Prevalence and risk factors for stunting among children under 5 years: a community based study from Jhangara town,

Syed Farid-ul-Hasnain1, Raafay Sophie

  • 1Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.

Insights

High stunting rates (61%) were found in children under five in Jhangara Town, Sindh. Key risk factors identified include ethnicity and short birth intervals, necessitating targeted interventions for child health.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Epidemiology

Background:

  • Childhood stunting remains a significant public health concern in rural Sindh, Pakistan.
  • Previous data from the Pakistan Demographic Health Survey (PDHS) 1990/91 indicated lower prevalence rates.
  • Understanding current local prevalence and risk factors is crucial for effective interventions.

Purpose of the Study:

  • To determine the prevalence of stunting among children under five years of age in Jhangara Town, Dadu, Sindh.
  • To identify associated risk factors contributing to stunting in this specific population.

Main Methods:

  • A cross-sectional survey was conducted in Jhangara Town, Dadu district, rural Sindh.
  • Data was collected from 800 children under five years of age.
  • Information was gathered using questionnaires and anthropometric measurements.

Main Results:

  • The overall prevalence of stunting was 61%, exceeding previously reported national figures.
  • Multivariate analysis identified ethnicity (OR = 2.1) and birth intervals less than two years (OR = 1.5) as significant risk factors.
  • These findings highlight specific demographic and behavioral factors associated with stunting.

Conclusions:

  • A substantial proportion of children under five in Jhangara Town are stunted.
  • Ethnicity and short birth intervals are identified as critical risk factors requiring attention.
  • Intervention strategies should consider these factors to improve child growth and development outcomes.
Abstract

Related Concept Videos

Nature and Nurture01:10

Nature and Nurture

Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience, such as differences...
Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
z Scores and Area Under the Curve01:17

z Scores and Area Under the Curve

z scores are the standardized values obtained after converting a normal distribution into a standard normal distribution. A z score is measured in units of the standard deviation. The z score tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a z score of zero.