The catch-up growth in stunted children: Analysis of first and second India human development survey data

Jayalakshmi, Rajeev; Kannan, Srinivasan

doi:10.4103/ijcm.ijcm_127_18

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…In this study, the overall frequency of stunting was higher than in previous studies in Ethiopia: Jimma, 21.8%% ( 27 ), India, 20% ( 28 ), and Southern Iran, 18% ( 29 ). The higher prevalence of stunting among children in this study than in previous findings in Ethiopia could be due to differences in socioeconomic, cultural, food habits, environmental conditions, and public service consumption of the people in the research area between the southern and northern parts of Ethiopia ( 30 ).…”

Section: Discussioncontrasting

confidence: 80%

Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study

Tekeba,

Tarekegn,

Zegeye

et al. 2023

Front. Nutr.

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IntroductionA stunted child refers to a child who is too short for his/her age, which is the most common cause of morbidity and mortality in children under five in developing countries. Stunting in preschool children is caused by a multitude of socioeconomic and child-related factors, including the employment status of women. This study aimed to compare the prevalence and factors associated with stunting of preschool children among employed and unemployed mothers in Gondar city, Northwest Ethiopia, in 2021.MethodsFrom 30 February to 30 March 2021, a community-based comparative cross-sectional study was conducted among 770 preschool children of employed and unemployed mothers in Gondar city. A structured questionnaire-based interview with anthropometric measurements was used to collect data. A multi-stage sampling technique was used. Data were entered into EPI Info version 7.22 and transferred to Stata version 14 for further analysis. To identify factors associated with stunting, a binary logistic regression analysis was used. The presence of an association was declared based on a p-value of <0.05 and confidence intervals.ResultsA total of 770 preschool children participated in the study. The overall prevalence of stunting among preschool children was 39.7% (95% CI: 36.3–43.2). The prevalence was higher among preschool children of employed mothers (42.6%) (95% CI: 37.6–47.5) than among unemployed mothers (36.7%) (95% CI: 32.0–41.7). Maternal age [AOR = 2.8, 95% CI: 1.26–6.34] and wealth status [AOR = 0.32, 95% CI: 0.18–0.57] were significantly associated with stunting among unemployed mothers, while family size [AOR = 7.19, 95% CI: 2.95–17.5], number of children under the age of five [AOR = 1.92, 95% CI: 1.12–3.29], and having a home servant [AOR = 0.126, 95% CI: 0.06–0.26] were associated with stunting of preschool children among employed mothers.ConclusionStunting is more common in preschool children of employed mothers than in those of unemployed mothers. As a result, interventions such as raising awareness among employed mothers to devote time and care to their children, as well as concerned bodies assisting women with preschool or under-five children, is required. The nutrition intervention should focus on encouraging dietary diversity to combat the existing nutrition-associated stunting in children. Similarly, further research on the difference between employed and unemployed mothers' child stunting status as well as an investigation of extra variables such as the number of hours worked by an employed mother is also recommended to upcoming researchers.

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Section: Discussioncontrasting

confidence: 80%

Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study

Tekeba,

Tarekegn,

Zegeye

et al. 2023

Front. Nutr.

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“…The detailed methodology is discussed elsewhere [4]. The ndings of the survey and secondary data analyses are also been published in a series of publications [5][6][7]. Children below ve years from randomly selected 24 AWCs were the study population and their mothers were the respondents.…”

Section: Methodsmentioning

confidence: 99%

“…In the above scenario, the AWW might have indicated the catch-up growth in malnourished children which many studies have proven [5,[10][11][12][13][14]. However, high risk of stunted children to develop chronic diseases in their adulthood is also reported in the literature [15][16][17].…”

Section: Delivering Services Without Convictionmentioning

confidence: 99%

Whether child nutrition is prioritized in Kerala? An exploration of the Integrated Child Development Services Programme

Jayalakshmi

Kannan

2023

Preprint

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Background Kerala, a southern state of India well-known for its human development, is lagging to tackle undernutrition among children below five years in the last decade even though one in five children experience at least one form of nutritional deficiency. The present paper examines the prioritization of child nutrition in the political agenda of Kerala and the implementation of the Integrated Child Development Services (ICDS) programme. Methods Thirty in-depth interviews with ICDS service providers and policymakers, and document analyses (ICDS Manual for District-level Functionaries − 2017, Legislative Assembly questions, and field diaries) were done. The interviews were conducted and transcribed in Malayalam and later translated into English. A thematic analysis of the interviews and content analysis documents were done. Results Major themes that emerged from the analysis were inadequate facilities; undue importance of perfect documentation rather than the operationalization of ICDS services; parents’ expectations about their children’s education; the helplessness of AWWs to persuade parents to give their children supplementary nutrition or send them to AWCs; job burden of AWWS and ICDS supervisors and the lack of earnestness with regard to the importance of adequate nutrition; cutting the budget for implementing ICDS; timely disbursal of allocated budget and stopping the training for AWWs; and poor cross-sectoral convergence were found to affect the achievement of nutrition goals of ICDS. Conclusion The study revealed that child nutrition is not a prioritised political agenda, which is reflected in the implementation of ICDS and services rendered through the programme. Parents’ perspectives on the need and functions of ICDS matter in terms of service utilization. Reforms without considering them will not help to achieve the objectives.

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“…The secondary data includes relevant documents such as National Food Security Act (NFSA, 2013), NFSA State Rules of Kerala (2018), ICDS Manual for district-level functionaries (2017), Legislative Assembly questions asked by MLAs in Kerala. In addition, two analyses were done using the first and the second India Human Development Survey (IHDS) data (Jayalakshmi & Kannan, 2019a, 2019b.…”

Section: Secondary Datamentioning

confidence: 99%

Protocol of Explanatory Study on Social, Economic and Political Dimensions of Nutritional Status of Children Aged Six to Sixty Months from Low Socio-Economic Strata in Kerala, India

Jayalakshmi

Kannan

2021

ssp

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Background: Despite having better human development indicators, one-fifth of under-five children in Kerala are undernourished. The demographic, socio-economic, cultural and political transition in Kerala necessitates a revisit on the causes of undernutrition among children given that it tackled many of the immediate causes of undernutrition. The present study aims at the multi-dimensional factors' influence on nutritional status of children from low socio-economic strata in Kerala. Methods/Design: The conceptual framework for the present study adapted the ecosocial theory by Nancy Krieger. We use an explanatory study design, by adopting both quantitative and qualitative methods. The sample size for the quantitative phase is 600 children of age six to 60 months and their mothers. The qualitative phase includes in-depth interviews with key informants. The data collection tools include weighing scale and stadiometer for taking anthropometric measurements, household survey questionnaire, interview schedule for mothers, interview guide for key informants, field diary and checklist for document analysis. Discussion: Contextual evidence that the study generates will have implications at individual, service provision and policy perspectives of undernutrition among children in Kerala. It will help improve the nutrition-specific and nutrition-sensitive policies and programs in Kerala, which in turn will improve the nutritional status of the children.

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The catch-up growth in stunted children: Analysis of first and second India human development survey data

Cited by 5 publications

References 12 publications

Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study

Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study

Whether child nutrition is prioritized in Kerala? An exploration of the Integrated Child Development Services Programme

Protocol of Explanatory Study on Social, Economic and Political Dimensions of Nutritional Status of Children Aged Six to Sixty Months from Low Socio-Economic Strata in Kerala, India

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