Effect of Maternal Socio-demographic Factors and Child Feeding Practice on Wasting Among Under Five Years Children in Slum Area of Rupandehi District in Nepal

  • Salila Guatam Department of Public Health, Purbanchal University, Sanjeevani College of Medical Sciences, Butwal, Rupandehi, Nepal
  • Sita Ruchal Department of Public Health, Purbanchal University, Sanjeevani College of Medical Sciences, Butwal, Rupandehi, Nepal
  • Binod Timalsina Department of Anatomy, Kathmandu University, Devdaha Medical College and Research Institute, Rupandehi, Nepal
  • Dilaram Acharya Department of Community Medicine, Devdaha Medical College and Research Institute, Rupandehi, Nepal
  • Bikram Khadka Department of Biochemistry, Devdaha Medical College and Research Institute, Rupandehi, Nepal
  • Vikash Gautam Department of Physiology, Devdaha Medical College and Research Institute, Rupandehi, Nepal
  • Jitendra Kumar Singh Department of Community Medicine and Public Health, Janaki Medical College, Tribhuvan University, Janakpur, Nepal
Keywords: socio-demographic factors, urban slum, under five children, wasting


Introduction: Childhood wasting although well studied elsewhere, it has not been well understood about in slum area of Nepal. This study aimed to assess effect of socio-demographic factors and child feeding practice in the determination of wasting among the children under five years of age in slum area of Nepal.
Methods: A community based cross-sectional study was performed among 150 children under five years of age from the slum area of Nepal between 1st January and  28th February 2013 using simple random sampling techniques. Multivariate analyses were performed to determine factors associated with wasting controlling the potential confounders.
Results: In a total of 150 under five years children, the prevalence of wasting was 56 (37.33%). The current study demonstrated that children of mothers from dalit (Adjusted Odds Ratio (OR) 11.5; 95% CI: 03.1 – 41.3), aadibasi/janajati (AOR 4.6; 95% CI: 1.2 – 17.0), illiterate mothers (AOR 3.6; 95% CI: 1.1 – 13.6), laborer mothers (AOR 2.1; 95% CI: 1.1-9.4), child age group 25-36 months (AOR 2.8; 95% CI: 1.5-5.3), multiple child birth order (AOR 10.0; 95% CI: 2.5-25.0), children who were not fed colostrums (AOR 15.0; 95% CI: 1.25-10.0)) were more likely to develop wasting compared to their counterparts.
Conclusions: As incremental childhood wasting is associated with maternal socio-demographic factors and child feeding practice, health promotion strategies should focus maternal socio-demographic factors, age of children and early initiation of breast feeding for the improved child nutrition in slum area of Nepal.
Keywords: socio-demographic factors; urban slum; under five children; wasting. [PubMed]


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Original Article