Assessment of under nutrition using composite index of anthropometric failure among under five children of tribal population

Authors

  • Ram Prabhakar Department of Community Medicine, Assistant Professor, Theni Government Medical College, Theni, Tamil Nadu, India
  • Hemalatha Kumarasamy Department of Community Medicine, Assistant Professor, Chennai Medical College Hospital and Research Centre, Tiruchirappalli, Tamil Nadu, India
  • Anitha Dhanapal Department of Community Medicine, CRRI, Chennai Medical College Hospital and Research Centre, Tiruchirappalli, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20191818

Keywords:

Under nutrition, Tribal, CIAF, IYCF

Abstract

Background: Under nutrition is one of the most imperative problems among children that needed to be addressed in the realm of public health. Undernourished children cannot maintain natural biological abilities, such as growth, recuperating from ailments, learning and physical development. Poor feeding practices along with illnesses like diarrhoea, pneumonia, helminthic infections etc. are major determinants of under nutrition in India. The tribal populations in India are identified to be the autochthonous people of the land thereby being one of the major sufferers of under nutrition. This study aimed at finding out the prevalence of under nutrition among under-five children in tribal population in Tiruchirappalli district of Tamil Nadu.

Methods: This community based cross-sectional analytical study was done among Malayali Tribes population of Puthur village, Pachamalai Hills, Trichy to determine the prevalence of under-nutrition using CIAF and WHO Z scoring system and its risk factors by multivariate analysis.

Results: Out of 100 children, about 85% were undernourished as per CIAF criteria. In the Multivariate analysis, children of employed mother and children who were not given exclusive breast feeding were associated with Under nutrition which was statistically significant (p<0.05).

Conclusions: CIAF could be considered as a better measure than any other single index to identify the problem in the community. The study also emphasizes the significance of proper IYCF practices among employed mothers and improvement of MCH services in Tribal population during antenatal and immediate postnatal period to bring down the prevalence of under nutrition.

Author Biography

Ram Prabhakar, Department of Community Medicine, Assistant Professor, Theni Government Medical College, Theni, Tamil Nadu, India

DEPARTMENT OF COMMUNITY MEDICINE

References

World Bank. India, Undernourished children: A call for reform and action. Available at http://web. worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/0,,contentMDK: 20916955~pagePK:146736~piPK:146830~theSitePK:223547,00.html. Accessed on 05 February 2019.

Haddad L, Ross J, Oshaug A, Torheim LE, Cogill B. 5th report on the world nutrition situation. Nutrition for improved development outcomes. 2004.

Smith LC, Ruel MT, Ndiaye A. Why is child malnutrition lower in urban than rural areas? International Food Policy Research Institute (IFPRI); 2004.

Gragnolati M, Bredenkamp C, Shekar M, Das Gupta M, Lee YK. India's undernourished children: a call for reform and action. The World Bank; 2006.

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. 2007.

Censusindia.gov.in. Available at http://censusindia. gov.in/Tables_Published/SCST/dh_st_Tamil Nadu.pdf. Accessed 05 February 2019.

Wikimapia.org. Available at http://wikimapia. org/9501280/PACHAMALAI-HILLS. Accessed 05 February 2019.

Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, child undernutrition and morbidity: new evidence from India. Bulletin of the World Health Organization. 2005;83:210-6.

The United Nations International Children's Emergency Fund. New York. Available at http://www.unicef.org/progressforchildren/2006n4/index_undernutrition.html. Accessed 05 February 2019.

Dudala SR, Reddy KA, Prabhu GR. Prasad's socio-economic status classification-An update for 2014. Int J Res Health Sci. 2014;2(3):875-.

World Health Organization. Geneva. Available at http://www.who.int/childgrowth/software/en/. Accessed 05 February 2019.

Brahmbhatt KR, Hameed S, Naik PM, Prasanna KS, Jayram S. Role of new anthropometric indices, validity of MUAC and Weech’s formula in detecting under-nutrition among under-five children in Karnataka. Int J Biomed Adv Res. 2013;3(12):896-900.

Sen J, Mondal N. Socio-economic and demographic factors affecting the Composite Index of Anthropometric Failure (CIAF). Ann Human Biol. 2012;39(2):129-36.

Seetharaman N, Chacko TV, Shankar SL, Mathew AC. Measuring malnutrition-The role of Z scores and the composite index of anthropometric failure (CIAF). Indian J Community Med. 2007;32(1):35.

Mandal G, Bose K. Assessment of overall prevalence of undernutrition using composite index of anthropometric failure (CIAF) among preschool children of West Bengal, India. Iranian J Pediatr. 2009;19(3):237-43.

Anwar F, Gupta MK, Prabha C, Srivastava RK. Malnutrition among rural Indian children: An assessment using web of indices. Int J Public Health Epidemiol. 2013;2:78-84.

Deshmukh PR, Dongre AR, Sinha N, Garg BS. Acute childhood morbidities in rural Wardha: some epidemiological correlates and health care seeking. Indian J Med Sci. 2009;63(8):345-54.

Downloads

Published

2019-04-27

How to Cite

Prabhakar, R., Kumarasamy, H., & Dhanapal, A. (2019). Assessment of under nutrition using composite index of anthropometric failure among under five children of tribal population. International Journal Of Community Medicine And Public Health, 6(5), 2056–2063. https://doi.org/10.18203/2394-6040.ijcmph20191818

Issue

Section

Original Research Articles