Malnutrition is one of the most widespread public health problems facing India today. Among the highly susceptible groups are infants and toddlers (0-3 years old), who constitute nearly 10% of Indian's population. Unfortunately, they are largely ignored from a nutritional standpoint [1]. There is now a growing realization that malnutrition is not only a problem of food supply but can also be a function of more complex big-social and behavioural determinants affecting child feeding and rearing [2]. In the present study, therefore, we have attempted to identify various socio-economic, environmental, and maternal factors and the childfeeding and childrearing practices of mothers that affect the nutritional status of infants and toddlers.
Methods and materials
SampleTen urban slum areas in the city of Baroda and nine rural villages in the Panchmahals and Bharuch districts of Gujarat state were randomly selected for the study. These slums and villages did not have any ongoing nutrition programmes. All children 0-3 years old living in the selected study areas and available during the survey were the subjects (N = 786).
ToolsThree pre-structured, pre-tested forms -family, maternal, and child -were used to collect the required information on each subject.
Factors studiedThe factors studied for their association with the nutritional status of the children included family type, family size, religion, and caste; per capita income and land holding; water facilities, house sanitation, and toilet facilities; mother's educational level, working status, child-care time, height, weight, and obstetric history; breast-feeding, bottle-feeding, and weaning practices; and the child's calorie and protein intake, sex, birth order, and clinical and immunization status.
Anthropometric measurementsAll the children were weighed using a Salter scale and were classified on the basis of their weight for age, using the 50th percentile of the Harvard standard and the classification of the Indian Academy of Pediatrics [3]. The mothers, heights and weights were determined by standard procedures.
Dietary intakeThe 24-hour dietary intake of each child was determined by interview and observation [4].
Statistical analysisPercentages were calculated and the chi-square (x2) test was used to identify factors significantly associated with the subjects, nutritional status [5].