scholarly journals Composite Flour from Indonesian Local Food Resources to Develop Cereal/Tuber Nut/Bean-Based Ready-to-Use Supplementary Foods for Prevention and Rehabilitation of Moderate Acute Malnutrition in Children

Foods ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 3013
Author(s):  
Fetriyuna Fetriyuna ◽  
Ratna Chrismiari Purwestri ◽  
May Susandy ◽  
Realm Köhler ◽  
Ignasius Radix A. P. Jati ◽  
...  
Keyword(s):  
Local Food ◽  
National Level ◽  
Food Resources ◽  
Acute Malnutrition ◽  
Composite Flour ◽  
Red Rice ◽  
Children Under Five ◽  
Under Five ◽  
Moderate Acute Malnutrition ◽  
Supplementary Foods

Undernourishment is a threat to human health. The prevalence of undernourishment remains alarming, especially among children under five years old in many countries, including Indonesia. Nowadays, the handling of undernourishment has shifted to treatment outside the hospital, utilizing local nutrient-rich foods. At the national level, the utilization of local food resources is a part of the promotion of dietary diversification and the bioeconomy. Ready-to-use supplementary food (RUSF) refers to supplementary foods aimed at improving the nutrition of moderate acute malnutrition (MAM) children under five years old. RUSF biscuit recipes were made using local food resources available in Banten province, Indonesia. To optimize the nutritional profile of the developed RUSF, taro/talas banten were mixed with ground-nut/peanut (Arachis hypogaea L.) and mungbean (Vigna radiata) as protein and lipid sources and red rice (Oryza longistaminata) and maize (Zea mays) as carbohydrate sources, and enriched by the local banana Nangka (Musa textilia). Two formulations were selected for the pilot testing, namely the taro-peanut and taro-peanut/mungbean RUSF biscuits, made from taro Banten, cereal, peanut and/or mungbean, and local banana. The RUSF biscuit showed promising results, presenting a high level of acceptance and a macronutrient composition that meets the standards for MAM children. However, the RUSF biscuits should be fortified with micronutrient premix to fulfill the dietary requirement for the MAM children. The results of this study provide further development opportunities.

scholarly journals An Overview on Acute Malnutrition and Food Insecurity among Children during the Conflict in Yemen

Children ◽  
2019 ◽  
Vol 6 (6) ◽  
pp. 77 ◽  
Author(s):  
Fekri Dureab ◽  
Eshraq Al-Falahi ◽  
Osan Ismail ◽  
Lina Al-Marhali ◽  
Ayoub Al Jawaldeh ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Severe Acute Malnutrition ◽  
Public Health Problem ◽  
Acute Malnutrition ◽  
Nutrition Status ◽  
Surveillance Program ◽  
Children Under Five ◽  
Under Five ◽  
Community Needs ◽  
Moderate Acute Malnutrition

Background: This study aims to describe malnutrition among children under five and to describe the food insecurity status during the current conflict in Yemen. Methods: Data were obtained from a Yemeni nutrition surveillance program (pilot phase) targeting 4142 households with 5276 children under five from two governorates (Ibb and Sana’a). Results: Global acute malnutrition was found in 13.3% of overall screened children, while 4.9% had severe acute malnutrition (SAM) and 8.4% had moderate acute malnutrition. One-fifth of the children under six months of age were acutely malnourished, followed by children under two years at 18.5% based on weight-for-height z scores. Significant associations between malnutrition and other diseases included suspected measles at three times higher rates (4.5%, p < 0.00) among SAM cases than other children. Diarrhea, fever, and cough were significantly higher among the SAM group (p < 0.05). Most households depended on market food purchases in the month preceding this survey (84.7%). Household coping mechanisms to secure daily meals included borrowing food to survive, changing types and quality of food, and decreasing the number of meals per day; some families sent their children to live with relatives. Conclusion: Malnutrition is a serious public health problem. The humanitarian community needs to adopt alternative strategies to improve food security and the nutrition status in Yemen.

scholarly journals Kejadian malaria dan status gizi balita di Kabupaten Manokwari Provinsi Papua Barat

2014 ◽  
Vol 10 (4) ◽  
pp. 180
Author(s):  
Therresse Nofianti
Keyword(s):  
Nutritional Status ◽  
Incidence Rate ◽  
Acute Malnutrition ◽  
High Morbidity ◽  
Children Under Five ◽  
Under Five ◽  
High Morbidity Rate ◽  
Moderate Acute Malnutrition ◽  
Nutritional Status Of Children ◽  
Chi Square Analysis

Background: The prevalences of severe acute malnutrition, moderate acute malnutrition and low birth weight (LBW) in West Papua Province is higher than the national prevalence. Malaria disease, especially in an infant, is also of concern in this province. Manokwari District is regarded as malaria endemic area due to the high morbidity rate in the entire district.Objective: To determine the incidence of malaria, nutritional status of children and to analyze the relationship between two of them.Method: The methodology that used in this research is cross-sectional design conducted in four health centers in Manokwari with a sample of 100 children aged two to five years. The data were analyzed using Chi-Square analysis and logistic regression analysis.Results: The incidence rate of malaria in Manokwari district is high. This is because the number of an infant that was infected highly and lowly by malaria do not vary much. Results show that 42% children suffering from severe malaria, particularly tropical malaria type, with a frequency of more than two times in six months so that it had a direct effect on appetite and weight. Average nutritional status based on weight/height and height/age is normal while according to weight/age is not normal. Infants with severe and moderate acute malnutrition are not found in this study.Conclusion: The incidence rate of malaria in children under five in the district of Manokwari is high, the nutritional status of children under five in the past are in the normal category and at the time of the study were not normal, this is due at the time of the study many infants experience pain and therefore contributes to the appetite that directly affects body weight of infants. Furthermore, it is known that there is a relationship between the incidence of malaria by the nutritional status of children in the district of Manokwari.

scholarly journals Food Profiles and Exposure to Acute Malnutrition among Children Under-five in the Department of Mayo-Danay, Cameroon

2019 ◽  
Vol 7 (11) ◽  
pp. 759-765
Author(s):  
Sobze Sanou Martin ◽  
Bita Andre Izacar Gaël ◽  
Djeunang Dongho Ghyslaine Bruna ◽  
Sieleunou Isidore ◽  
Nkengfack Nembongwe Germaine Sylvie
Keyword(s):  
Acute Malnutrition ◽  
Children Under Five ◽  
Under Five

scholarly journals Development and Acceptability of Locally Made Fish-Based, Ready-to-Use Products for the Prevention and Treatment of Malnutrition in Cambodia

2018 ◽  
Vol 39 (3) ◽  
pp. 420-434 ◽  
Author(s):  
Sanne Sigh ◽  
Nanna Roos ◽  
Daream Sok ◽  
Bindi Borg ◽  
Chhoun Chamnan ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Treatment Intervention ◽  
Intervention Trial ◽  
Overall Acceptability ◽  
High Prevalence ◽  
Prevention And Treatment ◽  
Moderate Acute Malnutrition ◽  
Hedonic Scale ◽  
Supplementary Foods

Background: Cambodia has a high prevalence of moderate acute malnutrition and severe acute malnutrition (SAM). The SAM treatment requires ready-to-use therapeutic foods (RUTFs), whereas ready-to-use supplementary foods (RUSFs) are used for prevention of acute malnutrition. Three locally produced fish-based products were developed: an RUTF paste (NumTrey-Paste) for treatment and 2 wafer versions, one for prevention (NumTrey-RUSF) and one for treatment (NumTrey-RUTF). Objective: To assess the acceptability of NumTrey-Paste and NumTrey-RUSF in comparison to a standard biscuit product (BP-100) used for the treatment of SAM. Methods: Acceptability of NumTrey-RUSF and NumTrey-Paste was tested in a nonblinded crossover taste trial among children (n = 52), aged ≥ 6 months to 18 years, and their caregivers. Eight organoleptic qualities were assessed on a 5-point hedonic scale, as well as a ranking test. A score of 1 to 3 was categorized as acceptable. The acceptability of NumTrey-RUTF was assessed using the caregivers’ perception during an SAM treatment intervention. Results: Taste trial: The proportion of children categorizing products as overall acceptable was lowest for NumTrey-Paste compared to for BP-100 and NumTrey-RUSF (21% vs 43% [BP-100] and 36% [NumTrey-RUSF]). No difference was found in the proportion of children who ranked BP-100 or NumTrey-RUSF as “liked most” ( P > .05). Acceptability of NumTrey-RUSF ranked highest in appearance and taste (caregiver), whereas acceptability of NumTrey-Paste was ranked lowest in appearance and smell among the products. Intervention trial: The acceptability of NumTrey-RUTF increased from 72% to 86%. Conclusions: The overall acceptability was ranked lowest for a pure paste product. However, filling the paste into a wafer made the product more acceptable.

scholarly journals Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Desire Banga ◽  
Melvis Baren ◽  
Namale Vivian Ssonko ◽  
Franck Katembo Sikakulya ◽  
Yves Tibamwenda ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Referral Hospital ◽  
Acute Malnutrition ◽  
Health Concern ◽  
Regional Referral Hospital ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Eastern Uganda ◽  
Children Under 5

Background. Mortality among children with severe acute malnutrition remains an immense health concern in the hospitals in developing countries, but its attributes are not completely assessed in various hospital settings. The aim of this study was to determine the proportion of mortality, the comorbidities, and factors associated with in-hospital mortality among children under five years of age admitted with severe acute malnutrition at Jinja Regional Referral Hospital, Eastern Uganda. Methods. This was a hospital-based analytical and descriptive prospective cohort study conducted in the nutritional unit of Jinja Regional Referral Hospital. A total of 338 children and their caretakers who met the criteria were consecutively enrolled into the study. Descriptive statistics were used to each of the independent factors, and comorbidities were subjected to chi-squared test followed by logistic regression analysis to assess its association incidence of mortality among children. All independent variables with p values ≤ 0.05 were entered into a multivariate model for factors and comorbidities independently. Factors and comorbidities with p values ≤ 0.05 were considered as associates of mortality among children. Results. Of the 338 children under 5 years of age enrolled, 49 (14.5%) died, although the majority of children were diagnosed with dehydration, 128 (37.9%); pneumonia, 127(37.6%); and malaria, 87(25.7%). Anemia ( aRR = 2.9 , 95% CI: 1.23-6.62, p = 0.01 ), bacteremia ( aRR = 10.0 , 95% CI: 3.62-29.01, p = 0.01 ), HIV ( aRR = 4.8 , 95% CI: 1.42-16.30, p < 0.01 ), TB ( aRR = 4.3 , 95% CI: 1.28-14.49, p < 0.02 ), and shock ( aRR = 60.9 , 95% CI: 9.05-410.28, p < 0.01 ) were the comorbidities significantly associated with a likelihood of mortality. Conclusions. The mortality among children under 5 years of age admitted with severe acute malnutrition is still high (14.5% versus 5%). The comorbidities are significantly associated with mortality. The clinicians are recommended to follow-up closely patients with severe acute malnutrition and to focus on the critical comorbidities identified.

scholarly journals KARAKTERISTIK KADER POSYANDU DALAM PENGGUNAAN PEDOMAN GIZI SEIMBANG (PGS) MELALUI PENDEKATAN PROBLEM BASED DI WILAYAH KERJA PUSKESMAS PACERAKKANG DAYA MAKASSAR

2019 ◽  
Vol 26 (1) ◽  
pp. 23
Author(s):  
Hendrayati Hendrayati ◽  
Sitti Saharia Rowa ◽  
Nursalim Nursalim
Keyword(s):  
Research Result ◽  
National Level ◽  
Local Communities ◽  
Working Poor ◽  
Children Under Five ◽  
Under Five ◽  
Under Nutrition ◽  
Nutrition Guidelines ◽  
The Family ◽  
Low Education

ABSTRAKThe government issued a Balanced Nutrition Guidelines (BNG) starting in 2014, with the aim of being used as a guideline in the administration of meals starting at the family and national level. The application of  BNG to date has not been evenly distributed, especially for housewives who are not working, poor and have low education. In housewives like this usually children under five years old are obtained with nutritional problems both under nutrition and stunting. The use of posyandu cadres as a facilitator for local communities is expected to be able to transfer knowledge well because it is supported by factors of closeness and good emotional ties with housewives around their homes.This research is a study that measures the knowledge, attitudes and skills of posyandu cadres in implementing PGS. Materials in improving the indicators are used by the BNG module. Measurements are carried out 2 times. Research result provide an illustration that there is an increase in knowledge about the use of PGS twice as much and change in knowledge by 32%. Attitude changes increased 16% and skills change reached 48%.

scholarly journals Prevalence and Determinants of Malaria Infection Among Children of local farmers in Central Malawi

2019 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Heather MacIntosh ◽  
Claudia Mitchel ◽  
Katrina Cherney
Keyword(s):  
Rural Areas ◽  
Partner Violence ◽  
Malaria Infection ◽  
Formal Education ◽  
National Level ◽  
Health Assessment ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Age Range

Abstract BackgroundMalaria is a leading cause of morbidity and mortality among children under five in Malawi. Children from rural areas of central Malawi have high burden of malaria morbidity compared to other regions. The goals of this study were to examine the prevalence and determinants of malaria infection among children in rural areas of Dowa district in central Malawi.Methods A multistage cross-sectional study design was used to systematically sample 523 child-mother dyads from postnatal clinics. The main outcome was child positive malaria diagnostic test during postnatal clinic health assessment. Logistic regressions were used to determine risk factors associated with malaria among children aged 2 to 59 months.Results The prevalence of malaria amongst children under five years was 35.4%. The results of multivariable analyses show that children of mothers who experienced recent intimate partner violence (IPV) were more likely to be diagnosed with malaria ( AOR : 1.88, 95% CI : 1.19-2.97; P = 0.007) than children of mothers who did not. Children of mothers who had no formal education were more likely to be diagnosed with malaria ( AOR : 2.77, 95% CI : 1.24-6.19; P = 0.013) than children of mothers who attained secondary education. In addition, children in the age range of 2 to 5 months, and 6 to 11 months were less likely to be diagnosed with malaria ( AOR :0.21, 95% CI: 0.10-0.46; P = 0.000 and AOR :0.43; 95% CI: 0.22-0.85; P = 0.016, respectively) than children in the age range of 24 to 59 months.Conclusion The study found that the prevalence of malaria infection among children in the study area was comparable to that of national level. We propose that malaria control programs among children should also take into account mothers without formal education, mothers with children aged 24 to 59 months, and mothers that are experiencing IPV in the area.

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