Binary Logistic Regression Model for Assessing Factors Associated with Nutritional Status of Children Under Five Years among Chepang Community in Siddi, Chitwan, Nepal

Background: Chepang Community in Nepal has often been characterized as the poorest among Nepal’s poor, and has faced food insecurity at a household level each year. Health status of their children is poor compared to other community children and more so for the age group under the age of five years. Objective: To find the proportion of stunting, wasting and underweight, and to assess the most promising factors associated with the nutritional status of children under five years of Chepang community in Siddi, Chitwan, Nepal. Materials and Methods: A cross-sectional research design was used with 170 samples. To find the association of different factors with the nutritional status of children under 5 years of age (stunting, wasting and underweight, each) binary multiple logistic regression model was used and the goodness of fit of the model was assessed through Hosmer and Lemeshow test. Results: The overall proportion of children under five years of the Chepang community is 60.6%, 30.6% and 44.7% for underweight, stunting and wasting respectively. Among many factors, the mother’s illiteracy (OR: 5.30, 95 % CI: 1.37 to 21.57), external monthly family income (≤ NRs. 2000) (OR: 9.65, 95 % CI: 3.23 to 30.78) and food availability for six months from own land (OR: 4.17, 95 % CI: 1.90 to 17.98) have a significant association with underweight. Similarly, for stunting, female child (OR: 2.19, 95 % CI: 1.02 to 4.70), number of children (more than one) below 14 years at home (OR: 4.15, 95 % CI : 1.77 to 11.04) and external family income (≤ NRs. 2000) (OR: 4.42, 95% CI: 1.01 to 17.06) are significantly associated, and for wasting, a number of children (more than one) below 14 years at home (OR: 4.64, 95 % of CI: 1.71 to 12.60) and external family income (≤ NRs. 2000) (OR: 5.17, 95 % CI: 2.27 to 11.79) are significantly associated. Conclusion: Substantial numbers of children from Chepang community are having the problem of underweight, stunting and wasting. Different demographic and socio-economic variables have been found associated for odds of having low level of nutritional status of children.

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Factors Associated with the Nutritional Status of Toddlers at the Limo Community Health Center, Depok City, Indonesia

International Journal of Early Childhood Special Education ◽

10.9756/int-jecse/v13i2.211110 ◽

2021 ◽

Vol 13 (2) ◽

pp. 701-706

Author(s):

Munaya Fauziah ◽

Tria Astika Endah Permatasari ◽

Dadang Herdiansyah ◽

Noor Latifah ◽

Ma’mun Murod Albarbasy ◽

...

Keyword(s):

Nutritional Status ◽

Community Health ◽

Health Center ◽

Maternal Education ◽

Family Income ◽

Community Health Center ◽

Z Score ◽

Children Under Five ◽

Under Five ◽

Nutritional Status Of Children

Undernutrition in urban areas remains a serious public health problem in Indonesia. The study aimed to find out what factors were related to the nutritional status of children under five in the working area of the Limo Community Health Center, Limo District. Depok City, Indonesia in 2019. This research was conducted in June-July 2019 using a cross-sectional study design with a sample of 118 mothers who have toddlers aged 6-59 months in the Limo Health Center work area in 2019. The sampling technique used simple random sampling. The analysis was performed using chi-square (α = 0.05). Undernutrition is defined as the condition of children under five which is determined based on the anthropometric index measurement results of body weight for age with a Z- score of -2 SD to ≤ -3 SD, while good nutrition is at a Z-score of -2 SD to 2 SD. As a result, the prevalence of undernutrition was 16.1%. As much as 50% of the respondents had high school education and mothers with low education were 32.2%. The results showed a prevalence of working mothers (13.6%), family income < Rp. 4,600,000 (52.5%), mothers with low knowledge (25.4%), male children (53.4%), poor parenting (3.4%), and mothers who did not use health services properly (3.4%). There was a significant relationship between maternal education (p = 0.004; OR: 4,813; 95% CI: 1,711-13,537), family income (p = 0.006; OR: 6.145; 95% CI: 1.68-22.43), and maternal knowledge (p = 0.007; OR: 4.389; 95% CI: 1.57-12.23) with the nutritional status of children under five in the working area of the Limo Community Health Center. The suggestion is that the Limo Community Health Center make a program to increase the knowledge capacity of mothers regarding the nutrition of their children.

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Hubungan jarak kelahiran dan jumlah balita dengan dengan status gizi balita di Puskesmas Sapta Jaya, Aceh Tamiang

Jurnal SAGO Gizi dan Kesehatan ◽

10.30867/gikes.v2i1.443 ◽

2021 ◽

Vol 2 (1) ◽

pp. 34

Author(s):

Kasad Kasad ◽

Keumalahayati Keumalahayati

Keyword(s):

Nutritional Status ◽

Health Center ◽

Birth Spacing ◽

Cross Sectional ◽

Significance Level ◽

Children Under Five ◽

Under Five ◽

Number Of Children ◽

The Family ◽

Nutritional Status Of Children

Background: Indonesia ranks fifth for the country with the number of stunted children with an estimated 7.7 million children under five. Globally, WHO states that around 45% of under-five mortality is due to malnutrition and Indonesia has undernutrition problems that cannot be resolved. The factors causing the high nutritional problems include the number of children under five in the family and the support of the close distance between the births of the babies.Objectives: To measure the relationship between birth spacing and the number of children under five with the nutritional status of children under five at the Sapta Jaya Health Center, Aceh Tamiang.Methods: This study was used a cross-sectional design. The sample size as many as 31 people, using the sampling technique by simple random sampling. The data collection technique used a questionnaire and conducted interviews, as well as anthropometric measurements of weight for age to assess nutritional status. Statistical analysis used the Chi-Square test at a significance level of 95%.Results: There is a number of children under five who experience malnutrition, namely 25.8%. The number of children under five in the family had no relationship with the nutritional status of children under five (p= 0.952), while the birth spacing had a relationship with the nutritional status of children under five at the Sapta Jaya Community Health Center, Aceh Tamiang (p= 0.031). Conclusion: The number of children under five has no relationship with nutritional status, but birth spacing has a significant relationship with the nutritional status of children under five.

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Factors associated with the nutritional status of children under-five years of age with diarrhoea in Ohangwena Region, Namibia

International Journal of Healthcare ◽

10.5430/ijh.v6n2p23 ◽

2020 ◽

Vol 6 (2) ◽

pp. 23

Author(s):

Maria Francineth Bauleth ◽

Honore Kabwebwe Mitonga ◽

Lusia Ndahambelela Pinehas

Keyword(s):

Nutritional Status ◽

Acute Diarrhoea ◽

Child Growth ◽

Anthropometric Measures ◽

Cross Sectional ◽

Children Under Five ◽

Growth Standards ◽

Under Five ◽

Factors Associated ◽

Nutritional Status Of Children

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.

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Derivation and internal validation of a data-driven prediction model to guide frontline health workers in triaging children under-five in Nairobi, Kenya

Wellcome Open Research ◽

10.12688/wellcomeopenres.15387.3 ◽

2021 ◽

Vol 4 ◽

pp. 121

Author(s):

Alishah Mawji ◽

Samuel Akech ◽

Paul Mwaniki ◽

Dustin Dunsmuir ◽

Jeffrey Bone ◽

...

Keyword(s):

Logistic Regression ◽

Hospital Admission ◽

Regression Model ◽

Logistic Regression Model ◽

Health Workers ◽

Data Driven ◽

Children Under Five ◽

Under Five ◽

Frontline Health Workers ◽

Selection Of Variables

Background: Many hospitalized children in developing countries die from infectious diseases. Early recognition of those who are critically ill coupled with timely treatment can prevent many deaths. A data-driven, electronic triage system to assist frontline health workers in categorizing illness severity is lacking. This study aimed to develop a data-driven parsimonious triage algorithm for children under five years of age. Methods: This was a prospective observational study of children under-five years of age presenting to the outpatient department of Mbagathi Hospital in Nairobi, Kenya between January and June 2018. A study nurse examined participants and recorded history and clinical signs and symptoms using a mobile device with an attached low-cost pulse oximeter sensor. The need for hospital admission was determined independently by the facility clinician and used as the primary outcome in a logistic predictive model. We focused on the selection of variables that could be quickly and easily assessed by low skilled health workers. Results: The admission rate (for more than 24 hours) was 12% (N=138/1,132). We identified an eight-predictor logistic regression model including continuous variables of weight, mid-upper arm circumference, temperature, pulse rate, and transformed oxygen saturation, combined with dichotomous signs of difficulty breathing, lethargy, and inability to drink or breastfeed. This model predicts overnight hospital admission with an area under the receiver operating characteristic curve of 0.88 (95% CI 0.82 to 0.94). Low- and high-risk thresholds of 5% and 25%, respectively were selected to categorize participants into three triage groups for implementation. Conclusion: A logistic regression model comprised of eight easily understood variables may be useful for triage of children under the age of five based on the probability of need for admission. This model could be used by frontline workers with limited skills in assessing children. External validation is needed before adoption in clinical practice.

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FACTORS ASSOCIATED WITH NUTRITIONAL STATUS OF CHILDREN UNDER FIVE YEARS OF AGE IN GUNUNGSITOLI IDANOI PRIMARY HEALTHCARE CENTER

The Indonesian Journal of Public Health ◽

10.20473/ijph.v15i3.2020.315-324 ◽

2020 ◽

Vol 15 (3) ◽

pp. 315

Author(s):

Novrin Senselia Putri Ziliwu ◽

Lina Dewi Anggraeni ◽

Rosa Nora Lina

Keyword(s):

Nutritional Status ◽

Primary Healthcare ◽

Employment Status ◽

Children Under Five ◽

Under Five ◽

Factors Associated ◽

Healthcare Center ◽

Nutritional Status Of Children ◽

Primary Healthcare Centers ◽

Primary Healthcare Center

The number of children under five years of age suffering from underweight was 28.0% in Gunungsitoli district. Out of six primary Healthcare centers in the district, Gunungsitoli Idanoi Primary Healthcare Center Healthcarewas one of the six primary healthcare centers with the highest malnutrition prevalence. Sixty-four children under five years of age there Healthcaresuffered from malnutrition. This study aimed to identify factors associated with the nutritional status of children under five in Gunungsitoli Idanoi Primary Healthcare Center, Gunungsitoli district. It was an analytical survey with a cross-sectional approach conducted in Gunungsitoli Idanoi Primary Healthcare Center in February 2019. Data were collected using a questionnaire. This study had samples as many as 246 mothers of children under five years of age selected using a purposive random sampling technique. The bivariate analysis indicates the nutritional status of children under five was significantly associated with mother’s employment status (p=0.043) and family size (p=0.015). While the nutritional status of children under five had no significant association with mother’s knowledge of nutrition (p=0.485), mother’s education (p=0.616), family income (p=0.511), infectious disease (p=0.913), and history of breastfeeding (p=0.847). Mother’s employment status and family size affected the nutritional status of children under five. The primary Healthcare center should cooperate with stakeholders across sectors, especially conduct training for improving economic business skills of the people in the village, and promote family planning program for couples of childbearing age. Keywords: Breastfeeding, children under five years of age, underweight, mother’s knowledge, mother’s employment.

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Faktor-Faktor yang Berhubungan dengan Status Gizi Anak Balita di Wilayah Kerja Puskesmas Nanggalo Padang

Jurnal Kesehatan Andalas ◽

10.25077/jka.v4i1.231 ◽

2015 ◽

Vol 4 (1) ◽

Cited By ~ 1

Author(s):

Rona Firmana Putri ◽

Delmi Sulastri ◽

Yuniar Lestari

Keyword(s):

Nutritional Status ◽

Maternal Education ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Number Of Children ◽

Maternal Occupation ◽

Nutritional Status Of Children

AbstrakStatus gizi anak balita salah satunya dipengaruhi oleh faktor kondisi sosial ekonomi, antara lain pendidikan ibu, pekerjaan ibu, jumlah anak, pengetahuan dan pola asuh ibu serta kondisi ekonomi orang tua secara keseluruhan. Penelitian ini dilakukan untuk mengetahui apakah ada hubungan kondisi sosial ekonomi keluarga terhadap status gizi anak balita. Penelitian ini adalah survei analitik menggunakan desain cross sectional study dengan jumlah sampel 227 orang yang terdiri dari anak balita dan ibu balita di Wilayah Kerja Puskesmas Nanggalo Padang. Data dikumpulkan melalui kuesioner yang telah diisi oleh ibu balita yang kemudian di analisis secara bivariat dan multivariat. Berdasarkan analisis bivariat didapatkan pendidikan ibu (p=0,022), pekerjaan ibu (p=0,000), pendapatan keluarga (p=0,012), jumlah anak (p=0,008) dan pola asuh ibu (p=0,000). Sementara dari analisis multivariat didapatkan pendidikan ibu (p=0,004; OR=2,594; CI95%=1,356-4,963), pekerjaan ibu (p=0,000; OR=74,769; CI95%=24,141-231,577), pendapatan keluarga (p=0,013; OR=3,058; CI95%=1,246-7,4) dan pola asuh ibu (p=0,000; OR=15,862; CI95%=5,973-42,128). Analisis bivariat menunjukan bahwa terdapat hubungan antara pendidikan ibu, pekerjaan ibu, pendapatan keluarga, jumlah anak dan pola asuh ibu dengan status gizi anak balita. Berdasarkan hasil analisis multivariat faktor pekerjaan ibu merupakan faktor yang paling berhubungan dengan status gizi anak balita.Kata kunci: status gizi, anak balita, faktor sosial ekonomiAbstractNutritional status of children under five years has affected by a political and socio-economic condition factors, among others, maternal education, maternal occupation, number of children, maternal knowledge and parenting also parents' economic conditions as a whole. This research is conduct to determine whether there is a relationship between the socio-economic conditions of families on the nutritional status of children under five.This research is a analytic survey using a cross sectional study design with the number of samples are 227 people consisting of children under five and the mothers in the working areas Puskesmas Nanggalo Padang. Data were collected through questionnaires which is completed by mothers whose later been analyzed in bivariate and multivariateBased on bivariate analysis we can get the maternal education (p = 0.022), maternal occupation (p = 0.000), household income (p = 0.012), number of children (p = 0.008) and maternal parenting (p = 0.000). While the multivariate analysis obtained from the maternal education (p = 0.004; OR = 2.594; CI95% = 1.356 to 4.963), maternal occupation (p = 0.000; OR = 74.769; CI95% = 24.141 to 231.577), household income (p = 0.013; OR = 3.058; CI95% = 1.246 to 7.4) and maternal parenting (p = 0.000; OR = 15.862; CI95% = 5.973 to 42.128).Bivariate analysis showed that there is a relationship between maternal education, maternal occupation, family income, number of children and parenting mothers with a nutritional status of children under five. Based on the results of the multivariate analysis, maternal occupation is the most associated factor with nutritional status of children under five.Keywords: Nutritional Status, Children Under Five, Socio-economic Factor

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Nutritional status of children under five years of age and factors associated in rural areas of Sana'a Governorate, Yemen

CHRISMED Journal of Health and Research ◽

10.4103/cjhr.cjhr_95_19 ◽

2021 ◽

Vol 8 (2) ◽

pp. 102

Author(s):

GawadM A. Alwabr ◽

NwbalM A. Alwabr

Keyword(s):

Nutritional Status ◽

Rural Areas ◽

Children Under Five ◽

Under Five ◽

Factors Associated ◽

Nutritional Status Of Children

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HUBUNGAN PENDAPATAN KELUARGA DENGAN STATUS GIZI BALITA DI DESA TAMBANG WILAYAH KERJA PUSKESMAS TAMBANG KABUPATEN KAMPAR TAHUN 2019

Jurnal Ners ◽

10.31004/jn.v4i1.682 ◽

2020 ◽

Vol 4 (1) ◽

pp. 7-12

Author(s):

ERMA KASUMAYANTI

Keyword(s):

Nutritional Status ◽

Health Center ◽

Low Income ◽

Family Income ◽

Bivariate Analysis ◽

Children Under Five ◽

Under Five ◽

Nutritional Needs ◽

Nutritional Status Of Children ◽

The Village

The nutritional status of children under five is something that determines the level of community welfare and the quality of human resources. Poverty is one of the highest causes of malnutrition, with low income conditions causing families to be unable to meet nutritional needs that have an impact on fulfilling nutrition in infants. The purpose of this study was to analyze the relationship between family income and the nutritional status of children under five in the village of Tambang, the Work Area of the Tambang Health Center in Kampar district in 2019. This study used a cross sectional design. The population in this study were all mothers who had children under five in the village of Tambang, the working area of the Tambang Health Center in Kampar district in 2019 were 278 people. With a total sample of research as many as 74 people. Sampling is done by simple random sampling. The data collection tool used is a questionnaire. Data analysis uses univariate and bivariate analysis. The results of the study found that there is a relationship between family income and the nutritional status of children under five with a p-value of 0.002. The results of this study are expected for families to meet the nutritional needs of their toddlers with the use of existing land to increase food needs and the support of community health centers in providing counseling to mothers of toddlers, especially regarding toddler nutrition

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Derivation and internal validation of a data-driven prediction model to guide frontline health workers in triaging children under-five in Nairobi, Kenya

Wellcome Open Research ◽

10.12688/wellcomeopenres.15387.2 ◽

2020 ◽

Vol 4 ◽

pp. 121

Author(s):

Alishah Mawji ◽

Samuel Akech ◽

Paul Mwaniki ◽

Dustin Dunsmuir ◽

Jeffrey Bone ◽

...

Keyword(s):

Logistic Regression ◽

Hospital Admission ◽

Regression Model ◽

Logistic Regression Model ◽

Health Workers ◽

Data Driven ◽

Children Under Five ◽

Under Five ◽

Frontline Health Workers ◽

Selection Of Variables

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Pengetahuan Ibu, Pola Makan Balita, dan Pendapatan Keluarga dengan Status Gizi pada Balita di Wilayah Kerja Puskesmas Danga Kecamatan Aesesa Kabupaten Nagekeo

Lontar : Journal of Community Health ◽

10.35508/ljch.v1i1.2153 ◽

2019 ◽

Vol 1 (1) ◽

pp. 16-22

Author(s):

Falerius Jago

Keyword(s):

Nutritional Status ◽

Sampling Method ◽

Family Income ◽

Cross Sectional Study ◽

Cross Sectional ◽

Eating Pattern ◽

Systematic Random Sampling ◽

Children Under Five ◽

Under Five ◽

Nutritional Status Of Children

Aesesa Sub-district is one of the Subdistricts in Nagekeo District that has high nutritional problems and occurs every year.Nutrition problems that occur are influenced by several factors, namely mother's knowledge of nutrition, diet of children under five, and family income.This study aims to determine what factors are related to the nutritional status of children under five years in the working area of Puskesmas Danga, Aesesa Sub-district, Nagekeo Regency in 2016.This research was conducted in the working area of Puskesmas Danga, Aesesa Sub District, Nagekeo District.The study period starts from December 2016 to August 2017.This research method is analytic survey by using cross sectional study design.Sample in this research is mother who have toddler which amounted 93 people. Sampling method using systematic random sampling technique.Instrument of data collecting by using questioner and analyzed by univariat and bivariat.The results showed that there was a correlation between mother's knowledge (ρ = 0,003), diet (ρ = 0,000), and family income (ρ = 0,029) with nutritional status in toddler in working area of Puskesmas Danga Aesesa Sub-district of Nagekeo Regency 2016.Based on the results of this study, it can be concluded that there is a relationship between mother's knowledge about nutrition, eating pattern of children under five, and income of family with nutritional status at under five years in working area of Puskesmas Danga Aesesa District of Nagekeo Regency.

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