Title: Prevalence of under-nutrition among children (1-5 years of age) and its association with various socio-demographic factors in Rohtak city, Haryana
Authors: Dr Brijesh Kumar, Dr R.B.Jain, Dr Gaurav Rajawat, Dr J.P.Rajliwal, Dr Kashish Grover, Dr Sandeep Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.89
Abstract
Background: Under nutrition refers to a pathological state resulting from a relative or absolute deficiency of one or more essential nutrients. The term under nutrition encompasses wasting, stunting and underweight. As per National Family Health Survey IV (2015-16), prevalence of stunting, wasting and underweight among under-five children in India is 38.4%, 21% and 35.7% respectively.
Methods: This cross-sectional study was conducted in an urban area of district Rohtak from July 2016 to June 2017 among 400 children (1-5 years of age) which were randomly selected from 14 anganwadi centers. The anthropometric measurement and nutritional status categorization among children was done using WHO guidelines.
Results: The prevalence of stunting, wasting and underweight to be 33.8%, 21.5% and 34.5% respectively. Under nutrition rates were found to be significantly higher in children whose mothers were illiterate, children belonging to SC category and children of lower and upper-lower socio-economic class.
Conclusion: It was revealed in this study that the prevalence of under nutrition was unacceptably high among the children. Every endeavor should be made to combat the under nutrition in children through multi-sectoral and multipronged approach.
Keywords: under nutrition, children, urban, nutrition.
References
- Park K. Parks Textbook of Preventive and Social Medicine. 24th Jabalpur: Banarsidas Bhanot; 2017. p. 646-78.
- Katsilambros N. Clinical Nutrition in Practice. 8th New York: John Wiley &Sons; 2011. p. 37.
- Government of India. Children in India 2012– A Statistical Appraisal [Internet]. New Delhi: Ministry of Statistics and Programme Implementation, Government of India; September 2012 [cited on 2017 Aug 17]. Available from: http://mospi.nic.in/sites/default/files/publication_reports/Children_in_India_2012-rev.pdf
- United Nations Children’s Fund. Improving child nutrition: The achievable imperative for global progress [Internet]. New York: UNICEF; 2013[Cited 2017 Aug 18]. Available from: https://www.unicef.org/gambia/Improving_Child_Nutrition_-_the_achievable_imperative_for_global_progress.pdf
- World Bank. Prevalence of underweight, weight for age[Internet]. Washington DC: The World Bank; 2017 [Cited 2017 Aug 18]. Available from: https://data.worldbank.org/indicator/SH.STA.MALN.ZS
- Levels and Trends in Child Malnutrition: Joint child malnutrition estimates by UNICEF, WHO and World Bank Group [Internet]. Geneva: WHO; 2017 [Cited 2017 Aug 18]. Available from: https://data.unicef.org/resources/joint-child-malnutrition-estimates-2017-edition/
- United Nation International Children’s Emergency Fund. The State of the World's Children[Internet]. New York: UNICEF; 2016 [Cited 2017 Aug 18]. Available from: http://www.unicef.org/sowc/
- International Institute for Population Sciences. National Family Health Survey-4 (2015–16) – India Fact Sheet [Internet]. Mumbai: Ministry of Health and Family Welfare, Government of India; 2016 [Cited 2017 Aug 21]. Available from: http://rchiips.org/NFHS/pdf/NFHS4/India.pdf
- International Institute for Population Sciences. National Family Health Survey-4 (2015–16) – Haryana Fact Sheet [Internet]. Mumbai: Ministry of Health and Family Welfare, Government of India; 2016 [Cited 2017 Aug 21].Available from: http://rchiips.org/NFHS/pdf/NFHS4/HR_FactSheet.pdf
- WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/Height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age; Methods and development [Internet]. Geneva: World Health Organization; 2006 [Cited 2017 Aug 22]. Available from: http://www.who.int/childgrowth/standards/technical_report/en/
- International Institute for Population Sciences. District Level Household and Facility Survey-4 (2012-13) – Haryana Fact Sheet [Internet]. Mumbai: Ministry of Health and Family Welfare, Government of India; 2013 [Cited 2017 Aug27]. Available from:http://rchiips.org/pdf/dlhs4/report/HR.pdf
- Yadav SS, Yadav ST, Mishra P, Mittal A, Kumar R, Singh J. An epidemiological study of malnutrition among under five children of rural and urban Haryana. J Clin Diagn Res.2016;10(2):7-10.
- Ashok NC, Santosh KA, Raghavendraswamy K, Sunil KD, Murali D, Chandrashekar SV. PEM in relation to birth order and birth interval in children aged 1-6 years in urban slums of Mysore city. Indian Journal of Public Health Research & Development. 2015;6(1):309-13.
- Sarkar S. Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India. International Journal of Population Studies. 2016;2(1):89-102.
- Meshram II, Rao KM, Reddy CG, Sharad KS, Sreerama KK, Hari KR, et al. Prevalence of under nutrition and its predictors among under 5 yearchildren inSurat region, Gujarat, India. Journal of Clinical Nutrition & Dietetics. 2016;2:1-12.
- Pant B, Vaish A, Jain S, Ahmad S, Varshney AM, Rupesh. Malnutrition among under five children in the peri urban area of Meerut city: Impact of socio-demographic factors. Asian Journal of Pharmaceutical and Health Sciences. 2013;3(2):769-73.
- Purohit L, Sahu P, Godale LB. Nutritional status of under- five children in a city of Maharashtra:a community based study. Int J Community Med Public Health. 2017;4(4):1171-1178.
- Damor RD, Pithadia PR, Lodhiya KK, Mehta JP, Yadav SB. A study on assessment of nutritional and immunization status of under-five children in urban slums of Jamnagar city, Gujarat. Healthline Journal. 2013;4:35-9.
- Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under-nutrition in under-five year children in an urban slum of Ludhiana. Health Popul Perspect Issues. 2010;33:111-9.
- Mamulwar MS, Rathod HK, Jethani S, Dhone A, Bakshi T, Lanjewar B, et al. Nutritional status of under-five childrenin urban slums of Pune. Int J Med Public Health. 2014;4(3):247-50.
- Bhavsar S, Mahajan H, Kulkarni R. Maternal and environmental factors affecting the nutritional status of children in Mumbai urban slum. International Journal of Scientific and Research Publications.2012;2:111-6.