Chronic undernutrition amongst under-five in an urban slum of Central India

Authors

  • Rajeshree S. Dhok Department of Community Medicine, Government Medical College, Nagpur, Maharashtra
  • Subhash B. Thakre Department of Community Medicine, Government Medical College, Nagpur, Maharashtra

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20160636

Keywords:

Chronic undernutrition, Determinants, Under five, Urban slum

Abstract

Background: Malnutrition is a major public health problem in India. Chronic undernutrition - stunting is one of the major causes of morbidity and mortality among under-five children. It continues to be a growing problem in most developing countries. Present study was planned to estimate prevalence of stunting (chronic undernutrition) and its determinants amongst under-five children in an urban slum of central India.

Methods:This community based cross-sectional study was conducted in an urban slum area of Nagpur, India. Study subjects were under five children residing in the slum. Data collection was done by conducting house to house survey and information was recorded in pre-designed pre-tested survey tool. Height was measured with standard techniques and classified as stunting according to WHO child growth standards 2006.

Results: The overall prevalence of stunting amongst under five children in urban slum area was found to be 34.77%. Determinants found to be significantly (P<0.05) associated with stunting were lower socio-economic status, illiteracy of mother, working status of mother, separated marital status of mother, not exclusively breastfed for 6 months,  duration of breastfeeding <2 years, immunization not appropriate for age.

Conclusions:Stunting still continues to exists as problem among under five children of urban slum. Efforts need to be directed towards maternal education, promotion of optimal infant & young child feeding practices and immunisation as these factors are significantly associated with stunting.

Metrics

Metrics Loading ...

References

Bryce J, Coitinho D, Darnton-Hill I, Pelletier D, Pinsturp - Anderson P, for the Maternal and Child Undernutrition Study Group. Maternal and child undernutrition: effective action at national level. The Lancet. 2008;371(9611):510-26.

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

Jesmin A, Yamamoto SS, Malik AA, Haque MA. Prevalence and determinants of chronic malnutrition among preschool children: a cross-sectional study in Dhaka City, Bangladesh. J Health Popul Nutr. 2011;29(5):494-9.

Pelletier DL, Frongillo EA, Habicht JP. Epidemiologic evidence for a potentiating effect of malnutrition on child mortality. Am J Public Health. 1993;83(8):1130-3.

Anjum F, Pandit MI, Mir AA, Bhat IA. Z score and CIAF – a comprehensive measure of magnitude of under nutrition in a rural school going population of Kashmir, India. Global Journal of Medicine and Public Health. 2012;1(5):46-9.

Ghosh S, Shah D. Nutritional problems in urban slum children. Indian Pediatrics. 2004;41:682-96.

World Health Organization. Training course on child growth assessment. WHO child growth standards. Module B Measuring a child’s growth. Geneva, WHO. 2008. Available at: http://www.who.int/childgrowth/training/module_b_measuring_growth.pdf?ua=1. Accessed 6 April 2013.

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva, World Health Organization, 2006. Available at: http://www.who.int/childgrowth /standards /Technical_report.pdf. Accessed 20 December 2012.

Child growth standards. The WHO child growth standards. Indicators: length/height-for-age, weight-for-age, weight-for-length, weight-for-height. World Health Organization. Available from: http://www.who.int/childgrowth/standards/en/. Accessed 26 November 2012.

Nayak RK, Walvekar PR, Mallapur MD. Determinants of nutritional status of under - five children - a cross sectional study. Annals of community health. 2014;2(2):26-30.

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 Journal of Community Medicine. 2014;39(3):169-74.

Sapkota VP, Gurung CK. Prevalence and predictors of underweight, stunting and wasting in under-five children. J Nepal Health Res Counc. 2009;7(15):120-6.

Avachat SS, Phalke VD, Phalke DB. Epidemiological study of malnutrition (under nutrition) among under five children in a section of rural area. Pravara Medical Review. 2009;4(2):20-2.

Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under-nutrition in under-5 years children in an urban slum of Ludhiana. Health and Population: Perspectives and Issues. 2010;33(1):1-9.

Luthra M, Kishor S, Jain K. Epidemiology of under-nutrition in children between 0-5 years from rural areas of Dehradun. Indian Journal of Community Health. 2010;22:18-21.

Kumar D, Goel NK, Mittal PC, Misra P. Influence of infant-feeding practices on nutritional status of under-five children. Indian Journal of Pediatrics. 2006;73:417-21.

Mittal A, Singh J, Ahluwalia SK. Effect of maternal factors on nutritional status of 1-5-Year-Old children in urban slum population. Indian Journal of Community Medicine. 2007;32(4):264-7.

Manjunath R, Kumar KJ, Kulkarni P, Begum K, Gangadha MR. Among under-five children of kadukuruba tribe: need to reach the unreached. Journal of Clinical and Diagnostic Research [Internet]. 2014;8(7). Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149088/. Accessed 14 October 2014.

Bhavsar S, Mahajan H, Kulkarni R. Maternal and Environmental Factors Affecting the Nutritional Status of Children in Mumbai Urban Slum. International Journal of Scientific and Research Publications [Internet]. 2012;2(11). Available at: http://www.ijsrp.org/research-paper-1112/ijsrp-p1112.pdf. Accessed 10 May 2014.

Downloads

Published

2017-02-01

How to Cite

Dhok, R. S., & Thakre, S. B. (2017). Chronic undernutrition amongst under-five in an urban slum of Central India. International Journal Of Community Medicine And Public Health, 3(3), 700–704. https://doi.org/10.18203/2394-6040.ijcmph20160636

Issue

Section

Original Research Articles