scholarly journals Under-five malnutrition in a South-Eastern Nigeria metropolitan city

1970 ◽  
Vol 19 (4) ◽  
pp. 3078-3084
Author(s):  
Chukwuemeka Kenechukwu Jude ◽  
Agozie Ubesie Chukwunedum ◽  
Kunle Obidike Egbuna

Background: Malnutrition (under and overnutrition) presents significant threats to child health. The co-existence of under and overnutrition in a population is increasingly being described in the literature .Objective: To identify the prevalence of malnutrition among under-five children in Enugu metropolis.Methods: A cross-sectional study of pre-primary school children conducted from January to May 2016. using stratified sampling technique. Caregiver-administered questionnaire was used to obtain relevant information. Weights and heights were measured using a standard weight scale and stadiometer/ length mat respectively. Wasting, stunting, overweight and obesity were determined based on the recommended WHO Growth Standard. Data analysis was done with SPSS version 20.0. The associations between nutritional status on one hand, and categorical variables such as age grouping, sex, socio-economic status, and maternal educationwere determined using chi square. . P-value < 0.05 were reported as statistically significant.Results: Eighteen (2.4%) and 26 (3.5%) subjects were wasted and stunted respectively. Eleven (1.5%) subjects were overweight while another 11(1.5%) subjects were obese. Risk factors for undernutrition were maternal education and low socioeconomic class while risk factor for overnutrition was upper socioeconomic class..Conclusion: There is a low rate of malnutrition in the area of study. However, sustained efforts must continue to prevent further rise and possibly eliminate the scourge of malnutrition.Keywords: Malnutrition, Nigeria.

2019 ◽  
Vol 12 (2) ◽  
pp. 74-79
Author(s):  
R. Koirala

 Introduction: Acute Respiratory Infection (ARI) is one of the leading causes of morbidity and mortality in under five-year children. Risk factors include age, sex, socio‐economic status, indoor air pollution, passive smoking, lack of basic health services, and lack of awareness. In this study, we aimed to determine the associated risk factors of ARI in children under five-years of age. Methods: We carried out a hospital-based descriptive cross-sectional study in the peak period of of November 2017 to February 2018. The study was conducted in Fishtail Hospital and Research Center (FHRC), Pokhara, Nepal. Non probability, purposive sampling technique was used and a structural interview was taken for data collection. The tool comprised of two main parts. Part I- questions related to socio-demographic variables of mother and baby. Part II- questions related to risk factors of ARI. The collected data was analyzed using Statistical Package for Social Science (SPSS) software, version 16. The Chi Square statistic is used for testing relationships between categorical variables. Results: In total of 302 children visited to FHRC with the symptoms of ARI, only 188 (63%) were diagnosed as ARI. The most common symptoms were fever (42.2%), cough (35.7%), running nose (34.1%), difficulty in breathing (28.5%) and chest in drawing (11.6%). The age of children with ARI ranged from one to sixty month with the mean age of 21.46 ±13.52. Among 188 children, 51% were males whereas 49%were females. There were no statistically differences of children weight at birth among ARI. Our results revealed environmental and social factors associated with ARI. Conclusions: The risk factors significantly associated with ARI were malnutrition, exposure to wood smoke and mosquito coil and contact with person having ARI. Reducing these conditions may reduce the morbidity and mortality associated with ARI in children.


Author(s):  
Fasoranti Afolabi Joseph

Background: Hepatitis B, which is caused by the Hepatitis B virus (HBV), is a global health problem that has resulted in high morbidity and mortality with knowledge and awareness about the occurrence and mode of transmissions relatively low among the populace. Therefore, this study examined knowledge on the mode of transmission and preventions of hepatitis B among undergraduate students in Lagos, Nigeria. Methods: The cross-sectional descriptive research was used, and a multi-stage sampling technique was adopted to select three hundred respondents which comprised male and female from three tertiary institutions in Lagos state in 2019. Hepatitis B Knowledge Questionnaire with a reliability index of 0.74 was used for data collection. The descriptive statistics of frequency count and percentages was used to analyse the demographic characteristics of respondents while the chi-square test was used to determine associations between categorical variables Results: The results revealed that a high proportion of the respondents had poor knowledge about the transmission and prevention of hepatitis B.. The result revealed that the p-value ≤ 0.05 was considered statistically insignificant. Therefore, the study revealed that there is no significant relationship between gender and hepatitis B Conclusion: A critical level of public awareness and vaccination coverage, particularly among students, is essential to decrease Lagos' burden.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 7 (1) ◽  
pp. 28
Author(s):  
Kasman Kasman ◽  
Nuning Irnawulan Ishak

ABSTRAKSetiap anak mengalami episode serangan diare rata-rata 3,3 kali setiap tahun. Lebih kurang 80% kematian terjadi pada anak berusia kurang dari dua tahun. Penyakit diare merupakan salah satu penyakit yang banyak terjadi di Kota Banjarmasin. Penyebabnya diduga karena Kondisi sanitasi lingkungan yang tidak baik. Penelitian ini bertujuan untuk menganalisis penggunaan jamban terhadap kejadian diare pada anak balita di Kota Banjarmasin. Rancangan penelitian ini menggunakan desain cross-sectional. Populasi penelitian adalah seluruh anak balita yang ada di Kota Banjarmasin sebanyak 54.746 balita. Teknik penarikan sampel secara multistage sampling dengan jumlah sampel sebanyak 188 balita. Pengumpulan data dilakukan pada Bulan Juni sampai Agustus 2018 dengan wawancara langsung pada responden menggunakan kuesioner. Analisis data menggunakan uji statistik Chi Square. Hasil penelitian ini menunjukkan bahwa terdapat 22,9% anak balita yang menderita diare. Sebagian besar (97,9%) responden telah memiliki Jamban dengan jenis jamban menggunakan tangki septic 94,6%. Terdapat 19% jamban dengan kondisi yang tidak baik. Terdapat hubungan yang bermakna antara kepemilikan jamban (p-value=0,038) dan kondisi jamban (p-value =0,000) terhadap kejadian Diare pada Balita di Kota Banjarmasin. Diharapkan kepada masyarakat untuk memperhatikan kebersihan jamban.Kata-kata kunci : Diare, Balita, Penyakit infeksi, JambanABSTRACTEach child experiences episodes of diarrhea attack an average of 3.3 times each year. Approximately 80% of deaths occur in children aged less than two years. Diarrhea is one of the many diseases that occur in Banjarmasin. The cause is thought to be due to poor environmental sanitation. This study aims to analyze the use of latrines on the incidence of diarrhea in under-five children in Banjarmasin. The design of this study used a cross-sectional design. The study population was all toddlers in Banjarmasin of 54,746 toddlers. The sampling technique was multistage sampling with a total sample of 188 toddlers. Data collection was conducted from June to August 2018 with an interview with the respondent directly using a questionnaire. Data analysis using Chi-Square statistical tests. The results of this study indicate that there were 22.9% of children under five suffering from diarrhea. Most (97.9%) of respondents have had latrines in the type of latrine using a 94.6% septic tank. There is a significant relationship between latrine ownership (p-value= 0.038) and latrine condition (p-value= 0,000) to the incidence of diarrhea in children under five in Banjarmasin City. It is expected the public to pay attention to hygiene latrine.Keywords: Diarrhea, under-five children, infectious diseases, latrines


Author(s):  
Laxmikant Purohit ◽  
Priyanka Sahu ◽  
Lata B. Godale

Background: Children are considered to be the backbone of any nation. Nutritional problems among children cause major morbidity and mortality in India. India is home to the largest number of underweight and stunted children in the world. Aim and objectives: 1) To assess prevalence of underweight, stunting and wasting among under-five children 2) To study factors associated with underweight, stunting and wasting among under-five childrenMethods: It was community based descriptive cross sectional study conducted during January 2010 to December 2011 at Urban Health Center of the Department of Preventive and Social Medicine catering approximately 27000 populations. 650 under- fives residing in urban field practice area were included in the study with the help of Stratified random sampling technique. Data was analyzed using SPSS software 16 version and OpenEpi Software Version 2.3.Results: 40.46% under five children were stunted, 38.15% were underweight, and 16% were wasted. The difference observed between stunted and normal study subjects with reference to type of family, education of mother, birth weight and birth order were statistically significant. The proportion of under- five children with underweight showed significant association with their age, socioeconomic status, education mother, birth weight and birth order. Proportion of under-five children with SAM and MAM decreased significantly with increase in education status of mother. Significantly higher proportion of under-five children with birth weight less than 2.5 kg and higher birth order were grouped as SAM and MAM.Conclusions: Maternal education, birth weight and birth order of children were significantly associated with all three types of under nutrition i.e. underweight, stunting and wasting. Proportion of children with underweight increases significantly with increase in age and decrease in socioeconomic status. There was no religion wise or gender wise variation in proportion of children with under nutrition was reported among study subjects.


2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ester Verninde ◽  
I Gede Mustika ◽  
Purwaningtyas Kusumaningsih

ABSTRAK<br />Sumber daya manusia (SDM) adalah salah satu factor utama yang diperlukan dalam melaksanakan pembangunan nasional. Dua diantaranya yang berperan penting yaitu factor kesehatan dan gizi. Tingkat prestasi pada anak SD di pengaruhi oleh faktor internal dan eksternal. Tujuan penelitian ini adalah untuk mengetahui pengaruh kebiasaan sarapan, pedidikan ibu dan status gizi terhadap tingkat prestasi anak kelas IV dan V SD Inpres Weetebula II. Desain Cross Sectional yang dilakukan pada bulan Mei-Juni 2018 dengan teknik pengambilan sampel menggunakan probability sampling dengan cara simple random sampling pada siswa kelas IV dan V (37 responden). Data kebiasaan sarapan menggunakan kuesioner, pendidikan ibu menggunakan data sekolah, status gizi menggunakan pengukuran antropometri, sedangkan tingkat prestasi menggunakan nilai raport. Hasil penelitian ini menunjukkan bahwa kebiasaan sarapan pagi terhadap status gizi berpengaruh (nilai p=0,000), pendidikan ibu terhadap status gizi tidak berpengaruh (nilai p=0,520), status gizi tidak berpengaruh terhadap tingkat prestasi (nilai p=0,638), kebiasaan sarapan berpengaruh terhadap tingkat prestasi (nilai p=0,044), pendidikan ibu tidak berpengaruh terhadap tingkat prestasi (nilai p=0,334). Penelitian ini menunjukkan ada pengaruh antara kebiasaan sarapan terhadap status gizi dan tingkat prestasi dan tidak ada pengaruh antara kebiasaan sarapan, pendidikan ibu dan status gizi terhadap tingkat prestasi.<br />Kata kunci :kebiasaan sarapan, pendidikan ibu, status gizi dan tingkat prestasi. Siswa SD<br />ABSTRACT Human resources (HR) are one of the main factors needed in carrying out national development. Two of them have important roles, namely health and nutrition factors. The level of achievement in elementary school children is influenced by internal and external factors. The purpose of this study was to determine the effect of breakfast habits, maternal education and nutritional status on the level of achievement of grade IV and V children of SD Inpres Weetebula II. Cross Sectional Design conducted in May-June 2018 with a sampling technique using probability sampling by means of simple random sampling for students in grades IV and V (37 respondents). Data on breakfast habits using questionnaires, maternal education using school data, nutritional status using anthropometric measurements, while the achievement level uses report cards. The results of this study indicate that the habit of breakfast to nutritional status has an effect (p value = 0,000), maternal education on nutritional status has no effect (p value = 0.520), nutritional status does not affect the level of achievement (p value = 0.638), influential breakfast habits towards the level of achievement (p value = 0.044), maternal education does not affect the level of achievement (p value = 0.334). This study shows that there is an influence between breakfast habits on nutritional status and level of achievement and no influence between breakfast habits, maternal education and nutritional status on achievement levels.<br />Keywords: breakfast habits, maternal education, nutritional status and level of achievement. Elementary students


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Ana Samiatul Milah ◽  
Ade Zaqiah

Nutrition / nutrition problems occur in every life cycle and throughout the life cycle of women, starting from the womb (fetus), infants, children, adults and old age. The period of the first two years of life is a critical period, because during this period there was very rapid growth and development. Nutritional disorders that occur in this period are permanent, cannot be recovered even though nutritional needs in the next period are met. Data obtained from the Cikoneng Health Center in Cikoneng Sub-district of Ciamis District in 2017 in January the nutritional status of children under five was obtained, but the total number of malnourished sufferers was 29 children. Then in 2018 experienced an increase of 46 children consisting of 42 undernourished children and 4 malnourished children out of 789 children who could be measured and in 2019 there were 213 people. The method used in this research is analytic descriptive research method. The population in this study were all mothers and toddlers aged 3-5 years in Sindangsari Village, Cikoneng District, Ciamis Regency amounted to 213 people. The sampling technique used was using random sampling technique. The results of this study were the results of research of 68 respondents, mother's education in the secondary education category with good nutritional status in children as many as 15 (62.5%) respondents. Hypothesis test results using chi square obtained p value of 0.014 smaller than alpha 0.05. From the results of this study it can be concluded that there is a relationship between maternal education and nutritional status of children aged 3-5 years in Sindangsari Village, Cikoneng District, Ciamis Regency with a p-value of 0.014 smaller than alpha = 0.05. The results of the study are expected to contribute scientifically to the improvement of knowledge related to child growth and development problems and can be used as information to increase knowledge about the importance of child development for the community in order to improve the health and welfare of mothers and children, can also be for children to be healthy in terms of nutritional intake, good health status from nutritional status and health assessment, one of the steps in efforts to conduct nutrition counseling to the community, especially mothers who have children under five at the age of 3-5 years.


2020 ◽  
Vol 7 (1) ◽  
pp. 28
Author(s):  
Kasman Kasman ◽  
Nuning Irnawulan Ishak

ABSTRAK Setiap anak mengalami episode serangan diare rata-rata 3,3 kali setiap tahun. Lebih kurang 80% kematian terjadi pada anak berusia kurang dari dua tahun. Penyakit diare merupakan salah satu penyakit yang banyak terjadi di Kota Banjarmasin. Penyebabnya diduga karena Kondisi sanitasi lingkungan yang tidak baik. Penelitian ini bertujuan untuk menganalisis penggunaan jamban terhadap kejadian diare pada anak balita di Kota Banjarmasin. Rancangan penelitian ini menggunakan desain cross-sectional. Populasi penelitian adalah seluruh anak balita yang ada di Kota Banjarmasin sebanyak 54.746 balita. Teknik penarikan sampel secara multistage sampling dengan jumlah sampel sebanyak 188 balita. Pengumpulan data dilakukan pada Bulan Juni sampai Agustus 2018 dengan wawancara langsung pada responden menggunakan kuesioner. Analisis data menggunakan uji statistik Chi Square. Hasil penelitian ini menunjukkan bahwa terdapat 22,9% anak balita yang menderita diare. Sebagian besar (97,9%) responden telah memiliki Jamban dengan jenis jamban menggunakan tangki septik 94,6%. Terdapat 19% jamban dengan kondisi yang tidak baik. Terdapat hubungan yang bermakna antara kepemilikan jamban (p-value=0,038) dan kondisi jamban (p-value=0,000) terhadap kejadian diare pada Balita di Kota Banjarmasin. Diharapkan kepada masyarakat untuk memperhatikan kebersihan jamban. Kata-kata kunci : Diare, anak,  Balita, Penyakit,  infeksi, Jamban.  ABSTRACT Each child experiences episodes of diarrhea attack an average of 3.3 times each year. Approximately 80% of deaths occur in children aged less than two years. Diarrhea is one of the many diseases that occur in Banjarmasin. The cause is thought to be due to poor environmental sanitation. This study aims to analyze the use of latrines on the incidence of diarrhea in under-five children in Banjarmasin. The design of this study used a cross-sectional design. The study population was all toddlers in Banjarmasin of 54,746 toddlers. The sampling technique was multistage sampling with a total sample of 188 toddlers. Data collection was conducted from June to August 2018 with an interview with the respondent directly using a questionnaire. Data analysis using Chi-Square statistical tests. The results of this study indicate that there were 22.9% of children under five suffering from diarrhea. Most (97.9%) of respondents have had latrines in the type of latrine using a 94.6% septic tank. There is a significant relationship between latrine ownership (p-value= 0.038) and latrine condition (p-value=0,000) to the incidence of diarrhea in children under five in Banjarmasin City. It is expected the public to pay attention to hygiene latrine. Keywords: Diarrhea, children, under-five children, infectious, diseases, latrines


2021 ◽  
Vol 16 (1) ◽  
pp. 7-13
Author(s):  
Imelda Ririn Obo Mogi ◽  
Lina Dewi Anggraeni

Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.


Author(s):  
Citra Windani Mambang Sari ◽  
Lusi Sri Solihah ◽  
Sari Fatimah

The underweight and overweight of under-five children in Indonesia are considered as a serious problem by WHO. One of factor affecting is parents' urge in fulfilling their child's nutritional needs is often behind a less precise of feeding practice, this will have an impact on children's daily eating behaviour because children with 3 to 5 years old showed an attitude picky eater and included into active consumers. This study is intended to identify the relationship between mother's feeding behavior with 3 to 5 years old children’s eating behavior in Babakan Sari, Kiaracondong District. The study used a descriptive correlation method with the cross-sectional approach and proportional random sampling technique. The samples of the study were 89 people. The data were collected through the instrument Comprehensive Feeding Practice Questionnaire (CFPQ) for the practice of children feeding and Child Eating Behavior Questionnaire (CEBQ) for the children eating behavior. The data were analyzed through univariate and bivariate analysis used Chi-Square test. The results showed that 58,4% of the respondents conducted a less precise feeding practice and 78,7% of the mothers perceives eating behavior children have a good eating behavior. It can be concluded that is no relation between the practice of mother’s feeding behavior with the 3 to 5 years old children’s eating behavior in Babakan Sari, Kiaracondong District (p-value > 0,05).Keywords: eating behavior, feeding practice, nutrition, preschool, under-five children


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