Assessing Burden of Under-Nutrition among Underfive Children of Urban Slum by Using Composite Index of Anthropometric Failure in Ahmedabad City, Gujarat, India
Keywords:
Undernutrition, CIAF, underfive, anthropometry, weight for height, height for age, wight for ageAbstract
Introduction: Reduction in child malnutrition is another MDG related to an improvement in child welfare. National data on underweight provided under NFHS-4 (National Family Health Survey) (2015-16) revealed underweight prevalence rate around 35.8%.
Objectives: To assess prevalence of under nutrition by composite index of anthropometric failure (CIAF) among under-five children of urban slums, Ahmedabad, Gujarat.
Methods and Materials: It was a Cross-sectional study done among 121 under-fives at anganwadisof B.J. Medical College, Ahmedabad using simple random sampling. Their nutritional status was expressed in Z score for WAZ, [H (L) AZ], and [WH (L) Z] as per WHO international growth standards 2006.
Result: Among 121 under-fives, the prevalence of underweight was 50%, whereas CIAF was 73.4%. Composite anthropometric index provides the actual prevalence or proportion of undernourished children in a community. So the policies should be based on the basis of Composite Index of Anthropometric Failure so to reduce the prevalence of under-nutrition in the community more effectively.
Conclusion: Since CIAF is more than estimated by any of the three conventional indicators, it proves to be a better indicator in assessing the overall burden of under-nutrition in a population.
References
UNICEF. The State of World’s Children report, 2003.New York: UNICEF; 2003.
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-4), Mumbai, India: IIPS; 2015.
Berkley J, Mwangi I, Griffiths K, Ahmed I, Mithwani S, Eng-lish M, et al. Assessment of severe malnutrition among hospitalized children in Rural Kenya: comparison of weight for height and mid upper arm circumference. J Am Med As-soc. 2005; 294:591–7. doi: 10.1001/jama.294.5.591. [PubMed]
World Health Organization and UNICEF. WHO child growth standards and the identification of severe acute malnutrition in infants and children. A Joint Statement by the World Health Organization and the United Nations Children’s Fund. Geneva: World Health Organization; 2009. [PubMed]
Svedberg P. Poverty and under-nutrition: Theory meas-urement and policy. New Delhi: Oxford India paper backs; 2000.
Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, child under-nutrition and morbidity: New evi-dence from India. Bull World Health Organ 2005; 83:210-6.
WHO. Physical Status: The use and interpretation of an-thropometry- Report of WHO Expert Committee. WHO Technical Report Series-854. Geneva, Switzerland: World Health Organization; 1995.
W.H.O. Multicenter Growth Reference Study Group. W.H.O. Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index –for-age: Methods and development. Ge-neva: World Health Organization; 2006.
Boss K, Mandal GC. Proposed new anthropometric indices of childhood under nutrition. Mal J Nutr2010; 16:131-6.
Shit S, et al.Assessment of Nutritional Status by Composite Index for Anthropometric Failure: A Study among Slum Children in Bankura, WestBengal.Indian Journal of Public Health, Volume 56, Issue 4, October-December, 2012
Seetharam N, Chacko TV, Shankar SLR, Mathew AC. Meas-uring malnutrition – The role of Z- scores and composite index of anthropometric failure (CIAF). Indian J Community Med. 2007; 1(1):35–9
Vishakh C Keri et al.Composite Index of Anthropometric Failure among Anganwadi Children in Rural Field Practice Area of Vydehi Institute of Medical Sciences and Research Centre.IOSR Journal of Dental and Medical Scienc-es,Volume 15, Issue 3 Ver. VII (Mar. 2016), PP 09-13
Mukhopadhyay DK, Biswas R, ChakravortyM,Sadhukhan SK, Bonik KK. Anthropometric Failure, a new approach to measure under nutrition: An experience from a rural com-munity of West Bengal, India. J Indian Med Assoc 2009; 107:211-36.
Ray SK, Biswas AB, Das Gupta S, Mukherjee D.- Rapid As-sessment of Nutritional Status and Dietary pattern in Mu-nicipal area. Indian J Community Med 2000; 25:14-8.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
