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Nutritional status of under five children –A community based study in urban field practice area of a Government medical college Aurangabad (Maharashtra) India
MOHAN KONDIBA DOIBALE

Last modified: 2018-08-07

Abstract


Nutritional status of under five children –A community based study in urban field practice area of a Government medical college Aurangabad (Maharashtra) India

Mohan Doibale1, Smita Andurkar2, Sunayana Kumthekar3

1 Prof. and Head, Department of Community Medicine, Government medical college, Aurangabad(Maharashtra) India ,

2 Associate Prof. Department of Community Medicine, Government medical college, Aurangabad

3 Postgraduate student, Department of Community Medicine, Government medical college Aurangabad

* Mohan  Doibale, E- mail:doibale@gmail.com , Phone :919422203393

Background

Malnutrition erodes the foundations of global economy and progress by destroying the potential of millions of children worldwide. As a matter of fact, it is known that malnutrition costs life of children and if not, it makes them vulnerable for the entire life time with devastating and irreversible damage to the body. Every day, on an average more than 26000 children under the age of five die around the world. Malnutrition contributes to more than half of these deaths. In Maharashtra prevalence of stunting, wasting & underweight in under five children are as  29.3%, 24.9% & 30.7% respectively (NFHS-4).

As a step towards reducing the prevalence, there is need to identify the important determinants of malnutrition and take necessary measures to prevent it. Our study highlights the magnitude of problem and some socio-demographic factors associated with malnutrition amongst under five children of  Urban  area.

 

Materials and methods

The present cross sectional community based study was conducted in an urban field practice area of a Government medical college Aurangabad (Maharashtra) India.The study population consisted of under five children residing in the study area for more than 6 months. The sample size was estimated to be 361 using the formula for proportion considering the prevalence of underweight as 37.8%.(NFHS-4) using OpenEpi, Version 3, open source calculator. Anthropometric measurements were taken using standardized equipments. The data analysis process was performed with the help of MS Excel and WHO Anthro 3.2.2 version. To measure the deviation of weight-for-height, weight-for-age, length/height-for-age, BMI-for-age & arm circumference-for-age WHO Anthro was used and Z-score values were calculated.

 

Results

Underfive children  stunted (Height-for-age) were 40.7%, wasted (Weight-for-height) were 11.3% & underweight  (Weight-for-age) were 26.9%. Underfive children severly underweight  (Weight-for-age) were 7.4%.Association of nutritional status and factors like age and sex of children was found statistically significant while other factors like type of family, religion, education and occupation of parents found not significant.

 

Conclusions

Malnutrition is a multifactorial disease.Severly malnourished children require immediate attention. Greater awareness of associated risk factors, leads to earlier diagnosis and improved management, there may be scope for reducing proportion of morbidity and mortality from malnutrition.

Keywords

Nutritional status, under five children.