Nutritional assessment of under-three years children availing Anganwadi services from rural areas of Puducherry, India

IF 1.6 4区 医学 Q2 PEDIATRICS Journal of paediatrics and child health Pub Date : 2024-09-16 DOI:10.1111/jpc.16664
Govindaraj Rajendran, Premkumar Ramasubramani, Sathish Rajaa, Sindhu Kanagalingam, Pediredla Karunakar
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Abstract

Aim

Undernurition stands as a significant contributor to childhood mortality, particularly in developing nations such as India. At the grass root level, anthropometric monitoring indicators such as stunting, underweight and wasting take place within Anganwadi centres (village courtyard). The scrutiny of growth records, utilising these markers, not only quantifies the burden but also informs corrective measures. This study aimed to assess the prevailing growth monitoring records within the rural vicinity of Puducherry.

Methods

A community-based cross-sectional study design was implemented to examine the health condition of children below 3 years of age, who were enrolled and utilising services in Anganwadi centres. The anthropometric data, such as weight and height, were collected from growth monitoring records maintained in Anganwadi. The proportions of undernutrition indicators such as stunting, underweight and wasting were presented with a 95% confidence interval (CI).

Results

Within our rural service area encompassing 13 Anganwadis, a total of 572 children aged 3 or less were registered. Notably, approximately 14.2% (95% CI: 11.5–17.3) of these children experienced underweight, 16.4% (95% CI: 13.6–19.7) were stunted and 13.3% (95% CI: 10.8–16.3) were wasted. In terms of gender disparities, the prevalence of undernurition was notably higher among boy children, with 15.4% being underweight, 16.9% stunted and 14.7% wasted.

Conclusions

The prevalence of childhood undernurition is a public health concern, demanding the enhancement of existing nutritional initiatives to ameliorate the healthy well-being of these children. The timely identification of malnourished children holds paramount importance, as intensified interventions can be promptly employed to uplift the health status of these vulnerable individuals.

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对印度普杜切里农村地区接受 Anganwadi 服务的三岁以下儿童进行营养评估。
目的:未足月是导致儿童死亡的一个重要因素,尤其是在印度等发展中国家。在基层,Anganwadi 中心(乡村庭院)对发育迟缓、体重不足和消瘦等人体测量指标进行监测。利用这些指标对生长记录进行检查,不仅能量化负担,还能为采取纠正措施提供信息。本研究旨在评估普杜切里附近农村地区普遍存在的生长监测记录:方法:采用基于社区的横断面研究设计,检查在 Anganwadi 中心注册并使用服务的 3 岁以下儿童的健康状况。体重和身高等人体测量数据来自 Anganwadi 的成长监测记录。结果显示,发育迟缓、体重不足和消瘦等营养不良指标的比例与 95% 的置信区间 (CI) 相吻合:在我们的农村服务区(包括 13 个 Anganwadis)中,共有 572 名 3 岁或 3 岁以下的儿童进行了登记。值得注意的是,这些儿童中约有 14.2%(95% 置信区间:11.5-17.3)体重不足,16.4%(95% 置信区间:13.6-19.7)发育迟缓,13.3%(95% 置信区间:10.8-16.3)消瘦。在性别差异方面,男孩的尿量不足发生率明显更高,15.4%的男孩体重不足,16.9%的男孩发育迟缓,14.7%的男孩消瘦:儿童尿量不足是一个公共卫生问题,需要加强现有的营养措施,以改善这些儿童的健康状况。及时发现营养不良儿童至关重要,因为可以及时采取强化干预措施,改善这些弱势儿童的健康状况。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
487
审稿时长
3-6 weeks
期刊介绍: The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.
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