Undernutrition and associated factors among children 1-5 years of age in rural area of Haryana, India: A community based cross-sectional study

Abstract

Background: Children under five years of age are most vulnerable to the vicious cycles of malnutrition, disease/infection and resultant disability all of which influence the present condition of a child at the microlevel and the future human resource development of the nation at the macrolevel. Aim: The present study was conducted to estimate the prevalence of undernutrition among under-five children; and to determine the associated factors. Methods: All 112 Anganwadi Centres in block Lakhan Majra were enlisted and 30 Anganwadi Centres were selected by adopting systematic random sampling. From each selected Anganwadi Centre, 20 children of 15 years of age group were selected by simple random sampling, thus, a sample of 600 children was included in the study. Results: Overall prevalence of undernutrition in our study was found as follows: wasted 18.4%; underweight 38.3%; stunted 41.3%. Mothers who had four or more ANC visits and IFA intake for 100 or more days had lower prevalence of wasting, stunting, and underweight than the mothers with three or less ANC visits and inadequate IFA intake. Children with a history of pre-lacteal feeding had higher prevalence of stunting, underweight, and wasting than the children with no history of pre-lacteal feeding. Conclusion: Every endeavor should be made to combat the outcomes of undernutrition through multipronged approach such as growth monitoring, nutritional supplementation, etc., Also, present study findings reinforce the importance of proper infant and child feeding practices and appropriate maternal care in prevention of childhood undernutrition.

Diagnostic Accuracy of Mid-Upper Arm Circumference for the Detection of Acute Malnutrition Among Children Aged 6–60 Months: A Diagnostic Accuracy Study

“…Additionally, this prevalence was higher in comparison to the results of earlier studies. 12 - 15 The findings of the current study revealed an 8% prevalence of severe wasting, which is consistent with the results of the study conducted in Gujarat (6%), 16 Haryana (8%), 13 and with the national average (7.7%). 4 In the current study, the prevalence of stunting (36.7%) was slightly lower than it was for the state (39%) and the region (38.9%).…”

Prevalence of undernutrition and associated risk factors among under five children in rural Haldwani

“…A study conducted by Chaudhary and Agrawal, (2019) 18 in Jaipur showed that underweight and stunting were significantly associated with number of siblings, birth order, birth weight, and immunization status while wasting was significantly associated with birth weight and immunization status. A study conducted by Chawla et al, 21 in Haryana showed that underweight was significantly associated with birth weight, birth order, prelacteal feed, exclusive breastfeeding, and introduction of complementary feeding while stunting and wasting was significantly associated with birth weight, prelacteal feed, exclusive breastfeeding, and introduction of complementary feeding. A study conducted by Rehan et al, 20 in Rishikesh showed that stunting and wasting were not significantly associated with birth order, birth weight, and immunization status.…”

“…This present study found significant association between undernutrition with intake of iron folic acid tablets during ANC and PNC period, duration of pregnancy, and site of delivery. A study conducted by Chawla et al, 21 in Haryana showed that underweight and stunting was significantly associated with antenatal visits, intake of iron folic acid during pregnancy, and place of delivery while wasting was significantly associated with antenatal visits and intake of iron folic acid during pregnancy. A study conducted by Hossain et al, 22 showed that underweight was not associated with mother's age.…”

Addressing determinants of malnutrition: A protocol of project Tushti

“…The survey tool was developed based on the review of previous national surveys in India[ 5 6 ] as well as the published literature on child malnutrition. [ 9 10 14 15 ] Respondents included key informant (mother of the respective child) participated in the study. Demographic and socioeconomic details and variable of child and maternal history were sought by interview and by reviewing medical records.…”

“…[ 7 ] The nutritional interventions during this period had greatest impact on child health, survival, and development. [ 8 ] Several studies explored prevalence and described associated risk factors of under-five (U5) undernutrition in India[ 9 10 ] and other developing countries,[ 11 12 ] but there is a paucity of literature reporting the prevalence as well as determinants of malnutrition in children less than 2 years of age. The present study was conducted to assess prevalence of malnutrition and to identify the factors related to it among children less than 2 years of age in Devbhumi Dwarka District of Gujarat.…”