scholarly journals Stunting and Its Risk Factors in Under Age Five Children in Ogun State, Nigeria: A Cross-Sectional Study

Author(s):  
Tumilara Busayo Amoo ◽  
Baukje de Roos

Background: Nigeria has the second-highest prevalence of stunting in children under five in the world. Stunting can have long-term effects on development, performance, and productivity, and it is, therefore, important to assess who is most at risk so that interventions can be better targeted. The study aimed at assessing the prevalence of stunting in under age five children in Ogun State, Nigeria, and its relationship with age, sex, maternal education, household income, and residence type. Methods: We used cross-sectional secondary data from the 2018 Nigeria Demographic and Health Survey to assess the prevalence of stunting and establish if and how stunting is related to the children’s age, sex, household income, maternal education, and type of residence. We included data on age, sex, height/length, maternal education, household income, and type of place of residence of 274 children, aged 0-59 months. Stunting was calculated using the online version of the World Health Organization (WHO) Anthro Survey Analyser. Data were analyzed using Statistical Package for Social Sciences (v.25). Results: The prevalence of stunting was 23%. Stunting was significantly associated with age (p=0.001). The odds of stunting were significantly highest in children aged 36-47 months (OR 22.61, 95%CI: 2.81, 181.93) relative to other age groups. Stunting was not significantly associated with sex (p=0.079), maternal education (p=0.079), household income (p=0.183) or type of place of residence (p=0.299). Conclusions: Whilst the prevalence of stunting in children aged under five in Ogun State is lower than the average prevalence of stunting in Nigeria, it is still medium according to WHO classification. Intensive nutrition interventions should be targeted to children aged 3-5 years to reduce the stunting prevalence.

2018 ◽  
Vol 28 (4) ◽  
pp. 247-256
Author(s):  
Gladys Apriluana ◽  
Sandra Fikawati

Stunting is a disorder of linear growth caused by chronic malnutrition. The short stature of under-fives is the cause of 2.2 million of all cause of under-five mortality worldwide. The purpose of this literature review was to analyze the effects of determinant risk factors on the incidence of stunting in children under-fives. The design of this study was a literature review. The articles selected were articles of correlation research using cross-sectional studies. The respondents were children with stunting aged 0-59 months. Inclusion criteria to select articles were studies on children with stunting, age 0-59 months, developing countries (including Southeast Asia), had growth chart, still had complete parents. The search process to exclude the articles used for this literature review using the PRISMA method.The results showed that nutritional status factors with birth weight <2,500 gram had a significant effect on the incidence of stunting in children and a risk of stunting of 3.82 times. Maternal education factors have a significant effect on the incidence stunting in children and have a risk of experiencing stunting 1.67 times. Low household income factors were identified as significant predictors of stunting in children under five by 2.1 times. Poor sanitation factors have a significant effect on the incidence of stunting in infants and have a risk of experiencing stunting by 5.0 times. The conclusion of this study is the lower birth weight (LBW), the level of maternal education, household income, and the lack of hygiene sanitation of the house, so the risk of a toddler being stunting is greater. Abstrak Stunting adalah gangguan pertumbuhan linier yang disebabkan kurang gizi yang berlangsung kronis. Keadaan gizi balita pendek menjadi penyebab 2,2 juta dari seluruh penyebab kematian balita di seluruh dunia. Tujuan dari review literatur ini adalah menganalisa efek dari faktor-faktor risiko determinan terhadap kejadian stunting pada balita. Desain penelitian ini adalah literature review. Artikel-artikel yang dipilih dengan search engine adalah artikel correlation research yang menggunakan study cross-sectional dengan respondennya adalah anak dengan stunting usia 0-59 bulan. Kriteria inklusi artikel yang dipilih adalah anak dengan stunting, berusia 0-59 bulan, wilayah negara berkembang (termasuk wilayah Asia Tenggara), memiliki KMS, masih memiliki orang tua lengkap. Proses pencarian hingga pengeksklusian artikel-artikel yang digunakan untuk review literatur ini menggunakan metode PRISMA. Hasil penelitian menunjukkan faktor status gizi dengan berat badan lahir < 2.500 gram memiliki pengaruh secara bermakna terhadap kejadian stunting pada anak dan memiliki risiko mengalami stunting sebesar 3,82 kali. Faktor pendidikan ibu rendah memiliki pengaruh secara bermakna terhadap kejadian stunting pada anak dan memiliki risiko mengalami stunting sebanyak 1,67 kali. Faktor pendapatan rumah tangga yang rendah diidentifikasi sebagai predictor signifikan untuk stunting pada balita sebesar 2,1 kali. Faktor sanitasi yang tidak baik memiliki pengaruh yang signifikan terhadap kejadian stunting pada balita dan memiliki risiko mengalami stunting hingga sebesar 5,0 kali. Kesimpulan penelitian ini adalah semakin rendahnya berat badan lahir (BBLR), tingkat pendidikan ibu, pendapatan rumah tangga, dan kurangnya hygiene sanitasi rumah maka risiko balita menjadi stunting semakin besar.


2021 ◽  
Vol 29 (4) ◽  
pp. 154-165
Author(s):  
Abbas Darjani ◽  
◽  
Narges Alizadeh ◽  
Kaveh Gharaei Nejad ◽  
Hojat Eftekhari ◽  
...  

Background: Skin cancer is the most common type of cancer in the world. Pattern of skin cancer is different in various geographical regions, depending on the genetic and environmental factors. Objective: This study aims to investigate the incidence rate of skin cancer and its trends in Guilan province of Iran during 2010-2014. Materials and Methods: In this descriptive cross-sectional study, the five-year data related to all cases of skin cancer recorded for Guilan Province during 2010-2014 were used. The age-sex incidence of skin cancer was standardized using the standard population of the World Health Organization. The age-standardized incidence rate of skin cancers including Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC) and Melanoma was calculated, and then its trends were evaluated. Results: A total of 1664 cases with skin cancer, 1014 men and 650 women, were reported in the province from 2010 to 2014. Incidence of skin cancer was higher in men. BCC was the most common skin cancer. The most common site for BCC was face and scalp, and for SCC it was the lip. Melanoma was mostly occurred on acral regions. The incidence of skin cancer had a rising trend and had raised in all age groups. Conclusion: There is an increasing trend of skin cancers in Guilan Province. Therefore, planning for detection, prevention and control of its risk factors is necessary.


2021 ◽  
Vol 5 (2) ◽  
pp. 100-105
Author(s):  
Dhani Syahputra Bukit ◽  
Alam Bakti Keloko ◽  
Taufik Ashar

Stunting is the nutritional quality of infants under five years of age according to age compared to the usual benchmarks according to the World Health Organization's Multicentre Growth Reference Study in 2006. The incidence of stunting in infants under five years of age is a problem that exists in Indonesia and is a major nutritional problem. Data from the results of monitoring the quality of nutrition in the previous three years period has the highest prevalence compared to other nutritional problems such as malnutrition, thinness, and obesity. The purpose of this study was to analyze the correlation of the father's support and mother's behavior in Stunting Prevention Efforts in Tuntung 2 Village, Pancur Batu District, Deli Serdang Regency using a cross-sectional design. This study was done on 135 mothers who have infants aged 6-59 months as respondents. The variables in this study were father's support related to stunting prevention and the dependent variable in this study is the behavior of the mother in preventing stunting. The results showed that there was a significant correlation of the father's support and mothers’ behavior in preventing stunting (p <0.038). To increase efforts of prevent stunting, it is hoped that fathers who have not supported their wives should be more concerned about their toddler's growth and health.


2018 ◽  
Vol 7 (2.29) ◽  
pp. 491
Author(s):  
Yarmaliza Dan Marniati

Acute Respiratory Infections still menjdi major health problem in the world. According to the World Health Organization estimates that the incidence of acute respiratory infection in developing countries with under-five mortality above 40 per 1,000 live births is 15% - 20% per year in the toddler age group. About 13 million children under five in the world die each year and most of these deaths are in developing countries. Panga in the health center of the top 10 diseases, acute respiratory infections ranked first in the amount of 65% by the sheer number of infants 158. The aim of research to influence knowledge megetahui Mother and environmental conditions on the incidence of acute respiratory infections in Toddlers in Panga sub-district Puskesmas Panga Aceh Jaya 2014. this study is a descriptive analytic with cross sectional approach. The sampling technique using random sampling techniques, selected at random from each member of the population, an analysis of the data in this study using univariate and bivariate. The survey results revealed that mother's knowledge and environmental conditions affect the incidence of ARI in Toddlers (P <0.05).  


2021 ◽  
Author(s):  
Peter Yamoah ◽  
Kofi Boamah Mensah ◽  
Thelma Alalbila Mpoku ◽  
Neelaveni Padayachee ◽  
Frasia Oosthuizen ◽  
...  

Abstract IntroductionVaccination features high among the public health interventions that have contributed significantly to global health. Following the March 2020 declaration by the World Health Organization that coronavirus 2019 (COVID-19) is a global pandemic, several vaccines have been developed and administered to curb the spread of COVID-19. One of the threats to attaining adequate vaccination uptake for these relatively new vaccines are concerns people have about the adverse event following immunization (AEFI) information. This study sought to assess AEFIs reported on COVID-19 vaccines approved for use so far in VigiAccess and to make a case for why AEFIs data in the database must be interpreted with caution.MethodsThe study followed a cross-sectional quantitative study design. VigiAccess was searched on November 10, 2021 for AEFIs reported so far for all the 12 approved COVID-19 vaccines. Data were captured among age groups, sex and continents of the world. Descriptive data were summarized using tables. Frequencies and percentages were used to categorize descriptive variables. No ethical approval was obtained before the commencement of the study as this was essentially a secondary data analysis of AEFI reports which cannot be linked to any individual. Consequently, there was no need for the informed consent process.ResultsOverall, 2,457,386 AEFIs had been reported in VigiAccess. AEFIs were found to be highest among the 18-44 age group (39.7%) and lowest in vaccine recipients below 12 years (0.1%). AEFIs were more common in females than male vaccine recipients with over two-thirds of the vaccine recipients being females. Among the continents of the world, AEFI reports were highest for Europe (50%) and lowest for Africa (3%). The top 10 commonly reported AEFI types were as follows: general disorders and vaccine administrative site conditions (1,481,549, 60.1%), nervous system disorders (1,046,928, 42.6%), musculoskeletal and connective tissue disorders (704,657, 28.6%), gastrointestinal disorders (495,997, 20.2%), investigations with undesirable outcomes (341,677, 13.9%), skin and subcutaneous tissue disorders (335,932, 13.6%), respiratory, thoracic and mediastinal disorders (262,158, 10.6%), infections and infestations (180,873, 7.3%), vascular disorders (132,533, 5.3%) and injury, poisoning and procedural complications (122,519, 5%).ConclusionThe study showed that over 2 million COVID-19 AEFIs were spontaneously reported in VigiAccess, however, no causal relationships could be established between the vaccines and the AEFIs. The public accessing VigiAccess data should be made aware of this lack of association so that they may make well informed health decisions.


2021 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Eka Sri Purwandari ◽  
Qorinah Estiningtyas Sakilah Adnani ◽  
Reni Yuli Astutik

Background: Stunting among children is a problem that has received serious attention from the Indonesian government. Incidence of stunting has decreased from year to year, but the decline still does not meet the World Health Organization (WHO) target. Stunting occurs as a result of chronic malnutrition, especially during the first 1000 days of birth as a vital phase. Chronic nutritional deficiency as a toddler can be caused by various factors, including exclusive breastfeeding, the number of children that must be borne by the family and mother's education. Purpose: This study aimed to analyse the age of the women at marriage, the number of children, mother’s education, history of breastfeeding and pregnancy risk with the incidence of stunting in children under five years.. Methods: The design of this study was analytic with a cross-sectional approach. This research was conducted on toddlers aged 13-60 months in a village of East Java Province, Indonesia, with a sample size of 110 children under five. The statistical test used logistic regression with a confidence level of 95%. Results: Data analysis using logistic regression reveal the relationship between the dependent variable and the incidence of toddler stunting, the following results were obtained: from the mother's age at marriage, the value of ? 0.286, the number of family members ? 0.587, mother's education, ? 0.002, history of breastfeeding, ? 0.884, risk of pregnancy ? 0.696. of the five factors associated with the incidence of under-five stunting in this study, it shows that only mother's education has a very significant relationship with the incidence of under-five stunting (? = 0.002 <? = 0.05). The OR value is 4.724, which means that mothers with primary education have a risk of 4.724 times in the incidence of child stunting. Conclusion: The lower the mother's education provides an opportunity for the incidence of toddler stunting. Maternal education is related to the ability to receive information related to nutrition and child development so that it also has an impact on the preparation of family nutrition. In the long term, improper nutrition can lead to stunting.


Author(s):  
Anil Kumar Agarwal ◽  
Swati Sarswat ◽  
Ramniwas Mahore ◽  
Satender Saraswat ◽  
Paromita Kuity ◽  
...  

Background: Under five children constitute the most vulnerable segment and their nutritional status and mortality rate is a sensitive indicator of the community’s health and nutrition. Health indices of slum children are worst among all urban groups and are even poorer than rural average.Methods: A community based cross-sectional study was conducted from October 2019 to January 2020 in urban slum area of Gwalior city. Data were collected from 550 mothers of children aged 6-60 months using pre-tested semi structured questionnaires and measuring weight, height and mid upper arm circumference of the children.Results: 68.36% of 550 children were having under nutrition in the form of underweight (53.09%), wasting (22.18%) and stunting (59.45%). Maximum number of underweight children belongs to age group 24-60 months (64.54%) followed by <24 months age groups. Stepwise regression showed that the risk of underweight and stunting was significantly (p<0.001) higher among children of illiterate mothers and children from lowest and middle households wealth index.Conclusions: Malnutrition is widely prevalent among study population more than the state and national prevalence. With increasing age cumulative increase in prevalence of malnutrition is seen perhaps due to persistence and addition of causative factors. Maternal education and faulty feeding practice are contributory factor of this high prevalence of disease.


Author(s):  
Shivani Sinha ◽  
Pratibha Gupta ◽  
Beena Sachan ◽  
Sanjay Kumar ◽  
Seema Kumari

Background: The World Health Organization (WHO) has defined adolescence as the age group of 10-19 years. According to World Health Organisation, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Adolescent girls are the worst sufferers of various forms of malnutrition because of their increased nutritional needs and low social power. If their nutritional needs are not met, they are likely to give birth to undernourished children, thus transmitting under nutrition to future generation. Objective was to study the various socio-demographic factors affecting the nutritional status in adolescent girls. Methods: A school based cross-sectional study was carried out in Lucknow district. Adolescent girls of age groups 10-19 years were included in the study. Data was collected, compiled and tabulated using Microsoft Excel and analysed using SPSS 17.0 version for calculation of percentages. Results: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Conclusions: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 31% of adolescent girls followed by respiratory (12.8%) and ear (11.5%) disease. Skin disease was present in 3.1% of adolescent girls, which was more in rural girls than in urban girls, may be due to better hygienic practice in urban school girls. 


2021 ◽  
Vol 21 (1) ◽  
pp. 42
Author(s):  
Diane Marlin ◽  
Rini Mustika Sarikurnia Pratama

In the period of 24-59 months of age, the sensory system of toddlers is ready to face various stimulations and growths, such as learning to speak more fluently and recognizing environmental conditions, physical and psychological growth. Not all toddlers can grow optimally. One form of growth failure during toddlerhood is stunting. Indonesia is the country with the fifth-highest stunting condition in the world in the last decade. Around 37% (nearly 9 million) of children under five in Indonesia are stunted. Stunting can of course be avoided by knowing the possible causes and signs such as 1) Under-standard anthropometric measures, 2) Low nutritional adequacy, 3) Body Mass Index for Parents, 4) Age at high risk during pregnancy, 5) Poor environmental sanitation. well preserved. Anthropometric measurement indicators such as height, weight, and head circumference are used as the main criteria for assessing the adequacy of nutritional intake and physical growth of infants and toddlers. In Indonesia, the growth curve for children under five that is commonly used is KartuMenujuSehat (KMS). The KMS curve is designed based on references from the World Health Organization (WHO) and the Nations International Children's Emergency Fund (NCHS). Based on this mismatch, this study aims to design a graph of physical growth standards for toddlers based on anthropometry (height, weight, head circumference, chest circumference, calf circumference), fat thickness, and nutritional adequacy of toddlers according to the average physical size of toddlers in Indonesia. Also, it assesses the adequacy of nutrition in areas that have inhibiting factors for nutrient intake. This growth standard graph is designed using the spline regression method. This study used a cross-sectional design where measurements were carried out once. The sample in this study were children under five who were in the study who met the inclusion criteria. Based on the results of data analysis and the design of the curve mode, the third-order cubic spline mode is obtained with a combination of two knots, namely 9 and 21 knots, and a minimum GCV value of 2.1267. The linear assumption value is fulfilled with a value of R2 = 82.54. i.e. linearity, normality, and a constant zero residue are met.


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


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