scholarly journals NUTRITIONAL STATUS AND ASSOCIATED FACTORS AMONG NOMAD CHILDREN UNDER FIVE YEARS OF AGE IN DISTRICT FAISALABAD

1970 ◽  
Vol 7 (3) ◽  
pp. 163-168
Author(s):  
Mawera Babar ◽  
Rukhsana Khan ◽  
Aziz Ullah

Background: Globally, more than 150 million under five children are malnourished. In Pakistan 43.7% of under five children were stunted, 15.1% were wasted and 31.5% were underweight according to NNS, 2011. Nomads are the shifted or migrated people, they are the neglected ones therefore have a very poor health status and knowledge about nutrition. The aim of this study was to improve the nutritional status of the under five nomad children in district Faisalabad. The objectives were to assess the nutritional status of nomad children, knowledge of mothers regarding the nutritional status of their children, factors associated with the nutritional status of these children. Methods: A cross sectional study was conducted in nomad settlements of four Union councils of district Faisalabad. A structured questionnaire was used and anthropometric measurements like height, weight and MUAC of 296 children selected consecutively were calculated. Results were analyzed by using WHO Anthro to identify stunting, wasting and underweight cases whereas SPSS-20 was used for descriptive and inferential statistics. Results: Results showed that the proportion of malnutrition among under five children was 86% in which 10.8% were wasted, 53.4% were stunted and 58.8% were underweight. About 76% of the mothers have no knowledge about their child's nutritional needs. A significant association was found between malnutrition and sociodemographic, child health and maternal health characteristics including knowledge of mothers. Conclusion: The nutritional status of the nomad children less than five years was unsatisfactory. Therefore efforts should be made to enhance nomad mothers knowledge through CMW's and LHW's and also provide nutritional support to them.

Author(s):  
Sambedana Mohanty ◽  
Manasee Panda

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.


2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yilkal Tafere ◽  
Bedilu Abebe Abate ◽  
Habtamu Demelash Enyew ◽  
Amsalu Belete Mekonnen

Background. Diarrheal diseases are the major cause of morbidity and mortality among under-five children in low- and middle-income countries including Ethiopia. One of the national initiatives to reduce its burden is an implementation of an open-defecation-free program. However, information related to the comparison of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free. Hence, this study assessed the magnitude of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free areas of Farta District, North Central Ethiopia. Methods. A community-based comparative cross-sectional study was conducted among 758 households (378 in open-defecation-free and 380 in non-open-defecation-free kebeles) who have under-five children using a structured questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression was used to analyze factors associated with diarrheal diseases in the district. Results. Overall, 29.9% of children had diarrheal diseases in the last two weeks prior to the study. The magnitude of diarrheal diseases among under-five children living in open-defecation-free and non-open-defecation-free residents was 19.3% and 40.5%, respectively. Lack of functional handwashing facilities (AOR: 11, 95% CI (8.1–29.6)), improper excreta disposal (AOR: 3.84, 95% CI (2.15–5.65)), and residing in non-open-defecation-free areas (AOR: 2.4, 95% CI (1.72–3.23)) were factors associated with diarrheal diseases. Conclusions. The prevalence of diarrhea among children residing in open-defecation-free areas was lower than that among children those who resided in non-open-defecation-free areas. Lack of functional handwashing facilities, residing in non-open-defecation-free areas, and improper excreta disposal were significantly associated with diarrheal diseases in the district. Strengthening health promotion on non-open defecation, maintaining functional handwashing facilities, and preparing additional handwashing facilities are necessary. Continuous engagement of the community health extension workers is recommended, sustaining the implementation of open-defecation-free programs in the district.


2020 ◽  
Author(s):  
Eyob Mulu ◽  
Adane Nigusie ◽  
Berhanu Fikadie Endehabtu

Abstract Background: Diarrheal disease remains the leading cause of morbidity and mortality among under-five children worldwide. It is one of the top leading causes of under-five morbidity & mortality in Ethiopia. Knowing the determinants of a disease enables us to design an effective intervention. The main objective of this study was to assess the prevalence and associated factors of acute diarrheal disease among under-five years of age.Methods: Community-based cross-sectional study was carried out. Five hundred thirty mothers/care takers with under-five children were selected by using systematic random sampling from selected kebeles in the district. Data were collected using structured and pre-tested questionnaires. Data was cleaned and analyzed using SPSS version 20. Bivariate and multivariate analysis was done to assess factors affecting diarrhea. Results: A total of 530 households with under- five children were involved in the study. The mean ages of the respondents and the index children were 33.30(+6.26SD) years and 22.75 (+12.79SD) months, respectively. Prevalence of diarrheal disease over a period of two weeks preceding the study was 21.3%. Water source [AOR: 4.476, 95% CI (1.962, 10.210)], distance to water source [AOR: 2.252, 95% (1.139, 4.451)], feces seen outside the pit hole of latrines [AOR: 2.943, 95% (1.347, 6.429)], mothers/care takers who feed adult food to the children [AOR: 6.985,95 %( 1.074, 45,433)] and bottle feeding [AOR: 8.269 ,95%(1.086, 62.975)] were significantly associated variables on multivariate analyses.Conclusions and recommendations: The magnitude of diarrhea among under -five children was relatively high. Improper use of latrines, source of water of for drinking, times to water source, types of food and methods of feeding were the factors associated with acute childhood diarrheal. The authors of the study recommend availing improved water sources for the community. The community is also advised to use latrine appropriately and use appropriate food and method of feeding to reduce the risk of diarrheal. Health education program should be given to the hygiene sanitation and behavioral practice of the households


2020 ◽  
Author(s):  
Bekana Fekecha Hurissa ◽  
Haregwa Asnake

Abstract Background: Malnutrition continues to be a critical public health problem in sub-Saharan Africa. For example, in East Africa, 48% of children under- five are stunted while 36% are under weight. Poor health and poor nutrition are now more characteristics of children living in urban area than of children in rural areas. Therefore this study assessed the effect of maternal employment on nutritional status of under-five children at Mendera Kochi kebele of Jimma town South West of Ethiopia.Method: Community based cross sectional study design was conducted in Jimma town Mendera Kochi kebele from April15-May 05. Systematic sampling technique was used. Pre-tested structured questionnaires used for data collection. A total of 264 study subjects were interviewed. The collected data analyzed using SPSS 20 version.Result: Out of 264 total households the majority, 96(36.4%) of mothers were living in households with 3-4 or more family members. Out of 264 respondents 155(58.7%) were government employee, 93(35.3%) and the remaining were private and NGO employees. The income level of majority of respondents, 54.5% was between 1000 and1500. A total of 254 children aged 0–59 months were enrolled in this study. The age of the children in the study area, 6-12 months 89(35%), 12-24 months 111(43.6%), and 24-59 months 54(21.4%) respectively. Weight of children’s 53(21.1%) were between 1500-2500 gm, 40(16.1%) were between 2500-4000gm, 25(9.8%) were >4000gm and the rest were below 1500gm. 151(57.2%) children of working mothers had a mean upper arm circumference value of >=12.5. 51.1% of the children had height for age ranged from 90-95% percentiles. Conclusion- The children of working mothers were observed to achieve better nutritional status from their anthropometric measurement. Maternal employment is not a protective factor against diarrhea and acute respiratory infection.


2020 ◽  
Author(s):  
Victor Aidan Mathias ◽  
Asumin Abdul Mkalagale ◽  
Margareth Thulisile Mtshengu

Abstract Background: Generally, diarrhea is still a second major reason of death and illness in children below the age of five years. It holds breathes of around half a million under five children’s every year and causes million more to be admitted. Every year diarrhea kills around 525000 children of under five years.Although few study have been done in Tanzania to determine factors associated with diarrhea among under five children, but environment factors have not yet well addressed. Therefore, this study seeks to address environmental factors associated with diarrhoea among under-five children attending at Muhimbili National Hospital, in Tanzania. Methods: A quantitative descriptive cross sectional study design of 100 simple randomly participants were selected. Questionnaires were used to collect data form key informants who were mothers/ carers with a child of under-five suffering from diarrhoea admitted at Muhimbili National Hospital, Tanzania. Data were analysed using SPSS. Statistical tests used were mean, median, proportions and chi square. Environmental risk factors associated with diarrhoea were determined with a p value of less than 0.05. Ethical approval and permission to collect data were obtained from relevant authorities.Results: Unsuitable infrastructure for grey water disposal, improper hand washing before feeding the baby and hand washing without using clean water and soap had strongly association with the occurrence of diarrhoea in under-five children attending at Muhimbili National Hospital (MNH) with P-value of 0.00, 0.00, and 0.01 respectively.Conclusion: Childhood diarrhoea is contributed by various environmental risk factors including unimproved sanitation, lack of hand washing facilities and poor knowledge among caregivers. This calls for the importance of providing health education to the caregivers on the cause, prevention and treatment of diarrhoea among under-five children.


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