Factors associated with nutritional status of under five children among Satar Community of Bhadrapur Municipality, Jhapa, Nepal

Raj Kumar Sangroula, Srijana Uprety


Background: Adequate feeding is basic right of human being. According to NDHS 2016, prevalence of stunting, wasting and underweight are 36%, 10% and 27% respectively. The prevalence may be more in underprivileged community like Satar community who reside in eastern part of Nepal. This study was conducted to assess the factors associated with under nutrition of under five years children of Satar community in Bhadrapur Municipality.

Methods: A community based cross sectional study was conducted in Bhadrapur Municipality of Jhapa district which were purposively selected. Four wards where Satar community reside were selected for collection of data. Verbal informed consent was taken from the mothers of the under five children and approval was taken from research committee of Central Institute of Science and Technology College. Bivariate analysis was performed to detect the factors associated with nutrition status of children.

Results: In the study, prevalence of stunting, wasting and underweight were high as compared to national data i.e. 39.5%, 14.2% and 29.5% percent respectively. The study found that maternal education, paternal education, family income, exclusive breastfeeding and food frequency was significantly associated with under nutrition (stunting, wasting and underweight). Stunting was significantly associated with age of child and mother and religion. Underweight was associated with religion and weaning of children.

Conclusions: High prevalence of stunting, wasting and underweight are due to socio demographic factors like religion, educational status of father and mother, family income and child feeding practice. Programs should be focused on socio demographic and economic factors and child feeding practice to reduce problem of malnutrition.


Satar community, Stunting, Underweight, Wasting

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Nutrition. UNICEF Nepal. Available at Accessed on November 10, 2019.

Bhattarai M, Bashyal C, Al-Omair AA. Study of operational strategies to reduce malnutrition in Nepal. Available at http://documents.worldbank. org/curated/en/474451508933829359/Study-of-op-erational-strategies-to-reduce-malnutrition-in-Nepal. Accessed on 12 January 2020.

Joshi HS, Joshi MC, Singh A. Determinants of protein energy malnutrition (Pem) in 0-6 years children in rural community of Bareilly. Indian J Prev Soc Med. 2011;42(2):1-4.

2018 Global Nutrition Report - Global Nutrition Report. Available at https://global nutritionreport. org/reports/global-nutrition- report-2018/. Accessed on 21 February 2020.

WHO. Safer water, better health: costs, benefits, and sustainability of interventions to protect and promote health; Updated table 1: WSH deaths by region, 2004. 2008. Available at http://whqlibdoc. Accessed on 21 February 2020.

Kathmandu N. National population and housing census 2011 social characteristics tables Government of Nepal National Planning Commission Secretariat Central Bureau of Statistics. 2014. Available at Accessed on 21 February 2020.

Ministry of Health and Population. Nepal Demographic and Health Survey. 2016. Available at: fr336.pdf. Accessed on 5 February, 2020.

Subedi BP. Demographic Situation of Satar/Santhal in Nepal. Scholarly Res J Interdis Studies. 2014;2(12):1490-9.

Zeray A, Kibret GD, Leshargie CT. Prevalence and associated factors of undernutrition among under-five children from model and non-model households in east Gojjam zone, Northwest Ethiopia: a comparative cross-sectional study. BMC Nutr. 2019;5(1):27.

Mzumara B, Bwembya P, Halwiindi H, Mugode R, Banda J. Factors associated with stunting among children below five years of age in Zambia: evidence from the 2014 Zambia demographic and health survey. BMC Nutr. 2018;4(1):51.

Ramli H, Agho KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. BMC Pediatr. 2009;9:64.

Harding KL, Aguayo VM, Webb P. Factors associated with wasting among children under five years old in South Asia: Implications for action. PLoS One. 2018;13(7):e0198749.

Gamecha R, Demissie T, Admasie A. The magnitude of nutritional underweight and associated factors among children aged 6-59 months in Wonsho Woreda, Sidama Zone Southern Ethiopia. Open Public Health J. 2017;10(1):7-16.

Manggala AK, Kenwa KWM, Kenwa MML, Sakti AAGDPJ, Sawitri AAS. Risk factors of stunting in children aged 24-59 months. Paediatr Indones. 2018;58(5):205-12.

Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019;19(1):358.

Harding KL, Aguayo VM, Webb P. Factors associated with wasting among children under five years old in South Asia: implications for action. PLoS One. 2018;13(7):0198749.

Derso T, Tariku A, Biks GA, Wassie MM. Stunting, wasting and associated factors among children aged 6-24 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia. BMC Pediatr. 2017;17(1):96.

The association of parental education with childhood undernutrition in low- and middle-income countries: comparing the role of paternal and maternal education. Available at https:// Accessed on 22 February 2020.

Alderman H, Headey DD. How important is parental education for child nutrition? World Dev. 2017;94:448-64.

Osguei KN, Taylor CN. Association of nutritional status with socio-economic and demographic variables of under five year old Nepalese children. Med J Islam Repub Iran. 2019;33:28.

Tariq J, Sajjad A, Zakar R, Zakar MZ, Fischer F. Factors associated with undernutrition in children under the age of two years: secondary data analysis based on the Pakistan demographic and health survey 2012–2013. Nutrients. 2018;10(6):1-20.

Yalew MB. Prevalence and factors associated with stunting, underweight and wasting: a community based cross sectional study among children age 6-59 months at Lalibela Town, Northern Ethiopia. J Nutr Disord Ther. 2014;04(02):10-4.

Gadappa SM, Behera KM. Nutritional status and feeding practices in relation to IYCN policy among children under 2 years of age in tertiary care centre. Int J Contemp Med Res. 2016;3(6):1649-51.

Karthigesu K, Sandrasegarampillai B, Arasaratnam V. Breastfeeding practices and nutritional status of children aged one to five years in Jaffna District, Sri Lanka. Indian J Nutr Diet. 2017;54(2):172.

Giashuddin MS, Kabir M, Rahman A, Hannan MA. Exclusive breastfeeding and nutritional status in Bangladesh. Indian J Pediatr. 2003;70(6):471-5.

Ruwali D. Nutritional status of children under five years of age and factors associated in Padampur VDC, Chitwan. Health Prospect. 2011;10:14-8.