Nutritional Status of Under-five Children and its Associated Factors in Dhulikhel Municipality, Kavrepalanchok, Nepal
Nutritional Status in Children of Dhulikhel Municipality
DOI:
https://doi.org/10.70280/njph(2025)v2i1.29Keywords:
Nutrition, Food security, Nepal, MalnutritionAbstract
Introduction: The nutritional status of children under five years is not only a crucial indicator of their present health status but also offers insight into socio-economic and other factors within a community. The study aimed to assess the nutrition status of under-five children with its associated factors and the household food security status in Dhulikhel municipality, Nepal
Methods: This study was quantitative cross-sectional conducted among 323 under-five children in all 12 wards of Dhulikhel municipality. Face-to-face interviews were carried out with the mothers of under-five children using standard questionnaires, and anthropometric tools.
Results: This study found that the prevalence of stunting, wasting, underweight, and overweight was 33.6%, 9.3%, 23.5%, and 14.5% respectively. Nearly 86.4% of the households of Dhulikhel municipality were food secure whereas 13.6% of the households were insecure. Availability of kitchen gardens showed a statistically significant association with a lower prevalence of wasting (6.2%) and underweight (18.6%). The proportion of stunting and underweight children was significantly higher (56.8% and 50% respectively) among households that were not food secure.
Conclusion: Among the surveyed children, nearly half had at least one form of malnutrition. Food insecurity was associated with a higher prevalence of stunting and underweight. Availability of kitchen gardens was associated with a lower prevalence of wasting and underweight in this study. Food insecurity and agro-health-based programs must be considered while designing interventions to curb various forms of malnutrition.
References
1. Cohen Kadosh K, Muhardi L, Parikh P, Basso M, Jan Mohamed HJ, Prawitasari T, Samuel F, Ma G, Geurts JM. Nutritional Support of Neurodevelopment and Cognitive Function in Infants and Young Children-An Update and Novel Insights. Nutrients. 2021 Jan 10;13(1):199. doi: 10.3390/nu13010199. Available from: .https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828103/
2. United Nations Children Fund. Nutrition, for every child: UNICEF nutrition strategy 2020–2030. UNICEF. Nutrition Section: New York; December 2020 Available from: https://www.unicef.org/media/91741/file/UNICEF-Nutrition-Strategy-2020-2030-Brief.pdf
3. Ministry of Health, New ERA; and ICF. Nepal Demographic and Health Survey 2022. [Internet]. Kathmandu, Nepal: Ministry of Health, Nepal. 2017 [cited 2023 Jan 2] 2022. Available from: https://www.dhsprogram.com/pubs/pdf/FR379/FR379.pdf
4. Bhusal CK, Bhattarai S, Chhetri P, Myia SD. Nutritional status and its associated factors among under five years Muslim children of Kapilvastu district, Nepal. PLoS One. 2023 Jan 17;18(1):e0280375. doi: 10.1371/journal.pone.0280375.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844888/
5. Kassie GW, Workie DL. Determinants of under-nutrition among children under five years of age in Ethiopia. BMC Public Health. 2020 Mar 27;20(1):399. doi: 10.1186/s12889-020-08539-2. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7099779/#:~:text=Authors%20conclude%20that%20the%20fitted%20partial%20proportional%20odds,husband%E2%80%99s%20education%20were%20significantly%20associated%20with%20child%20under-nutrition.
6. Regmi HR, Rijal K, Joshi GR, Sapkota RP, Thapa S. Factors Influencing Food Insecurity in Nepal. J Inst Sci Technol. 2019 Dec 31;24(2):22–9.
7. Thomas MMC, Miller DP, Morrissey,TW. Food Insecurity and Child Health. Pediatrics.2019; 144 (4): Available from: https://publications.aap.org/pediatrics/article/144/4/e20190397/38475/Food-Insecurity-and-Child-Health
8. Ministry of Health, New ERA; and ICF. Nepal Demographic and Health Survey 2016. [Internet]. Kathmandu, Nepal: Ministry of Health, Nepal. 2017 [cited 2023 Jan 2] 2017[cited 2022 Mar 29]. Available from: https://www.google.com/search?q=ndhs+report+2016&oq=ndhs&aqs=chrome.0.69i59j69i57j0i20i263i512j0i512l7.3162j0j7&sourceid=chrome&ie=UTF-8
9. Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide.Version 3. August 2007[cited 2023 Dec 12]. Available from https://www.fantaproject.org/sites/default/files/resources/HFIAS_ENG_v3_Aug07.pdf
10. World Health Organization. Guideline: Assessing and Managing Children at Primary Health-Care Facilities to Prevent Overweight and Obesity in the Context of the Double Burden of Malnutrition: Updates for the Integrated Management of Childhood Illness (IMCI). WHO: Geneva.2017. Available from:https://www.ncbi.nlm.nih.gov/books/NBK487900/table/fm.s1.t1/
11. Chataut J, Khanal K. Assessment of nutritional status of children under five years of age in rural Nepal. Kathmandu Univ Med J 2016;53(1):73-7. Available from: http://www.kumj.com.np/issue/53/73-77.pdf
12. Paudel A, Bhandari TR, Dangi NM. Household Food Security and Nutritional Status of Under Five Year Children: A Case Study of Nepal. Journal of Nutrition and Food Security.Nov 2020. 6(2): 179-184.Available from: https://publish.kne-publishing.com/index.php/JNFS/article/view/6073/5982
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