PREVALENCE OF MALNUTRITION AND ASSOCIATED FACTORS AMONG CHILDREN UNDER-FIVE YEARS IN JUBA CITY
Abstract
ABSTRACTIntroduction: Malnutrition still remains a major community health problem in developing countries. It is the most central risk factor for the burden of diseases. In South Sudan, child malnutrition rate is one of the most stern public health problem and the highest in the world. High malnutrition rates in the country pose a significant hindrance to achieving better child health outcomes.
Objective: To evaluate prevalence of malnutrition and associated factors among children aged 6-59 months in Juba City, South Sudan
Methods: A health facility based cross sectional study was conducted on 80 children aged 6-59 months from September 25, 2018 to October 18, 2018. Multistage sampling method was used to select children in health facilities. Children were selected from each health facility by simple random sampling. Anthropometric measurements and structured questions were used. Data were processed using EPi-info software and exported to SPSS for analysis. Then after, sex, age, height and weight transferred to ENA software to convert nutritional data into Z-scores of the indices; Height-for-age, weight-for-height and weight-for-age.
Results: The analysis of this study exposed that, 45.35%, 32.9% and 21.75% of children were underweight, wasted and stunted respectively. The prevalence of GAM and SAM in terms of z-scores and/or oedema and 95% confidence intervals were 92.4 % (84.4 - 96.5 95% C.I) and 74.7 % (64.1 - 83.0 95% C.I) respectively. The main associated factors of underweight, wasting and stunting were found to be child age, sex family occupation, marital status, parental education, monthly income, housing, poor family planning and early weaning practices among others. Delayed treatment of diarrhea, vomiting, coughing, and malaria in 6—59 months children were found related to prevalence of malnutrition.
Conclusion: It’s determined that malnutrition still highly remains a principal problem among children aged 6-59 months.
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References
1. Muhammad Kamel Frozanfar1, Yoshitoku Yoshida1, Eiko Yamamoto1, Joshua A. Reyer1, Suraya Dalil2, Abdullah Darman Rahimzad3 and Nobuyuki Hamajima; Acute malnutrition among under-five children in Faryab, Afghanistan: prevalence and causes Afghanistan 2017
2. Langendorf C, Roederer T, de Pee S, Brown D, Doyon S, Mamaty AA, Toure LW, Manzo ML, Grais RF. Preventing acute malnutrition among young children in crises: a prospective intervention study in Niger. PLoS Med, 2014.
3. World Health Organization, United Nations Children’s Fund, , The World Bank. WHO UNICEF - World Bank Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2017)
4. Public Nutrition Department, Ministry of Public Health Kabul, National Nutrition Survey Afghanistan, pp. 19–42, 2013, Ministry of Public Health, Kabul, Afghanistan.
5. Ministry of Health South Sudan; Outpatient Management Of Severe And Moderate Acute Malnutrtion Without Medical Complications DEC 2016
6. Black, R.E.; Victora, C.G.; Walker, S.P.; Bhutta, Z.A.; Christian, P.; de Onis, M.; Ezzati, M.; Grantham-McGregor, S.; Katz, J.; Martorell, R.; et al. Maternal and child under nutrition and overweight in low-income and middle-income countries. Lancet 2013
7. World Health Organization. World Health Statistics 2011; World Health Organization: Geneva, Switzerland, 2011.
8. UNICEF SOUTH SUDAN SITUATION REPORT 2017.
9. Medicins San Frontieres (MSF); Therapeutic Feeding Programme Protocol; South Sudan; 2010
10. International Medical Corps (IMC); Nutrition & Food Security in South Sudan; 2014
11. United Nations Children Fund (UNICEF). Level and Trends in child mortality report 2012.www.unicef.org/…/UNICEF_2012_child_mortality_for _web_0904.pdf
12. Black RE, Morris SS, Bryce J (2003) Where and why are 10 million children dying every year? Lancet 361: 2226-2234.
13. Ministry of Health- Republic of South Sudan; Community Management of Acute Malnutrition (CMAM); 2017
14. International Rescue Committee (IRC); A New Community Approach to Treatment of Acute Malnutrition; South Sudan; 2017
15. Dr. Maria A. Warille; University Of Nairobi Department Of Paediatrics and Child Health Audit Of Care of Severely Acute Malnourished Children Aged 6-59 Months Admitted At Alsabah Children Hospital- Juba (South Sudan); 2015
16. Ashis Talukder; Factors Associated with Malnutrition among Under-Five Children: Bangladesh, 2014
17. Ministry of Medical Service and Ministry of Public Health and Sanitation; National Guideline for Integrated Management of Acute Malnutrition; Kenya; 2009
18. www.//Scalingupnutrition.Org/Sun-Countries/south-Sudan Accessed July 19, 2018.
19. Tesfaye M (2009) Bayesian approach to identify predictors of children Nutritional status in Ethiopia.
20. Merrill W (1984) Report of Workshop on income and Nutrition effects of increasing commercialization of semi-subsistence Agriculture. Air lie House Virginia. December 1984: 3-5.
21. Hidabu Abote Health office annual report 2012.
22. http://www.who.int/childgrowth/standards/Technical_report.pdf
23. Yimer G (2000) Malnutrition among children in southern Ethiopia: Levels and risk factors. Ethiopian Journal of Health Development 14: 283-292.
24. Bhutta ZA. Addressing severe acute malnutrition where it matters. Lancet, 2009; 374: 94–96.
25. Chang CY, Trehan I, Wang RJ, Thakwalakwa C, Maleta K, Deitchler M, Manary MJ. Children successfully treated for moderate acute malnutrition remain at risk for malnutrition and death in the subsequent year after recovery. J Nutr, 2013;
26. Harishankar, Dwivedi S. Nutritional status of children under 6 years of age. Indian J Prev Soc Med.2004;35:156-62
27. UN Department of Economic and Social Affairs. The Millennium Development Goals Report 2013
28. Republic of Kenya (RoK), “Busia District Development Plan 2002- 2008”, Nairobi, Government Printer, 2001
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