Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

Abstract

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

A Comparison: Composite Index of Anthropometric Failure (CIAF) Incidence in Bukittinggi City and Dharmasraya District, Indonesia

“…In the same year, Kherde et al conducted a study in Nagpur, India. The CIAF incidence in the region is almost the same as the results of this study which is 23.26% [14] [15] The number of short -thin children in cities or villages shows that nutritional problems that occur are complex and acute -chronic. The unique problematic condition is found in many children who have highly educated mothers and are not economically productive (more at home).…”

Child Undernutrition in the States of India: An Analysis Based on Change in Composite Index of Anthropometric Failure from 2006 to 2016

“…Their study observed that as anthropometric failure incidence increases, the effect of socio-economic and demographic factors on undernutrition also increases and highlights the use of CIAF by health workers. Similar results by constructing the CIAF were found among preschool children of Chapra in Nadia district of West Bengal (Biswas et al, 2009), among children between two years and six years from Bauri caste in West Bengal (Das & Bose, 2009), and while studying childhood morbidities in rural Wardha in Maharashtra (Deshmukh et al, 2009; for regional studies, see also Boregowda et al, 2015; Dewan et al, 2015; Dhok & Thakre, 2016; Gupta et al, 2017; Kherde et al, 2018; Patsa & Banerjee, 2018; Savanur & Ghugre, 2015).…”

Composite Index of Anthropometric Failure (CIAF) among Sonowal Kachari tribal preschool children of flood effected region of Assam, India

“…Seven categories propose a supplementary measure to assess the undernutrition and estimate the prevalence of stunting, wasting and underweight in separate measures (Nandy et al 2005;Dewan et al 2015;Dhok and Thakre 2016;Ziba et al 2018). Several researchers have reported the immensity of child undernutrition using CIAF among Indian children (Nandy et al 2005;Seetharaman et al 2007;Mandal and Bose 2009;Sen and Mondal 2012;Boregowda et al 2015;Dewan et al 2015;Savanur and Ghugre 2015;Dhok and Thakre 2016;Gupta et al 2017;Vollmer et al 2017;Kherde et al 2018;Patsa and Banerjee 2018).…”