Prevalence of underweight among preschool children attending anganwadi in Kannur district, Kerala, India

Authors

  • Anitha S. S. Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala
  • A. K. Jayasree Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala
  • Devaki Antherjanam S. Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20172824

Keywords:

Underweight, Preschool children, Anganwadi

Abstract

Background: Child malnutrition is an important indicator of the nutritional and health status of a country. Preschool children call for focused attention in India because India has the highest percentage of undernourished children in the world. The objective of this study was to estimate the prevalence of underweight among preschool children attending Anganwadi centers (AWC) in Kannur district, Kerala.

Methods: Cross-sectional study done during July 2013- June 2014 among pre-school children (3-6 years) attending 44 AWC spread over eleven revenue blocks in the district. AWC were selected using multistage random sampling technique. Body weight of the children were measured and compared with WHO Growth standards. Mothers were interviewed using a pilot-tested semi-structured questionnaire. Data was entered in EpiData version 3.1 and analysis was done using the SPSS version 12.

Results: The total number of 3-6 year old children included in the study was 456. The prevalence of underweight in the study population was found to be 17.3%. In this study, nutritional status of the child was found to have significant association (p<0.05) with the child’s birth weight and maternal educational status.

Conclusions: Maternal educational status has a major role in prevention of underweight among preschool children. Child’s birth weight also influences their nutritional status. 

Author Biographies

Anitha S. S., Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala

Department of Community Medicine, Assistant Professor

A. K. Jayasree, Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala

Community Medicine, Professor and Head

Devaki Antherjanam S., Department of Community Medicine, Academy of Medical Sciences Pariyaram, Kannur, Kerala

Community Medicine, Senior resident

References

Ghai OP. Essential Pediatrics. 7th edition. New Delhi, India: CBS Publishers & Distributors; Chapter 5, Nutrition, Undernutriton; 2009: 62-65.

Park K. Textbook of Preventive & Social Medicine. 22nd edition. Jabalpur, India: Banarsidas Bhanot Publications; Chapter 10, Preventive Medicine in Obstetrics, Paediatrics and Geriatrics, Child Health Problems; 2013: 508-510.

Kishore J. National Health Programs of India. National Policies and Legislations related to Health. 11th edition. New Delhi, India: Century publications; Chapter 18, Nutrition Programs; 2014: 460-461.

WHO. Geneva. Joint UNICEF – WHO – The World Bank Child Malnutrition Database: Estimates for 2012 and Launch of Interactive Data Dashboards. Available at: http://www.who.int/nutgrowthdb/ jme_2012_summary_note_v2.pdf?ua=1

WHO. Global Health Observatory.Underweight in children. Available at: http://www.who.int/ gho/mdg/poverty_hunger/underweight_text/en/. Accessed on 7 March 2017.

Family Welfare Statistics in India. Ministry of Health and Family Welfare. India -2011. Available at: www.mohfw.nic.in. Accessed on 7 March 2017.

Ghai OP. Essential Pediatrics. 7th edition. New Delhi, India: CBS Publishers & Distributors; 2009. Chapter 1, Normal Growth and its Disorders, Laws of Growth, Table 1. 2009: 3.

Sinha NK, Maiti K, Samanta P, Das DC, Banerjee P. Nutritional status of 2–6 year old children of Kankabatigrampanchayat, Paschim Medinipur district, West Bengal, India. Sri Lanka J Child Health; 2012;41(2):60-4.

Sen P, Bharati S, Som S, Pal M, Bharati P. Growth and nutritional status of preschool children in India: a study of two recent time periods. Food Nutr Bull. 2011;32(2):84-93.

Park K. Textbook of Preventive & Social Medicine. 22nd edition. Jabalpur, India: Banarsidas Bhanot Publications; 2013. Chapter 22, Health Care of the Community, The Millennium Development Goals; 2013: 834-835.

WHO. Geneva. WHO child growth standards and identification of severe acute malnutrition in infants and children.A joint statement by the World Health Organization and the United Nations Children’s Fund. 2009. Available at: http://www.who.int/ nutrition/publications/severemalnutrition/9789241598163/en/. Accessed on 23 March 2017.

Planning Commission of India. Programme evaluation Organization. Evaluation study on Integrated Child Development Schemes (ICDS) 2011; 1:PEO Report No. 218.

Bose K, Biswas S, Bisai S, Ganguli S, Khatun A, Mukhopadhyay A, et al. Stunting, underweight and wasting among ICDS scheme children aged 3-5 years of Chapra, Nadia District, West Bengal, India- Matern Child Nutr. 2007;3(3):216-21.

Chandran VKP, Gangadharan K. Nutritional Status Of Preschool Children: A Socio-economic Study of Rural Areas of Kasaragod District in Kerala [PhD Economics thesis]. Department of Applied Economics, Kannur Univeristy, Thalassery Campus; 2011.

Khor GL. Update on the prevalence of malnutrition among children in Asia. Nepal Med Coll J [Internet]. 2003;5(2):113-22.

Meshram II, Arlappa N, Balakrishna N, MallikharjunaRao K, Laxmaiah A, Brahmam GN. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pac J ClinNutr. 2012;21(4):568-76.

Meshram II, Balakrishna N, Arlappa N, Rao KM, Laxmaiah A, Brahmam GN. Prevalence of Undernutrition, Its Determinants, and Seasonal Variation Among Tribal Preschool Children of Odisha State, India. Asia Pac J Public Health. 2014;26(5):470-80.

Meshram II, Arlappa N, Balakrishna N, Laxmaiah A, MallikarjunRao K, Gal Reddy Ch, et al. Prevalence and determinants of undernutrition and its trends among preschool tribal children of Maharashtra state. J Trop Pediatr. 2012;58(2):125-32.

Bhutta ZA, Salam RA. Global nutrition epidemiology and trends. Ann NutrMetab. [Internet] 2012;61 Suppl 1:19-27.

Abuya BA, Ciera J, Kimani-Murage E. Education Research Program, African Population & Health Research Center. Effect of mother's education on child's nutritional status in the slums of Nairobi- BMC Pediatr. 2012;21;12:80.

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Published

2017-06-23

How to Cite

S. S., A., Jayasree, A. K., & Antherjanam S., D. (2017). Prevalence of underweight among preschool children attending anganwadi in Kannur district, Kerala, India. International Journal Of Community Medicine And Public Health, 4(7), 2361–2365. https://doi.org/10.18203/2394-6040.ijcmph20172824

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Original Research Articles