Prevalence and risk factors associated with severe acute malnutrition (SAM) in ICDS block of rural Hubli, Karnataka, India

Authors

  • Shivanand Illalu Department of Paediatrics, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
  • Naveen Kumar P. Department of Paediatrics, Mandya Institute of Medical Sciences, Mandya, Karnataka, India
  • Vinod H. Ratageri Department of Paediatrics, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
  • Prakash K. Wari Department of Paediatrics, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20190497

Keywords:

Feeding practices, Immunization, Low income, Malnutrition, Prevalence, Risk factors, Severe acute malnutrition

Abstract

Background: Malnutrition is one of the leading causes of morbidity and mortality in children under the age of five years in developing countries. Despite economic growth of nearly 10% per annum, in India in 2006 the NFHS-3 indicated that 6.4% of children below 60 months of age were suffering from severe acute malnutrition. This study was undertaken to know the prevalence and the risk factors associated with SAM in ICDS block of rural Hubli.

Methods: This was a cross sectional observational community based study conducted in the ICDS block of rural Hubli. All children in the age group of 0- 59 months were included in the study. The study is conducted by the department and it is self-funded by the authors, no monetary benefit either from the institute or from the government or its organization.

Results: Among 1796 children who were examined in present study, the prevalence of SAM children was 5.79% (104 children). 48% were in the age group of 37 months to 59 months. Male: female ratio was 2:3. 51% of the mothers and 47.1% of fathers were illiterate. 82.7% of the parents had per capita income belonged to class 5 of the modified B.G. Prasad classification. 60% of the SAM children were seen in families who had 3 or 4 children. Maternal anemia, IUGR and PIH were seen in 53.6%, 21.6% and 18% respectively. Low birth weight (<2.5kg) and Birth asphyxia were seen in 80.6% and 11.1%.

Conclusions: The risk factors for SAM were illiteracy, low per capita income, high order births, maternal anemia, IUGR, PIH, low birth weight and Birth asphyxia. Due emphasis should be given in improving the knowledge and practices of the parents on appropriate infant and young child feeding practices.

References

Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child under nutrition: global and regional exposures and health consequences. Lancet. 2008;371:243-60.

Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K. Providing care for children with severe acute malnutrition in India: new evidence from Jharkhand. Public Health Nutrition. 2014;17(1):206-11.

Chatterjee P. Child malnutrition rises in India despite economic boom. Lancet. 2007;369:1417-78.

International institute for population sciences and macro international (2000) National family health survey (NFHS-2). Mumbai; IIPS: 1998-99.

International institute for population sciences and macro international (2007) National family health survey (NFHS-3). Mumbai; IIPS: 2005-2006.

UNICEF - Tracking progress on child and maternal nutrition. A survival and development priority. New York; 2009.

Bhandari N, Bahl R, Taneja S, Onis MD, Bhan MK. Growth performance of affluent Indian children is similar to that in developed countries. Bull World Health Organ. 2002;80:189-95.

World Health Organization. Guidelines for the inpatient treatment of severely malnourished children. Geneva; WHO: 2003.

Jamro B, Junejo AA, Lal S, Bouk GR, Jamro S. Risk factors for Severe Acute Malnutrition in children under the age of five year in Sukkur. Pak J Med Res. 2012;51(4):111-3.

Mishra K, Kumar P, Basu S, Rai K, Aneja S. Risk factors for Severe Acute Malnutrition in children below 5 years of age in India: A case-control study. Indian J Pediatr. 2013;20.

Basit A, Nair S, Chakraborthy KB, Darshan BB, Kamath A. Risk factors for under-nutrition among children aged one to five years in udupi taluk of Karnataka, India: A case control study. Austral Med J. 2012;5(3):163-7.

Prost MA, Jahn A, Floyd S, Mvula H, Mwaiyeghele E, Mwinuka V, et al. Implication of new WHO growth standards on identification of risk factors and estimated prevalence of malnutrition in rural Malawian infants. PLoS One. 2008;3(7):e2684.

Vella V, Tomkins A, Borghesi A, Migliori GB, Adriko BC, Crevatin E. Determinants of child nutrition and mortality in north-west Uganda. Bulletin of the World Health Organization. 1992;70(5):637.

Haidar J, Abate G, Kogi-Makau W, Sorensen P. Risk factors for child undernutrition with a human rights edge in rural villages of North Wollo, Ethiopia. East African Med J. 2005;82(12):625-30.

Rayhan MI, Khan KMS. Factor causing malnutrition among under five children in Bangladesh. Pak J Nutr. 2006;5(6):558-62.

Kikafunda JK, Walker AF, Collett D, Tumwine JK. Risk factors for early childhood malnutrition in Uganda. Pediatr. 1998;102(4):1-8.

Odunayo SI, Oyewale AO. Risk factors for malnutrition among rural Nigerian children. Asia Pac J Clin Nutr. 2006;15(14):491-5.

Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: A case control study. Ethiop J Health Dev. 2008;22(1):21-5.

Owor M, Tumwine JK, Kikafunda JK. Socio-economic risk factors for severe protein energy malnutrition among children in Mulago hospital, Kampala, Uganda. East African Med J. 2000;77(9):471-5.

Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, child under nutrition and morbidity: new evidence from India. Bulletin of the WHO. 2005;83(3):210-6.

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Published

2019-02-23

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Original Research Articles