Interstate migration and its association with the prevalence of stunting in under-five children of the migrant families in Delhi-NCR, India: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240614Keywords:
Delhi, Malnutrition, Migrant children, Stunting, Under-fiveAbstract
Background: Interstate migration in India is increasing every year. Children of the migrant families often face poor living conditions and insufficient nutrition, as a result of various socio-economic determinants. This study aimed to understand the association between rural-to-urban migration and under-five stunting, and the various determinants involved. This study allows researchers to make pre and post pandemic comparison of stunting among migrant children in Delhi, since it was carried-out post the second wave of the COVID-19 pandemic.
Methods: A community-based cross-sectional survey was carried-out in the bhatti mines area of south Delhi, using a systemic sampling method. 100 households each of migrants and non-migrants were approached, and height of the under-five children was measured. Stunting was estimated using WHO child growth standards. Information on demography and socio-economic determinants was collected from the mothers using a questionnaire.
Results: Stunting was recorded in 62% of the migrant under-five children and 27% in the non-migrant children, with a significant difference between the two groups (p value <0.001), indicating a significant association between migration and stunting. Source of drinking water (p<0.05) and recurring episodes of diarrhea (p<0.05) were also found to be strongly associated with under-five stunting.
Conclusions: Under-five nutritional deficits lead to compromised immunity and delay in physical and mental growth and development. It is important to recognize and address the diverse needs of the under-five migrant population’s health in order to avoid stunting and other serious manifestations.
References
Economic Survey 2017-18. Planning Department. Available from: https://delhiplanning.delhi.gov.in/ planning/economic-survey-2017-18. Accessed on 19 March 2023.
Rajan SI, Bhagat RB. Internal migration in India: integrating migration with development and urbanization policies. Polic Brief. 2021;12:59.
Prusty RK, Keshri K. Differentials in child nutrition and immunization among migrants and non-migrants in Urban India. Int J Migrat Health Soc Care. 2015;11(3):194-205.
Roshania RP, Giri R, Cunningham SA, Young MF, Webb-Girard A, Das A, et al. Early life migration and undernutrition among circular migrant children: An observational study in the brick kilns of Bihar, India. J Glob Health. 12:04008.
Ravindranath D, Trani JF, Iannotti L. Nutrition among children of migrant construction workers in Ahmedabad, India. Int J Equity Health. 2019;18(1):1-12.
Akoijam B, Kerketta S, Borhade A, Khan Z, Sengupta P, Sudhakar G, et al. Living conditions of internal labour migrants: a nationwide study in 13 Indian cities. Int J Migrat Border Stud. 2017;3:328.
Dabar D, Yadav V, Goel AD, Mangal A, Prasad P, Singh M. Risk factors for undernutrition in under-five children living in a migrant populated area of South Delhi. J Fam Med Prim Care. 2020;9(4):2022-7.
For a better inclusion of internal migrants in India: policy briefs- UNESCO Digital Library. Available from: https://unesdoc.unesco.org/ark:/48223/ pf0000219173. Accessed on 15 September 2022.
Kusuma YS, Kumari R, Kaushal S. Migration and access to maternal healthcare: determinants of adequate antenatal care and institutional delivery among socio-economically disadvantaged migrants in Delhi, India. Trop Med Int Health. 2013;18(10):1202-10.
Kusuma YS, Kumari R, Pandav CS, Gupta SK. Migration and immunization: determinants of childhood immunization uptake among socioeconomically disadvantaged migrants in Delhi, India. Trop Med Int Health. 2010;15(11):1326-32.
Ogbu TJ, Scales SE, de Almeida MM, van Loenhout JAF, Speybroeck N, Guha-Sapir D. Predictors of exceeding emergency under-five mortality thresholds using small-scale survey data from humanitarian settings (1999-2020): considerations for measles vaccination, malnutrition, and displacement status. Arch Public Health. 2022;80(1):160.
Child malnutrition: Stunting among children under 5 years of age. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/72. Accessed on 19 March 2023.
Stunting: considerations for use as an indicator in nutrition projects. USAID. 2020. Available from: https://www.advancingnutrition.org/sites/default/files/2021-10/usaid_an_stunting_literature_ review_2021.pdf. Accessed on 19 March 2023.
Agarwal S, Bhanot A, Goindi G. Understanding and addressing childhood immunization coverage in urban slums. Indian Pediatr. 2005;42(7):653-63.
Singh B. Nutritional status of under five children of migrant labourers at construction sites in Haveli Taluka, Pune, Maharashtra. Indian J Nutr. 2022;27:9(1).
Awasthi S, Agarwal S. Determinants of childhood mortality and morbidity in urban slums in India. Indian Pediatr. 2003;40(1):1145-60.
Kumar KA, Reshmi RS, Hemalatha N. Mother’s migration status and children’s health in India and its states: evidence from National Family Health Survey III. 2014.