Factors influencing status of undernutrition among children (0-5 years) in a rural area of Delhi: a cross-sectional study

Sanjeev Davey, Anuradha Davey, S. Vivek Adhish, Rajni Bagga

Abstract


Background:Although more than one-third of under six year children in Delhi slums are undernourished; but what is the situation in rural areas of Delhi - a capital of India, it is not very clear. Moreover the research in rural area on topic has also not received much focus in past.

Methods:The study was done in the Narela area (a Rural ICDS project in Delhi). All the eligible 450 children between the age group 0-5 years as found in the survey register of ICDS project for 2 Anaganwadi Centre’s (AWC-A & AWC-B) at the time of data collection, were included in the study. The prevalence of undernutrition in 2 AWCs was determined and it was compared with records of 2 AWCs. The primary and secondary data was triangulated to confirm pattern scenario of undernutrition.  

Results:In Rural ICDS Block, the prevalence of underutrition came out 57.8%.The difference in nutritional grades of undernutrition in the study were not statistically significant (P >0.05) as per their the registration status at AWCs in ICDS scheme. The type of family and family income of household however were statistically significantly associated with the nutritional status of child (P <0.01).  

Conclusions:The undernutrition is prevailing in rural area of Delhi (India), despite the presence of ICDS scheme; suggesting that other host factors in family are also important and service delivery factors in nutrition and health programmes also needs radical relook for tackling undernourished children in Delhi.


Keywords


Undernutrition, Prevalence, Rural area, Delhi, India, ICDS Block

Full Text:

PDF

References


Arnold P, Parasuraman P, Arokiasamy P, Kothari M. Nutrition in india. national family health survey (NFHS-3), India, 2005-06. Mumbai: International Institute for Population Sciences; Calverton, Maryland, USA: ICF Macro, 2009. Available at: http://dhsprogram.com/pubs/pdf/OD56/OD56.pdf. Accessed 31 August 2009.

Luthra M, Parvan UC. Epidemiological correlates of under nutrition in 0-5 year old children in rural field practice areas of SGRRIM & HS, Dehradun. Indian J Prev Soc Med. 2010;41(1&2):8-10.

Shibulal A. A study on the prevalence of under nutrition and its determinants in anganwadi children of Malappuram district, Kerala. Trivandrum, Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Working Paper no. 10, 2013. Available at: https://www.sctimst.ac.in/About%20SCTIMST/Organisation/AMCHSS/Publications/List%20of%20Working%20papers/resources/NO%2010%202013.pdf.

Singh AK, Jain S, Bhatnagar M, Singh JV, Garg SK, Chopra H, et al. Socio-demographic determinants of malnutrition among children of 1-6 years of age in rural Meerut. Indian J Prev Soc Med. 2012;43(3):278-82.

Joshi HS, Joshi MC, Singh A, Joshi P, Khan NI. Determinants of protein energy malnutrition (PEM) in 0-6 years children in rural community of Bareilly. Indian J Prev Soc Med. 2011;42(2):154-8.

Surwade JB, Mantri SB, Wadagale AV. Utilization of ICDS scheme in urban and rural area of Latur district with special reference to Pediatric beneficiaries. Int J Rec Trends Sci Technol. 2013;5(3):107-10.

Bhalla N. More than one third of Delhi slum children malnourished: survey, 2014. Available from: http://in.reuters.com/article/2014/04/04/delhi-slum-children-survey-idINDEEA3303220140404. Accessed 4 April 2014.

The Hindu. State of malnutrition in Delhi worse than sub-Sahara, 2010. Available at: http://www.thehindu.com/todays-paper/tp-national/tp-newdelhi/state-of-malnutrition-in-delhi-worse-than-subsahara/article762712.ece. Accessed 7 May 2010.

Indian Express. Deaths due to malnutrition on the rise in Delhi, 2010. Available at: http://indianexpress.com/article/cities/delhi/deaths-due-to-malnutrition-on-therise-in-delhi/#sthash.sGqsaMkv.dpuf. Accessed 9 October 2010.

Davey S, Davey A. Women literacy and infant feeding practices in rural ICDS block of Delhi. Natl J Community Med. 2012;3(3):385-90.

Ghosh S, Shah D. Nutritional problems in urban slum children. Indian Pediatr. 2004;41:682-96.

Sharma B. Rural population in New Delhi goes down by 55%, 2011. Available at: http://archive.tehelka.com/story_main50.asp?filename=Ws041111RURAL.asp. Accessed 4 November 2011.

Census2011. Delhi population census data, 2011. Available at: http://www.census2011.co.in/census/state/delhi.html Accessed 4 November 2011.

Kapur D, Sharma S, Agarawal N. Dietery intake and growth pattern of children 9-36 month of age in an urban slum in Delhi. Indian Pediatr. 2005;42(4):351-6.

Ahmad E, Khalil S, Khan J. Nutritional status in children (1-5 years): a rural study. Indian J Community Health. 2011 Dec-Jul;23(2):84-6.

Gulati JK. Child Malnutrition: trends and issues. Anthropologist. 2010;12(2):131-40.

Davey S, Davey A, Adhish SV, Bagga R. Study of impact of socio-cultural and economic factors of mothers on the nutritional status of their malnourished children in a rural area of Delhi (India). Int J Med Sci Public Health. 2014: E-PUB2015.