scholarly journals Assessment of the Nutritional Status of Children on Arvs in the Prevention of Mother Transmission (PMTCT) Child Centers in the Ruashi Health Zone in Lubumbashi in Dr Congo

2021 ◽  
Vol 5 (2) ◽  

Introduction: HIV infection causes and promotes enormous nutritional deficits in children. The objective of this work was to analyze the nutritional status of children infected with HIV placed on antiretrovirals in the Ruashi Health Zone in Lubumbashi. Methods: We carried out a cross-sectional descriptive study which focused on 51 children aged 3 months to 17 years selected in 8 care structures for People Living with HIV AIDS, from January to June 2016. Data was collected by documentary review and the usual descriptive statistics and anthropometric indicators were used. Result: The prevalence of overall malnutrition was 31.37% (n = 51) including 7.84% moderate malnutrition. The average weight is 19.25 kg with a minimum weight of 4.5 kg and a maximum of 49 kg. The overall prevalence of anemia (hemoglobin <11g / dl) was 9.8%. Wasting affected 3.92% of children and 7.84% were victims of chronic malnutrition. The prevalence of acute malnutrition was 25.48%, of which 3.92% was severe acute malnutrition. Immune deficiency (CD4 <350) in 5.88% of cases, undetectable viral load at 88.37% and treatment compliance at 92.16% Conclusion: HIV / AIDS affects the state of health of children in Ruashi with 31.37% overall malnutrition and 7.84% stunted growth. Good nutritional and therapeutic support for children is necessary.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 183-183
Author(s):  
Emmanuel Kigbu Francis ◽  
Titilayo Bamidele ◽  
Micheal Enemali

Abstract Objectives Malnutrition is a major public health challenge in developing countries and as such the nutritional status of children serve as an indicator to rate the overall well-being of a society. In this study, we assessed the nutritional status of under-five children attending Dalhatu Araf Specialist Hospital, Lafia, Nigeria. Methods After ethical clearance, 165 under five children were randomly recruited into the study. The socio-demographic and nutritional information of the children and mother were obtained using structured questionnaires. Anthropometric assessment was done on each child and blood samples analyzed using standard biochemical techniques. The data obtained were statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Results Out of the 165 children recruited for this study, 51.5% were males. 41.2% of the children showed prevalence of Global Malnutrition, 15.8% and 25.5% indicated moderate acute malnutrition (MAM) and Severe Acute Malnutrition (SAM) respectively. 66.1% of the children had Mid-upper arm circumference (MUAC) measures in the normal range of 12.5–14.6 cm. There is a significant relationship between nutritional knowledge of the mother, socioeconomic status, child feeding practices, and the nutritional status of their children (P &lt; 0.05). The biochemical parameters studied reported that average PCV (33.32 ± 4.49) and total protein (34.53 ± 13.26 g/L) were lower than the normal range, glucose (4.52 ± 0.97 mmol/L) and Calcium (2.14 ± 0.25 mmol/L) were within the normal range and Albumin (64.16 ± 16.87 g/L) was above the normal range. Conclusions This study has successfully revealed the nutritional status of under five years children in Nasarawa State, Nigeria. Our findings have critical implications for intervention initiatives among children in Nigeria. Funding Sources Self funded.


Author(s):  
Arthureen Tina Nessian ◽  
Leila S. Africa ◽  
Jaidee P. Agne ◽  
Kristine V. Montecillo

Aims: To assess the nutritional and health status, and compliance with treatment and health services of adult people living with HIV/AIDS (PLWHA) attending Liberian Government Hospital (LGH). Study Design:  Cross-sectional study Place and Duration of Study: LGH, Buchanan, Grand Bassa County, 2018 Methodology: The survey was conducted among 90 adults PLWHA. Results: The majority had acute HIV infection, and tuberculosis and herpes zoster were the most contracted opportunistic infections. Although the majority had normal nutritional status, malnutrition was still observed especially among the women. Most had poor diet diversity and claimed to have faced challenges, mainly monetary concerns, while some experienced other traumatic events. A few also showed indications of self-harm. Moreover, they generally have a good health condition and medication adherence and demonstrated substantial knowledge about the disease and its treatment. Compliance was found to be associated with the health status of the participants, but not with their nutrition status, socio-economic and other characteristics. Conclusion: The results provide an insight into the nutritional status and compliance of the adult PLWHA in Liberia. It is hoped that this study would be useful in crafting and enhancing existing intervention programs and policies promoting the better quality of life of adult PLWHA in the country.


Author(s):  
Abhay Gondikar ◽  
Tejaswini V. Sangrulkar ◽  
Tanuja R. Brahmankar

Background: Children between 1 to 6 years of age in India constitute 15% of total population as against 7% in the developed countries. Nutrition of these children is of prime importance as they are most vulnerable to malnutrition. Anthropometry has become a practical tool for evaluating the nutritional status of children in developing countries which is the best indicator of global wellbeing of children. The objectives were to study nutritional status of study subjects and to identify various socio-demographic risk factors associated with under-nutrition.Methods: This is a cross-sectional study carried out in 205 Children of 0-6 years of age registered in Anganwadis in adopted urban slum area of community medicine department of Government Medical College, Miraj during January –December 2014. Data was collected using a pre-designed proforma and was analyzed at 5% level of statistical significance. For all the classifications in study WHO classifications were used.Results: Out of 205 children, 113 (55.12%) were males and 92 (44.88%) were females. Majority were Hindus (54.1%), from joint family (67.8%), belonged to class IV Socio-economic status, with literate parents (81% fathers and 70.7% mothers), having maternal age between 20-30 years, having birth order one (37.5%), were attending Anganwadi regularly (71.7%), completed their immunization as per age (92.2%). Prevalence of malnutrition was 26.8% (Weight for height or length). 32 (15.6%) children were underweight, 20 (9.8%) children were in MAM i.e. moderate acute malnutrition, and 03 (1.4%) were in SAM i.e. severe acute malnutrition. Prevalence of malnutrition in 166 under 5 children was 72.9 %. 94 (56.6%) children were underweight, 24 (14.5%) children were in MAM, and 03 (1.8%) were in SAM. Prevalence of stunting was 64.5%.  Majority children had normal mid arm circumference.Conclusions: Undernutrition was more prevalent in age group of 13-24 months, females, Hindus, class 4 SES, in those having illiterate mothers, in children having birth order one and those with incomplete immunization.


2020 ◽  
Author(s):  
Umesh Ghimire ◽  
Binod Kumar Aryal ◽  
Ankush Kumar Gupta ◽  
Suman Sapkota Sapkota

Abstract Background: Despite consistent efforts to enhance nutritional child nutrition, poor nutritional status of children continues to be a major public health problem in Nepal. This study identified the predictors of severe acute malnutrition (SAM) among children aged 6-59 months in the two districts of Nepal. Methods: We used data from a cross-sectional study conducted among mothers of 6 to 59 months children admitted to the Outpatient Therapeutic Centres (OTCs). The nutritional status of 398 children was assessed using mid-upper arm circumference (MUAC) measurement. To evaluate associated factors with SAM, adjusted odds ratio was computed using multivariate logistic regression and p-value <0.05 was considered as statistically significant. Results: Among 398 children, 5.8 percent were found to be severely malnourished including under-two years and female children. Family size (five or more members) (Adjusted Odds Ratio [AOR]: 3.96; 95% Confidence Interval [CI]: 1.23 - 12.71) was positively associated with SAM. Children from severely food insecure households (AOR: 4.04; 95% CI: 1.88-10.53) were four times more likely to be severely malnourished. Younger age-group (AOR: 12.10; 95% CI: 2.06 - 71.09) children (0 - 12 vs. 24 - 59 months) were significantly associated with childhood undernutrition. Conclusions: The findings of this study indicated that household size, household food access, and child’s age were the major predictors of severe acute malnutrition. Hence, nutrition health programs should be targeted to improve the nutritional status of children by ensuring household food access by focusing poor families engaging them in kitchen gardening to promote nutritious diet to the children.


Author(s):  
Aishani Chowdhury ◽  
Animesh Gupta

Background: Young children living in urban slums are at high risk for acute malnutrition and stunting. Many factors contribute towards it including living conditions, gender, delivery method, or access to nutrition. Malnutrition at a young age can cause morbidity and mortality, and impact further development and educational outcomes of children, and cause lifelong impairment. The aim of this study was to assess the nutritional status of young children in an urban slum in Mumbai and the factors affecting the health of children.Methods: A community based cross sectional study was conducted in the slum community of Dharavi, Mumbai. Data was collected using pre-designed and pre-tested proforma by interview method.Results: The prevalence of wasting (W/H) was found in 48.9% of the population in this study, of which 25.0% had severe acute malnutrition (SAM) and 23.9% had moderate acute malnutrition (MAM). Stunting was found in 39.7% of the population, of which 29.5% were moderately stunted and 10.2% were severely stunted. Wasting was found to be highly correlated with the age of the child and the age of the mother, whereas Stunting was found to be highly correlated with the child, the age of the mother, and complementary feeding.Conclusions: Poor nutritional status of children in the urban slums in Mumbai needs to be addressed by improving education and awareness amid parents and access to Anganwadi, Balwadi, and nutritional supplements. 


2019 ◽  
Vol 11 (12) ◽  
pp. 109 ◽  
Author(s):  
Tafadzwa Dzinamarira ◽  
Gashema Pierre ◽  
Itai Chitungo ◽  
Michael Habtu ◽  
Rosemary Okova

The connection between under-nutrition and HIV is bidirectional. It affects the quality of life, as well as the survival of affected people. While this is the case, there are various nutritional challenges, which are faced by people living with HIV/AIDS (PLWH), and which hamper the fight against the scourge. This study therefore sought to map literature on the nutritional challenges among PLWH in sub-Saharan Africa and guide future research in nutritional management to improve health outcomes for PLWH. A systematic search was done from the following sources: PubMed, the Cochrane Database of Systematic Reviews, EBSCOhost (CINAHL and Academic Search Complete), Web of Science, and Google Scholar. In addition, information was obtained both from unpublished studies, which included book chapters, reference lists, theses and conference papers. Eleven (11) studies met the inclusion criteria, and were used for data extraction. The studies were based in different countries, which form part of the Sub Saharan Africa. One of the studies was carried out in Senegal, two studies were carried out in various West African countries, one study was carried out in Burkina Faso; one study was carried out in Ethiopia and one of the studies was carried out in different countries forming part of the Sub Saharan Africa. Two of the studies were carried out in Zambia, one in Zimbabwe, one in Cameroon, and one in Ghana. Most of the studies established the main nutrition challenge facing PLWH to be food insecurity. Based on the findings of the study, it can be concluded that some of the main nutrition challenges include food insecurity, lack of nutritional support among PLWH, late detection of HIV, huge cost of treating severe acute malnutrition, and lack of feeding supplementations.


2019 ◽  
Author(s):  
Umesh Ghimire ◽  
Binod Kumar Aryal ◽  
Ankush Kumar Gupta ◽  
Suman Sapkota Sapkota

Abstract Background : The main objective of this study was to identify the risk factors of severe acute malnutrition in under-five children in the two districts of Nepal. Methods: Using a mid-upper arm circumference measure, nutritional status along with the associated factors underlying determinants of undernutrition of 404 children who visited the Outpatient Therapeutic Centres were assessed using a validated structured questionnaire. Multivariate logistic regression was used to determine the factors associated with severe acute malnutrition (SAM) and associated variables. Results: The odds of a child being in the SAM category increased significantly if the family have five or more children and if the household yearly income is below an average. The children in the Madhesi family were 3.6 times more likely to be malnourished. Toilet facility (Adjusted Odds Ratio [AOR]: 4.45; 95% Confidence Interval [CI]: 1.88-10.53) and family with no kitchen garden (AOR: 3.16; 95% CI: 1.28-7.89) were significantly associated with SAM among under five children. Children from moderate food insecure and severe food insecure households were 3.2 and 5.5 times more likely to be malnourished respectively. Compared to the mothers with no job, mother with some sort of paid job had more than six times higher odds of having severely acute malnourished children.Conclusions: These findings suggest that the nutrition interventions as well as awareness on child feeding practices are crucial to improve the nutritional status of children especially among Madhesi community, poorer households and among illiterate mothers.


2014 ◽  
Vol 9 (2) ◽  
pp. 130
Author(s):  
Fitri Haryanti ◽  
Madarina Julia

Malnutrisi pada balita masih merupakan permasalahan di Indonesia termasuk di Daerah Istimewa Yogyakarta. Berdasarkan indikator berat badan menurut tinggi badan, 2,6% balita mengalami malnutrisi akut berat. Pada beberapa dekade terakhir, telah terjadi pergeseran paradigma dalam penanganan balita malnutrisi, yang sebelumnya berbasis pendekatan fasilitas kesehatan bergeser menjadi pendekatan berbasis komunitas. Tujuan penelitian ini adalah untuk menganalisis pengaruh program home care terhadap peningkatan status gizi balita malnutrisi pada anak usia 6-60 bulan. Penelitian menggunakan desain kuasi eksperimen dengan pretest dan posttest control group melalui tiga tahap pendampingan yaitu intensif, mandiri, dan penguatan dengan pendekatan asuhan keperawatan. Sampel adalah 56 balita malnutrisi akut di dua wilayah, yaitu 33 balita di Kota Yogyakarta (eksperimen) dan 23 balita di Kabupaten Sleman (kontrol) dengan teknik pengambilan sampel yaitu purposive sampling. Intervensi home care diberikan selama tiga 3 bulan (Januari sampai Maret 2013). Hasil penelitian menunjukkan setelah program home care, terjadi peningkatan yang signifikan pada status gizi balita (p < 0,05). Pada akhir intervensi, terjadi penurunan kejadian malnutrisi akut berat dari 100% menjadi 56,7% (p < 0,05). Improving Nutritional Status of Children with Severe Acute Malnutrition Through Home Care ProgramChildren undernutrition is still an issue in Indonesia, including in the Special Region of Yogyakarta. Based on weight for height indicator, 2.6% children experience severe acute malnutrition. In the last few decades, there has been a paradigm shift in the management of acute malnutrition from a facility- based to community-centered approach. The purpose of this study was to analyze the effect of home care intervention on the improvement of nutritional status of severe acute malnutrition children aged 6-60 months. This study was designed with quasi-experimental and pretest-posttest control group design, conducted in three phases; intensive, strengthening and independent with nursing approach (January until March 2013). Samples were 56 children with severe and moderate acute malnutrition for both study sites, 33 children in Yogyakarta city (experiment) and 23 children in Sleman district (control), selected using purposive sampling. Home care intervention is given for three months (January until March 2014). Results findings show there were significant increase in nutritional status (p < 0.05) after home care intervention. At end line evaluation, the proportion of severe acute malnutrition in the experimental groups reduced significantly from 100% to 56,7% (p < 0.05).


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