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Nutritional status of children under five in three state foster care institutions in Sri Lanka
1Duke University Medical Centre, 544 Finley St, Durham, NC 27705, USA. channa.jayasekara@duke.edu
Insights
Protein energy malnutrition (PEM) is highly prevalent in Sri Lankan foster care children. Rates of PEM, underweight, and wasting were significantly higher than national averages, indicating urgent care improvements are needed.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Protein energy malnutrition (PEM) poses a significant threat to child development.
- Institutionalized children may face unique nutritional challenges.
- Assessing nutritional status in foster care is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of PEM among children under five in Sri Lankan state-run foster care.
- To compare institutionalized children's nutritional status with national data.
- To provide preliminary evidence for improving institutional child care.
Main Methods:
- Cross-sectional study design.
- Random selection of three state-operated foster care institutions in Sri Lanka.
- Nutritional assessment of 52 children under five years old.
Main Results:
- The prevalence of PEM was 51.9%.
- Underweight prevalence was 63.5%, and wasting was 25.0%.
- These rates were substantially higher than national prevalence figures.
Conclusions:
- Foster care institutions in Sri Lanka exhibit alarmingly high rates of PEM.
- Urgent improvements in institutional care are recommended.
- Further research encompassing all institutionalized children is warranted.
Abstract:
This study evaluated the prevalence of protein energy malnutrition (PEM) in children under five years (n = 52), in three randomly selected, State operated foster care institutions in Sri Lanka. The prevalence of PEM, was (51.9%), underweight (63.5%) and wasting (25.0%) was found to be considerably higher than the national prevalence (13.5%, 29.4%, 14.0%, respectively). Based on this preliminary evidence, it is recommended that a study representative of all institutionalised children in both State and private facilities be conducted to identify deficiencies and recommend improvements to institutional care in Sri Lanka.
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