Factors associated with malnutrition among children in internally displaced person's camps, northern Uganda

Mary Abwola Olwedo1, Edison Mworozi, Hanifa Bachou

  • 1Makerere University Medical School, Department of Paediatrics and Child Health, Kampala, Uganda.

Insights

Protein energy malnutrition is prevalent in Uganda's internally displaced persons (IDPs) camps. Male children and those aged 3-24 months face higher risks, highlighting the need for improved nutritional support.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition Science

Background:

  • Uganda has a significant population of internally displaced persons (IDPs), with protein energy malnutrition posing a major threat to child health.
  • Displaced populations often face challenges in accessing adequate nutrition, increasing vulnerability among children.

Purpose of the Study:

  • To determine the prevalence of protein energy malnutrition (PEM) in children under five years old.
  • To identify risk factors associated with PEM in children residing in internally displaced persons (IDPs) camps in Omoro county, Gulu district.

Main Methods:

  • A cross-sectional study was conducted in Omoro county, Gulu district, involving 672 children aged 3-59 months and their caretakers.
  • Anthropometric measurements (height-for-age, weight-for-height) were analyzed using z-scores. Qualitative data were gathered through focus groups, interviews, and observations.
  • Data were captured and analyzed using statistical software (Epi Data, EPI-INFO, SPSS).

Main Results:

  • The study found a high prevalence of stunting (52.4%) and global acute malnutrition (6.0%) among children in IDP camps.
  • Male children were found to be at increased risk of stunting (Adjusted OR 1.57).
  • Children aged 3-24 months were at higher risk of acute malnutrition (Adjusted OR 2.78), while de-worming showed a protective effect (Adjusted OR 0.44).

Conclusions:

  • High rates of protein energy malnutrition, particularly stunting, persist among children in Gulu district's IDP camps.
  • Specific risk factors include male gender for stunting and younger age (3-24 months) for acute malnutrition.
  • Interventions should focus on enhancing food security, infant/child feeding education, and integrated management of childhood illnesses (IMCI) within camp settings.
Abstract

Related Concept Videos

Overview of Protein Metabolism01:21

Overview of Protein Metabolism

Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Anorexia Nervosa01:28

Anorexia Nervosa

Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Environmental Influences on Intelligence01:29

Environmental Influences on Intelligence

Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children from...
Bulimia Nervosa01:30

Bulimia Nervosa

Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...