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Burden of Undernutrition, Composite Index of Anthropometric Failure (CIAF) and Perception of Caregivers about Undernutrition among Under Five Children in Rural India
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Undernutrition interferes with growth and development of a child and may predispose to infection and/or chronic disease. The present study was undertaken to assess the nutritional status of under five children by the 2006 WHO growth standards; Composite Index of Anthropometric Failure (CIAF) which is a single aggregate indicator of undernutrition was calculated and the perception of caregivers about undernutrition and child development of a child were assessed. A cross sectional study was conducted in rural children in North India. Anthropometry was done according to the standard procedures. Overall, 938 children were included in the study. The prevalence of under nutrition was 25.3 % (22.4-28.1). CIAF showed a higher prevalence of undernutrition with 53.1% of the children suffering from anthropometric failure. The prevalence of stunting was highest in 36-47 months. There was a significant association between undernutrition and low literacy status of mother, duration of pregnancy, administration of pre lacteal feeds and time of initiation of weaning. More than half of the caregivers perceived that undernutrition was due to disease (55.5%), lack of food (35.5%) or congenital (31.6%). There was a high prevalence of undernutrition among rural under five children in North India. There was a lacuna in knowledge of caregivers about the causes of undernutrition and delayed development.
Keywords
Undernutrition, Children, Rural, Composite Index of Anthropometric Failure.
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- Nutrition, UNICEF 2011. Available: http://www.unicef.org/india/children_2356.htrn [Accessed 2014 August 3].
- Levels and Trends in Child Malnutrition (2012). UNICEF, World Health Organization and The World Bank Joint Child Malnutrition Estimates. Available: http://www.who.int/nutgrowthdb/jme_unicef_who_wb.pdf. [Accessed 2014 August 3].
- National Family Health Survey. International Institute for Population Sciences (UPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: Haryana. Mumbai: UPS. Available:http://www.rchiips.org/NFHS/haryana_report.shtml. [Accessed 2014 August 3].
- HUNGaMA Survey Report (2011). Available: http://hungamaforchange.org/HungamaBKDecllLR.pdf. [Accessed 2014 August 3] Burden of Undernutrition, Composite Index of Anthropometric Failure (CIAF) and Perception of Caregivers about Undernutrition Among Under Five Children in Rural India.
- Global Database on Child Growth and Nutrition, World Health Organization (2003). Available: http://www.who.int/nutgrowthdb/about/en/ [Accessed on 2014 August 3].
- Begin, F., Frongillo, E.A. and Delisle, H. Caregiver Behaviors and Resources Influence Child Height for Age in Rural Chad. J. Nutr., 1999, 129, 680-686.
- Engle, P.L., Menon, P. and Haddad, L. Care and Nutrition: Concepts and Measurement. International Food Policy Research Institute (IFPRI), Washington, D.C. 1997. Available: http://www.ifpri.org/sites/default/files/publication/oc33.pdf. [Accessed 2014 August 3]
- Svedberg, P. Poverty and undernutrition: theory, measurement and policy. 2000. New Delhi: Oxford India Paperbacks.
- Nandy, S., Irving, M., Gordon, D., Subramanian, S.V. and Smith, G.D. Poverty, Child undernutrition and morbidity: new evidence from India. Bulletin of the World Health Organization, 2005, 83, 210-216.
- Lloyd, A. Maternal knowledge, attitudes and practices and health outcomes of their preschool-age children in urban and rural Karnataka, India. 2009. Available:http://scholarcommons.usf.edu/cgi/viewcontent.cgi?article=3065&context=etd . [Accessed 2014 August 3[.
- Biswas, S., Bose, K., Mukhopadhyay, A. and Bhadra. Prevalence of under nutrition among pre-school children of Chapra, Nadia District, West Bengal, India, measured by composite index of anthropometric failure (CIAF) Anthropologischer Anzeiger, 2009, 67, 269-279.
- Meshram, I.I., Laxmaiah, A., Reddy, G.C., Ravindranath, M., Venkaiah, K. and Brahmam, G.N. Anthropometric failure, a new approach to measure undernutrition: an experience from a rural community of West Bengal India. J. Ind. Med. Assoc. 2009, 107, 211-214.
- Bose, K. and Mandal, G.C. Proposed New Anthropometric Indices of Childhood Undernutrition, Malaysian J. Nutr. 2010, 16, 131-136.
- Shit, S., Taraphdar, P., Mukhopadhyay, D.K., Sinhababu, A. and Biswas, A.B., Assessment of nutritional status by composite index for anthropometric failure: a study among slum children in Bankura, West Bengal, Ind. J. Pub. Health, 2012, 56, 305-307.
- Seetharaman, N., Chacko, T.V., Shankar, S.L.R. and Mathew, A.V. Measuring malnutrition the role of z scores and the composite index of anthropometric failure (CIAF), Ind. J. Com. Med., 2007, 32, 35-39.
- Integrated Child Development Scheme. Available: http://wcd.nic.in/icds.htm. [Accessed 2014 August 3[.
- Deshpande, J.D., Purushottam, G.A., Phalke, D.B., Phalke, V.D., Kalaoti, P. and Syed, M.M.A. Socio-cultural practices in relation to breastfeeding, weaning and child rearing among Indian mothers and assessment of nutritional status of children under five in rural India. Australasian Med. J. 2010, 3, 618-624.
- Hari, S., Dwivedi, S., Dabral, S.B. and Walia, D.K. Nutritional status of children under 6 years of age. Indian J. Preventive Soc. Med. 2004, 5, 156-162.
- Sengupta, P., Philip, N. and Benjamin, A.I. Epidemiological correlates of undernutrition in under-5 years children in an urban slum of Ludhiana. Health and Population: Perspectives and Issues. 2010, 33, 1-9.
- Bhanderi, D. and Choudhary, S.K. An epidemiological study of health and nutritional status of under five children in semi-urban community of Gujarat. Indian J. Pub. Health, 2006, 50, 213-219.
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