PREVALENCE AND DETERMINANTS OF MALNUTRITION AMONG UNDER- FIVE CHILDREN AND THEIR MOTHERS IN KUJE AREA COUNCIL OF THE FEDERAL CAPITAL TERRITORY, NIGERIA
PREVALENCE AND DETERMINANTS OF MALNUTRITION AMONG UNDER- FIVE CHILDREN AND THEIR MOTHERS IN KUJE AREA COUNCIL OF THE FEDERAL CAPITAL TERRITORY, NIGERIA
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Date
2016-09
Authors
OKORO, Clementina Ebere
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Abstract
Prevalence and determinants of malnutrition among 499 under-five (U5) children and their mothers (496) in Kuje Area Council, Federal Capital Territory was investigated through a cross-sectional survey using cluster sampling techniques based on probability proportion to size of Emergency Nutrition Assessment (ENA) for Standardized Monitoring and Assessment for Relief and Transitions (SMART) methodology. Malnutrition in the study area is unacceptably high with Global and Severe Acute Malnutrition at 12.8% and 5.4% respectively, stunting at 40.3% and underweight at 24.4%. For the mothers only 1.9% were underweight with about half (46%) overweight / obessed. Crude death rate was fifty-nine deaths per thousand live births (59/1000) with U5 years children mortality rate of 78/1000 and morbidity rate 17.2%. Majority of the children (79.5%) had fever, followed by cough (32.5%), malaria (29.8%), diarrhoea (27.3%). Mean U5 years children serum concentrations of Iron, Zinc, Calcium, Phosphorus, Vitamin A, Vitamin D and Haemoglobin levels respectively are 80.50±17.90μg/dl, 164.9±105.1mg/dl, 8.4±1.3mg/dl, 6.4±2.2mg/dl, 229.8±33.0 nmol/L, 89.1±82.1μg/L, 11.7±1.4g/dl, while that of their mothers are 85.69±30.69μg/dl, 153.76±97.28mg/dl, 8.54±0.98mg/dl, 5.82±1.90mg/dl, 131.76±130.98nmol/L, 118.11±115.28 μg/L, 12.55±1.03g/dl respectively. Feeding practices shows 30.6% initiated breastfeeding within 30 minutes of birth and 22.4% exclusively breastfed for up to 6 months. Determinants of malnutrition at P< 0.05 include childcare, place of delivery, immunization status, early initiation to breastfeeding, exclusive breastfeeding practices, use of colostrum and age. There is high prevalence of double burden of malnutrition among under-five children and their mothers in Kuje Area Council with multifactorial determinants.
Description
Prevalence and determinants of malnutrition among 499 under-five (U5) children and their mothers (496) in Kuje Area Council, Federal Capital Territory was investigated through a cross-sectional survey using cluster sampling techniques based on probability proportion to size of Emergency Nutrition Assessment (ENA) for Standardized Monitoring and Assessment for Relief and Transitions (SMART) methodology. Malnutrition in the study area is unacceptably high with Global and Severe Acute Malnutrition at 12.8% and 5.4% respectively, stunting at 40.3% and underweight at 24.4%. For the mothers only 1.9% were underweight with about half (46%) overweight / obessed. Crude death rate was fifty-nine deaths per thousand live births (59/1000) with U5 years children mortality rate of 78/1000 and morbidity rate 17.2%. Majority of the children (79.5%) had fever, followed by cough (32.5%), malaria (29.8%), diarrhoea (27.3%). Mean U5 years children serum concentrations of Iron, Zinc, Calcium, Phosphorus, Vitamin A, Vitamin D and Haemoglobin levels respectively are 80.50±17.90μg/dl, 164.9±105.1mg/dl, 8.4±1.3mg/dl, 6.4±2.2mg/dl, 229.8±33.0 nmol/L, 89.1±82.1μg/L, 11.7±1.4g/dl, while that of their mothers are 85.69±30.69μg/dl, 153.76±97.28mg/dl, 8.54±0.98mg/dl, 5.82±1.90mg/dl, 131.76±130.98nmol/L, 118.11±115.28 μg/L, 12.55±1.03g/dl respectively. Feeding practices shows 30.6% initiated breastfeeding within 30 minutes of birth and 22.4% exclusively breastfed for up to 6 months. Determinants of malnutrition at P< 0.05 include childcare, place of delivery, immunization status, early initiation to breastfeeding, exclusive breastfeeding practices, use of colostrum and age. There is high prevalence of double burden of malnutrition among under-five children and their mothers in Kuje Area Council with multifactorial determinants.
Keywords
PREVALENCE,, DETERMINANTS,, MALNUTRITION,, UNDER-FIVE CHILDREN,, MOTHERS,, KUJE AREA COUNCIL,, FEDERAL CAPITAL TERRITORY,, NIGERIA