Infant and young child nutritional status and their caregivers’ feeding knowledge and hygiene practices in internally displaced person camps, Somalia

Kalid, Mohamed; Osman, Fatumo; Sulaiman, Munshi; Dykes, Fiona; Erlandsson, Kerstin

doi:10.1186/s40795-019-0325-4

Cited by 13 publications

(18 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[ 20 ] According to a survey done in Somalia, Mothers of malnourished children had poor knowledge regarding breastfeeding and complementary feeds. [ 27 ] However, in our study, we did not find any statistical association between SAM and mothers' nutritional knowledge.…”

Section: Discussioncontrasting

confidence: 90%

Risk factors for severe acute malnutrition among children aged 6–59 months: A community-based case-control study from Vellore, Southern India

David

Pricilla

Paul

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

Background: Malnutrition plays an important role in the economic burden of society as well as the country. This study aimed to identify the various risk factors and determinants of severe acute malnutrition (SAM) as defined by WHO growth reference standards in children aged 6 months to 59 months living in Vellore. Methods: A community-based case-control study matched for age (±2months), gender and location was done among the children of the age group 6- 59 months residing in both rural and urban Vellore. Children of age group 6-59 months with SAM according to WHO definition, i.e., weight for height of less than -3SD with or without nutritional oedema were classified as cases. Children with weight-for-height z-score more than -1 SD and MUAC ≥13.5cms were classified as controls. With 2 controls per case, the required sample size was 54 cases and 108 controls. A questionnaire used to identify the risk factors including dietary intake. Uni-variate and multivariate analysis was done to generate an odds ratio and 95% confidence interval for the risk factors. Results: Majority of the cases 64.8% and 50% of the controls belonged to low SES. After adjusting all confounders, Severe Acute Malnutrition was significantly associated with birth weight <2.499kg [AOR- 8.95 (95% CI: 2.98-26.85)], not exclusively breastfed for 6 months [AOR 4.67 (95% CI: 1.72-12.65)], inadequate calorie intake [AOR 8.09 (95% CI: 3.15-20.82)] and mother being underweight [AOR 6.87 (95% CI: 1.92-24.55)]. Conclusion: Programs should be implemented to reduce the poor nutritional status of young girls and women in the reproductive age group. The importance of exclusive breastfeeding for the first six months, the time of weaning and appropriate feeding practice for the child should be emphasized to postnatal mothers during their hospital visits.

show abstract

Section: Discussioncontrasting

confidence: 90%

Risk factors for severe acute malnutrition among children aged 6–59 months: A community-based case-control study from Vellore, Southern India

David

Pricilla

Paul

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…There was no specific calculation of sample size for all the outcomes of interest for this paper. However, based on the original objectives of the study [ 8 ], the sample size was 1655 households that allows for the precision of WHZ in target districts assuming mean household size of 6.5, attrition rate of 15%, design effect of 2.0 and an alpha of 0.1 (90% CI) [ 18 , 19 , 20 ]. This was necessary to have sufficient power to demonstrate a minimum detectable effect size of 0.18 WHZ when comparing with any of the two interventions with the control group.…”

Section: Methodsmentioning

confidence: 99%

“…Nutrition counselling has often been part of strategies to reduce malnutrition in children and is mainly aimed at promoting and/or strengthening caregivers’ knowledge and practices regarding children’s health and nutrition. The existing nutrition education counselling program in Somalia for preventing malnutrition involves training community workers, who then counsel caregivers regarding the feeding of children [ 8 ]. Another frequently used intervention to address malnutrition in a humanitarian setting is cash transfer.…”

Section: Introductionmentioning

confidence: 99%

Effects of Nutrition Counselling and Unconditional Cash Transfer on Child Growth and Family Food Security in Internally Displaced Person Camps in Somalia—A Quasi-Experimental Study

Kalid

Flacking

Sulaiman

et al. 2022

IJERPH

View full text Add to dashboard Cite

The effects of nutrition counselling (NC) and unconditional cash transfer (UCT) in improving growth in children under five and household food security are poorly understood in humanitarian settings. Therefore, this study aimed to evaluate the effects of NC and NC combined with unconditional cash transfer (NC + UCT) on children’s growth and food security in Somalia. The study was performed with a quasi-experimental design in two districts in the Banadir region of Somalia. Caregivers (n = 255) with mildly to moderately malnourished children aged 6 to 59 months old (n = 184) were randomized to the NC, NC + UCT and control groups. The interventions consisted of weekly NC for three months alone or in combination with UCT. The outcome variables were wasting, underweight, stunting, and food security. Difference-indifferences analysis was used to estimate the effect of the interventions. Our study did not find any significant impacts of NC or NC + UCT on child wasting, underweight, stunting, food security or household expenses. In conclusion, NC, alone or in combination with UCT, did not impact children’s growth or household food security. Thus, a culturally tailored NC programme over a longer period, supplemented with cash transfer, could be beneficial to consider when designing interventions to reduce malnutrition and food insecurity.

show abstract

“…To the contrary, NA was identically good among respondents from the two localities. NK is generally believed to be one of the key factors that moderate the evaluative effect of attitude on food choice [ 27 ]. Based on the results of the current study, it is apparent that the overall status of NK on health and nutrition benefits associated with consumption of FV was dependent on the location of the households.…”

Section: Discussionmentioning

confidence: 99%

Non-attitudinal and non-knowledge based factors constrain households from translating good nutritional knowledge and attitude to achieve the WHO recommended minimum intake level for fruits and vegetables in a developing country setting: evidence from Gulu district, Uganda

et al. 2021

View full text Add to dashboard Cite

Background The high level of incidence of mortality attributed to non-communicable diseases such as cancer, diabetes and hypertension being experienced in developing countries requires concerted effort on investment in strategies that can reduce the risks of development of such diseases. Fruits and vegetables (FV) contain natural bioactive compounds, and if consumed at or above 400 g per day (RDMIL) as recommended by World Health Organization (WHO) is believed to contribute to reduced risk of development of such diseases. The objective of this study was to determine in a developing country set-up, the extent to which rural and urban households conform to RDMIL, the status of nutritional attitude (NA) and knowledge (NK) associated with consumption of FV, and to delineate non-attitudinal and non-knowledge-based factors (NANK) that hinder achievement of RDMIL. Method A cross-sectional survey of 400 randomly selected households and 16 focus group discussions (FGD) were conducted using Gulu district of Uganda as a microcosm for a developing country setting. Level of consumption of FV was assessed using 24-h dietary recall and compared to RDMIL as a fraction (%). The status of NK and NA were determined using sets of closed-ended questions anchored on a three-point Likert scale. Further quantitative statistical analyses were conducted using t-test, chi-square, Pearson’s correlation and multiple linear regression. FGD provided data on NANK factors and were analysed using qualitative content analysis procedure. Results Urban and rural inhabitants met up to 72.0 and 62.4% of the RMDIL, respectively, with absolute intake being higher among urban than rural households by 37.54 g. NK and NA were good but the intensity of NK was higher among urban respondents by 11%. RDMIL was positively correlated with NA while socio-demographic predictors of RDMIL varied with household location. FGD revealed that primary agricultural production constraints, market limitations, postharvest management limitations, health concerns, social discomfort and environmental policy restrictions were the major NANK factors that hindered achievement of the RDMIL. Conclusions These results indicate that NANK factors constrain households from translating good NA and NK to achieve the RMDIL.

show abstract

Infant and young child nutritional status and their caregivers’ feeding knowledge and hygiene practices in internally displaced person camps, Somalia

Cited by 13 publications

References 17 publications

Risk factors for severe acute malnutrition among children aged 6–59 months: A community-based case-control study from Vellore, Southern India

Risk factors for severe acute malnutrition among children aged 6–59 months: A community-based case-control study from Vellore, Southern India

Effects of Nutrition Counselling and Unconditional Cash Transfer on Child Growth and Family Food Security in Internally Displaced Person Camps in Somalia—A Quasi-Experimental Study

Non-attitudinal and non-knowledge based factors constrain households from translating good nutritional knowledge and attitude to achieve the WHO recommended minimum intake level for fruits and vegetables in a developing country setting: evidence from Gulu district, Uganda

Contact Info

Product

Resources

About