scholarly journals Nutritional Status of Children Under Five Years of Age and Factors Associated in Padampur VDC, Chitwan

2018 ◽  
Vol 10 ◽  
pp. 14-18 ◽  
Author(s):  
D Ruwali

Background: Malnutrition is a major underlying cause of the child morbidity and mortality in Nepal. Factors that contribute to malnutrition are many and varied, so multifaceted strategies are required to combat it. It is therefore important to determine its causative factors before appropriate intervention can be implemented. This analysis tries to analyze the factors associated with nutritional status among children of under five years of age so that nutritional intervention can be better designed.Methodology: A community based cross-sectional descriptive survey using a structured questionnaire and measurements of weight and height to determine the nutritional status of underfive children and factors associated with it. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on CDC/WHO reference. Logistic regression statistical tool was used to analyze the influence of different predictors.Results: Prevalence of underweight, stunting and wasting was 22.7%, 37.3% and 25.7% respectively. Study indicated that the risk of stunting increases with age. Socioeconomic status was most important factors associated with stunting, underweight and wasting. Meeting the minimum dietary diversity, minimum meal frequency and minimum acceptable diet was associated with better nutritional status of children.Conclusion: Results of this study indicate that undernutrition is still an important problem among children under five years of age in Padampur VDC, Chitwan. Furthermore, this malnutrition was found to be a result of maternal, socio-economic and child individual factors.DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5639Health Prospect Vol.10 2011, pp.14-18

2020 ◽  
Vol 6 (2) ◽  
pp. 40-46
Author(s):  
Witri Priawantiputri ◽  
Mimin Aminah

Dietary diversity refers to an increase in the variety of foods across and within food groups capable of ensuring adequate intake to promote a good nutritional status. The purpose of this study was to determine the relationship of food diversity with the nutritional status of children under five in Kelurahan Pasirkaliki Kota Cimahi. A cross-sectional study with a simple random sampling method was conducted among 79 households having under five age children. Individual food diversity was measured using a dietary diversity score through questionnaire from FANTA Dietary Diversity Score Indicator Guide. Nutritional status of children under five measured by anthropometric measurement with indicator z-score of WHZ, WAZ, and HAZ. The analysis was carried out by Chi square test and fisher's exact. The average age of children under five is 31 months consisting of 43 boys (54.4%) and 36 (45.6%) girls. The prevalence of wasting children was 3.8%, stunting 21.5%, and underweight 10.1%. As many as 56 (70.9%) children consume diverse foods. There is no relationship between food diversity with nutritional status (p>0.05). Consumption of diverse food with appropriate amount of food portions are recommended for children under five years to get optimal nutritional status.


Author(s):  
Siti Helmyati ◽  
Setyo Utami Wisnusanti ◽  
Dominikus Raditya Atmaka

<p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang:</strong></em> Proporsi balita gizi lebih dan gizi kurang masih cukup tinggi di Indonesia. Penanggulangan masalah gizi sangat penting dilakukan karena memiliki dampak kesehatan jangka panjang. Penyelesaian masalah gizi buruk dan gizi lebih di Indonesia terkendala dengan kurangnya efektivitas program intervensi dan pola asuh yang diberikan orang tua kepada anak. Salah satu hal yang mempengaruhi keberhasilan penanggulangan masalah gizi adalah persepsi orang tua terhadap status gizi balita.</p><p><em><strong>Tujuan:</strong></em> Penelitian ini bertujuan untuk menilai persepsi orang tua terhadap status gizi balita yang dikelompokkan antara berat badan atau tinggi badan menurut umur.</p><p><em><strong>Metode:</strong></em> Penelitian menggunakan desain potonglintang dengan memberikan kuesioner penilaian persepsi kepada orangtua yang memiliki anak balita dan datang ke posyandu di 11 Padukuhan di Kecamatan Seyegan, DI Yogyakarta. Penelitian berfokus pada penilaian persepsi orang tua terhadap berat badan dan tinggi badan anak menurut umur dan apakah orang tua mengalami underestimasi atau overestimasi terhadap status gizi anak-anaknya.</p><p><strong><em>Hasil:</em></strong> Terdapat 89 responden yang bersedia mengikuti penelitian ini. Dari jumlah tersebut, 27 orang tua (30%) memiliki overestimasi bahwa anaknya gemuk atau normal, padahal apabila menurut kurva z-skor, anak tergolong kurus. Terdapat 10 orang tua (11,2%) underestimasi terhadap tinggi badan anak yang sebenarnya normal atau tinggi namun dianggap pendek. Sebaliknya, 5 orang tua (5,6%) mengalami overestimasi dengan menganggap tinggi badan anaknya normal atau tinggi padahal sebenarnya tergolong pendek menurut kurva z-skor.</p><p><em><strong>Kesimpulan:</strong></em> Masih terdapat kesalahan persepsi orang tua terhadap status gizi anaknya. Penelitian lebih lanjut diperlukan untuk mendalami faktor-faktor yang mempengaruhi persepsi dan bagaimana cara mengubahnya sehingga pola asuh orang tua dan penerimaan terhadap program perbaikan gizi menjadi lebih baik.</p><p><strong>KATA KUNCI:</strong> persepsi; berat badan; tinggi badan; balita; status gizi</p><p><strong><br /></strong></p><p><strong>ABSTRACT </strong></p><p><em><strong>Background:</strong></em> The proportion of over- and under-nutrition is still high in Indonesia. Overcoming the nutritional problems is important since it can lead to long term health impacts. However, there are some problems that inhibit the intervention program such as low effectiveness and inappropriate parenting. One thing that affects the success of the program is about parents’ perception of the nutritional status of their children.</p><p><em><strong>Objectives:</strong></em> The study aimed to identify the perception of the parents towards the nutritional status of their children, which is categorized as body weight and height to age.</p><p><em><strong>Methods:</strong></em> The research use cross-sectional design by giving the questionnaire to the parents who have children under-five and go to Posyandu in 11 villages in Seyegan, DI Yogyakarta. The study focused on the judgment of the parents towards the height and weight to the age of their children and whether the parents under- or overestimate the nutritional status of their children.</p><p><em><strong> Results:</strong> </em>There were 89 respondents following the study. From the number, there were 27 parents (30%) who overestimate their children by assuming the children to be overweight while according to z-score they was categorized as wasted. There were 10 parents (11.2%) who underestimate the height of their children by assuming that their children was stunted while they was not. On the other hand, 5 parents (5.6%) overestimate the height of their children by saying they had normal height while the fact they were stunted.</p><p><em><strong>Conclusion:</strong></em> There is still misperception among the parents about the nutritional status of their children. Further study is needed to identify what factors affecting the perception and how to change it so that the nutritional intervention program and parenting can be better.</p><p><strong>KEYWORDS:</strong> perception; body weight; body height; children under-five; nutritional status</p>


2019 ◽  
Vol 3 (4) ◽  
pp. 201
Author(s):  
Sutyawan Sutyawan ◽  
Ali Khomsan ◽  
Dadang Sukandar

 Background: Household food insecurity is a underlaying causes on undernutrition problems in children under five years. Household food security especially from food acces dimention is reflected from many indicators that are complex and easier to understand in a composite index. Objectives: The purpose of this study was to develop a index of household food security and its relationship to nutrient intake level and nutritional status in children under five years. Method: This cross-sectional study was conducted in four villages in West Bangka Regency in December 2018 until April 2019. The study involved 219 subjects consisting of mothers and children aged 12-59 months. Data were analyzed using Rank Spearman relationship test. Results: The validation results showed that the index score has a negatively correlation (p<0.01) with the proportion of food expenditure and it has a significant correlation with dietary diversity (HDDS Score). In addition, the index score was a significant correlation (p<0.01) with the level of adequacy of energy, protein, fat, calcium, iron, zinc and dietary diversity in children. The index score was a significant associated (p<0.01) with the nutritional status of children based on height for age, weight gor age, and height for wight. Conclusions: The index was developed from this study can be an alternative to evaluate the status of household food security level and stronger marker of food consumption and nutritional status of under five children.ABSTRAKLatar Belakang: Kondisi rawan pangan pada rumah tangga merupakan salah satu penyebab masalah kekurangan gizi pada anak berusia di bawah lima tahun. Ketahanan pangan rumah tangga tercermin dari banyak indikator yang kompleks dan lebih mudah dipahami dalam indeks komposit.Tujuan: Penelitian ini bertujuan mengembangkan indeks ketahanan pangan rumah tangga serta hubungannya dengan tingkat asupan gizi dan status gizi pada anak balita.Metode: Penelitian cross-sectional ini dilakukan di empat desa di Kabupaten Bangka Barat. Penelitian ini melibatkan 219 subjek yang terdiri dari anak berusia 12-59 bulan dan ibu dari anak. Data dianalis menggunakan uji beda Kruskal Wallis dan uji hubungan Rank Spearman.Hasil: Hasil validasi menunjukkan bahwa skor indeks memiliki perbedaan yang nyata (p<0,05) berdasarkan tingkat kerentanan pangan wilayah dan terdapat hubungan negatif yang kuat (p<0,05) dengan proporsi pengeluaran pangan. Selain itu, skor indeks memiliki keterkaitan yang kuat (p<0,05) dengan tingkat kecukupan energi, protein, lemak, kalsium, besi, seng serta keragaman diet pada balita. Skor indeks juga memiliki hubungan yang nyata (p<0,05) dengan nilai z-score status gizi balita berdasarkan indeks antropometri tinggi badan menurut usia, berat badan menurut umur, dan tinggi badan menurut berat badan.Kesimpulan: Indeks yang dikembangkan dari penelitian ini dapat menjadi alternatif dalam menilai status ketahanan pangan rumah tangga serta prediktor yang kuat dalam melihat gambaran konsumsi pangan dan status gizi balita. 


Author(s):  
Dr. Evayline Muthoni Nkirigacha

This was a cross-sectional descriptive survey and the objectives were to find out the nutritional status and associated factors of children under-five years in Mwanamukia of Kasarani Sub-County of Nairobi County. Structured questionnaire was used on demographic, socio-economic and child caring practice. Anthropometric measurements were used. 43% severely stunted and 27%  normal. 43% underweight, 26% normal. Severe wasting 20% 50.3% normal. Children age 36-47 months stunted (<-3 Z scores) than younger children, children aged 0-6 months had normal nutritional status. Low dietary diversity were achieved by children under-five (58% (<4 food groups), 23% medium scores (4-8 food groups), 19% high scores (6-8 food groups).  Most consumed cereals (79%), legumes (10%), and meat (0.2%).  (82%) consumed one meal per day, (6.6%) three meals/ day. Risk of stunting 5.343 times higher in children who did not meet minimum dietary diversity.  Risk of stunting was higher (OR=2.421 Ci =1.340-10.346 PV= 0.003).  Education 44.6%, 8% illiterate, 34.6% 0’level education, 0.8% University. Low dietary diversity stunted P.V =0.003. Occupation 28.6%, small businesses, and 21.2% farmers. Monthly income KES 11000-20000, lowest KES 1000-10000 per month, 68% had KES 30000/ month. There was no significance difference between nutritional status and household socio-economic status, age of mothers, educational level and occupation PV=0.003. The study shows there is high prevalence of stunting and under-weight in children. In conclusion there was low dietary diversity and low food consumption frequency. Stunting had statically significant association with low dietary diversity and underweight had a statistically significant relationship with household size.


1970 ◽  
Vol 7 (3) ◽  
pp. 163-168
Author(s):  
Mawera Babar ◽  
Rukhsana Khan ◽  
Aziz Ullah

Background: Globally, more than 150 million under five children are malnourished. In Pakistan 43.7% of under five children were stunted, 15.1% were wasted and 31.5% were underweight according to NNS, 2011. Nomads are the shifted or migrated people, they are the neglected ones therefore have a very poor health status and knowledge about nutrition. The aim of this study was to improve the nutritional status of the under five nomad children in district Faisalabad. The objectives were to assess the nutritional status of nomad children, knowledge of mothers regarding the nutritional status of their children, factors associated with the nutritional status of these children. Methods: A cross sectional study was conducted in nomad settlements of four Union councils of district Faisalabad. A structured questionnaire was used and anthropometric measurements like height, weight and MUAC of 296 children selected consecutively were calculated. Results were analyzed by using WHO Anthro to identify stunting, wasting and underweight cases whereas SPSS-20 was used for descriptive and inferential statistics. Results: Results showed that the proportion of malnutrition among under five children was 86% in which 10.8% were wasted, 53.4% were stunted and 58.8% were underweight. About 76% of the mothers have no knowledge about their child's nutritional needs. A significant association was found between malnutrition and sociodemographic, child health and maternal health characteristics including knowledge of mothers. Conclusion: The nutritional status of the nomad children less than five years was unsatisfactory. Therefore efforts should be made to enhance nomad mothers knowledge through CMW's and LHW's and also provide nutritional support to them.


2020 ◽  
Vol 6 (2) ◽  
pp. 23
Author(s):  
Maria Francineth Bauleth ◽  
Honore Kabwebwe Mitonga ◽  
Lusia Ndahambelela Pinehas

Purpose: This study aims at assessing the nutritional status of children under-five years of age with acute diarrhoea, determine the prevalence of malnutrition and identifying factors associated with undernutrition among children under 5 years old in Ohangwena Region, Namibia.Methods: Cross-sectional, non-interventional study was conducted. A structured questionnaire was administered through face to face interviews. A total of 530 children under-five years from 530 households were included in this study. The nutritional index was measured based on Child Growth Standards proposed by WHO. The anthropometric measures used included mid-upper arm circumference (MUAC) and weight-for-age Z score (WAZ). Logistic regression was applied to determine the factors associated with the prevalence of malnutrition.Results: The overall prevalence of diarrhoea among the children under-five years was 24%, of these, 77% were suffering from malnutrition. Malnutrition prevalence was observed to be significantly associated with a child suffering from diarrhoea (p < .05) and children aged between 12-23 months p .001. Equally, the highest prevalence of malnutrition 29.4% [95% CI = 24.65; 34.15] was found amongst children under-five years old with mothers/caregivers aged 18-30 years. The strongest predictor of malnutrition was the mother/caregiver not being an educated recording odds ratio of 20.2.Conclusions: This study identified the need to develop and intensify strategies that may improve nutritional status in children under-five years such as health education, improved literacy, and women empowerment.


2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.


2020 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Arum Sekar Rahayuning Putri ◽  
Trias Mahmudiono

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK  Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus.  Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.


Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13


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