Prevalence and Determinants of Malnutrition among Under-Five Children in a Rural Village in Giza Governorate

Authors

  • Suzan Hagag Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
  • Shafika Nasser Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
  • Nesreen Mohamed Kamal Elden Department of Public Health and Community Medicine
  • Asmaa Mohamed Taha Department of Public Health and Community Medicine

DOI:

https://doi.org/10.3889/oamjms.2022.9576

Keywords:

Prevalence, Determinants, Malnutrition, Under 5 children

Abstract

BACKGROUND: Malnutrition remains a serious problem to child survival, growth, and development in underdeveloped countries.

AIM: The aim of this study is to assess the prevalence and determinants of malnutrition among under-five children.

METHODS: This study is a cross-sectional community-based study. It was conducted on 320 mother-child pairs through household visits in Nahia; a rural village in Giza governorate, Egypt. A structured questionnaire was developed to collect data regarding sociodemographic characteristic, feeding pattern, including breastfeeding and weaning practices. Anthropometric measurements (weight, height) and Hb level were measured for all the studied participants.

RESULTS: The mean age of the children was 35.98 ± 15.8 months, and the mean age of mothers was 28 ± 4.6 years. Stunting was found in 16.2%, wasting in 9%, and underweight in 15.6% of children, with a total malnutrition of 79 (24.7%). Nearly half of children were anemic(51.2%). Many risk factors were contributing to malnutrition as socioeconomic status, age of mother at giving her first birth, and child birth weight.

CONCLUSION: Stunting and anemia were the predominant nutritional problems among children so nutritional counseling for mothers is needed to improve feeding practices of their children.

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References

World Health Organization, United Nations International Children’s Emergency Fund. Implementation Guidance Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services. 2018. Available from: https://www.who.int/nutrition/publications/breastfeeding/bfhi-implementation-2018.pdf [Last accessed on 2019 Sep 07].

United Nations International Children’s Emergency Fund. Malnutrition-UNICEF DATA; 2017. Available from: https://www. data.unicef.org/topic/nutrition/malnutrition [Last accessed on 2018 Dec 05]

US Agency for International Department. Technical Guidance Brief Introduction Role of Nutrition in Ending Preventable Child and Maternal Deaths. United States: US Agency for International Department; 2014. p. 1-9.

Food and Agriculture Organization. Nutrition Assessment, Nutrition Food and Agriculture Organization of the United Nations. Rome, Italy: Food and Agriculture Organization; 2017. Available from: https://www.fao.org/nutrition/assessment/en [Last accessed on 2020 Sep 20]

Egypt Demographic and Health Survey. Child Health 2014 Egypt Demographic and Health Survey; 2014. Available from: https://www.dhsprogram.com/pubs/pdf/fr302/fr302.pdf [Last accessed on 2020 Jan 20]

The World Bank. Scaling Up Nutrition. What Will It Cost? Ch. 2. Washington, DC: The World Bank; 2010. p. 44-136. Available from: https://www.openknowledge.worldbank.org/handle/10986/2685

Suraj G. In: Suraj G, editor. The Short Textbook of Pediatrics. 11th ed. New Delhi: Jaypee Brothers Medical Publishers Pvt. Limited; 2009.

United Nations International Children’s Emergency Fund. Improving Child Nutrition: The Achievable Imperative for Goal Progress. Division of Communication. United States: United Nations International Children’s Emergency Fund; 2013. Available from: https://www.resourcecentre.savethechildren.net/document/improving-child-nutrition-achievable-imperative-global-progress

CAPMAS. Vital Statistics Egypt. Available from: https://www. capmas.gov.eg [Last accessed on 2021 Feb 05].

Fahmi SI, El-Sherbini AF. Determining simple parameters for social classification for health research. Bull High Institute Public Health. 1985;13:95-107.

World Health Organization, UNICEF, IFPRI, UC Davis, USAID, FANTA. Indicators for Assessing Infant and Young Child Feeding Practices. Part 1. Geneva: World Health Organization; 2008. p. 1-19.

WHO Anthro software Version 3.2.2. and Macros. Available from: https://www.who.int/childgrowth/software/en [Last accessed on 2021 Jan 07].

World Medical Association Declaration of Helsinki, 2008-World Medical Association: The Declaration of Helsinki. Available from: https://www.wma.net/en/30publications/10policies/b3/index.html [Last accessed on 2011 Oct 10].

Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children <5 years of age: Evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019;19(1):358. https://doi.org/10.1186/s12889-019-6688-2 PMid:30935382 DOI: https://doi.org/10.1186/s12889-019-6688-2

Hasan MT, Soares Magalhaes RJ, Williams GM, Mamun AA. The role of maternal education in the 15-year trajectory of malnutrition in children under 5 years of age in Bangladesh. Matern Child Nutr. 2016;12(4):929-39. https://doi.org/10.1111/mcn.12178 PMid:25720451 DOI: https://doi.org/10.1111/mcn.12178

Jordan Population and Family Health Survey. 2012. Available from: https://www.dhsprograms.com/pubs/pdf/fr282/fr282.pdf

Owoaje E, Onifade O, Desmennu A. Family and socioeconomic risk factors for undernutrition among children aged 6 to 23 Months in Ibadan, Nigeria. Pan Afr Med J. 2014;17:161. https://doi.org/10.11604/pamj.2014.17.161.2389 PMid:25120874 DOI: https://doi.org/10.11604/pamj.2014.17.161.2389

Sulaiman AA, Bushara SO, Noor SK, Abdelkarim M, Awadalla H, Ahmed MH, et al. Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan. J Family Med Prim Care. 2018;7(1):104-10. https://doi.org/10.4103/jfmpc.jfmpc_73_17 PMid:29915742 DOI: https://doi.org/10.4103/jfmpc.jfmpc_73_17

Ali Z, Saaka M, Adams AG, Kamwininaang SK, Abizari AR. The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana. BMC Nutr. 2017;3(1):31. https://doi.org/10.1186/s40795-017-0154-2 PMid:32153813 DOI: https://doi.org/10.1186/s40795-017-0154-2

Sultana P, Rahman MM, Akter J. Correlates of stunting among under-five children in Bangladesh: A multilevel approach. BMC Nutr. 2019;5(1):41. https://doi.org/10.1186/s40795-019-0304-9 PMid:32153954 DOI: https://doi.org/10.1186/s40795-019-0304-9

USAID. Technical Guidance Brief Introduction Role of Nutrition in Ending Preventable Child and Maternal Deaths; 2014. p. 1-9. Available from: https://www.usaid.gov/global-health/health-areas/nutrition/role-nutrition-ending-preventable-child-maternal-deaths [Last accessed on 2021 Dec 07].

Mohammed SH, Larijani B, Esmaillzadeh A. Concurrent anemia and stunting in young children: prevalence, dietary and non-dietary associated factors. Nutr J. 2019;18(1):10. https://doi.org/10.1186/s12937-019-0436-4 PMid:30791904 DOI: https://doi.org/10.1186/s12937-019-0436-4

Agyekum MW. Birth Weight, Birth Size and Exclusive Breastfeeding in Ghana [Dissertation]. Ghana, West Africa: University of Ghana; 2019. Available from: https://www.ugspace.ug.edu.gh/handle/123456789/35835 [Last accessed on 2021 Dec 10].

Rahman MS, Howlader T, Masud MS, Rahman ML. Association of low-birth weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLoS One. 2016;11(6):0157814. https://doi.org/10.1371/journal.pone.0157814 PMid:27355682 DOI: https://doi.org/10.1371/journal.pone.0157814

Biesalski HK, Tinz J. Multivitamin/mineral supplements: Rationale and safety-a systematic review. Nutrition. 2017;33:76-82. https://doi.org/10.1016/j.nut.2016.02.013 PMid:27553772 DOI: https://doi.org/10.1016/j.nut.2016.02.013

Berhane HY, Jirström M, Ekström EC, Trenholm J, Berhane Y, Abdelmenan S, et al. Social stratification, diet diversity and malnutrition among preschoolers: A survey of Addis Ababa, Ethiopia. Nutrients. 2020;12(3):712. https://doi.org/10.3390/nu12030712 PMid:32156006 DOI: https://doi.org/10.3390/nu12030712

Rahman MS, Mushfiquee M, Masud MS, Howlader T. Association between malnutrition and anemia in under-five children and women of reproductive age: Evidence from Bangladesh demographic and health survey 2011. PLoS One. 2019;14(7):0219170. https://doi.org/10.1371/journal.pone.0219170 PMid:31269082 DOI: https://doi.org/10.1371/journal.pone.0219170

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Published

2022-04-21

How to Cite

1.
Hagag S, Nasser S, Elden NMK, Taha AM. Prevalence and Determinants of Malnutrition among Under-Five Children in a Rural Village in Giza Governorate. Open Access Maced J Med Sci [Internet]. 2022 Apr. 21 [cited 2024 Apr. 19];10(E):1125-31. Available from: https://oamjms.eu/index.php/mjms/article/view/9576

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Public Health Epidemiology

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