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ISSN 2063-5346
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TO ASSESS THE PREVALENCE OF STUNTING, WASTING AND UNDERWEIGHT AND IDENTIFY LEADING CAUSE RELATED TO STUNTING, WASTING AND UNDERWEIGHT AMONG CHILDREN UP TO 2YEARS IN SELECTED AREAS OF PUNE REGION

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Minimol Louis, Dr Nilima Bhore
» doi: 10.31838/ecb/2023.12.3.181

Abstract

Background/ Significance: The first 2 years of life are important for establishing health over the life course. Stunting, or low height for age, is caused by long-term insufficient nutrient intake and frequent infections. Stunting generally occurs before age two, and effects are largely irreversible. Wasting, or low weight for height, is a strong predictor of mortality among children under five. Underweight may occur when energy expenditure is greater than intake. Most of the data available is concentrated around children up to 5years.This pilot study looked into prevalence, causes of stunting, wasting and underweight also feeding practices of children up to 2years for feasibility of a final study. Methods and result: This quantitative, non-experimental explorative study focused on under 2years children’s status in weight, height and MUAC (Mid Upper Arm Circumference) and nutritional factors leading to underweight, wasting and stunting. Administered a validated instrument to 100 mothers of under 2year old children in selected areas of Pune region. Information collected using questionnaire developed by investigator, after taking consent from mothers. Height/length, MUAC and weight of 100 babies were measured. The questionnaire was used to elicit awareness regarding feeding practices and self-reported practices of feeding practices to elicit causative reasons of the problem under study which showed 73%of mothers had average score on nutritional factors predicting stunting, wasting and underweight and 73%had reported appropriate feeding practices. Underweight is observed mostly among 13-24months (16%). Stunted children are maximum seen in 13-24month children (19%). MUAC showed most of the children are well nourished as per MUAC. But 6%children of 7-12months showed SAM. On finding association of selected demographic variables, MUAC is significant. of family information selected demographic variables, it was found that Access to health care facility and method of disposal of waste were significant and significant variable which has found to have association with stunting, underweight and wasting are age of mothers and number of children. One of the important causative factors came out of this study is delay in adding nutritious complimentary feeding or ageappropriate dietary inclusion. Conclusion: Pilot study has provided the adequate and accurate information regarding data collection strategy need to be adopted for final study. Since small sample size, even though a trend of prevalence is seen and major causative factor identified from the data analysed in this study, findings may vary in final study with larger sample.

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