scholarly journals The burden and underlying determinants of under nutrition among under five year children in Gurage Zone

2019 ◽  
Vol 10 (4) ◽  
pp. 66-72
Author(s):  
Andamlak Dendir Egata ◽  
Abdusemd Worku Nida
Keyword(s):  
Food Insecurity ◽  
Breast Feeding ◽  
Study Participant ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Logistic Regressions

Background: Malnutrition is one of the most common causes of morbidity and mortality in children under the age of five year. However, in Gurage zone information about the prevalence and associated factors of malnutrition still limited. Aims and Objectives: The major objective of this study was assessing the burden and determinants of malnutrition among under five children. Materials and Methods: A community based cross-sectional study design was applied from December 25, 2016 to April 25, 2017. A total of 1040 eligible mothers were interviewed using structured interviewer administered questionnaires by trained data collectors working in pediatrics ward. Through systematic sampling technique study participant were included in the study. To test the existence of statistical relationship between independent and dependent variables multiple logistic regressions analysis was used. Results: The prevalence of malnutrition among study children was 38.8%. Logistic regressions analysis result indicated that Unimproved sanitation [AOR 1.58 (95% CI 1.13-2.2)], food insecurity [AOR 2.06 (CI 3.49-3.33)], maternal disempowerment [AOR 4.1(CI 2.69-6.24)], inadequate frequency of exclusive breast feeding [AOR 1.9 (95% CI 1.176-3.357]. showed a significant association with malnutrition. Conclusion: The prevalence of malnutrition among under five year children living in Gurage zone was 38.8%. It was associated with utilization of unimproved sanitation, maternal disempowerment, food insecurity. Hence to abort the problem, it is better to enhance house hold food security, exclusive breast feeding, maternal empowerment and utilization of improved sanitation.

scholarly journals Complementary Feeding Practices of Nepali mothers for 6 months to 24 months children.

2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Ram Hari Chapagain
Keyword(s):  
Breast Feeding ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Child Feeding ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Young Child Feeding

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________

scholarly journals Knowledge and practice of Mothers of under Two Years Children On Complementary Feeding At Bharatpur Hospital, Chitwan, Nepal

2018 ◽  
Vol 4 (1) ◽  
pp. 111-116 ◽  
Author(s):  
Radha Kumari Paudel ◽  
Yuba Nidhi Basaula ◽  
Sunita Tiwari
Keyword(s):  
Breast Feeding ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Practice Gap ◽  
Knowledge And Practice

Inappropriate complementary feeding practice is one of the main reasons for malnutrition among Nepal children aged less than two years. Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is vital for proper growth and development of a child. This study was carried out to assess the knowledge and practices of mothers regarding complementary feeding, and to determine the factors influencing the inappropriateness of complementary feeding. A hospital based cross-sectional study was carried out at Bharatpur Hospital Chitwan, Nepal, involving mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, using systematic sampling technique and applying semi-structured questionnaire. About 73.8 % of mothers knew they had to start breast feeding within ½-1 hours after birth. It was found in this study that around 20.8% mothers practiced exclusive breast feeding more than six months. Study shows that 52.30% mothers had introduced complementary feeds within six months. This study found that 50% mother fed their children appropriate complementary feeding. About26.1% mothers were found to be practicing ideal feeding in this study. It was observed in the study that 73.8% mothers had knowledge about the exclusive breast feeding. Most mothers (18.4%) knew when to start complementary feeding . Study shows that 52.30% mothers had introduced complementary feed within six month. Half of the mothers fed their child appropriate complementary feeding there was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of complementary feeding.

scholarly journals Knowledge and Practices about Exclusive Breast Feeding among Mothers of Rahim Yar Khan

2020 ◽  
Vol 11 (4) ◽  
pp. 03-06
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Urban Areas ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Breastfeeding Practices ◽  
And Child Health ◽  
Health Objective

Background: Exclusive breastfeeding (EBF) practices have long been demonstrated to have significant implications for maternal and child health. Objective: To assess the knowledge and practices of exclusive breast feeding among mothers in RahimyarKhan. Methodology: Study design: Cross-Sectional study. Duration and Setting: From March to May 2018, in Sheikh Zayed Medical Hospital Rahimyar Khan. A sample of 105 women who attended the Outdoor and Indoor of Gynaecology and Pediatric department and EPI Center were enrolled by the convenient sampling technique. A pre-designed questionnaire was used having different variables like age, monthly income, education, occupation of mothers, residential area, knowledge about EBF, and breastfeeding practices during the last child. Data were statistically analyzed by SPSS version 20. Results: Mean age of mothers was 28± years, and 42.9% of mothers were illiterate, 77.1% were housewives, whereas, 52.3% of mothers belonged to urban areas. In this study, 90.5% of mothers had information about exclusive breastfeeding, and 55.6% of mothers acknowledged that breastfeeding should start immediately after delivery but regarding practice, only 21.9% of the mothers had started immediately after delivery. In this study, 48.6% of mothers knew that exclusive breast feeding is required for 6 months. Conclusion: Knowledge about exclusive breast feeding among mothers was satisfactory, however, practices regarding exclusive breastfeeding low in most among mothers. There is a need for health education program to start in Rahimyar khan.

scholarly journals Management of diarrheal diseases among children under five years: a case study of mothers at Kakamega county, Kenya

2017 ◽  
Vol 4 (8) ◽  
pp. 2762
Author(s):  
Peterson M. Njeru ◽  
John M. Kariri ◽  
Mary W. Murigi ◽  
Heuston M. Waweru ◽  
Felister M. Muriithi
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Diarrheal Diseases ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Children Under Five ◽  
Under Five

Background: Despite much effort and successes in the management of diarrhoea, the disease has remained among the top five causes of mortality and morbidity in Kenya, particularly among infants and children below five years. Advent of HIV/AIDS and the harsh economic situation is Kenya has led to increase in diarrhoea diseases. This study was conducted to determine the mother’s knowledge, attitude and practice in the management of diarrheal diseases among children under five years of age.Methods: This was a cross-sectional study conducted at Lurambi sub-County, Kakamega County. Systematic sampling technique was used to determine the study population. The research instruments were; observational checklists, an in-depth interview schedule, self-administered semi-structured questionnaires and focused group discussions. Quantitative data analysis was conducted using SPSSand involved univariate and bivariate analysis. Qualitative data was analyzed by thematic content analysis.Results: Overall, 88% mothers each with at least one child under five years took part in the study. 84% of the respondents had knowledge of the causes of diarrhoea; however only 31% knew methods of diarrhoea prevention. 41% of the respondents managed diarrhoea cases with non-recommended home remedies such as salt and sugar solutions. The study also established that 37% of the health workers were not trained on diarrhoea management despite them being directly involved in the case management.Conclusions: Overall, the research identified a gap between knowledge and practice. There is need for improving home based case management and implementing a community strategy for diarrhoea management.

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):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slums ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract BackgroundUndernutrition 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. ResultsThe 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.ConclusionsFactors 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-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.

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 Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 358
Author(s):  
Bruna Leal Lima Maciel ◽  
Clélia de Oliveira Lyra ◽  
Jéssica Raissa Carlos Gomes ◽  
Priscilla Moura Rolim ◽  
Bartira Mendes Gorgulho ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Diet Quality ◽  
Skin Color ◽  
Associated Factors ◽  
Mental Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Black Skin ◽  
Logistic Regressions ◽  
Socio Economic Variables

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.

scholarly journals Pulmonary Function Tests in Hypertensive Patients Attending Zewditu Memorial Hospital, Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Mekuriaw Mesfin Birhan ◽  
Yekoye Abebe
Keyword(s):  
Pulmonary Function ◽  
Addis Ababa ◽  
Pulmonary Function Tests ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Memorial Hospital ◽  
Systematic Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

Background. Hypertension imposes stresses on many organs like heart and kidney. However, studies that show the effect of hypertension on the lungs are limited. Objective. To assess pulmonary function status of hypertensive patients aged 30-64 years at Zewditu Memorial Hospital, 2017. Methods. Hospital based comparative cross-sectional study was conducted on 61 hypertensive patients (cases) and 61 nonhypertensive clients (controls) aged 30-64 years. Computerized spirometry was done in all cases and controls which were selected by systematic sampling technique. The study was conducted from January 20, 2017, to May 25, 2017. Result. The values of FVC, FEV1, and FEF25-75% were 3.52±1.02 liters, 2.97±0.89 liters, and 3.34±1.3 liters/second in hypertensive patients and 4.31±0.82 liters, 3.54±0.7 liters, and 3.94±1.09 liters/second in controls, respectively. These values were significantly lower (p<0.05) in hypertensive patients compared to controls. Restrictive pulmonary defect was dominant in hypertensive patients. FEV1% which was 85%±7% in hypertensive patients and 82%±5% in controls was significantly higher (p<0.05) in hypertensive patients compared to controls. Conclusion. Hypertensive patients exhibit lower pulmonary function values. Routine check-up of the pulmonary function status of such patients should be done to prevent undesired outcomes.

scholarly journals PROPORTION OF EARLY ANTENATAL CARE BOOKING AND ASSOCIATED FACTORS IN MEKELLE CITY, PUBLIC HEALTH INSTITUTIONS, NORTHERN ETHIOPIA, 2015

2018 ◽  
Vol 11 (4) ◽  
pp. 409
Author(s):  
Gebreamlak Gidey ◽  
Desta Abraha
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
World Health ◽  
Systematic Sampling ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
Mekelle City

 Objective: The objective of this study was to assess the proportion and associated factors for early initiation of antenatal care visit in Mekelle City, Tigray, Northern Ethiopia, 2015.Method: An institution-based cross-sectional study was employed among 391 pregnant women’s in Mekelle special zone. A systematic sampling technique was used to select study participants. Pretested structured questionnaire was used to collect the data through interview. Data were entered into EPI info version 7 and analyzed using SPSS version 20, respectively. Bivariate and multivariate logistic regression was done to see significant variables with p<0.05 at 95% confidence interval (CI).Result: The proportion of pregnant women who initiate early antenatal care (ANC) visit was found to be 41.1%. Perceived correct time of initiation before 4 months (adjusted odds ratio [AOR]=3.261, 95% CI 1.391–7.645) and correct time told by others before 4 months with (AOR=6.617, 95% CI 2.580, 16.971) were found to have statistically significant positive outcomes association with early initiation of antenatal care visit.Conclusion: The proportion of early ANC initiation in Mekelle is lower than the World Health Organization recommendation which is <16 weeks gestation. Therefore, providing information to the community, initiation counseling, and providing health education on the benefits early ANC is crucial to improving maternal, neonatal, and child health outcomes.

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