Nutritional Status of Under-Five Children in Western Nepal

Shrestha, Bipin

doi:10.3126/jnps.v34i2.10566

Cited by 3 publications

(4 citation statements)

References 4 publications

(5 reference statements)

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“…These figures were little higher than reported in the Annual report of Nepal 2016. [1] Similarly, these figures are higher than the rate shown in other studies done in Pokhara, [6] Dolakha, [7] Humla, [8] and Ilam [9] but lower than the studies done in Kathmandu and Eastern Terai. [ …”

Section: Discussioncontrasting

confidence: 53%

Nutritional Assessment of Under Five Children Attending Pediatric Clinic in a Tertiary Care Hospital in the Capital of Nepal

Chhetri¹,

Sayami

Mainali

2017

J Lumbini Med Coll

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ABSTRACT:Introduction: There has been a decreasing trend in malnutrition (stunting, wasting, and under-weight) in Nepal from 2001 till 2016 according to Nepal demographic health survey 2016. We tried to study whether these national survey data equally reflect the nutritional status of children visiting hospitals in the capital city of our country. The objective of the study was to evaluate the nutritional status of children less than five years of age brought to a hospital in Kathmandu. Methods: Anthropometric measurements (height/length and weight), other demographic details, and morbidity of all children, six months to five years of age, visiting the hospital over the period of three months were collected from the out-patient register. Height-for-age, weight-for-height, and weight-for-age were calculated and expressed as standard deviation units as compared to the median of reference data taken from WHO Multicentre Growth Reference Study Group (2007). Association between morbidity and various anthropometric values were calculated. Results: A total of 424 children were included in the study. There were 2.1% severely stunted, 8% stunted, 2.8% tall, and 1.7% very tall children. Similarly, 6.4% were severely wasted, 14.4% wasted, 4.7% severely underweight, and 12.3% under-weight. The anthropometric values were significantly associated with morbidity (acute Vs chronic) but not associated with whether they were from within Kathmandu or form outside, and individual morbidity. Conclusion: Wasting and severe wasting in under five children from and nearby Kathmandu of Nepal is higher while stunting and severe stunting is lower as compared to previous National reports.

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Section: Discussioncontrasting

confidence: 53%

Nutritional Assessment of Under Five Children Attending Pediatric Clinic in a Tertiary Care Hospital in the Capital of Nepal

Chhetri¹,

Sayami

Mainali

2017

J Lumbini Med Coll

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“…The data compiled by Chaparro et al in 2014 showed that the greatest increases in stunting in Nepal were taking place in infants aged between 9 and 18 mo due to inadequate breastfeeding and complementary feeding and the rise in illness and infection at this age ( 51 ). An additional 5 studies supported this finding of higher rates or worsening in the severity of stunting among older infants in Nepal ( 35 , 43 , 62 , 63 , 64 ). Access to health services, and particularly maternal and newborn health care, has been linked to a reduction in stunting in Nepal by 7 studies ( 5 , 6 , 29 , 36 , 37 , 55 , 56 ).…”

Section: Introductionmentioning

confidence: 83%

“…In particular, a 2016 study by Cunningham et al found, through regression analysis of Nepal's DHS data from 1996 to 2011, that there was a relative contribution of 0.18 SDs to HAZ among children who received all of their vaccinations ( 5 ). Conversely, 2 studies included in this literature review found an association between infection and illness in Nepalese children and poor growth outcomes ( 64 , 65 ). Maternal nutrition was also linked to child growth outcomes in 7 studies.…”

Section: Introductionmentioning

confidence: 85%

Drivers of stunting reduction in Nepal: a country case study

Conway

Akseer

Subedi³

et al. 2020

The American Journal of Clinical Nutrition

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Background Chronic child malnutrition represents a serious global health concern. Over the last several decades, Nepal has seen a significant decline in linear growth stunting – a physical manifestation of chronic malnutrition – despite only modest economic growth and significant political instability. Objective This study aimed to conduct an in-depth assessment of the determinants of stunting reduction in Nepal from 1996 to 2016, with specific attention paid to national-, community-, household-, and individual-level factors, as well as relevant nutrition-specific and -sensitive initiatives rolled out within the country. Methods Using a mixed-methods approach, 4 types of inquiry were employed: 1) a systematic review of published peer-reviewed and gray literature; 2) retrospective quantitative data analyses using Demographic and Health Surveys from 1996 to 2016; 3) a review of key nutrition-specific and -sensitive policies and programs; and 4) retrospective qualitative data collection and analyses. Results Mean height-for-age z-scores (HAZ) improved by 0.94 SDs from 1996 to 2016. Subnational variation and socioeconomic inequalities in stunting outcomes persisted, with the latter widening over time. Decomposition analysis for children aged under 5 y explained 90.9% of the predicted change in HAZ, with key factors including parental education (24.7%), maternal nutrition (19.3%), reduced open defecation (12.3%), maternal and newborn health care (11.5%), and economic improvement (9.0%). Key initiatives focused on decentralizing the health system and mobilizing community health workers to increase accessibility; long-standing nationwide provision of basic health interventions; targeted efforts to improve maternal and child health; and the prioritization of nutrition-sensitive initiatives by both government and donors. National and community stakeholders and mothers at village level highlighted a mixture of poverty reduction, access to health services, improved education, and increased access to water, sanitation, and hygiene as drivers of stunting reduction. Conclusions Improvements in both nutrition-specific and nutrition-sensitive sectors have been critical to Nepal's stunting decline, particularly in the areas of poverty reduction, health, education, and sanitation.

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“…2 The prevalence of wasting and underweight was found somehow similar with the nutritional status of under five children in Western Nepal where 15.1% were wasted and 20.2% were underweight respectively but the stunting was somehow lower in Duruwa VDC than in western Nepal. 6 The inappropriate time of initiation of complementary feeding, outbreaks of diarrhea and other diseases may be the reason behind this. This may be due to low hygiene and sanitation in the community which may cause disease outbreak and parasitic infection in children causing wasting in children.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status among 6-59 Months Children in A Selected Community of A VDC

et al. 2019

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Introduction: Adequate nutrition is essential for proper growth and development of the child. We conducted a cross-sectional descriptive study to find the prevalence of nutritional status of 6–59 month old Tharu children in Duruwa VDC of Dang District. This study also deliberate the socio-economic and demographic character, maternal and child character and child feeding status of the Tharu community children. Methods: This study is a cross-section descriptive study and was done between February and March, 2017 in Tharu community of Duruwa VDC, Dang. Total 189 children of age group 6 – 59 months were selected by using systematic random sampling technique; anthropometric measurements were performed to find the nutritional status of children. Pre-coded questionnaire was used to collect information from caretaker. WHO Anthro version 3.2.2 and SPSS version 20 were used to analyze data. Results: Prevalence of wasting, stunting, and underweight were 25 (13.2%), 51 (27%), and 40 (21.2%) respectively. The prevalence of stunting was seen more in females than in males while underweight was higher among males, whereas wasting was very similar in both sexes. Conclusions: The findings showed that there is still high prevalence of malnutrition in Tharu children of Duruwa VDC. So monitoring of nutrition status in Tharu children should be taken seriously and needs to be addressed.

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Nutritional Status of Under-Five Children in Western Nepal

Cited by 3 publications

References 4 publications

Nutritional Assessment of Under Five Children Attending Pediatric Clinic in a Tertiary Care Hospital in the Capital of Nepal

Nutritional Assessment of Under Five Children Attending Pediatric Clinic in a Tertiary Care Hospital in the Capital of Nepal

Drivers of stunting reduction in Nepal: a country case study

Nutritional Status among 6-59 Months Children in A Selected Community of A VDC

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