scholarly journals Malnutrition of Under-Five Children: Evidence from Bangladesh

2011 ◽  
Vol 2 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Md. Nure Alam Siddiqi ◽  
Md. Nuruzzaman Haque ◽  
Md. Abdul Goni

Objective: The objectives of this study are to describe the differentials and associated risk factors of malnutrition among under-five children in Bangladesh. Material & Methods: The data extracted from Bangladesh Demographic and Health Survey (BDHS)-2007. Basic anthropometric variables were used for finding prevalence of anthropometric indices (stunting, wasting and under weight) to assess child’s nutritional statuses. Chi- Square test and Logistic Regression technique were used to find out the significant factors associated with child’s nutritional status. Results: The study results showed the high prevalence of stunting and underweight, for instance 42% and 40% of under-five children were stunted and underweighted respectively. The analyses of the study also revealed that household economic status, mother’s education, father’s education, mother’s antenatal visit (s), mother’s age at birth and mother’s BMI are the most significant factor /determinant s of child’s malnutrition. Conclusion: The magnitude of the Child’s malnutrition still is of great concern in Bangladesh. Significant association between maternal related factors and child’s nutritional status has been found in this study. For improving the nutritional status of children or for getting healthy babies the intervention program(s) must connect not only children but also newly mothers and prospective mothers. Key Words: Anthropometric measurement; Malnutrition; Stunting; Underweight; Wasting DOI: http://dx.doi.org/10.3126/ajms.v2i2.3662 Asian Journal of Medical Sciences 2 (2011) 113-119

2020 ◽  
Vol 4 (3) ◽  
pp. 771-776
Author(s):  
Jyoti Gautam ◽  
Rija Acharya

Introduction: The nutritional status of an individual is often the result of many inter-related factors. It is a major public health problem in most of the developing countries and occurs prominently among under-five children. Nepal is also the one of the developing country where the prevalence of malnutrition is high.  Objective: This study aimedtoassess the nutritional status and its associated factors among under-five children.  Methodology: A descriptive cross-sectional study was conducted in Bhimtar Village Development Committee of Sindhupalchowk.Study conducted in Jan 27 2017 to Feb 8 2017 with the sample 115, self-constructed semi-structured interview schedule was used for data collection and nutritional status was assessed using anthropometric measurements. Descriptive (Frequency, Percentage, Mean, Standard Deviation) and inferential statistic (chi-square test) were used for data analysis.  Results: Among total children 47% were stunted, 30.4% were underweight and 11.3% were wasted. Age of child, frequency of antenatal visit and age of mother at child birth had significant association with nutritional status of children. Conclusion: The study concludes that significant proportion of under-five children in Sindhupalchowk district were malnourished with stunting and wasting being pre-dominant form of malnutrition. Occurrence of malnutrition was slightly higher among male compared to female children. Child’s age, mother’s age during childbirth and completion of atleast four antenatal visits during pregnancy were found to be significantly associated with child’s nutritional status.


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

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.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sujata Murarkar ◽  
Jayashree 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 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 3671 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 Trial registration number: CTRI/2017/12/010881; Registration date:14/12/2017. Retrospectively registered.


2012 ◽  
Vol 44 (5) ◽  
pp. 525-535 ◽  
Author(s):  
JAHANGIR ALOM ◽  
MD. ABDUL QUDDUS ◽  
MOHAMMAD AMIRUL ISLAM

SummaryThe nutritional status of under-five children is a sensitive sign of a country's health status as well as economic condition. This study investigated the differential impact of some demographic, socioeconomic, environmental and health-related factors on the nutritional status among under-five children in Bangladesh using Bangladesh Demographic and Health Survey 2007 data. Two-level random intercept binary logistic regression models were used to identify the determinants of under-five malnutrition. The analyses revealed that 16% of the children were severely stunted and 25% were moderately stunted. Among the children under five years of age 3% were severely wasted and 14% were moderately wasted. Furthermore, 11% of the children were severely underweight and 28% were moderately underweight. The main contributing factors for under-five malnutrition were found to be child's age, mother's education, father's education, father's occupation, family wealth index, currently breast-feeding, place of delivery and division. Significant community-level variations were found in the analyses.


Author(s):  
Indra Fransisco, Amd. Kep ◽  
Devi Angeliana Kusumaningtiar, SKM, MPH ◽  
Ira Marti Ayu, SKM, M.Epid ◽  
Ahmad Irfandi, SKM, MKM

Abstrak Latar Belakang:Acute Respiratory Infections (ARI) arise due to infection with agents with human to human transmission and symptoms can appear in a short time. Menurut hasil laporan bulanan yang didapatkan dari Puskesmas Tumbang Samba jumlah penderita ISPA pada 2 bulan terakhir mengalami peningkatan dari 22,6% menjadi 30,1%. Berdasarkan kasus yang terjadi pada balita di Puskesmas Tumbang Samba jumlah kunjungan rata-rata pasien ISPA sebanyak 276 balita setiap tahun. Studi ini dilakukan untuk menilai faktor-faktor apa saja yang berhubungan dengan kejadian penyakit ISPA pada balita di Desa Samba Danum Wilayah Kerja UPTD Puskesmas Tumbang Samba Kecamatan Katingan Tengah Tahun 2021. Metode: Studi cross sectional dilakukan pada Desember 2020 sampai Januari 2021 dengan sampel 165 responden yang dipilih secara puposive sampling. Kuesioner digunakan untuk mengumpulkan variabel umur, status gizi, status imunisasi dan ISPA. Data dianalisis bivariat dengan uji Chi Square. Hasil: Hasil penelitian ini menemukan sebanyak 91 balita (55.2%) mengalami ISPA. Proporsi tertinggi ditemukan pada umur balita (21.8%), balita gizi baik (67.9%), imunisasi tidak lengkap (66,1%). Hasil Chi Square menunjukan terdapat hubungan antara umur dan status imunisasi dengan kejadian ISPA, sedangkan status gizi tidak terdapat hubungan dengan kejadian ISPA. Kata kunci: Kejadian ISPA, Umur, Status Gizi, Status Imunisasi   Abstract Background: Acute Respiratory Infection or ARI is a respiratory tract disease caused by infectious agent, and is transmitted from human to human with symptoms usually appearing quickly. According to the results of monthly reports obtained from the Tumbang Samba Public Health Center, the number of patients with ARI in the last 2 months has increased from 22.6% to 30.1%. Based on cases that occurred in toddlers at the Tumbang Samba Health Center, the average number of visits for ARI patients was 276 toddlers every year. This study was conducted to assessed related factors associated with the incidence of ARI in children under five in Samba Danum Village, the Working Area of the UPTD Puskesmas Tumbang Samba, Central Katingan District in 2021. Method:The cross sectional study was conducted from December 2020 to January 2021 with a sample of 165 respondents who were selected by purposive sampling. Questionnaires were used to collect variables of age, nutritional status, immunization status and ARI. Data were analyzed bivariate with Chi Square test. Result:The results of this study found that 91 children under five (55.2%) had ARI. The highest proportion was found at the age of toddlers (21.8%), well-nourished children (67.9%), incomplete immunization (66.1%). Chi Square results show that there is a relationship between age and immunization status with the incidence of ARI, while nutritional status has no relationship with the incidence of ARI. Keywords: ARI, age, nutritional status, immunization status


2015 ◽  
Vol 62 (1) ◽  
pp. 1-6
Author(s):  
Khnd Md Mostafa Kamal ◽  
Naimul Islam

The nutritional status of under-five children is one of the sensitive indicators of a country's health status. This study investigated differential impact of some demographic, socioeconomic and health related factors on nutritional status among under-five children in Bangladesh based on Bangladesh Demographic and Health Survey 2007 (BDHS 2007) data. The main contributing factors of malnutrition among under-five children is linked to the family's economic condition, parent's education, sources of drinking water, type of toilet facility, child's birth interval, child's birth order, mass media exposure, having diarrhoea or Acute Respiratory Infections (ARI) recently, housing condition and place of residence. An ordered probit analysis of the effects of selected socioeconomic and demographic factors on malnutrition indicates that the strongest predictors of nutritional status of children in Bangladesh are gender of child, parent's education, family's economic condition and household standard of living. DOI: http://dx.doi.org/10.3329/dujs.v62i1.21951 Dhaka Univ. J. Sci. 62(1): 1-6, 2014 (January)


2018 ◽  
Vol 5 (4) ◽  
pp. 1651 ◽  
Author(s):  
Keya Roy ◽  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Lina Bandyopadhyay ◽  
Shamita Mandal ◽  
...  

Background: Malnutrition among under-five children is an important public health problem in developing countries, and a major cause of morbidity and mortality in India, hence the present study was conducted to find out the nutritional status of under-five children and to elicit the factors associated with it.Methods: This community based cross-sectional study was conducted among 142 under-five children during May to June 2017 in the areas under the jurisdiction of Nasibpur Primary Health Centre, Singur, West Bengal, India. Data on socio-demographic characteristics, feeding habits and other biological factors were obtained from structured questionnaire, followed by anthropometric measurement. Assessment of nutritional status of the children was done with the help of Composite Index of Anthropometric Failure (CIAF). Descriptive statistics and logistic regression were performed to analyse the data by using SPSS version 16.0.Results: The mean (standard deviation) age of the sample was 28.4 (±15.2) months. About 36.1% children were found to have anthropometric failure using CIAF (wasting only 2.1%, wasting and underweight 14.5%, wasting, stunting and underweight 5.5%, stunting and underweight 6.3%, stunting only 4.9%, underweight only 2.8%). Education of mother [AOR = 3.6 (1.2–10.8)], birth order [AOR = 3.7 (1.4-9.9)], and exclusive breast feeding practice [AOR = 7.3 (2.9–18.1)] remained the significant correlates when adjusted with other variables in the multivariable analysis.Conclusions: The high prevalence of malnutrition in the community requires multipronged approach regarding nutritional education, intensive information education and communication (IEC) activities for exclusive breast feeding through antenatal clinics and adoption of family planning methods.


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 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- Registration number of the trial- CTRI/2017/12/010881; date of registration-14/12/2017. Retrospectively registered.


2019 ◽  
Vol 27 ◽  
pp. 1-10
Author(s):  
K Yeasmin ◽  
KMS Islam ◽  
T Yeasmin

Girls face discrimination from the moment of her birth. Different underlying factors are responsible for this disparity. Though in recent decades, there is a significant advance in gender disparity, it is still prevalent in different aspect of life throughout the world. Yet a wide level of disparity still exists, whether implicit or explicit, in nutrition and child cares both in the rural and urban areas. Thus, the aim of the study was to determine the gender disparity in nutritional status among under five children in Rajshahi City, Bangladesh. A community based multi-stage cross-sectional study were accomplished for collecting anthropometric and household socio-demographic data of under-five (36≤ age ≤59) children to assess gender disparity on nutritional status in Rajshahi City, Bangladesh. It was performed during the period March 2017 to September 2017. Simple random sampling was used to select children from households by applying multistage sampling technique. Data were analyzed using WHO anthro 2005 software (WHO, Geneva, Switzerland) and Statistical Package for Social Sciences IBM (SPSS) version 22.0. A value of p<0.05 was regarded as statistically significant in the analysis. Under five 371 girls with mean age 47.26 ± 8.33 months and 366 boys with mean age 48.28 ± 7.75 months were participated in this study. No failure in composite anthropometry/normal healthy boys and girls were found 46% and 36% respectively. The prevalence of moderate underweight, stunting and wasting among girls were 23.5%, 27.5% and 14.6% respectively, whereas, among boys 22.7%, 25.4% and 9.8% respectively. Deficiency of energy intake, insufficiency of macro and micro nutrients increase the chance of suffering protein-energy malnutrition, nutritional disorders among girls, compared to boys. Aggregating social development and intervention program of Government may help to reduce gender disparity and improve the nutritional status of overall all children. J. bio-sci. 27: 1-10, 2019


2019 ◽  
Vol 1 (2) ◽  
pp. 121
Author(s):  
Hanny Rasni ◽  
Tantut Susanto ◽  
Kholid Rosyidi Muhammad Nur ◽  
Novi Anoegrajekti

Indonesian society is an agrarian society with close family relationship. Agrarian society generally helps each other together, which is known as “abereng” in Madura. The purpose of this community empowerment study is to make the “abereng” cooking activities as the villager’s potency for improving the nutritional status of stunting children in Glagahwero Village with agronursing approach. The activities took place from 4 October to 14 December 2018 which was attended by 60 participants (40 mothers and their under-five children, 15 health cadres who mobilize “posyandu”, and 5 village officials). An agronursing approach was used to identify local food resources that could be processed into foods with high nutritional value. The activities consisted of socialization, training, establishment of cooking activists groups, handover of cooking utensils and food containers, cooking activities along with continued eating with under-five children with previously measured nutritional status. The activities held in every week each month. Among 40 under-five children, only 20 of under-five children were actively participated in “abereng” cooking four times each month. Before intervention program, under-five children who participated in this activity experienced nutritional deficiencies ranged from 1000 to 6000 gs, based on age and sex (according to WHO NCHS standards). The menus were developed from local food resources which containing high level of protein, vitamins, and minerals. After “abereng” cooking was carried out four times each month, there was increasing of weight by 200-1000 gs. People and families were able to explore potentcy, process, and serve local foods as nutritious foods for toddlers. “Abereng” cooking activity is a potential community and family activity in the village for improving the nutritional status of stunting children with agronursing approach. Community independence in improving nutritional status of children requires continous follow-up from health workers and academics for resolving the problem of malnutrition in children.


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