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A study on under five nutritional status and its determinants in a semi-rural community of Ile-Ife, Osun State,
E O Ojofeitimi1, O O Owolabi, A Aderonmu
1Institute of Public Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Insights
Maternal education and child immunization are key factors influencing child nutrition in Nigeria. Strategies like exclusive breastfeeding and growth monitoring can combat protein energy malnutrition (PEM) in under-five children.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Protein energy malnutrition (PEM) remains a significant concern for children under five (U5) in developing regions.
- Stunting and wasting are prevalent forms of PEM, impacting long-term child development.
- Understanding the determinants of U5 nutritional status is crucial for effective intervention.
Purpose of the Study:
- To assess the influence of ten variables on the nutritional status of under-five children.
- To identify key determinants of stunting and wasting in a semi-rural Nigerian community.
Main Methods:
- Utilized Waterlow's technique to assess the nutritional status of 230 children.
- Evaluated variables including maternal educational level, age, parity, family type, and child's immunization status and age.
Main Results:
- Prevalence rates of 23% for stunting and 22.6% for wasting were observed.
- Maternal education, maternal age, parity, family type, and child's immunization and age were identified as significant determinants.
- Confirmed the link between socio-demographic factors and U5 nutritional outcomes.
Conclusions:
- Exclusive breastfeeding, female education, and growth monitoring are vital strategies.
- Implementing food demonstration units and appropriate complementary feeding practices are recommended.
- Interventions should target both rural and urban areas to reduce PEM prevalence.
Abstract:
Ten variables were assessed as they influence the under five (U5) nutritional status of children at Oranfe, a semi-rural community in Ife East Local Government Area of Osun state, Nigeria. The two types of protein energy malnutrition (PEM) that are prevalent in the community are stunting and wasting. Of the 230 children assessed using Waterlow's technique, 23% and 22.6% were stunted and wasted respectively. The results confirmed that mothers' educational level, age, parity, types of family and children's immunization status and age are some of the key determinants of nutritional status of U5 children. The intensification of exclusive breast feeding, female education, a compulsory food demonstration unit in all health centres, use of complementary feeds from 7 months upwards, growth monitoring and promotion are some of the strategies to reduce the high prevalence of PEM in both rural and urban areas of developing countries.
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