Severe acute malnutrition and its associated factors among under-five children in two districts of Nepal

Abstract

Background : The main objective of this study was to identify the risk factors of severe acute malnutrition in under-five children in the two districts of Nepal. Methods: Using a mid-upper arm circumference measure, nutritional status along with the associated factors underlying determinants of undernutrition of 404 children who visited the Outpatient Therapeutic Centres were assessed using a validated structured questionnaire. Multivariate logistic regression was used to determine the factors associated with severe acute malnutrition (SAM) and associated variables. Results: The odds of a child being in the SAM category increased significantly if the family have five or more children and if the household yearly income is below an average. The children in the Madhesi family were 3.6 times more likely to be malnourished. Toilet facility (Adjusted Odds Ratio [AOR]: 4.45; 95% Confidence Interval [CI]: 1.88-10.53) and family with no kitchen garden (AOR: 3.16; 95% CI: 1.28-7.89) were significantly associated with SAM among under five children. Children from moderate food insecure and severe food insecure households were 3.2 and 5.5 times more likely to be malnourished respectively. Compared to the mothers with no job, mother with some sort of paid job had more than six times higher odds of having severely acute malnourished children.Conclusions: These findings suggest that the nutrition interventions as well as awareness on child feeding practices are crucial to improve the nutritional status of children especially among Madhesi community, poorer households and among illiterate mothers.

Treatment Outcome and Associated Factors of Severe Acute Malnutrition (SAM) among Under Five Children in Selected Nutritional Rehabilitation Centres (NRC) of Odisha

“…(2020), where majority of under nourished children were residing in rural areas of Maharastra. 6 In the present study the result reveal that 58.06% SAM children belong to joint family and 41.93% belong to nuclear family. This result is supported by the study of Umesh Ghimire et.al.…”

Hubungan antara Pendapatan, Penyakit Infeksi dan Pola Makan terhadap Kejadian Gizi Kurang pada Balita

“…Dari temuan yang diperoleh, diharapkan pola asuh orang tua kepada anak dapat semakin baik agar dapat mengurangi risiko kesakitan pada anak dan selanjutnya diharapkan status gizi anak menjadi lebih baik terutama pada keluarga dengan ekonomi rendah. 23 Oleh karena itu, berbagai strategi atau program perlu dirancang dalam mencegah dan menanggulangi permasalahan gizi dengan melibatkan semua institusi terkait di semua level baik nasional maupun komunitas, bekerja secara bersama-sama dengan fokus pada faktor seperti ekonomi, akses layanan kesehatan dan pendidikan. 24…”