scholarly journals Mothers’ Employment and Nutritional Status of Under-five Children Attending Selected Child Welfare Centre, Dhaka Cantonment

2021 ◽  
Vol 16 (1) ◽  
pp. 58-60
Author(s):  
Imru Al Quais Chowdhury

Introduction: Nutritional status of children is one of the major predictors of child survivors and a proxy indicator for assessing the entire population health status. Despite the various efforts, malnutrition among children is remaining as a major public health problem in Bangladesh. Maternal employment status exerts strong influence over child nutrition status. Aim: To find out the effect of maternal employment on nutritional status of 0-59 month-old children attending Malabika CWC at Dhaka Cantonment. Methods: This cross sectional study was conducted at ‘Malabika’ Child Welfare Centre at Dhaka Cantonment from 01 March 2012 to 30 June 2012. A total of 110 children were selected conveniently. Data were collected from mothers by face to face interview and analyzed by SPSS 19. Association was assessed with Chi square test. The prevalence of malnutrition assessed by different indices of nutritional status based on Weight for Age Z-score, Height for Age Z-score and Weight for Height Z –Score following the WHO and NCHS guidelines and cut-off points. Results: The prevalence of stunting, underweight and wasting was found to be 61.4%, 56.3% and 61.3% among the children of employed mother respectively. These all 3 prevalence are higher than the children of unemployed mothers. The association between nutritional status of under-five children of employed and non-employed mothers was found statistically significant (p<0.05). Nutritional status of employed mothers ’children were found worsen than unemployed mothers’ children. Conclusion: This study provides an account of still high prevalence of malnutrition which trade-off between mothers’ employment and children’s nutritional status. Addressing factors like family size, duration of breast feeding, empowering women, monthly family income, mothers’ education are key efforts to reduce child’s malnutrition. JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 58-60

2019 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
D. Nicodemas ◽  
L.W.T. Fweja ◽  
S.H. Magoha

This study was conducted to determine the association between feeding pattern and nutritional status of the under-five children in Mtwara rural district. Nutritional assessment information was collected using three survey tools: food frequency survey, 24 hours diet survey and anthropometric assessment survey. Anthropometric measures of weight and height were used to assess the nutritional status and WHO Anthro Plus was used to compute the anthropometric data to obtain Height for Age Z-score, Weight for Age Z-score and Weight for Height Z-score. The questionnaire was administered to mothers / caregivers of 329 children aged 6 -59 months.  The children’s feeding patterns were determined using the 24-hour dietary recall.  Dietary diversity score was computed to understand the quality of the diet consumed by the children. Data were analyzed using IBM SPSS Statistics version 20.0 using descriptive statistics. Chi-square was used to determine the association between nutrition status and the independent variables including gender. The findings indicated 41% stunting rate, 18.8% underweight and 7.3% wasting implying poor nutrition. The cassava feeding frequencies varied among households and between and within the two children age groups, (6 – 10 months) and (11-59 months). Overall 87.23% of children (6-59 months) had a feeding frequency of 2 days, 3 days or 6 days in a week. The dietary diversity indicated an average IDDS of 2.5 implying poor diversity of consumed food groups which was similarly far below the target IDDS of 5 established for this study. The results however indicated no significant association (p ≥ 0.05) between cassava consumption pattern and prevalence of stunting, wasting and underweight and also between gender and nutrition status. The high prevalence rate of malnutrition could thus be attributed to a synergistic effect of several factors.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.


2020 ◽  
Author(s):  
Bekana Fekecha Hurissa ◽  
Haregwa Asnake

Abstract Background: Malnutrition continues to be a critical public health problem in sub-Saharan Africa. For example, in East Africa, 48% of children under- five are stunted while 36% are under weight. Poor health and poor nutrition are now more characteristics of children living in urban area than of children in rural areas. Therefore this study assessed the effect of maternal employment on nutritional status of under-five children at Mendera Kochi kebele of Jimma town South West of Ethiopia.Method: Community based cross sectional study design was conducted in Jimma town Mendera Kochi kebele from April15-May 05. Systematic sampling technique was used. Pre-tested structured questionnaires used for data collection. A total of 264 study subjects were interviewed. The collected data analyzed using SPSS 20 version.Result: Out of 264 total households the majority, 96(36.4%) of mothers were living in households with 3-4 or more family members. Out of 264 respondents 155(58.7%) were government employee, 93(35.3%) and the remaining were private and NGO employees. The income level of majority of respondents, 54.5% was between 1000 and1500. A total of 254 children aged 0–59 months were enrolled in this study. The age of the children in the study area, 6-12 months 89(35%), 12-24 months 111(43.6%), and 24-59 months 54(21.4%) respectively. Weight of children’s 53(21.1%) were between 1500-2500 gm, 40(16.1%) were between 2500-4000gm, 25(9.8%) were >4000gm and the rest were below 1500gm. 151(57.2%) children of working mothers had a mean upper arm circumference value of >=12.5. 51.1% of the children had height for age ranged from 90-95% percentiles. Conclusion- The children of working mothers were observed to achieve better nutritional status from their anthropometric measurement. Maternal employment is not a protective factor against diarrhea and acute respiratory infection.


2020 ◽  
Vol 9 (4) ◽  
pp. 358
Author(s):  
Md Hasib ◽  
Md. Nazmul Hassan ◽  
Mehedi Hasan ◽  
Md. Shafiqul Islam Khan

The extent of nutritional status affecting Rohingya refugee under-five children has become a major health issues in Bangladesh. This study aimed to investigate the nutritional status and its effect on under-five Rohingya children in comparison with the areas of Bangladesh. A cross-sectional study of 300 under-five children were conducted by structured questionnaire from Rohingya camp (100), Cox’s Bazar (100) and Dumki (100) applying simple random method. Anthropometric indices (weight, height, mid-upper arm circumference (MUAC)) were measured in children aged 6-59 months. Indices were reported in z-scores and compared with WHO 2005 reference population. Data were analyzed by WHO Anthro-Plus Software and SPSS. About 41% Rohingya, 43% surrounding areas, and 46% Dumki were stunting in height-for-age z-score (HAZ) score respectively. Near about 13%, 11% and 4% were wasting in weight-for-height z-score (WHZ) score and 18%, 15% and 10% were underweight in weight for age Z-score (WAZ) score respectively. Food groups, Disease, worm infestation among 3 study areas were statistically significant (P&lt; .05). Moreover, handwashing practice, vitamin-A consumption and worm infestation effects among diseases were statistically significant. In this study population, there was high prevalence of malnutrition among Rohingya children, especially wasting and underweight compared to other areas. Prevention of malnutrition plays an important role for having a healthy society of Rohingya Refugees.


Author(s):  
Anthony Ekpo ◽  
Waheed Babatunde Yahya

Background and aim: In this paper, we present results regarding the outcomes of some anthropometric, epidemiological and demographic factors on the nutritional status of the under-five children which were categorized into three ordinal groups of Severe Acute Malnutrition (SAM), Moderate Acute Malnutrition (MAM) and Global Acute Malnutrition (GAM) in Kazaure Local Government Area in Nigeria. Methods: An ordinal logistic model that depicted the log-odds in favour of GAM (normal) child was fitted to the data based on surveillance indexed by Weight-For-Height (WFH). Results:The results showed that the proportional odd of measuring the nutritional status of a child in a nutrition survey using the WFH index has the OR= 7.43 (95% CI, 4.717 to 11.705) times greater, with Wald (1) 2  =74.81, p<0.001, hence a statistically significant effect. Conclusion: Based on the results and summary of findings, it can be concluded that age is a major predictor of the nutrition status of a child in a nutritional study when the surveillance is based on WFH index unlike sex and measles that do not play a major role.


2018 ◽  
Vol 2 (3) ◽  
pp. 266-272
Author(s):  
Ava Upadhyay Pokhrel ◽  
Surya Bahadur Parajuli ◽  
Alok Acharya

Introduction: Under-nutrition during childhood, a major public health problem of Nepal, can have everlasting consequences. It is one of the primary causes of ill health and premature deaths in many developing countries like Nepal.Objective: The objective of the study was to assess the prevalence and associated factors of under-nutrition among under-five children of Bharatpur municipality of Chitwan district of central Nepal.Methodology: A cross sectional study was conducted in Bharatpur municipality of Chitwan district. Anthropometric measurement of children and information regarding nutrition along with different exposures were taken from 402 randomly sampled mothers. WHO criteria was used to compare with the calculated Z-score using Anthro V3.2.2 software. Informed consent was taken from concerned authority. Descriptive statistics were calculated and binary logistic regressions was used to determine the influence of selected variables for underweight.Results: Majority of the respondents were from relatively advantaged groups and house makers. Almost 54% of the children were boys and the greatest share of children was of age group 25-36 months. Almost one in 10 children of Bharatpur had lower weight-for-height score (wasted). Likewise, more than one quarter (26.4%) were stunted and another 13.4% were under-weight. Families with less than four family members were less likely to have under-weight children and those who had more than two children had more chance of having under-weight children (P=0.002). Children having diarrheal episodes within 2 weeks period of study had higher odds of being malnourished.Conclusion: The study shows that female children have higher risks of being malnourished. Higher prevalence of underweight was seen with the increasing age of children. The size of family also matters the nutrition status of children. It is recommended that Ministry of Health needs to have more attention for the necessary intervention addressing the combined exposures factors for underweight. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 266-272 


2016 ◽  
Vol 12 (1) ◽  
pp. 94-99
Author(s):  
Nasrin Sultana ◽  
Sumon Chandra Debnath ◽  
Rifat Sultana ◽  
Shamina Akter ◽  
Dewan Shahida Banu ◽  
...  

Introduction: Malnutrition is referred to as the greatest single threat to the world’s public health, especially for the developing countries. Childhood malnutrition is linked to slower cognitive development and serious health impairments later in life that reduce the quality of life of individuals. Nutritional status is determined anthropometrically and is a significant determinant of various types of morbidity and is associated with an increased risk of death from acute respiratory infection, diarrhoea, measles and few other infectious diseases. Objective: To assess nutritional status and disease profile of under five children in a rural area of Bangladesh. Materials and Methods: This cross-sectional study was conducted among 205 children with age between 1 to 59 months who were selected purposively. Two hundred five data were collected by interviewing the mothers of the children and also by reviewing the documents using a pretested semi-structured questionnaire and checklist. Nutritional status was assessed using WHO recommended Z-score category and Mid Upper Arm Circumference measurement. Results: Out of 205 children, more than half (57.6%) were girls and the rest of them were boys. About two-third of the children were aged between 25 and 59 months. Maximum (40.5%) mothers of the children had a background of secondary educational status and most of them (90.2%) were housewives. More than one-third (36.1%) of the respondents belong to families haveing monthly income between Tk. 5001 and 10,000 and the average income was Tk.14,544. About onethird (33.5%) of the children were stunted in Height for Age Z score. While 9.7% were moderately wasted and 1.5% were severely wasted in Weight for Height Z score. 3.8% of the children were severely underweight and 70.8% of the children’s weight was within the normal limit for their age. By Mid Upper Arm Circumference (MUAC) measurement, about 20.0% were of moderate acute malnutrition (MAM) and 1.1% were of severe acute malnutrition (SAM). Among the associated morbidities, diarrhoeal disease had highest prevalence (45%) followed by respiratory tract infection (38%) and pneumonia (18%). Conclusion: Under five children are the vulnerable segment of the population. The result demonstrates a high prevalence of malnutrition (especially stunting) among under five children in the study area. Considering the acute and long-term consequences of malnutrition, interventions aiming at reducing child malnutrition in such a population should focus on all the children of less than 5 years of age. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 94-99  


Author(s):  
Tsegahun Worku Brhanie

The objective of this study was to estimate undernutrition determinants among under-five children in Ethiopia. Multiple logistic regression was computed to estimate explanatory variables. P-value < 0.05, 95% CI and odds ratio (OR) were considered. The analysis was done using SPSS, version 24. There was an association between distances from the borders and out of the borders with height for age Z score (P-value <0.05), but not associated with weight for height Z score (P value=0.18), and weight for age Z score (P value=0.16). Education of mother (P-value < 0.05), nutrition status of mothers (P-value <0.05), the wealth index of the households (P-value <0.05), employment status of mothers (P-value <0.05), place of residence (P-value < 0.05), age of the child (P-value <0.05), birth intervals (P-value < 0.05) and breastfeeding (P-value <0.05), were determinant factors for the stunting of children. Wealth index, region and place of residence, age of the child, the size of the child at birth, nutrition and employment status of the mothers, a birth interval of the child, and breastfeeding status of the child were the determinant factors.


2018 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Berliana Irianti

Abstract:  Nutrition status is a health condition of a person's body or a group of people caused by consumption, absorption and the use of nutrients. Factors leading to undernourishment in under-five children: Overcrowded birth, socioeconomic, ignorance of food and health relationships, prejudice against certain food items, overabundance of certain types of food, infectious diseases. The purpose of this study to determine the factors that cause underweight nutritional status in infants in the working area of sail health center in 2016. Quantitative research type and descriptive research design. The location of the research was conducted in the working area of Sail Health Centre and the time of the research on February 15-20, 2016. The population of mothers who had under-five children with less nutritional status in Sail Health Centre were 20 cases and all were used as research samples. The research instrument uses check list and data collection techniques using primary data. The result showed that from 20 respondents, the majority of knowledge factors of mothers who have under five children with low nutritional status are low knowledge as many as 11 people (55%), and the majority of factors of economic level of parents are low as many as 12 people (60%) and majority of birth distance factor which is too tight as many as 12 people (60%). From the results of this study, the researcher hopes to become input material of health institution by improving mother's knowledge about nutrient status less on toddler through counseling from health officer and providing supplementary food for the toddler


Author(s):  
Surajit Lahiri ◽  
Saibendu Kumar Lahiri

Background: Under-nutrition is a major public health problem in India among under-five children. Composite index of anthropometric failure (CIAF) provides an overall estimate of under-nutrition as a single measure and helps in detection of children with multiple anthropometric failures.Methods: This cross-sectional community-based study was done in Baghbazar slum of north Kolkata to determine the prevalence of under-nutrition among the under-five children and to find out the determinants of under-nutrition assessed by CIAF using multivariate analysis. WHO Z score system and the composite index of anthropometric failure (CIAF) were used to estimate the magnitude of under-nutrition.Results: 41.2% children were diagnosed with anthropometric Failure. CIAF was more in female (43.1%) than male (39.1%). Multivariate analysis shows that low education level of mother, low socio-economic status (class III and below) and overcrowding were significantly associated with CIAF.Conclusions: CIAF gives a better estimate of under-nutrition than the currently used weight for age Z score. The study shows the importance of proper infant and child feeding practices, family planning practices, appropriate maternal care, female literacy, improvement of economic condition, housing standards and proper treatment of illness in prevention of under-nutrition among under-five children.


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