The Prevalence of Undernutrition and Associated Factors among Children Aged One to Five Years in Siyambalanduwa MOH Area

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Abstract

Aim: High prevalence of child undernutrition is a well-known issue in rural areas of Si Lanka. Identification of real burden, underlying specific causes and addressing those issues will help to improve the nutritional status of those children. Objective: To describe the prevalence of undernutrition and associated factors among children aged one to five years in Siyambalanduwa MOH area. Methodology: A community based cross-sectional study was conducted among 421 child-mother pairs in Siyambalanduwa MOH area using two stage cluster sampling method. Data collection done by using pre tested interviewer administered questionnaire. Relevant anthropometric measurements were done according to WHO slandered guidelines. Statistical analysis was done using SPSS 20. The chi-square test was used, and P<0.05 was considered for statistically significant. Results: Overall 41% of children aged 1-5 years were undernourished in Siyambalanduwa MOH area. Among the study subjects 24% were underweight, 25.7% were stunted, 16.4% were wasted, 9.2% were both underweight & stunted, 6.8% were both, underweight & wasted, 0.5% were both stunted & wasted and 9.9% were underweight & stunted g & wasted. Only the low total monthly income (P<0.001) and low birth weight (P<0.001) were significantly associated with child undernutrition. Conclusions and recommendations: Prevalence of undernutrition among children aged 1-5 years is unacceptably high and urgent efforts to reduce undernutrition should be a priority. Future studies should focus on assessing how to reduce the burden of undernutrition with low cost interventions.
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西扬巴兰杜瓦卫生部辖区1 - 5岁儿童营养不良发生率及相关因素
目的:儿童营养不良的高发率是斯里兰卡农村地区一个众所周知的问题。查明真正的负担、潜在的具体原因和解决这些问题将有助于改善这些儿童的营养状况。目的:了解卫生部西扬巴兰杜瓦地区1 ~ 5岁儿童营养不良的患病率及相关因素。方法:采用两阶段整群抽样的方法,对SiyambalanduwaMOH地区421对母子进行了基于社区的横断面研究。数据收集采用预先测试的采访者管理问卷。相关人体测量是根据世卫组织诽谤指南进行的。采用SPSS 20进行统计分析。采用卡方检验,P<0.05为差异有统计学意义。结果:Siyambalanduwa卫生部辖区1 ~ 5岁儿童营养不良发生率为41%。研究对象中体重不足的占24%,发育不良的占25.7%,消瘦的占16.4%,体重不足和发育不良的占9.2%,体重不足和消瘦的占6.8%,发育不良和消瘦的占0.5%,体重不足和发育不良和消瘦的占9.9%。只有月总收入低(P<0.001)和出生体重低(P<0.001)与儿童营养不良显著相关。结论和建议:1-5岁儿童营养不良的发生率高得令人无法接受,减少营养不良的紧急努力应成为优先事项。未来的研究应侧重于评估如何通过低成本干预措施减轻营养不良的负担。
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