Factors Influencing Malnutrition Among Under 5 Year Children of District Gwadar, A Cross-Sectional Community Based Study
Factors Influencing Malnutrition among Under 5 Year Children
DOI:
https://doi.org/10.54393/pjhs.v3i05.161Keywords:
Malnutrition, SAM, MAMAbstract
Malnutrition is one of the major causes in low and middle-income families’ children’s deaths under the age of 5 years. Nine times as many children with severe acute malnutrition (SAM) will pass away than healthy youngsters. In Pakistan, 17.7% of children under five are wasted, and 4 out of 10 infants under five are stunted. With almost 1/3 children (28.9%) underweight, the double burden of malnutrition is increasing. Objectives: To assess and identify the factors influencing malnutrition among under five years children of district Gwadar. Methods: A community-based cross-sectional research was carried out in randomly chosen clusters in several union councils in the Pakistani district of Gwadar. Mothers and other caregivers of children under five were interviewed as part of the house-to-house survey, using a practical sample approach. Results: The children age mean was 11.56 ± 12.4 months and the mean age of mothers was 27.29 ± 6.31 years. Overall stunting prevalence of severe acute malnutrition (SAM) cases was 21.2% and moderate acute malnutrition (MAM) cases were 46.2%. Conclusions: According to the study's results, under the age of five the malnutrition was widespread. The three types of nutritional outcomes were all strongly correlated with household income. Particularly in Baluchistan's underdeveloped regions, more labor and studies are needed
References
Peixoto Paes-Silva R, Correia de Macedo ÉM, Oliveira Tomiya MT, Machado Barbosa de Castro CM. Immune Response of Severe Malnutrition Children Treated According to the Protocol of The World Health Organization. Nutrition Hospital. 2015 Aug; 32(2):638-44. doi: 10.3305/nh.2015.32.2.9048
Debika S and Kumari S. A Cross Sectional Study to Determine the Prevalence of Obesity and Its Perceived Health Problems among Adult Women who are Residing in Gautambudha Nagar, UP.
Ibrahim S. Anthropometric patterns and correlates of growth attainment in under-five Pakistani children. The Pakistan Development Review. 1999 Jul:131-52.
Hassan B, Ahmed R, Li B, Noor A, Hassan ZU. A comprehensive study capturing vision loss burden in Pakistan (1990-2025): Findings from the Global Burden of Disease (GBD) 2017 study. PLoS One. 2019 May; 14(5):e0216492. doi: 10.1371/journal.pone.0216492
Arif A and Naheed R. Socio-economic determinants of diarrhoea morbidity in Pakistan. Academic Research International. 2012 Jan; 2(1):490.
Habib MA, Raynes-Greenow C, Soofi SB, Ali N, Nausheen S, Ahmed I, et al. Prevalence and determinants of iron deficiency anemia among non-pregnant women of reproductive age in Pakistan. Asian Pacific Journal of Clinical Nutrition. 2018; 27(1):195-203. doi: 10.6133/apjcn.042017.14
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013 Aug; 382(9890):427-451. doi: 10.1016/S0140-6736(13)60937-X
Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta ZA. Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition. 2020 Sep; 112(Suppl 2):777S-791S. doi: 10.1093/ajcn/nqaa159
Jonah CMP, Sambu WC, May JD. A comparative analysis of socioeconomic inequities in stunting: a case of three middle-income African countries. Archives of Public Health. 2018 Dec; 76:77. doi: 10.1186/s13690-018-0320-2
Pravana NK, Piryani S, Chaurasiya SP, Kawan R, Thapa RK, Shrestha S. Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case-control study. BMJ Open. 2017 Aug; 7(8):e017084. doi: 10.1136/bmjopen-2017-017084
Bhutta ZA, Nizami SQ, Isani Z. Zinc supplementation in malnourished children with persistent diarrhea in Pakistan. Pediatrics. 1999 Apr; 103(4):e42. doi: 10.1542/peds.103.4.e42
World Health Organization. Department of Child, Adolescent Health, UNICEF. Management of the child with a serious infection or severe malnutrition: guidelines for care at the first-referral level in developing countries. World Health Organization; 2000.
Planning Commission. Planning and Development Division, Government of Pakistan. National Nutrition Survey. 2011.
Wamani H, Astrøm AN, Peterson S, Tumwine JK, Tylleskär T. Boys are more stunted than girls in sub-Saharan Africa: a meta-analysis of 16 demographic and health surveys. BMC Pediatrics. 2007 Apr; 7:17. doi: 10.1186/1471-2431-7-17
Novignon J, Aboagye E, Agyemang OS, Aryeetey G. Socioeconomic-related inequalities in child malnutrition: evidence from the Ghana multiple indicator cluster survey. Health Economics Review. 2015 Dec; 5(1):34. doi: 10.1186/s13561-015-0072-4
Headey D, Hoddinott J, Ali D, Tesfaye R, Dereje M. The other Asian enigma: explaining the rapid reduction of undernutrition in Bangladesh. World Development. 2015 Feb; 66:749-61. doi: 10.1016/j.worlddev.2014.09.022
Kosek MN; MAL-ED Network Investigators. Causal Pathways from Enteropathogens to Environmental Enteropathy: Findings from the MAL-ED Birth Cohort Study. EBioMedicine. 2017 Apr; 18:109-117. doi: 10.1016/j.ebiom.2017.02.024
Hong R. Effect of economic inequality on chronic childhood undernutrition in Ghana. Public Health Nutrition. 2007 Apr; 10(4):371-8. doi: 10.1017/S1368980007226035
McDonald CM, McLean J, Kroeun H, Talukder A, Lynd LD, Green TJ. Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia. European Journal of Clinical Nutrition. 2015 Feb; 69(2):242-6. doi: 10.1038/ejcn.2014.161
Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, et al. Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. The Journal of Nutrition. 2013 Dec; 143(12):2015-21. doi: 10.3945/jn.113.175182
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