Assessment of under nutrition using composite index of anthropometric failure among under five children of tribal population

Abstract

Background: Under nutrition is one of the most imperative problems among children that needed to be addressed in the realm of public health. Undernourished children cannot maintain natural biological abilities, such as growth, recuperating from ailments, learning and physical development. Poor feeding practices along with illnesses like diarrhoea, pneumonia, helminthic infections etc. are major determinants of under nutrition in India. The tribal populations in India are identified to be the autochthonous people of the land thereby being one of the major sufferers of under nutrition. This study aimed at finding out the prevalence of under nutrition among under-five children in tribal population in Tiruchirappalli district of Tamil Nadu.Methods: This community based cross-sectional analytical study was done among Malayali Tribes population of Puthur village, Pachamalai Hills, Trichy to determine the prevalence of under-nutrition using CIAF and WHO Z scoring system and its risk factors by multivariate analysis.Results: Out of 100 children, about 85% were undernourished as per CIAF criteria. In the Multivariate analysis, children of employed mother and children who were not given exclusive breast feeding were associated with Under nutrition which was statistically significant (p<0.05).Conclusions: CIAF could be considered as a better measure than any other single index to identify the problem in the community. The study also emphasizes the significance of proper IYCF practices among employed mothers and improvement of MCH services in Tribal population during antenatal and immediate postnatal period to bring down the prevalence of under nutrition.

Prevalence of Composite Indicator Anthropometric Failures and Associated Factors among 6-59 Month Children Living In Mojo Town, Oromia, Ethiopia

“…Additionally, 11.5% [95% CI: 8.7, 14.5] of the children in this study had multiple anthropometric failures, which is comparable to the prevalence of multiple anthropometric failures among children in Tanzania [11) and Malawian children [15] as well as children in low-and middle-income countries [8]. In contrast, it was lower than the prevalence of MAFs, which was estimated to be 22.2% among children in Indonesia [9], 62% in India [10], and 19.7%, 21.5%, and 26.0% of MAFs of children in Ethiopia who also had double anthropometric failures at many rounds of assessment respectively [16].…”

“…Furthermore, according to the study conducted in 34 low and middle-income countries (LMICs) in 2019, about 36% of under-ve children had CIAFs, of which 13.7% had double growth failures (12.0% stunted and underweight, 1.7% wasted and underweight), and 1.5% had triple growth failures [ 8]. Likewise, the prevalence of CIAFs was in Indonesia [9], 62% in India [10], 38.5% in Tanzania [11], and 50.6% in Malawi [12].…”

Factors associated with inequality in composite index of anthropometric failure between the Paniya and kurichiya tribal communities in wayanad district of Kerala

“…CIAF reported among Paniya community is higher than that reported in cross-sectional studies conducted in other tribal communities in Assam, [ 14 ] West Bengal, [ 15 ] and Tamil Nadu. [ 16 ]…”