Effect of a nutrition education programme on nutritional status of children aged 3 - 5 years in Limpopo Province, South Africa

Mushaphi, Lindelani Fhumudzani; Dannhauser, A; Walsh, Corinna M.; Mbhenyane, Xikombiso; Rooyen, Cornel van

doi:10.7196/sajch.7958

Cited by 24 publications

(32 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During 2017/2018, approximately 11,000 children under five years were treated for severe acute malnutrition, which was an underlying cause of mortality in 30.9% of these children [ 24 ]. Research is limited on malnutrition among children under age five in the health facilities in Limpopo Province [ 25 ], compared to several community-based studies [ 26 , 27 ] and national studies, which included the province [ 28 , 29 ]. In view of this, the aim of the study was to determine the prevalence of malnutrition in the form of stunting, underweight and thinness and associated factors among children aged under five years in the healthcare facilities of Waterberg district, Limpopo Province of South Africa.…”

Section: Introductionmentioning

confidence: 99%

Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa

Modjadji

Mashishi

2020

IJERPH

View full text Add to dashboard Cite

Despite years of interventions intended to reduce child malnutrition in South Africa, its negative effects, stunting in particular, persist mainly among children under five years old living in under-resourced regions. A cross-sectional study was conducted to determine the prevalence of malnutrition and associated factors among 404 children under age five attending childcare services with their mothers in selected healthcare facilities of Limpopo Province, South Africa. Anthropometry, socio-demographics and obstetric history were collected. Height-for-age, weight-for-age and body mass index-for-age Z-scores were used to determine stunting, underweight and thinness among children, respectively. Logistic regression analyses were performed to generate the factors associated with malnutrition. Stunting (45.3%) was the prevalent form of malnutrition among children under age five, affecting boys (51.7%) more than girls (38.8%) and children aged 12–23 months (62.4%) more than those <11 months old (40.1%), in addition to the overall prevalence of underweight (29.0%) and thinness (12.6%). Boys had increased odds of stunting (adjusted odds ratio, AOR = 2.07, 95% CI: 1.26–3.41, p = 0.004) and underweight (AOR = 2.17, 95% CI: 1.32–3.57, p = 0.002) than girls. Children aged 12–23 months were more likely to be stunted (AOR = 4.79, 95% CI: 2.36–9.75, p ≤ 0.0001) than children aged ≤11 months. Delayed introduction of solid foods increased the odds of stunting (AOR = 5.77, 95% CI: 2.63–12.64, p ≤ 0.0001) and underweight (AOR = 2.05, 95% CI: 1.08–3.89, p = 0.028). Children with normal birth weight were less likely to be thin (AOR = 0.42, 95% CI: 0.19–0.92, p = 0.029) and underweight (AOR = 0.34, 95% CI: 0.17–0.68, p = 0.003) than children who had low birth weight. Children whose mothers had obtained secondary school education (AOR = 0.39, 95% CI: 0.16–0.97, p = 0.044), and Grade 12 or post-Grade 12 education (AOR = 0.32, 95% CI: 0.12–0.83, p = 0.020) were less likely to be stunted than were children of mothers who had only primary school education. Suboptimal complementary feeding predisposed children to stunting and underweight. National nutrition programs should be context-specific to improve the introduction of complementary foods among children, especially in the remote and poor areas.

show abstract

Section: Introductionmentioning

confidence: 99%

Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa

Modjadji

Mashishi

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…This reflects that nutrition education cannot be taught if it is not part of the curriculum and if it is not being assessed. Lack of nutrition education is a great disadvantage to the economy in countries like South Africa where there is a prevalence of malnutrition (undernutrition and over-nutrition) and micronutrient deficiency [3,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…Nutrition education intervention programmes may be necessary in improving the nutrition knowledge of servicing teachers [17]. Nutrition education intervention programme in South Africa should be based on South African food-based dietary guidelines, and should address issues of variety of foods in each food group, hygiene and sanitation, starchy foods, and eating plenty of vegetables and fruits every day, as the bases of meals [13]. Some researchers observe that nutrition education knowledge can be improved through training and engagement in healthy life style projects such as the school nutrition programme which unfortunately was not providing the relevant knowledge to the learners that participated in the study [17,29].…”

Section: Discussionmentioning

confidence: 99%

“…There is a prevalence of malnutrition (undernutrition and over-nutrition) and micronutrient deficiencies in developing countries including South Africa [3,[13][14][15]. In South Africa, nutrition education is one of the objectives of the national school nutrition programme aimed at addressing issues of malnutrition [6].…”

Section: Introductionmentioning

confidence: 99%

“…Nutrition education intervention programmes in South Africa should be based on South African foodbased dietary guidelines and should address issues of variety of foods in each food group, hygiene and sanitation, starchy foods as the bases of meals, and eating plenty of vegetables and fruits every day [13].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adolescents Nutrition Knowledge: A mixed methods Research.

Mafugu¹

2020

Preprint

View full text Add to dashboard Cite

Background Poor nutrition has been associated with lack of nutrition education, which leads to chronic diseases like diabetes, hypertension, obesity and coronary artery diseases. The objectives of the study were to evaluate learners’ knowledge of nutrition education principles and to determine how the knowledge of nutrition principles could be improved among learners. Methods Mixed methods cross-sectional research with application of semi-structured face-to-face interviews and a structured questionnaire were used to collect data. Eight stake-holders participated in the qualitative component of the study while 108 learners from 8 different schools responded to the questionnaire. The qualitative data was analyzed by coding and categorizing the data into themes and sub-themes while the quantitative data was analyzed using SPSS yielding frequencies, percentages, means and standard deviations. Results A significant proportion of learners lacked the nutrition knowledge due to the absence of health promotion campaigns in the schools and teaching of the nutrition principles was only limited to Life Science in the high school curriculum. Majority (56%) of the learners were taught nutrition education at primary school mainly in the Life Orientation curriculum while less than 2% were taught in grade 11 and 12. About 92% of the learners were not aware of the nutritional value of fruits, vegetables, milk and fats. Conclusions Incorporation of nutrition education in a compulsory subject in high school and in-school nutrition education sessions in school gatherings that involve various stakeholders is critical in improving the nutrition knowledge of stakeholders. Such interventions will assist in curbing diet related chronic diseases.

show abstract

Interventions promoting uptake of water, sanitation and hygiene (WASH) technologies in low‐ and middle‐income countries: An evidence and gap map of effectiveness studies

Chirgwin

Cairncross

Zehra

et al. 2021

Campbell Systematic Reviews

View full text Add to dashboard Cite

Background Lack of access to and use of water, sanitation and hygiene (WASH) cause 1.6 million deaths every year, of which 1.2 million are due to gastrointestinal illnesses like diarrhoea and acute respiratory infections like pneumonia. Poor WASH access and use also diminish nutrition and educational attainment, and cause danger and stress for vulnerable populations, especially for women and girls. The hardest hit regions are sub‐Saharan Africa and South Asia. Sustainable Development Goal (SDG) 6 calls for the end of open defecation, and universal access to safely managed water and sanitation facilities, and basic hand hygiene, by 2030. WASH access and use also underpin progress in other areas such as SDG1 poverty targets, SDG3 health and SDG4 education targets. Meeting the SDG equity agenda to “leave none behind” will require WASH providers prioritise the hardest to reach including those living remotely and people who are disadvantaged. Objectives Decision makers need access to high‐quality evidence on what works in WASH promotion in different contexts, and for different groups of people, to reach the most disadvantaged populations and thereby achieve universal targets. The WASH evidence map is envisioned as a tool for commissioners and researchers to identify existing studies to fill synthesis gaps, as well as helping to prioritise new studies where there are gaps in knowledge. It also supports policymakers and practitioners to navigate the evidence base, including presenting critically appraised findings from existing systematic reviews. Methods This evidence map presents impact evaluations and systematic reviews from the WASH sector, organised according to the types of intervention mechanisms, WASH technologies promoted, and outcomes measured. It is based on a framework of intervention mechanisms (e.g., behaviour change triggering or microloans) and outcomes along the causal pathway, specifically behavioural outcomes (e.g., handwashing and food hygiene practices), ill‐health outcomes (e.g., diarrhoeal morbidity and mortality), nutrition and socioeconomic outcomes (e.g., school absenteeism and household income). The map also provides filters to examine the evidence for a particular WASH technology (e.g., latrines), place of use (e.g., home, school or health facility), location (e.g., global region, country, rural and urban) and group (e.g., people living with disability). Systematic searches for published and unpublished literature and trial registries were conducted of studies in low‐ and middle‐income countries (LMICs). Searches were conducted in March 2018, and searches for completed trials were done in May 2020. Coding of information for the map was done by two authors working independently. Impact evaluations were critically appraised according to methods of conduct and reporting. Systematic reviews were critically appraised using a new approach to assess theory‐based, mixed‐methods evidence synthesis. Results There has been an enormous growth in impact evaluations and systematic reviews of WASH ...

show abstract

Effect of a nutrition education programme on nutritional status of children aged 3 - 5 years in Limpopo Province, South Africa

Cited by 24 publications

References 9 publications

Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa

Persistent Malnutrition and Associated Factors among Children under Five Years Attending Primary Health Care Facilities in Limpopo Province, South Africa

Adolescents Nutrition Knowledge: A mixed methods Research.

Interventions promoting uptake of water, sanitation and hygiene (WASH) technologies in low‐ and middle‐income countries: An evidence and gap map of effectiveness studies

Contact Info

Product

Resources

About