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Determinants of Anthropometric Failure Among Tribal Children Younger than 5 Years of Age in Palghar, Maharashtra, India.
Jeyakumar, Angeline; Godbharle, Swapnil; Giri, Bibek Raj.
Affiliation
  • Jeyakumar A; Interdisciplinary School of Health Sciences, 29638Savitribai Phule Pune University, Maharashtra, India.
  • Godbharle S; School of Tourism and Hospitality, University of Johannesburg, Johannesburg, South Africa.
  • Giri BR; Interdisciplinary School of Health Sciences, 29638Savitribai Phule Pune University, Maharashtra, India.
Food Nutr Bull ; 42(1): 55-64, 2021 03.
Article in En | MEDLINE | ID: mdl-33878903
BACKGROUND: Measuring undernutrition using composite index of anthropometric failure (CIAF) and identifying its determinants in tribal regions is essential to recognize the true burden of undernutrition in these settings. OBJECTIVE: To determine anthropometric failure and its determinants among tribal children younger than 5 years in Palghar, Maharashtra, India. METHODS: A cross-sectional survey employing CIAF was performed in children <5 years to estimate undernutrition in the tribal district of Palghar in Maharashtra, India. Anthropometric measurements, maternal and child characteristics were recorded from 577 mother-child pairs in 9 villages. RESULTS: As per Z score, prevalence of stunting, wasting, and underweight were 48%, 13%, and 43%, respectively. According to CIAF, 66% of children had at least one manifestation of undernutrition and 40% had more than one manifestation of undernutrition. Odds of anthropometric failure were 1.5 times higher among children of mothers who were illiterate (adjusted odds ratio [AOR] =1.57, 95% CI: 1.0-2.3), children who had birth weight >2.5 kg had lesser odds (AOR: 0.63, 95% CI: 0.4-0.9) of anthropometric failure, and children who had initiated early breastfeeding had 1.5 times higher odds of anthropometric failure (crude odds ratio: 1.5, 95% CI: 1.0-2.1). However, when adjusted for other independent variables, the results were not significant. CONCLUSION: The alarming proportion of anthropometric failure among tribal children calls for urgent short-term interventions to correct undernutrition and long-term interventions to improve maternal literacy and awareness to prevent and manage child undernutrition.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Child Nutrition Disorders / Malnutrition Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Female / Humans / Infant Country/Region as subject: Asia Language: En Journal: Food Nutr Bull Year: 2021 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Child Nutrition Disorders / Malnutrition Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Determinantes_sociais_saude Limits: Female / Humans / Infant Country/Region as subject: Asia Language: En Journal: Food Nutr Bull Year: 2021 Document type: Article Affiliation country: Country of publication: