A prospective study to determine social demographic pattern in severe acute malnutrition in 6 months to 5 years aged children

Authors

  • Ram Kshitij Sharma Department of Pediatrics, SNMC, Agra, Uttar Pradesh, India
  • Rishi Bansal Department of Pediatrics, FHMC, Tundla, Firozabad, Uttar Pradesh, India
  • Shehraz Firoz Department of Pediatrics, FHMC, Tundla, Firozabad, Uttar Pradesh, India
  • Sheo Pratap Singh Department of Pediatrics, SNMC, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20195570

Keywords:

Maternal literacy, Per capita income, Severe Acute Malnutrition, Social demographic

Abstract

Background: Burden of malnutrition is much higher in South Asia as compared to that in Africa and rest of the World. South Asia contributes to about 60% of the cases. Education of women has been seen to be the most effective in improving child’s health. Present study is done to evaluate social demographic pattern in cases of severe acute malnutrition.

Methods: Present study is prospective observational comparative study conducted at Department of Pediatrics included 175 cases after taking a informed written consent from the parent. Out of which 22 were lost to follow up and remaining 153 cases were analysed and further evaluated in the study

Results: Cases who were from 6 month to 24 months of age were 73.2% (n=112) and rest of them were above 24 months of age. Girls were 53.6 % and 46.4% were boys. Percentage of illiterate mother was 41.2%, till primary were 28.8% and Only 10.4% of mothers were graduate. Nearly 50% of the households had per capita income less than or equal to 1000.

Conclusions: SAM was more common in children < 24 months of age, boys and girls were almost equally affected. Maternal literacy and low per capita income was an important factor associated with SAM patients.

References

United Nations Children’s Fund, World Health Organization, The World Bank. UNICEF, WHO- World Bank Joint child malnutrition estimates. Available at: http://www.who.int/nutgrowthdb/jme_unicef_who_wb.pdf. Accessed 5 June 2019.

World Health Organization. Management of severe malnutrition: a manual for physicians and other senior health workers. Available at: http://whqlibdoc.who.int/hq/1999/a57361.pdf. Accessed 5 June 2019.

Van de Poel E, Hosseinpoor AR, Jehu-Appiah C, Vega J, Speybroeck N. Malnutrition and the disproportional burden on the poor: the case of Ghana. Inter J Equity Health. 2007 Dec;6(1):21.

Das S, Hossain MZ, Islam MA. Predictors of child chronic malnutrition in Bangladesh. Proc Pak Acad. Sci. 2008;45(3):137-55.

UNICEF. Nutrition, survival and development. Available at: http://www.unicef.org/progressforchildren/2006n4/index_howmany.html. Accessed 6 June 2019.

UNIT 2. Understanding Malnutrition. Available at: https://cursos.campusvirtualsp.org/pluginfile.php/73101/mod_resource/content/6/Unit%202%20--%20Understanding%20malnutrition.pdf. Accessed on 6 June 2019.

Saito K, Korzenik JR, Jekel JF, Bhattacharji S. A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. Yale J Biol Med. 1997;70(2):149.

Islam MM, Alam M, Tariquzaman M, Kabir MA, Pervin R, Begum M, et al.Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poison regression model. BMC Public Health. 2013;13(1):11.

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

Kumar R, Singh J, Joshi K, Singh HP, Bijesh S. Co-morbidities in hospitalized children with severe acute malnutrition. Ind Pediatr. 2014;51(2):125-7.

Bernal C, Velásquez C, Alcaraz G, Botero J. Treatment of severe malnutrition in children: experience in implementing the World Health Organization guidelines in Turbo, Colombia. J Pediatr Gastroenterol Nutrition. 2008;46(3):322-8.

Bachou H, Tumwine JK, Mwadime RK, Tylleskär T. Risk factors in hospital deaths in severely malnourished children in Kampala, Uganda. BMC Pediatr. 2006 Dec;6(1):7.

Irena AH, Mwambazi M, Mulenga V. Diarrhea is a major killer of children with severe acute malnutrition admitted to inpatient set-up in Lusaka, Zambia. Nutrition J. 2011;10(1):110.

Roy SK, Buis M, Weersma R, Khatun W, Chowdhury S, Begum A, et al. Risk factors of mortality in severely malnourished children hospitalized with diarrhoea. J Health, Population, Nutri. 2011;29(3):229.

Odebode TO, Odebode SO. Protein Energy Malnutrition and the Nervous System: the impact of socio economic condition, weaning practice, infection and food intake, an experience in Nigeria. Pak J Nutrition. 2005;4(5):304-9.

Ayaya SO, Esamai FO, Rotich J, Olwambula AR. Socio-economic factors predisposing under five-year-old children to severe protein energy malnutrition at the Moi Teaching and Referral Hospital, Eldoret, Kenya. East African Med J. 2004;81(8):415-21.

Sunguya BF, Koola JI, Atkinson S. Infections associated with severe malnutrition among hospitalised children in East Africa. Tanzan Health Res Bull. 2006;8(3):189-92.

Amsalu S, Asnakew G. The outcome of severe malnutrition in northwest Ethiopia: retrospective analysis of admissions. Ethiopian Med J. 2006;44(2):151-7.

Mahgoub HM, Adam I. Morbidity and mortality of severe malnutrition among Sudanese children in New Halfa Hospital, Eastern Sudan. Trans Royal Soc Trop Med Hyg. 2012;106(1):66-8.

Hossain MI. Experience in Managing Severe Malnutrition in a Government Tertiary Treatment Facility in Bangladesh. J Health Popul Nutr 2009;27(1):72-80.

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Published

2019-12-24

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Original Research Articles