) measured HAZ, 23 (29%) measured WHZ, 27 (34%) measured WAZ, 20 (25%) measured stunting, 14 (17%) measured wasting, and 11 (14%) measured underweight. The overall intervention’s effect was significant for EBF (OR = 1.73; 95% CI: 1.35–2.11, p < 0.001), HAZ (Standardized Mean Differences, SMD = 0.19; 95% CI: 0.17–0.21; p < 0.001), WHZ (SMD = 0.02; 95% CI: 0.004 to 0.04; p < 0.001), and WAZ (SMD = 0.04; 95% CI: 0.02 to 0.06; p < 0.001). Evidence shows the effectiveness of NSBCC in improving EBF and child anthropometric outcomes. Further research should test the impact on child nutritional status with clearly specified and detailed NSBCC interventions.

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