MALNUTRITION AND COMORBIDITY PATTERN AMONG UNDER FIVE CHILDREN IN URBAN SLUMS OF BERHAMPUR: A CROSS-SECTIONAL STUDY

NARAYAN PRASAD NANDA; LOMAPADA NAYAK; SANJAYA KUMAR SAHOO; NIVEDITA KARMEE; DURGA MADHAB SATAPATHY

doi:10.22159/ajpcr.2023.v16i7.48389

Authors

NARAYAN PRASAD NANDA Department of Community Medicine, SJMCH, Puri, Odisha, India.
LOMAPADA NAYAK Department of Community Medicine, M.K.C.G. Medical College, Berhampur, Odisha, India.
SANJAYA KUMAR SAHOO Department of Community Medicine, DDMCH, Keonjhar, Odisha, India. https://orcid.org/0000-0002-1309-4849
NIVEDITA KARMEE Department of Community Medicine, F.M. Medical College, Balasore, Odisha, India.
DURGA MADHAB SATAPATHY Department of Community Medicine, M.K.C.G. Medical College, Berhampur, Odisha, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i7.48389

Keywords:

Malnutrition, Cross-sectional study, Multistage random sampling, Underweight, Stunting, Wasting, MUAC

Abstract

Objectives: Nutritional status of under five children is a matter of concern worldwide and malnutrition is one of the most important public health problems. The children of urban slums carry relatively more risk due to their epidemiological profile, exposure to infectious agents and lifestyle-related risk factors, and culture-based health beliefs.

To access the nutritional status and associated comorbidities among under five children in the urban slums of Berhampur.

Methods: A cross-sectional community-based study was carried out among 385 children between 6 and 59 months of age residing in the urban slum areas of Berhampur Odisha. Out of total 174 slums, 20% (35) were selected randomly and from each of these 35 slums, 11 children were selected. The assessment of the nutritional status of the child was done using the World Health Organization, weight for age (WFA), weight for height (WFH), height for age (HFA), and MUAC and general physical examination.

Results: In our study, the prevalence of underweight (low WFA), stunting (low HFA), and wasting (low WFH) was 152 (39.48%), 160 (41.43%), and 144 (37.20%), respectively. No children were observed with overweight or obesity. The prevalence of ARI, diarrhoea, worm infestation, skin diseases, dental problems, ear and eye infections, and injury were 32.98%, 13.77%, 9.61%, 4.67%, 4.41%, 2.86%, and 1.03%, respectively.

Conclusion: It was observed that the prevalence of undernutrition was more than the state average but overnutrition was absent in our study area. Regarding the comorbid conditions, nearly one-third of the children had anemia and RTI, both were significantly associated with malnutrition.

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Author Biography

SANJAYA KUMAR SAHOO, Department of Community Medicine, DDMCH, Keonjhar, Odisha, India.

Assistant Professor,

Department of Community Medicine,

DDMCH,KEONJHAR,ODISHA

References

Malnutrition and its Types (WHO). Available from: https://www.who. int/news-room/fact-sheets/detail/malnutrition

UNICEF, WHO, World Bank. Levels and Trends in Child Malnutrition: Key findings of the 2020 Edition of the Joint Child Malnutrition Estimates. Vol. 24. Geneva: WHO; 2020. p. 1-16.

Census; 2011. Available from: http://censusmp.nic.in/censusmp/ AllPDF/4childpopulation0-6-21.12.pdf

United Nations. Global Nutrition Report. In: Global Nutrition Report; 2018. Available from: http://www.segeplan.gob.gt/2.0/index. php?option=com_content&view=article&id=472&Itemid=472

Index LH. Global Hunger Index 2019.

Aggarwal T, Srivastava S. Nutritional status and its correlates in under five children of labour population in urban slums of Lucknow, Uttar Pradesh, India. Int J Contemp Pediatr 2017;4:1253. https://doi. org/10.18203/2349-3291.ijcp20172518

NFHS-4. National Family Health Survey (NFHS-4) 2015-16 India. United States: International Institute for Population Sciences (IIPS) and ICF; 2017. p. 1-192. Avilable from: http://rchiips.org/NFHS/NFHS- 4Reports/India.pdf

Berhampur Municipal Corporation. Urban Population. Avilable from: http://www.berhampur.gov.in

Wikipedia. Cencus; 2011. Available from: https://www.census2011. co.in/census/city/272-brahmapur-town. html

Rehan A, Kishore S, Singh M, Bahurupi Y, Aggarwal P, Jain B. Undernutrition and associated common comorbidities among 6-59 months old children. Indian J Community Health 2020; 32:461-3.

Available from: https://main.mohfw.gov.in/sites/default/files/NFHS-5 _Phase-II_0.pdf

Goyal P, Lukhmana S, Dixit S, Singh A. Malnutrition and childhood illness among 1–5-year-old children in an Urban Slum in Faridabad: A cross-sectional study. J Epidemiol Glob Health 2019;9:19-22. https:// doi.org/10.2991/jegh.k.190212.001

Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under-nutrition in under-5 years children in an urban slum of Ludhiana. Health Popul Perspect Issues 2010;33:1-9.

Kumar SD, Ashok NC, Kumar SA, Kumar DS, Koppad R. Protein Energy Malnutrition and its Association with Immunization Status and Common Morbidities Among 1-5 Year Aged Children in Southern Part of India, My; 2016. Available from: https://www.researchgate.net/ publication/305033037

Yamuna BN, Ratnaprabha GK, Kengnal P. Prevalence of acute morbidities and their health seeking behaviour among under-five children of urban slums in a city in Karnataka. Int J Community Med Public Health 2017;4:2449. https://doi.org/10.18203/2394-6040. ijcmph20172839

Nayak BS, Unnikrishnan B, George A, Shashidhara YN, Mundkur SC, Bhatia V, et al. The interaction between nutrition and infection. J Nat Sci Biol Med 2018;6:1-8. https://doi.org/10.18203/2349-3291. ijcp20174753

Tiwari S, Bandi J, Awasthi S, Sharma A. Assessment of prevalence of protein energy malnutrition in under 5 year children in an urban slum of Mumbai, India and to study associated factors. Int J Community Med Public Health 2016;3:1129-34. https://doi.org/10.18203/2394-6040. ijcmph20161371

Shukla N, Toppo NA, Thakur A, Kasar PK, Sharma B. A study of malnutrition and associated risk factors among children of age 06- 59 months in rural area of Jabalpur district, Madhya Pradesh. Indian J Community Health 2018;30:24-9.