Prevalence And Epidemiological Determinants of Malnutrition Among Under-Fives in An Urban Slum, Nagpur
Keywords:
stunting, wasting, underweight, malnutrition, epidemiological determinantsAbstract
Background: The prevalence of malnutrition among preschool children can be used to determine the need for nutritional surveillance, nutritional care, or appropriate nutritional intervention programmes in a community.
Objectives: To study prevalence of stunting, wasting and underweight in under fives and to find out epidemiological determinants associated with malnutrition.
Methodology: A community based cross-sectional study was carried out to assess prevalence of stunting, wasting, underweight and epidemiological determinants associated with malnutrition among under-fives in the field practice area of Urban health training centre (UHTC), dept. of Community Medicine, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur. Data was collected by predesigned, pre-tested questionnaires. Data analysis was done by using Epi Info software.
Results: Out of the total 150 children 46% were underweight, 52% were stunted and 20.7% were wasted. The total prevalence of malnutrition was 63.33%. The factors associated with malnutrition were low birth weight (85%), mothers literacy (77.78%), fathers literacy (73.97), lack of exclusive breast feeding (81.25%), socio-economic-status (74.44%) and incomplete immunization (76.19%).
Conclusion: The study strongly points toward the importance of proper infant feeding practises, proper nutrition, parental education and improved living conditions for reducing malnutrition among under-five children.
References
Rao V G, Yadav R, Dolla C K, Kumar S, Bhondeley M K, Ukey M. Undernutrition & childhood morbidities among tribal preschool children. Indian J. Med. Res. 2005; 122: 43-47.
K. Park. Parks Textbook of Preventive and Social Medicine- 21st Edition. Jabalpur: Banarsidas Bhanot Publishers; 2011: 506-507.
Sengupta P, Philip N, Benjamin A I. Epidemiological correlates of under-nutrition in under-5 years children in an urban slum of Ludhiana. HPPI. 2010; 33 (1): 1-9.
Bloss E, Wainaina F, Bailey R C. Prevalence and Predictors of Underweight, Stunting, and Wasting among Children Aged 5 and Under in Western Kenya. Journal of Tropical Pediatrics. 2004; 50(5): 260-270.
Nojomi M, Tehrani A, Shahandokht Najm-Abadi MS. Risk analysis of growth failure in under-5-year children. Archives of Iranian Medicine. 2004; 7( 3): 195 200.
Syed Farid-ul-Hasnain, Raafay Sophie. Prevalence and risk factors for Stunting among children under 5 years: a community based study from Jhangara town, Dadu Sindh. J Pak Med Assoc. 2010; 60(1): 41-44.
Govt. of India. National family Health survey. NFHS III (2005-2006). International Institute for Population Sciences, Ministry of Health & Family Welfare, Mumbai 2007.
Kumar P. Social Classification need for constant Upgrading. Ind. J Comm Med; 1993: 18(2).
Software for assessing growth and development of the world’s children. Geneva: WHO, 2010 (http://www.who.int/childgrowth/software/en/).
Rao S, Joshi S B, Kelkar R S. Changes in nutritional status and morbidity over time among pre-school children from slums in Pune, India. Indian Pediatrics. 2000; 37: 1060-1071.
Avachat S S, Phalke V D, Phalke D B. Epidemiological study of malnutrition (undernutrition) among under five children in a section of rural area. Pravara Med Rev. 2009; 4(2): 20-22.
Biswas T, Mandal P K, Biswas S. Assessment of health, nutrition and immunization status amongst under- 5 children in migratory brick klin population of periurban Kolkata, India. Sudanese Journal of Public Health. 2011; 6(1): 7-13.
Sharghi A, Kamran A, Faridan M. Evaluating risk factors for protein-energy malnutrition in children under the age of six years: a case-control study from Iran. Int J Gen Med. 2011; 4: 607-611.
Harishankar, Dwivedi S, Dabral S B, Walia D K. Nutritional status of children under 6 years of age. Indian J. Prev. Soc. Med. 2004; 35: 156-162.
Md. Israt Rayhan, Khan S H. Factors causing malnutrition among under five children in Bangladesh. Pakistan Journal of Nutrition. 2006; 5(6): 558-562.
Sapkota V P, Gurung CK. Prevalence and predictors of underweight, stunting and wasting in under five children. 2009. J Nepal Health Res Counc. 2009; 7(15): 120-126.
Khan Khattak M.M.A, Ali S. Malnutrition and associated risk factors in pre-school children (2-5 years) in District Swabi (NWFP)- Pakistan. Journal of Medical Sciences. 2010; 10: 34-39.
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