scholarly journals Effectors of income-child health gradient: Role of dietary diversity on child nutritional status in selected slums of Dhaka city

2021 ◽  
Vol 45 (1) ◽  
pp. 85-94
Author(s):  
Sazia Mahmood ◽  
Mahbuba Kawser ◽  
Shamima Akther ◽  
Abu Torab MA Rahim

Child dietary diversity (CDD) is an important nutritional outcome measuring the economic ability of a household to access a variety of foods during a determined period. Relating household income to CDD and child anthropometric failure, a cross-sectional study was conducted among 275 selected Dhaka city slum children of 6-12 years. Prevalence of stunting (18%), wasting (19.4%), and underweight (22%) among them were found similar to the current national figure. However, a sizable number of households showed increased DDS (>5), thereby indicating an increased household purchasing power (PP). Bivariate regression analysis showed that children from lower family income (≤6000 BDT) were 3 times more likely to be stunted as compared to children with greater family income [Unadjusted OR=3.097, 95% CI (1.578-6.077), p=0.001]. Furthermore, logistic regression showed that children who had <5 DDS were 2 times more likely to be stunted than children who had ≥5 DDS [Adjusted OR=2.127, 95% CI (1.051- 4.305), p=0.036]. Therefore, an inverse association has been found between CDD and their anthropometric failure. J. Bangladesh Acad. Sci. 45(1); 85-94: June 2021

Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


2018 ◽  
Vol 27 (1) ◽  
pp. 36-40
Author(s):  
Razia Sultana ◽  
Syeda Rumana Hoque ◽  
Umme Jamila Akter Manni ◽  
Md Motlabur Rahman ◽  
Pankaj Kanti Datta ◽  
...  

Background/context: Dietary diversity (DD) is universally recognized as a key component of healthy diets. Healthy diet is one of the most important determinants that can influence nutritional status of women of reproductive age. Materials and Methods: This cross sectional study was conducted in Shitpara village of Sreepur Upazila under Gazipur district during February to June 2013 to assess the dietary diversity and nutritional status of women of reproductive age. Convenient sampling technique was adopted to select 181 women. Interview schedule & checklist used as research instrument. Results: The mean(+/-s.d.)age of the respondents was 27.45+/-9.38 years, 133(80%) of them were married and 176(97.2%) are literate. Mean family size was 5.34+/- 2.386 persons and mean family income was 9611.05 Taka per month. Among 133 married women, 68(51%) have 2 or less than two children. Their mean(+/-s.d.) dietary diversity score was 5.13+/- 1.19 and majority 149(82%) of them having medium dietary diversity tercile (4-6). All of them ate carbohydrate types of food, 174(96.1%) protein rich foods & 83(45.9%) vit.A rich vegetables & fruits. Their mean BMI was 22.35 +/- 3.71 kg/ m2. Majority 118 (65%) of them having normal BMI and 22(12%) are under weight. Only 6(3%) of them are obese. Thoughdietary diversity was medium (4-6); relationship between dietary diversity and nutritional status could not be established. Conclusion:The qualitative measurement of dietary diversity is not sufficient enough to identify women at risk of under- or over nutrition. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 36-40


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shambel Keno ◽  
Haile Bikila ◽  
Tesfaye Shibiru ◽  
Werku Etafa

Abstract Background Although minimum dietary diversity (MDD) is one of the core indicators of a high-quality diet for infants and young children, meeting this dietary diversity standard remains a challenge in Ethiopia. Therefore, adequate information on the status and factors affecting minimum dietary diversity is essential to identify potential strategic interventions. This study to study is to assess DD and associated factors among children aged 6 to 23 months in Chelia District, Ethiopia. Methods A community-based cross-sectional study was conducted in the seven kebeles of Chelia District from 12th April to April 30th, 2020. Kebele is the smallest administrative unit in Ethiopia. Multistage sampling was used to select 631 participants who had a child aged 6 to 23 months. Data was entered into the Epi data version 3.1 and analyzed using Statistical Package for Social Science (SPSS) version 24. A binary logistic regression was fitted to identify significant factors associated with met MDD at 95% CI and a p-value < 0.05. Results Less than one-quarter (17.32%) of infants and young children aged 6 to 23 months had met MDD. The dominant group of foods consumed was composed of grains, roots, and tubers. Children aged18-23 months (AOR = 3.26, 1.36-7.79), mothers aged 35-44 years (AOR = 3.25, 1.38-7.45), housewives as household heads (AOR = 3.41, 1.56-2.37), children of smaller family size (AOR = 3.89, 1.18-12.78), and caregivers who studied grade 9-12 (AOR = 9.98, 5.66-17.10), who received information about food diversity during ANC (AOR = 1.48, 2.21-11.23) and PNC (AOR = 3.94, 2.04-7.63) visit, who travels less than one hour to reach the market (AOR = 2.94, 1.24-6.91) and who had high family income (AOR = 4.12, 1.90-8.19) were significantly associated with meeting MDD. Conclusion Dietary diversity among children aged 6 to 23 months in Chelia District is low. It is proposed that caregivers on MDD be educated/trained and encouraged to share information during health service in order to increase the diverse diet and achieve a better dietary diversity score for infants and younger children.


2016 ◽  
Vol 20 (1) ◽  
pp. 121-129 ◽  
Author(s):  
Briony Stevens ◽  
Kerrianne Watt ◽  
Julie Brimbecombe ◽  
Alan Clough ◽  
Jenni Judd ◽  
...  

AbstractObjectiveTo investigate the association of seasonality with dietary diversity, household food security and nutritional status of pregnant women in a rural district of northern Bangladesh.DesignA cross-sectional study was conducted from February 2013 to February 2015. Data were collected on demographics, household food security (using the Household Food Insecurity Access Scale), dietary diversity (using the women’s dietary diversity questionnaire) and mid-upper arm circumference. Descriptive statistics were used to explore demographics, dietary diversity, household food security and nutritional status, and inferential statistics were applied to explore the role of seasonality on diversity, household food security and nutritional status.SettingTwelve villages of Pirganj sub-district, Rangpur District, northern Bangladesh.SubjectsPregnant women (n 288).ResultsSeasonality was found to be associated with dietary diversity (P=0·026) and household food security (P=0·039). Dietary diversity was significantly lower in summer (P=0·029) and spring (P=0·038). Food security deteriorated significantly in spring (P=0·006) and late autumn (P=0·009).ConclusionSeasons play a role in women’s household food security status and dietary diversity, with food security deteriorating during the lean seasons and dietary diversity deteriorating during the second ‘lesser’ lean season and the season immediately after. Interventions that aim to improve the diet of pregnant women from low-income, subsistence-farming communities need to recognise the role of seasonality on diet and food security and to incorporate initiatives to prevent seasonal declines.


Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 29-37
Author(s):  
F Mahejabin ◽  
L Nahar ◽  
S Parveen

A descriptive cross-sectional study was conducted for a period of six months in some locations of Dhaka city. Data was collected from 90 floating sex workers to find out their socio-demographic characteristics, sexual lifestyle particularly safe sex by using condom among them. Of the 90 respondents, mean age of the respondents was 22.21 (+4.87) with a range of < 18 to >26 years. 42 (46.7%) of the respondents were married. 73 (81.1%) of the respondents were the main earning member of the family. The mean family income was Taka 7700 (+3872.838). Majority 33(36.7%) of the respondents were illiterate. The main reason for accepting sex selling profession it was found that more than half i.e. 62 (68.9%) of the respondents were bluffed and 24 (26.7%) respondents accepted this profession of their own will. The duration of sex work of 29 (32.2%) of the respondents was less than 1 year (6-8 months) and 24 (26.6%) of the respondents were 4-5 years. 59 of the respondent always used condoms (65.6%). A significant number of respondents, 31 (34.4%) did not use condom. The reason for not using condom was client’s dissatisfaction (25, 80.6%) and 4 (12.9%) respondents used other methods of contraception. Among the respondents, 78 (86.7%) used condom during last sexual intercourse. In the study, 45 (76.3%) respondents knew condom as a preventive measure and advocated its use in each sexual intercourse. (?² = 4.356; d f=1 P= 0.037). 60 (76.3%) of the respondents knew condom use as a preventive measure and used it in last sexual intercourse and highly significant association was found (?² = 17.61; df=1 P<0.001) between knowledge and practice. Promoting constant condom usage with clients among the female floating sex workers should be sustained and reinforced.Pulse Vol.7 January-December 2014 p.29-37


2015 ◽  
pp. 17-27
Author(s):  
Nuhad Raisa Seoty ◽  
Badrun Nahar

A cross-sectional study was carried out to investigate the prevalence of overweight among adolescent school girls in Dhaka City and examine the relationship of various socio-economic factors with overweight. A total of 130 girls aged 12 to 16 years of three girls high schools were selected by random sampling. Height and weight were measured to calculate body mass index (BMI). Dietary intake was estimated using 24 hour recall method. The usual pattern of food intake was examined using a 7 -day food frequency questionnaire. Prevalence of overweight was denoted by BMI above 85th percentile. In this study 33.1% of the participants were overweight and the rest were found to be normal. Participants were divided into two groups-normal weight participants with a BMI between 5th and 85th percentile and overweight participants with a BMI above 85th percentile of WHO/NCHS reference values. Mean intake of energy and all nutrients, except vitamin C were found significantly higher in overweight girls compared to normal weight girls. Overwhelming majority (95%) of the overweight girls consumed fast foods, soft drinks (44%) and fruit juice (21 %) more than 3 times/week. Consumption of these foods by overweight girls was significantly higher than that of normal weight girls. Significant positive relationship was found among overweight and monthly family income, educational level of the parents and consumption of fast-food, soft drinks, fruit juice and energy intake but inverse relationship was found between overweight and participant's family size.


2015 ◽  
Vol 10 (2) ◽  
pp. 44-49
Author(s):  
Maksumul Hakim ◽  
Jinnatul Airin ◽  
Salma Naher ◽  
Mohammad Ali ◽  
Mushtaq Ahmad ◽  
...  

Introduction: Mental health is essentially as important as the physical health required of an individual to maintain. There are many factors that seem to play a role in the genesis of mental illness.Objective: This study was conducted among the mentally ill patients admitted to four hospitals of Dhaka city with a view to find out their socio demographic characteristics of mental illness.Materials and Methods: It was a descriptive type of cross sectional study. A total number of 81 patients and their near relatives were interviewed at four medical institutions through a structured questionnaire. A checklist was used for clinical diagnosis of the patients. A master sheet was prepared followed by questionnaire plotting all the information. Then data were analyzed according to objectives and necessary tables were prepared accordingly by case appropriate variables of the study using Microsoft office program.Results: The study results showed that 81.49% patients were male and 18.51% patients were female. Of the total patients 71.61% were found in the age group of unto 30 years. Maximum patients (61.73%) were found within the monthly family income of BDT 2500/- to 4500/- only. 53.03% of patients were married followed by 39.51% of unmarried. The study revealed that 58.02% patients hailed from urban area. 61.73% patients were educated up to secondary level and only 8.64% patients were illiterate. Regarding occupation 27.17% patients were cultivator and 16.05% were students. The study reflected that 48.15% patients were smokers and very few (6.17%) were drug drug addicts. 61.73% patients were living in joint families.50.62% patients did not receive treatment prior to admission. Of the total 49.38% treated cases (prior to admission), 25% cases were treated from the homeopath and only 25% were consulted with specialist.Conclusion: The lower and middle socio economic group and literate group from urban areas living in joint family suffered more from mental illness. There is need for appropriate policy to address the problems of families with mentally ill patients at the family and community levels.Journal of Armed Forces Medical College Bangladesh Vol.10(2) 2014


2015 ◽  
Vol 5 (2) ◽  
pp. 40-43
Author(s):  
Munira Jinat Sumi ◽  
Jony Barua ◽  
Chowdhury Moin Jan ◽  
Khondker Saif Imtiaz ◽  
Ishraque Ahmed ◽  
...  

Teeth loss, especially first permanent molar teeth loss is the ultimate barometer of failure or success in dentistry and dental health programs. A cross-sectional study was conducted among 210 patients attending in outpatient department of selected dental hospitals in Dhaka city to find out the loss of first permanent molar teeth among them. Regarding age (34.8%) of the respondents were below 25 years followed by 25.5% between 25 – 35 years (mean age 33.16 ± 14.10 years). In case of educational status (31%) completed primary education followed by 16.2% were graduates and 33.3% were illiterates. Majority (59.5%) of the respondents had monthly family income below 5000 BDT (mean income 6802.39 ± 6630. 39 BDT). Among the respondents, 33.8% knew brushing technique and 79.5% of them brushed once in a day. Majority (68.5%) of them used tooth paste for brushing and tooth brush was used by 67.1% of the respondents. In case of first permanent molar tooth missing, 50% missed lower left, 19.6% lower right, 17.4% upper left and 13%  upper right. Among the respondents, 86% teeth loss was due to caries followed by periodontal disease (12.4%) and orthodontic reason (5.2%). Among the respondents who lost tooth, 55.7% were below 15 years followed by 15 - 30 years (34.3%) and above 30 years (10%). Regarding oral hygiene status, 19% had satisfactory and 81% had unsatisfactory oral hygiene. So it can be concluded that loss of permanent first molars can be avoided if good preventive measures are used before these teeth erupt and are continued after they have erupted in addition to maintaining proper oral hygiene. Further large scale study regarding this topic is recommended.Bangladesh Journal of Dental Research and Education Vol.5(2) 2015: 40-43


Author(s):  
Forhad Monjur ◽  
Farhana Rizwan

Benzodiazepines (BZD) are highly potential drug for abuse among the most frequently prescribed medicine. Different studies say that young-adults are the vulnerable population of BZD misuse in Bangladesh. The aim of the study was designed to evaluate the BZD drug abuser with relation to its impact on socio-psychological condition of Dhaka city. A cross sectional study consisted of 468 current BZD users. The participants were chosen randomly. Structured questionnaires included participant’s personal information; drug use characteristics; physiological and psychological effects of drugs. Verbal consent was taken from each respondent. In this study, 96.15% were male where 40.39 % of respondents were from the age group 23-27 years.  57.70 % participants were single. Here, 34.62 % were student, 40.38 % had monthly family income above 50,000 BDT. BZD was used to relive from stress/pressure by 23.07%, from insomnia by 13.46% of respondents. The drug of choice was diazepam for 44.24% respondents. Most of the users (44.23%) were influenced by friends. 32.69% participant concomitantly used BZD with YABA. The common problem was amnesia, confusion and difficulty in cognition. The withdrawal effects were rebound insomnia, anxiety, headache; restlessness and so on. Drug abuse is a serious public health problem worldwide. Therefore, these findings may help Government or policymakers to take initiative for drug addict. Moreover, there is need of further research on these topics in different area of Bangladesh to get the complete scenario of drug abuse, especially BZD abuse.


2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104


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