Nutritional Status and Its Associated Factors among Under-Five Children in Bidur Municipality, Nuwakot District, Nepal: A Secondary Data Analysis
DOI:
https://doi.org/10.70280/njph(2024)v1i1.10Keywords:
Malnutrition, Nepal, under-five childrenAbstract
Background: Undernutrition among under-five children is a major public health problem in Nepal. The study's main objective was to assess the nutritional status and its associated factors among under-5 children of Bidur Municipality, Nuwakot district using secondary data analysis.
Methods: We analyzed the data of 667 under-five children from 3183 households collected from the Community Health Diagnosis 2023 program database stored in the Kobo toolbox. Nutritional status indicators were measured by using the WHO classification. The chi-square test was applied to find out the association of nutritional status with independent variables such as maternal age at marriage,
age at first child, antenatal, delivery, and post-natal care, exclusive breastfeeding, complementary feeding practices, and immunization status.
Results: Nearly 32% (95%CI: 28.3-35.8) of the children were stunted, 12.1% (95%CI: 9.7-14.7) wasted, and 13.9% (95%CI: 11.4-16.6) were underweight. Early age at marriage, less than four ANC visits by the mother, history of substance use during pregnancy, and not exclusively breastfeeding were significantly associated with different forms of undernutrition.
Conclusion: Promotion of exclusive breastfeeding and a higher number of ANC visits and discouraging early-age marriage and substance use during pregnancy are necessary to prevent undernutrition in under-five children.
Keywords: Malnutrition, Nepal, under-five children
References
1. Gaurav K, Poudel IS, Bhattarai S, Pradhan PMS, Pokharel PK. Malnutrition Status Among Under-5 Children in a Hill Community of Nepal. Kathmandu Univ Med J KUMJ. 2014 Dec;12(48):264–8.
2. Bucha B, Karki P, Pradhan PMS. Nutritional Status of Under Five Children and its Associated Factors in Urban Slums of Kathmandu Valley, Nepal. 2023;03(05).
3. Govender I, Rangiah S, Kaswa R, Nzaumvila D. Malnutrition in children under the age of 5 years in a primary health care setting. South Afr Fam Pract. 2021 Sep 7;63(1):5337.
4. Ministry of Health and Population. Nepal Demographic and Health Survey 2022: Key Indicators Report.
5. Shrestha R, Bhandari VP, Bhatt LD. Socio-cultural Barriers in Infant and Young Child Feeding Practice among Mothers of Kumal Community in Nuwakot District. J Health Allied Sci. 2019 Dec 31;9(2):58–62.
6. Bidur Municipality. Bidur Municipality [Internet]. [cited 2024 Jul 26]. Available from: https://bidurmun.gov.np/
7. Government of Nepal. Nepal Population and Housing Census 2021 Census: National Report on Caste/ethnicity, Language and Religion [Internet]. [cited 2024 Jul 26]. Available from: https://censusnepal.cbs.gov.np/
8. WHO. Child growth standards [Internet]. [cited 2024 Jul 19]. Available from: https://www.who.int/tools/child-growthstandards/standards
9. WHO UNICEF. Recommendations for Data Collection, Analysis and Reporting on Anthropometric Indicators in Children Under 5 Years Old [Internet]. Switzerland; 2019 May [cited 2024 Jul 26]. Available from: https://data.unicef.org/wpcontent/uploads/2019/05/Anthropometry-children-under-5guidance-English_2019.pdf
10. Kumar R, Abbas F, Mahmood T, Somrongthong R. Prevalence and factors associated with underweight children: a population-based subnational analysis from Pakistan. BMJ Open. 2019 Jul 1;9(7):e028972.
11. Yogi BN. Factors Associated with Early Marriage in Rural Mid-Western Nepal. J Health Promot. 2020 Nov 22;8:63–72.
12. Girls Not Brides. Taking action to address child marriage: the role of different sectors [Internet]. [cited 2024 Jul 26]. Available from: https://www.girlsnotbrides.org/documents/432/6.Addressing-child-marriage-Food-Security-and-Nutrition.pdf
13. Toma AS, Talukder A, Khan SS, Rahman Razu S. An assessment of the association between antenatal care and child malnutrition in Bangladesh. Fam Med Prim Care Rev. 2018;20(4):373–8.
14. Ross EJ, Graham DL, Money KM, Stanwood GD. Developmental Consequences of Fetal Exposure to Drugs: What We Know and What We Still Must Learn. Neuropsychopharmacology.
2015 Jan;40(1):61–87.
15. Hadi H, Fatimatasari F, Irwanti W, Kusuma C, Alfiana RD, Asshiddiqi MIN, et al. Exclusive Breastfeeding Protects Young Children from Stunting in a Low-Income Population: A Study
from Eastern Indonesia. Nutrients. 2021 Nov 26;13(12):4264.
16. Safaah N, Yunitasari E, Efendi F, Sunanita S, Suhartono S. Relationship between exclusive breastfeeding and stunting among children aged 2-5 years in Indonesia. Gac Med Caracas.
2022 Nov;130:S1019–24.
17. Government of Nepal National Planning Commission. Multisector Nutrition Plan [Internet]. 2012 May [cited 2024 Jul 26]. Available from: https://npc.gov.np/images/category/MSNP_english.pdf
18. Government of Nepal UNICEF. Multi-Sectoral Nutrition Plan (MSNP) – II [Internet]. [cited 2024 Jul 20]. Available from: https://www.unicef.org/nepal/media/16171/file/MSNP%20II%20-%20Newsletter%20-%20ISSUE%2001.pdf
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