DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20205509

Anganwadi based nutritional survey of children in Attappadi

K. K. Rakesh Raju, V. T. Ajithkumar, T. P. Ashraf, A. Riyaz, N. C. Cherian, K. C. Rajagopalan, K. P. Aravindan, Geeta Govindraj

Abstract


Background: Malnutrition and anaemia form major public health problems among the school age children, particularly in the developing countries.

Methods: A cross sectional study was conducted among children between 6 months and 18 years, in randomly selected 25 Anganwadis of Attappadi area. Objective of the study was to estimate the prevalence of anaemia and malnutrition among the children of Attappadi. Children were divided in to tribal and nontribal. Anthropometric measurements, haemoglobin estimation by cyanmethemoglobin method and peripheral smear examination were done.

Results: 65.5% tribal and 54.1% non-tribal were anaemic. Among males 65.9% tribal and 56.4% non-tribal were anaemic. Among females 65.1% tribal and 52.6% nontribal were anaemic. In the age group less than 6 years, 9% tribal females, 8.9% nontribal females, 12% tribal males and 5.8% nontribal males were severely stunted. Above 6yrs it was 3.3% tribal females, 2.7% nontribal females, 2.4% tribal males and 7.4% nontribal males. In the age group less than 6 years, 12.5% tribal females, 3.9% nontribal females, 15.9% tribal males and 4.3% nontribal males had severe underweight. Above 6 years it was 8.3% tribal females, 0% non-tribal females, 19% tribal males and 3% non-tribal males.

Conclusions: Anaemia and malnutrition are common among children of Attappadi. Tribal children are more affected than non-tribal children. Anaemia is more common among two age groups, less than 5 years and more than 11 years. Among females’ adolescent girls are more affected. Periodic assessment of growth parameters and early detection and treatment of anaemia are needed.


Keywords


Anaemia, Malnutrition, Tribal, Non-tribal, Attappadi

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References


Kanchana, Madhusudan S, Ahuja S, Nagaraj N. Prevalence and risk factors of anemia in under five-year-old children in children’s hospital. Int J Contemp Pediatr. 2018;5:499-502.

WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and mineral nutrition information system. Geneva, World Health Organization. 2011;6.

Brabin BJ, Hakimi M, Pelletier D. An analysis of anemia and pregnancy related maternal mortality. J Nutr. 2001;131:604-15.

Kalaivani K. Prevalence and consequences of anemia in pregnancy. Indian J Med Res. 2009;130:627-33.

Silverberg DS, Wexler D, Liana A. The role of anemia in the progression of congestive heart failure. Is there place for erythropoietin and intravenous iron. J Nephrol. 2004;17(6):749-61.

Demaeyer EM. Preventing and controlling iron deficiency anemia through primary health care. World Health Organization, Geneva. 1989;58.

Lozoff B, Jemenez E, Wolf AW. Long term developmental outcome of infants with iron deficiency. New Eng J Med. 1991;325:687-94.

Politt E. Iron deficiency and cognitive function. Annu Rev Nutr. 1993;13:521-37.

Halterman JS, Kaczorowski JM, Aligne CA, Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement among school-aged children and adolescents in the United States. Pediatr. 2001;107:1381-6.

Walter T, Kovalskys J, Stekel A. Effect of mild iron deficiency on infant mental development scores. J Pediatr. 1983;102:519-22.

Anish TS, Vijayakumar K, George DR, Ramachandran R, Lawrence T. Deprived Among the Marginalised-Health Status of Women in a Tribal Settlement. Int Res J Soci Sci. 2010;3(2):77-84.

Ismail IM, Kahkashan A, Antony A, Sobhith VK. Role of socio-demographic and cultural factors on anemia in a tribal population of North Kerala, India. Int J Community Med Public Health. 2016;3:1183-8.

Park K. Park’s Textbook of Preventive and Social Medicine, Jabalpur: Banarsidas Bhanot Publishers. 2002;381.

Government of India, CSSM review. A Newsletter on Child Survival and Safe Motherhood Program, No.25, January 1995.

Jyothi Lakshmi A, Begum K, Saraswathi G, Prakash J. Prevalence of anemia in Indian rural preschool children: Analysis of associative factors. Indian J Nutr Dietet. 2001;38:182-90.

Ahmed AM, Ahmed T, Roy S, Alam N, Hossain MI. Determinants of undernutrition in children under 2 years of age from rural Bangladesh. Indian Pediatr. 2012;49:821-4.

Philip RR, Vijayakumar K, Indu PS, Shrinivasa BM, Sreelal TP, Balaji J. Prevalence of undernutrition among tribal preschool children in Wayanad district of Kerala. Int J Adv Med Health Res. 2015;2:33-8.

Sreedhar T, Prasad U, Lakshmi Bhagya A, Balaji C, Venugopal P, Kasibabu A. Study of Anemias In Tribal Children-A Prospective Study. J Dental Med Sci. 2016;15(5):01-5.

Devi R, Jaysree TM, Felix AJW, Ethirajan N. Prevalence of anemia among children age 10 to 15 years in urban, Chidambaram. J Drug Discov Ther. 2014;2(22):67-70.

Koushik NK, Bollu M, Ramarao NV, Nirojini PS, Nadendla RR. Prevalence of anaemia among the adolescent girls: a three months cross-sectional study. Women. 2014;14(16):12.