Prevalence of malnutrition in under five age group of the tribals in Wayanad district of Kerala, South India: a community based cross-sectional study

Authors

  • Arun Krishna S. R. Department of Epidemiology, The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India
  • Parameswari Srijayanth Department of Epidemiology, The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20222576

Keywords:

Malnutrition, Prevalence, Tribals, Under five age children

Abstract

Background: Malnutrition is one of the major causes for childhood mortality among under-five children in India. The tribal community accounts for 8.6% of India's population. In India, nutritional as well as socio-economic inequalities are most intensely experienced by the tribal population when compared with the rest of the population. The objective of the study is to estimate the prevalence of malnourishment among tribal children (0-59 months) in the Wayanad district of Kerala.

Methods: A community-based cross-sectional survey was conducted among 319 tribal children (0-59 months) of Noolpuzha panchayat, Wayanad district using a semi-structured, pretested questionnaire to collect the socio-demographic profile (age, gender, education, occupation, type of tribe, type of house, type of family) from mother/caretaker and anthropometric measurements (height, weight, and mid-arm circumference) was recorded and compared with WHO growth standards. Quantitative variables were summarized using the Mean (SD). Children below -2SD are considered malnourished in terms of being underweight, stunted, and wasted.

Results: The mean age of the children were 29 months±16 SD of which 168 (52.7%) were male, and 151 (47.3%) were females. The prevalence of underweight, stunting, and wasting was 175 (54.8%), 165 (51.7%) and 99 (31%) respectively of which 111 (34.7%) were severely underweight, 88 (27.6%) were severely stunted and 57 (17.8%) were severely wasted.

Conclusions: Malnourishment in the form of stunting, wasting, and underweight is very high among under-five tribal children of Noolpuzha panchayat resulting in the need for a multidisciplinary approach to identifying the reasons for malnourishment existing among these marginalized communities.

References

Kumar S, Chaudhary K, Jha D, Yadav S. Prevalence of Malnutrition among under five children of rukmini nagar, belagavi -a cross sectional study. Int J Health Sci Res. 2015;1:4625.

The state of the world’s children 2019. Available at: https://www.unicef.org/reports/state-of-worlds-children-2019. Accessed on 20 October 2019.

Child health issues & case study in India. Available at: https://www.childlineindia.org/a/issues/child-health. Accessed on 20 October 2019.

Monitoring the situation of children and women for malnutrition. Available at: https://data.unicef.org/ topic/nutrition/malnutrition/. Accessed on 20 October 2019.

UNICEF'S efforts to support the tribal population, especially children who suffer from malnourishment. Available at: https://www.unicef.org/india/what-we-do/tribal-nutrition. Accessed on 20 October 2019.

Care for severely wasted children. Available at: https://www.unicef.org/india/what-we-do/care-severely-wasted-children. Accessed on 20 October 2019.

Malnutrition-Free India. Available at: https://pib.gov.in/pib.gov.in/Pressreleaseshare.aspx?PRID=1781673. Accessed on 20 October 2019.

National Family Health Survey-5 Wayanad. Factsheet: 2019-2021. Available at: http://rchiips.org/nfhs/NFHS-5_FCTS/KL/Wayanad. pdf. Accessed on 20 October 2019.

India ministry of tribal affairs: the national tribal policy: a policy for the scheduled tribes of India, New Delhi: ministry of tribal affairs, 2004-2005 and 2005-2006. Available at: https://tribal.nic.in/ downloads/NCST_Report/4.pdf. Accessed on 20 October 2019.

The WHO Child Growth Standards. Available at: https://www.who.int/tools/child-growth-standards/standards. Accessed on 20 October 2019.

The use and interpretation of anthropometry: the use of and interpretation of anthropometry, report of a WHO expert committee. Available at: https://apps. who.int/iris/handle/10665/37003. Accessed on 20 October 2019.

Philip. Prevalence of undernutrition among tribal preschool children in Wayanad district of Kerala. Available at: https://www.ijamhrjournal.org/article. asp?. Accessed on 20 October 2019.

Nutritional status of children in Tribal communities of wayanad. sree chitra tirunal institute for medical sciences and technology. Available at: www. sctimst.ac.in/xmlui/bitstream/handle/123456789/2093/MPH_2005_04.pdf. Accessed on 20 October 2019.

Pradhan S, Sharma K. Nutritional status of bhil tribal children in Madhya Pradesh, India: a cross sectional study. Stud Tribes Tribals. 2011;9(1):37-40.

Logaraj M, John KR. Assessment of nutritional status of children aged under five years in tribal population of Jawadhu hills in Tamil Nadu. Int J Commu Med Public Health. 2018;5(3):1041-6.

Islam S, Mahanta TG, Sarma R, Hiranya S. Nutritional status of under 5 children belonging to tribal population living in riverine (Char) Areas of Dibrugarh District, Assam. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2014;39(3): 169-74.

Sunny R, Elamana J, Olickal JJ. Determinants of Nutritional status among under-five children in the tribal population of the Nilgiris, southern India: a cross-sectional study. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2021;46(3):554-8.

Kumar S, Kawalia S, Thitame SN. Malnutrition among under-five tribal children with special focus on dietary intake in Akole block of Western Ghat, Maharashtra, India. Int J Med Sci Public Health. 2018;7(3):165-9.

Diet and nutritional status of urban population in india and prevalence of obesity, hypertension, diabetes and hyperlipidemia in urban men and women. Available at: https://www.nin.res.in/ downloads/NNMB%20Urban%20Nutrition%20Report%20-Brief%20%20%20report.pdf. Accessed on 20 October 2019.

Bisai S, Mallick C. Prevalence of undernutrition among Kora-Mudi children aged 2-13 years in Paschim Medinipur District, West Bengal, India. World J Pediatr. 2011;7(1):31-6.

Manjunath R, Kulkarni P, Begum K. Malnutrition among under-five children of kadukuruba tribe: need to reach the unreached. J Clin Diagn Res. 2014; 8(7):1-4.

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Published

2022-09-28

How to Cite

S. R., A. K., & Srijayanth, P. (2022). Prevalence of malnutrition in under five age group of the tribals in Wayanad district of Kerala, South India: a community based cross-sectional study. International Journal Of Community Medicine And Public Health, 9(10), 3811–3815. https://doi.org/10.18203/2394-6040.ijcmph20222576

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Original Research Articles