Assessment of undernutrition using composite index of anthropometric failure among children less than 5 years in an urban slum, Visakhapatnam
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20184567Keywords:
Under nutrition, Composite index of anthropometric failure, Z-scores, Wasting, Stunting, UnderweightAbstract
Background: Under nutrition continues to be a major public health problem in India despite years of incessant preventive measures. Composite index of anthropometric failure (CIAF) provides the burden of under nutrition as a single measure and helps in detection of children with multiple anthropometric failures. The objectives of this study are to assess the prevalence of under nutrition using CIAF as compared to conventional indicators and to identify the risk factors associated with Anthropometric Failure.
Methods: This was a community based, cross sectional descriptive study on Under 5 children done in the urban slum area under Allipuram Urban Health Centre, Visakhapatnam, A.P. Anthropometric measurements (height, weight and mid upper arm circumference) were taken and mothers of the study children were interviewed to obtain relevant information. WHO Z-score system and the CIAF were used to estimate the magnitude of under-nutrition.
Results: Out of 100 children, 56 children were suffering from under nutrition according to CIAF. Analysis of various factors showed that low birth weight, lesser duration of breast feeding, low education level of mother, over crowding and low socio economic status were significantly associated with under nutrition assessed by CIAF.
Conclusions: CIAF provides the actual prevalence or proportion of undernourished children in a community. So CIAF must be included in regular recordings of health status of children. The study also reinforces the importance of appropriate maternal care, proper infant and child feeding practices and family planning services in prevention of under nutrition.
References
Newborn and Child Mortality, Global Health Observatory Data; WHO Available at: www.who.int/gho/. Accessed on 3 June 2018.
NFHS 4 National family Health Survey, India; Available at: rchiips.org/nfhs/nfhs 4.shtml. Accessed on 3 June 2018.
The mother and child health education trust. Available at: https://motherchildtrust.org/2017. Accessed on 3 June 2018.
Nandy SM, Irving M, Gordon D, Subramanian SV, Devi Smith G. Poverty, Child under nutrition and morbidity: new evidence from India. Bull World Health Organization. 2005;83:210-6.
Mandal GC, Bose K. Assessment of overall prevalence of under nutrition using CIAF among preschool children of West Bengal India. Iran J Pediatr. 2009;19(3):237-43.
Dasgupta A, Sahoo SK, Taraphdar P, Preeti PS, Biswas D, Kumar A, et al. Composite Index of Anthropometric Failure and its important correlates: a study among under five children in a slum of Kolkata, West Bengal, India. Int J Med Sci Public Health. 2015;4:414-9.
Gupta G, Sharma A, Choudhary TS. Assessment of under nutrition among children below 5, using Composite Index of Anthropometric Failure (CIAF). Indian J Community Health. 2017;29(1)108-13.
Gupta V, Mohapatra D, Kumar V. Nutritional assessment among children (under five years of age) using various anthropometric indices in an urban area of district Rohtak, Haryana, India. Int J Biomed Res. 2015;6(9):629-34.
Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, Child Under nutrition and Morbidity: new evidence from India. Bulletin of the WHO/. 2005;83(3).
Dasgupta A, Parthasarathi R, Ram Prabhakar V, Biswas R, Geethanjali A. Assessment of under nutrition with Composite Index of Anthropometric Failure (CIAF) among under five children in a rural area of West Bengal. Indian J Community Health. 2014;26(2)132-8.
Rastogi S, Maheshwari C, Raghav SK, Lala MK. Assessing Burden of Under-Nutrition among Under five Children of Urban Slum by Using Composite Index of Anthropometric Failure in Ahmedabad City, Gujarat, India. National J Comm Med. 2017;8(8)496-500.
Svedberg P. Poverty and under nutrition: theory, measurement and policy. New Delhi: Oxford India Paperbacks; 2000.