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
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]
2. Pelletier DL, Frongillo Jr EA, Schroeder DG, Habicht J-P. The effects of malnutrition on child mortality in developing countries. Bulletin of the World Health Organization. 1995;73(4):443. [PubMed | Full Text]
3. WHO/ UNICEF. Global strategy for infant and young child feeding: World Health Organization; 2003. [Full Text]
4. Ministry of Health and Population, New ERA, ICF International. Demographic and Health Survey 2016. April 2017. [Full Text]
5. Rawe K. A Life Free from Hunger: Tackling child malnutrition 2012. [Full Text]
6. Rodríguez L, Cervantes E, Ortiz R. Malnutrition and gastrointestinal and respiratory infections in children: a public health problem. Int J Environ Res Public Health. 2011;8(4):1174-205. [PubMed | Full Text | DOI]
7. Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. The lancet. 2008;371(9608):243-60. [PubMed | Full Text | DOI]
8. Morris SS, Cogill B, Uauy R, Maternal, Group CUS. Effective international action against undernutrition: why has it proven so difficult and what can be done to accelerate progress? The Lancet. 2008;371(9612):608-21.[PubMed | Full Text | DOI]
9. Vitolo MR, Gama CM, Bortolini GA, Campagnolo PD, Drachler MdL. Some risk factors associated with overweight, stunting and wasting among children under 5 years old. Jornal de pediatria. 2008;84(3):251-7. [PubMed | Full Text | DOI]
10. Vishnu Khanal, Mandira Adhikari, Kay Sauer and Yun Zhao. Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011. International Breastfeeding Journal. 2013. [Full Text]
11. Demissie S, Worku A. Magnitude and factors associated with malnutrition in children 6–59 months of age in Pastoral community of Dollo Ado District, Somali Region, Ethiopia. Sci J Public Health. 2013;1(4):175-83. [Full Text]
12. Mian RM, Ali M, Ferroni PA, Underwood P. The nutritional status of school-aged children in an urban squatter settlement in Pakistan. Pak J Nutr. 2002;1(3):121-3. [Full Text]
13. Asfaw M, Wondaferash M, Taha M, Dube L. Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia. BMC public health. 2015;15(1):41. [PubMed | Full Text | DOI]
14. Bloss E, Wainaina F, Bailey RC. Prevalence and predictors of underweight, stunting, and wasting among children aged 5 and under in western Kenya. J Tropl Pediatr. 2004;50(5):260-70. [PubMed | Full Text]
15. Muchina E, Waithaka P. Relationship between breastfeeding practices and nutritional status of children aged 0-24 months in Nairobi, Kenya. AJFAND. 2010;10(4). [Full Text]
16. Nakamori M, Ninh NX, Khan NC, Huong CT, Tuan NA, Hien VTT, et al. Nutritional status, feeding practice and incidence of infectious diseases among children aged 6 to 18 months in northern mountainous Vietnam. J Med Invest. 2010;57(1,2):45-53. [Full Text]
17. Sapkota V, Gurung C. Prevalence and predictors of underweight, stunting and wasting in under-five children. J Nepal Health Res Counc. 2009;7(15):120-6. [Full Text]
18. Basta SS. Nutrition and health in low income urban areas of the Third World. Ecology of food and nutrition. 1977;6(2):113-24. [Full Text]
19. Ghosh S, Shah D. Nutritional problems in urban slum children. Indian pediatrics. 2004;41(7):682-96. [PubMed I Full Text]
20. Zere E, McIntyre D. Inequities in under-five child malnutrition in South Africa. Int J Equity Health. 2003;2(1):7. [PubMed | Full Text | DOI]
21. Hien NN, Kam S. Nutritional status and the characteristics related to malnutrition in children under five years of age in Nghean, Vietnam. J Prev Med Public Health. 2008;41(4):232-40. [PubMed | Full Text | DOI]
22. Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: A case-control study. EJHD. 2016;22(1). [Full Text]
23. Teshome B, Kogi-Makau W, Getahun Z, Taye G. Magnitude and determinants of stunting in children underfive years of age in food surplus region of Ethiopia: the case of west gojam zone. EJHD. 2009;23(2). [Full Text]
24. Arnold BF, Galiani S, Ram PK, Hubbard AE, Briceño B, Gertler PJ, et al. Optimal recall period for caregiver-reported illness in risk factor and intervention studies: a multicountry study. Am J Epidemiol. 2013;177(4):361-70. [PubMed | Full Text | DOI]
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