scholarly journals Nutritional status and morbidity pattern in school age children in Nepal

2012 ◽  
Vol 8 (2) ◽  
pp. 12-16 ◽  
Author(s):  
N Bhandari ◽  
GK Shrestha

School Health has been regarded as a high priority intervention in developing countries. However it has not been prioritized in Nepal for many years. The objectives of the study are to find out the nutritional status and morbidity pattern in school age children. To arouse importance of personal hygiene and healthful surrounding through information, education and communication (IEC). This cross-sectional study was administered in two schools located in Bolde phedeche and Mahure of Kavrepalanchowk. From the selected schools, a total number of 160 students studying from Grade 1 to V were enumerated in the study using census survey method. Among 160 students, the most important three problems were pediculosis 42(26.2 %), dental caries 29(18.1%), and waxy ear 27(17.1 %). Thus the school health education should put more emphasis on oral care, nutrition, personal hygiene and others. Applying classification of Indian Academy of Pediatrics: based on weight for age, 36(55.3%) boys and 34(35.8%) girls fall under 1st degree malnutrition and 15(23.07%) boys and 44(46.3%) girls fall under IInd degree malnutrition, 7(7.2 %) girls fall under IIIrd degree malnutrition.The health and nutritional standards of school children in this study were found to be unsatisfactory. Among different morbidity pediculosis is found more in girls. The present study put more emphasis on the need for initiation of school health program in the school with more on improving personal hygiene, prevention of disease like parasitic infection/infestation and improvement of their nutritional status. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 12-16 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6832

2021 ◽  
Vol 7 (2) ◽  
pp. 310-318
Author(s):  
Antarini Antarini ◽  
Eka Safitri Yanti

HANDWASHING BEHAVIOR ASSESSMENT, DEVELOPMENTAL DEVIATION AND STUNTING DETECTION USING CARD TOWARDS HEALTHY Background: School-age children are a critical age group because at that age they are prone to health problems related to personal hygiene such as diarrhea, toothache, skin diseases and so on. Apart from personal hygiene issues, one of the risks of health problems that can cause growth and development problems for Kindergarten-aged children is nutrition. It is important for child development deviations to be detected early so that it can be quickly corrected for subsequent age development. Anthropometrically, assessing the nutritional status of school-age children can use the weight and height. A tool for monitoring the development of nutritional status of kindergarten children is Kartu Menuju Sehat (KMS). Every child who is measured for height can immediately know their nutritional status. This study looked at a description of hand washing behavior, developmental deviations and stunting detection in kindergarten children.Purpose To assess hand washing behavior, developmental deviation and stunting detection in kindergarten children through KMS monitoring.Methods: The type of research used in this research was descriptive research. The research method used was a survey with a cross sectional approach. A total of 29 kindergarten children were assessed for hand washing behavior using WHO guidelines and assessed for stunting status using KMS Dinding.Results: The results of the study were mostly boys (51.7%) with ages 2 - 4 years, which is 62.1%. The results of the practice of washing children's hands using hand washing guidelines from the WHO obtained data as much as 21 children (75%) had been implemented well (6 - 7 steps) and less well by 7.1%. Early detection of child deviations using the Developmental Pre-Screening Questionnaire was 16 children (55.2%) according to development, but there were 9 children (31%) doubting results and 4 children (13.8%) likely to experience deviations. The results of measurements using KMS Dinding in kindergarten showed that there were 6.9% of children's measurement results in yellow, light green 86.2% and dark green of 6.9%. Conclusion: KMS Dinding can detect stunting in kindergarten children, there are children who may experience deviations and most children have washed their hands properly according to WHO guidelinesSuggestion provide motivation for students to get used to washing hands using soap in the school and home environment, in order to prevent diseases caused by dirty hands. The school is expected to continue to carry out early detection of children's growth and development so that improvements can be made immediately if a deviation is found in the child's growth and development Keywords: Hand Washing, Developmental Deviation, Nutritional Status ABSTRAK Latar Belakang: Anak usia sekolah merupakan kelompok usia yang kritis karena pada usia tersebut rentan terkena masalah kesehatan terkait personal hygiene misalnya diare, sakit gigi, penyakit kulit dan sebagainya. Selain masalah personal hygiene, salah satu risiko masalah kesehatan yang dapat menyebabkan gangguan pertumbuhan dan perkembangan anak usia Taman Kanak-Kanak (TK) adalah masalah gizi. Penyimpangan perkembangan anak penting untuk dideteksi secara dini agar dapat dengan cepat dilakukan koreksi terhadap perkembangan usia selanjutnya . Secara antropometri penilaian status gizi anak usia sekolah dapat menggunakan indeks Berat Badan (BB) dan Tinggi Badan (TB). Alat untuk memantau perkembangan status gizi anak TK adalah Kartu Menuju Sehat (KMS). Setiap anak yang diukur TB dapat segera diketahui status gizinya. Penelitian ini melihat gambaran perilaku cuci tangan, penyimpangan perkembangan dan deteksi stunting pada anak taman kanak-kanak.Tujuan: Menilai perilaku cuci tangan, peyimpangan perkembangan dan deteksi stunting pada anak taman kanak-kanak melalui pemantauan KMS.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah jenis penelitian deskriptif. Metode penelitian yang yang digunakan adalah survey dengan pendekatan cross sectional. Sebanyak 29 anak TK dinilai perilaku cuci tangan menggunakan pedoman WHO dan dinilai status stunting menggunakan KMS Dinding.Hasil: Hasil penelitian sebagian besar yaitu anak berjenis kelamin laki-laki (51,7%) dengan usianya adalah usia 2 - 4 tahun yaitu sebesar 62,1%. Hasil praktik mencuci tangan anak dengan menggunakan pedoman cuci tangan dari WHO diperoleh data sebanyak 21 anak (75%) telah melaksanakan dengan baik (6 – 7 langkah) dan kurang baik sebesar 7,1%. Deteksi dini penyimpangan anak dengan menggunakan Kuesioner Pra Skrining Perkembangan (KPSP) sebanyak 16 anak (55,2%) sesuai dengan perkembangan, namun terdapat 9 anak (31%)  meragukan dan 4 anak (13,8%) kemungkinan mengalami penyimpangan. Hasil pengukuran menggunakan KMS dinding pada sekolah TK menunjukkan bahwa terdapat sebesar 6,9% hasil pengukuran anak berada pada warna kuning, hijau muda 86,2% dan hijau tua sebesar 6,9%.Kesimpulan: KMS Dinding dapat mendeteksi terjadinya stunting pada anak TK, terdapat anak yang kemungkinan mengalami penyimpangan dan sebagian besar anak telah mencuci tangan dengan baik sesuai dengan pedoman WHOSaran memberikan motivasi pada siswa untuk membiasakan diri cuci tangan menggunakan sabun di lingkungan sekolah dan rumah, guna mencegah timbulnya penyakit yang disebabkan oleh tangan yang kotor. Pihak sekolah diharapkan terus dapat melakukan deteksi dini tumbuh kembang anak agar dapat segera dilakukan upaya perbaikan jika ditemukan kondisi penyimpangan pada tumbuh kembang anak Keywords: Cuci Tangan, Penyimpangan Perkembangan, Status Gizi


2016 ◽  
Vol 2 (2) ◽  
pp. 86
Author(s):  
Umi Mardliyah ◽  
Anafrin Yugistyowati ◽  
Veriani Aprilia

<p>Health problems that often occur in children of primary school age (6-12 years) are diseases associated with personal hygiene of the children. This study aimed to determine the relationship of parenting pattern with quality fulfi llment of basic personal hygiene needs of children aged 6-12 years in SDN Asem Little Kulon Progo Yogyakarta. This analytic observational used cross-sectional study design. Sampling was determined with simple random sampling technique and obtained 86 students as respondents. Analysis using test Kendal Tau (τ) showed no association between parenting pattern with quality fulfi llment of basic personal hygiene needs of children aged 6-12 years in SDN Asem Little Kulon Progo Yogyakarta (p&lt;0.05). The results provide input for health services to improve health education to the community, especially school-age children about personal hygiene associated with the prevention of disease through School Health Unit (UKS).</p>


2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.


2017 ◽  
Vol 6 (2) ◽  
pp. 11 ◽  
Author(s):  
Justina Serwaah Owusu ◽  
Esi Komeley Colecraft ◽  
Richmond NO Aryeetey ◽  
Joan Anne Vaccaro ◽  
Fatma G. Huffman

This paper compares nutrition intakes and nutritional status of school children from two public schools in neighbouring communities of Ghana with different school feeding programmes. One hundred and eighty-two caregiver and school-age child pairs were interviewed concerning socio-demographics, dietary practices, and food security in a cross-sectional design. The independent t-test was used to compare the contribution of the publicly funded Ghana School Feeding Programme and private School Feeding Programme meals to total daily nutrient intakes of the children. Predictors of nutritional status of the children were assessed using logistic regression models. The private school feeding programme contributed more energy, protein, and micronutrients as compared to the government school feeding programme. About two-thirds (67.0%) of the children were stunted, underweight, or anaemic. Child’s age was a significant predictor of stunting. Undernutrition was prevalent among children from both programmes. Improved quality of diet from the feeding programmes may contribute to addressing malnutrition in these children.


2014 ◽  
Vol 30 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Iffat Nowsin ◽  
Nadia Begum ◽  
Elias Bin Akbar ◽  
Muhammad Mahbubul Alam

Background: School age is the active growing phase of childhood. It is a dynamic period of physical growth as well as of mental development of the child. Research indicates that health problems due to miserable nutritional status in primary school-age children are among the most common causes of low school enrolment, high absenteeism, early dropout and unsatisfactory classroom performance.Objective: The objective of this study was “to assess the nutritional status among rural school children”, in terms of the BMI, stunting and wasting among the children.Materials and methods: A descriptive type of cross-sectional study was conducted among the school children of two secondary schools located in Savar upazilla during January-March 2013. From these selected schools, a total number of 340 students aged 5-14 yrs were enrolled in the study. First face to face interview was conducted with available students with the help of purposive sampling technique. Then anthropometric measurement such as Age (in years), Heights (in cms), and Weight (in kgs) of each child were taken to assess their nutritional status.Results: The mean height of the children was (136.9; SD±8.57cm) not comparable with CDC 2000 (Centres for Disease Control and Prevention) standard. Among 340 students, 81.8% of the students were found to be under nourished. Underweight, stunting and wasting were present in 38.8%, 55.9%, and 25.9% of school children respectively. Underweight was associated with lower household wealth (p < .005). The mean weight (27.18 Kg; SD± 6.78 Kg) was lower than CDC 2000 standards. Among underweight children girls (50.3%) were found to be higher than boys (28.73%). The students were more stunted (55.9%) than wasted (25.9%). Only 10.29% of the students were found to be both wasted and stunted.Conclusion: The study revealed that high percentage of rural school children was malnourished. The study result also revealed the urgent need for initiation of school health programme with specific emphasis on, improvement of nutritional status, personal hygiene and prevention of diseases with the collaboration of governmental and non-governmental institutions.DOI: http://dx.doi.org/10.3329/bjpp.v30i1.20780 Bangladesh J Physiol Pharmacol 2014; 30(1):6-10


2021 ◽  
Vol 6 (1) ◽  
pp. 23
Author(s):  
Zakia Umami ◽  
Andi Muh Asrul ◽  
Amalina Ratih Puspa

<p><strong>School-age children are a population who are at risk of health. According to the Riskesdas 2018, data for school-age children (5-12 years), the prevalence of underweight was 6,8%, obese 9,2%, and stunting was 16,9%. The purpose of this study was to analyze nutritional knowledge, nutritional status, and consumption patterns of students in SD Islam Al Azhar 1. The design of this study was a cross-sectional study conducted at Al Azhar 1 Islamic Elementary School, Jakarta from March to September 2019. Some students who were involved as respondents in this study were 55 people purposive sampling technique. The results showed that children with obesity were 43.3%, normal was 32.7%, overweight was 20%, and underweight was 3.6%. The number of children with good nutrition knowledge was 33 people (60%), adequate nutrition knowledge was 20 people (36,4%), and poor nutrition knowledge was 2 people (3,6%). Average vegetable consumption was 34.57 grams and is classified as less. While the average fruit consumption was 91.88 grams and is classified as adequate. Chi-Square test results showed no correlation between nutritional status with nutritional knowledge and no correlation between nutritional status with consumption of vegetable and fruit.</strong></p><p><strong><em>Keyword –</em></strong> <em>Child, Nutritional Knowledge, Consumption Pattern, </em><em>Nutritional status</em></p>


2020 ◽  
Author(s):  
Junko Yasuoka ◽  
Siyan Yi ◽  
Sumiyo Okawa ◽  
Sovannary Tuot ◽  
Makoto Murayama ◽  
...  

Abstract Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration. Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting. Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728). Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1404
Author(s):  
Xiaoyun Shan ◽  
Changqing Liu ◽  
Xiaoyan Luo ◽  
Yan Zou ◽  
Lichun Huang ◽  
...  

We evaluated the iodine nutritional status and related factors among school-age children based on the 2016 National Nutrition and Health Surveillance of Children and Lactating Women; 3808 children from Hebei, Guangxi, and Zhejiang province were included in the study. Urinary iodine concentration (UIC), thyroid-stimulating hormone (TSH), body mass index (BMI), vitamin A (VA), and vitamin D (VD) were measured. The abnormal rate of UIC and TSH were assessed. Relationships between UIC/TSH and the possible factors were analyzed. The overall median UIC was 185.14 µg/L, and the median UIC of children aged 8–10 was 164.60 µg/L. Prevalence of iodine deficiency and excess was 13.84% and 14.36%, respectively, and 12.87% of children showed TSH excess. UIC, as well as the abnormal rates of iodine deficiency (ID) and TSH, were significantly different among the three provinces. The median UICs and excess rates increased with age, reaching 211.45 µg/L and 21.35% at age of 14~, while TSH showed the opposite trend. Overweight children tended to have lower UIC and higher TSH. Higher UIC and TSH were found in VA sufficient group (p < 0.01). Further, the VD deficient group had a higher TSH compared to the sufficient group (p < 0.01). Moreover, UI and TSH distribution was obviously different among different vitamin A/D status (p < 0.05). Although the median UIC of school-age children was optimal, there were pockets of inadequate and excessive UI in the three provinces. Compared to the national IDD monitoring results in 2014, the iodine nutritional status of children was greatly improved. Considerations of region, age, BMI, VA, or VD are needed in the future iodine evaluation and surveillance.


2019 ◽  
Vol 1 (2) ◽  
pp. 78-88
Author(s):  
Yulianti Yulianti ◽  
Amalia Mastuty ◽  
Edy Surya Pratama

The role of parents as caregivers and the response from the enviroment is needed for children in the formation of children’s independence. Based on data from the national statistical agency in 2014, the number of pre-school age children in indonesia was 28.022 people. This study aims to study the relationship of parenting parents with the level of personal hygiene independence in pre-school age children in the village of celegeh, barebali village, central lombok. This research is a descriptive correlational research with a cross sectional approach. The population in study amounted to 34 people. Sampling is done by using purposive sampling which amounts to 32 people, but in sampling there are exclusion criteria so that the total sample is 30 respondents. Research instruments using questionnaires. Data analysis techniques using the chi-square test α=0,05. The results showed that most of the patterns of adoption by respondents were 14 people (46,7%) authoritarian parenting, with 7 independent children (23,3%) and 7 non-independent children (23,3%). So it can be concluded there is a relationship between parenting parents with the level of personal hygiene independence in pre-school age children in the village of celegeh, barebali village, central lombok.


2012 ◽  
Vol 36 (1) ◽  
pp. 39 ◽  
Author(s):  
Delmi Sulastri

AbstrakPembangunan yang kokoh dimulai dengan peningkatan kualitas sumber daya manusia Untuk itu perlu mempersiapkan sejak dini termasuk pada usia sekolah. Status gizi anak usia sekolah merupakan salah satu indikator kesehatan yang perlu menjadi perhatian. Saat ini angka kekurangan gizi pada usia ini masih menjadi masalah, hal ini terbukti dari tingginya prevalensi stunting di Kota Padang .Penelitian ini menggunakan desain cross sectional bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan status gizi anak usia sekolah yang. Penelitian dilakukan Kelurahan Bandar Buat Kecamatan Lubuk Kilangan Kota Padang pada anak baru masuk sekolah dasar yang berjumlah 77 orang. Data dikumpulkan dengan menggunakan kuesioner, meliputi karakteristik ibu, pengetahuan gizi, tingkat ekonomi, dan asupan gizi, sedangkan data status gizi dikumpulkan melalui pengukuran tinggi badan dengan menggunakan microtoiseDari penelitian ini ditemukan prevalensi anak pendek (stunting) sebesar 35,1%, sebagian besar ibu memiliki tingkat pendidikan tinggi (61%). Mayoritas ibu tidak bekerja (84%), pengetahuan gizi ibu masih rendah (66 %), lebih banyak berada pada tingkat ekonomi rendah (51%) Asupan energi lebih banyak yang < 90% AKG (71%), sedangkan asupan protein lebih banyak yang ≥ 90% AKG. Dari uji statistik ditemukan hubungan yang bermakna antara tingkat pendidikan ibu dan tingkat ekonomi dengan status gizi.Penelitian dapat disimpulkan bahwa faktor yang mempengaruhi status gizi adalah tingkat pendidikan ibu dan tingkat ekonomi. Untuk itu perlunya perhatian khusus dari pengambil kebijakan masalah gizi kronik pada usia sekolah dan perlunya penelitian lebih lanjut.Kata kunci : status gizi, stunting, asupan makananAbstractThe stable development started from increased human resources quality. For that, important to planning early included at school age child. Base on data TBABS prevalence still high. Nutritional status of school-age children is one of the health indicators that need to be a concern. Currently malnutrition at this age is still a problem, it is evident from the high prevalence of stunting in the city of Padang.ARTIKEL PENELITIAN40This study uses cross-sectional design aimed to determine factors - factors associated with nutritional status of school age children. The study was conducted Village Bandar Subdistrict Create Lubuk refined Padang at the new children enter primary school, amounting to 77 people. Data were collected using a questionnaire, including maternal characteristics, nutrition knowledge, level of economic and nutritional intake. While the nutritional status of data collected through the measurement of height by using microtoiseFrom this research, we found that the prevalence of stunting is 35, 1%, more than of mother have high education (61%. Majority of participant was unworker (84%), 66% have less knowledge about nutrition, more than of participant have at low economic grade (51%). Consumption of energy more than < 90% AKG (71%), meanwhile consumption of protein more than ≥ 90% AKG (96%). From bivariat statistic test with chi-square found significant correlation between mother’s education and economic grade with nutritional status.We concluded that the factor which correlation with nutritional status are mother’s formal education and economic grade. For that, need special attention from decision maker to solve chronic under nutrition at school age student, and need to continued this study.Key word : Stunting, nutrition status, food consumtion


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