scholarly journals Factors Associated with Underweight among Under-Five Children in Eastern Nepal: Community-Based Cross-sectional Study

2017 ◽  
Vol 5 ◽  
Author(s):  
Deepak Adhikari ◽  
Resham Bahadur Khatri ◽  
Yuba Raj Paudel ◽  
Amod Kumar Poudyal
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 ◽  
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.


2018 ◽  
Vol 7 (4) ◽  
pp. 158-161
Author(s):  
Sabitra Poudel

Background: Children are not just mini human creatures, they are different entities and have unique need for care, nourishment, play, interaction and harmonious environment. Both parents are equally responsible for providing such environment for optimum growth and development of children. Involvement of fathers in care not only promotes their physical development but also fosters social, cognitive, language and motor development. Objectives: To assess the awareness and involvement of fathers in care of their under five children. Methodology: A community based cross sectional study was conducted at Anandanagar tole Gokarneshwar Municipality-8 Jorpati among 128 fathers with children under five years of age. Information was collected through face to face interview using structured questionnaire consisting of statement regarding awareness and involvement in care of their under five years children. Data analysis was done by using statistical package for social science version 16. Results: Majority (60.1%) of the fathers had average level of awareness about child care. Regarding involvement, 44.5 % of the fathers had poor involvement followed by average involvement i.e. 41.4% in physical care. Around two third (68.9%) of the fathers showed average involvement in psychological and intellectual developmental activities of their children. Conclusion: This study shows that though most of the fathers had average awareness regarding childcare, their involvement in the same was less especially in physical care activities.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Ayechew Ademas ◽  
Metadel Adane ◽  
Awoke Keleb ◽  
Gete Berihun ◽  
Getu Tesfaw

Abstract Background Stunting was a significant public health problem for under-five in developing countries including Ethiopia. Globally, it was estimated 21.9% or 149 million (81.7 million in Asia and 58.8 million in Africa) under-five children stunted in 2018. In East Africa, 24 million are stunted which is the highest-burden from African regions. Hence, this study aimed to assess the prevalence of stunting and its association with Water Sanitation and Hygiene (WASH) in northwestern Ethiopia. Method A community-based cross-sectional study design was conducted among 630 participants from December to mid-January 2019. From five kebeles, two were selected by a simple random sampling technique for the study. To reach study participants a systematic sampling technique was used. Data were collected by using an observational checklist, pretested questionnaire, and anthropometric measurement. Anthropometric indicator, height-for-age was determined using the current World Health Organization (WHO) growth standards. Multivariable logistic regression analysis was computed to analyze the data. From the multivariable analysis the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and P-value < 0.05 were used to declare statistical significance. Result The prevalence of stunting among under-five children was 35.6% (95%CI; 31.9–39.5%). The result from this study showed that having illiterate father and mother, give birth before marriage (single), large family size, short maternal height, unimproved drinking water source, unimproved sanitation, poor hygienic practice, having diarrhea in the previous 2 weeks before the data collection, method of child feeding, age at which complementary feeding started, frequency of feeding, not deworming and mothers who had antenatal care visit of fewer than three times were statistically associated with stunting. Conclusion In this study, stunting was an important public health problem among under-five children. It remains the same as the national average prevalence of Ethiopia. To alleviate this problem proper family planning utilization, good dietary intake, maternal and paternal education, and WASH interventions are critical.


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.


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