Morbidity Profile in Under Five Children in Urban Slum Area of Nagpur
Keywords:morbidity, under five children, malnutrition, slum area, ICD 10 code
Introduction: Childhood diseases like diarrhoea, respiratory infections, measles, etc are very common in India. It is known that a child may get affected several times in a year; the incidence increases with the aggravation of a state of malnutrition.
Aim: The study was aimed to assess the malnutrition and morbidity profile in underfive children in urban slum area of Nagpur.
Material & Methods: A house-to-house survey was conducted. By systematic random sampling 434 children below five years of age were included in the study. Every attempt was made to cover maximum number of children by giving 3 visits to them. Total 404 children were covered in the study. The information obtained from child’s mother was filled in the proforma. Every child was subjected to thorough clinical examination in daylight, and anthropometric measurements. Hemoglobin estimation was done by using Sahli’s haemoglobinometer and peripheral smear was prepared. Data was analyzed on Epi-Info Software 3.2 version. Chi square test is used to test the significance.
Result: It was observed that highest prevalence of morbidity was of anaemia (78.71 percent), most of them were nutritional: followed by protein energy malnutrition (IAP classification) was 52.23 percent, vitamin B deficiency (46.53 percent), disease of respiratory system 32.19 percent).
Conclusion: More than three-quarter of children from urban slum were suffering from anaemia and had high burden of under nutrition. Large proportion of morbidities in the under 5 children could be attributed to the nutritional status.
Bansal RD and Mehra M. Malnutrition: a silent emergency. Indian J Public Health 1991; 43: 1-2.
Park K. Park’s Textbook of Preventive and Social Medicine, 18th Edition, Banarasidas Bhanot Publishers, Jabalpur, 2005; pp 405.
WHO Global Database on Child Growth and Malnutrition http://whqlidoc.who.int/hq/1997/WHO_NUT_97.4pdf. Dated 12th Feb 2012
WHO Statistical Information System (WHOSIS) www.who.int/whosis/icd09 dated 9th Dec 2011
Nutrition Sub committee of the Indian Academic of Paediatrics. Indian Paediatrics 1972;9: 360-364
Banerjee B and Bandopadhyay L. Gender differences in nutritional status. Indian Paediatrics 2005; 42:400.
National Family Health Survey India 1998-99. http://www.nfhsindia.org. dated 10th Dec 2011
Chansrashekhar U and George B. Vitamin A nutrition among children of selected urban slums of Coimbatore and effect of interventions. The Indian Journal of Nutrition and Dietetics 1990; 27: 229-236.
Sachithananthan V and Chandrashekhar U. Nutritional status and prevalence of Vitamin A deficiency among pre-school children in urban slums of Chennai city. The Indian Journal of Nutrition and Dietetics 2005; 42: 259-265.
Dwivedi SN, Banerjee N and Yadav OP. Malnutrition among children in an urban Indian slum and its associations. Indian Journal of Maternal and Child Health 1992; 3(3): 79-81.
Ray SK, Haldar A, Biswas B, Misra R and Kumar S. Epidemiology of under nutrition. The Indian Journal of Pediatrics 2001; 68:1025-1030.
Jain S, Chopra H, Garg SK, Bhatnagar M and Singh JV. Anaemia in children: early iron supplementation. Indian Journal of Pediatrics 2000; 67(1): 19-21.
Schroder DG, Brown KH. Nutritional status as a predictor of child survival- Summarizing the association and quantifying its global impact. Bull World Health Organ 1994; 72: 569-79
Pellitier DL , Frongillo EA Jr, Schroder DG, Habicht JP. The effect of malnutrition on child mortality in developing countries. Bull World Health Organ 1995; 73: 443-8
Rao VG, Yadav R, Bhondeley MK, Das S, Agrawal MC, Tiwary RS. Worm infestation and anaemia : a public health problem among tribal pre-school children of Madhya Pradesh. J Commun Dis 2002; 34: 100-5
How to Cite
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Author/s retain the copyright of their article, with first publication rights granted to Medsci Publications.