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Consanguinity among the risk factors for underweight in children under five: a study from rural Sindh
1Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. farid.hasnain@aku.edu
Insights
Malnutrition affects over half of children under five in rural Sindh, Pakistan. Key factors include consanguinity, low birth weight, and lack of breastfeeding, necessitating targeted interventions.
Area of Science:
- Public Health
- Pediatrics
- Nutritional Epidemiology
Background:
- Malnutrition is a critical issue in developing nations, contributing to approximately 54% of child mortality.
- This study focuses on underweight prevalence and its determinants in rural Sindh, Pakistan.
Purpose of the Study:
- To determine the prevalence of underweight among children under five in rural Sindh.
- To identify factors associated with underweight in this vulnerable population.
Main Methods:
- A cross-sectional survey was conducted in Jhangara Town, District Dadu, Sindh.
- Data was collected from 800 children under five using questionnaires and anthropometric measurements.
Main Results:
- The prevalence of underweight was 54.3%, exceeding previous reports.
- Associated factors included consanguinity (OR=1.5), low birth weight (OR=1.6), and not breastfeeding (OR=2.7).
Conclusions:
- Strategies to reduce consanguineous marriages are needed.
- Promoting breastfeeding is crucial for controlling childhood malnutrition and mortality.
Background:
Malnutrition is a common problem, especially in developing countries. Of the 11 million children under 5 who die each year in the developing countries mainly from preventable causes, the death of about 54% are either directly or indirectly attributable to malnutrition. The objectives of this study were to assess the prevalence and associated factors for underweight in rural Sindh.
Methods:
A cross-sectional survey was conducted in Jhangara Town, located in District Dadu, Sindh. Eight hundred children under 5 years of age were enrolled. A questionnaire was used to elicit required information and anthropometric measurements were made.
Results:
The overall prevalence for underweight was 54.3% in the study population, which was higher than the prevalence reported by PDHS 1990-91. In multivariate analysis, various factors for underweight were consanguinity (OR = 1.5, 95% CI = 1.08-2.07), low birth weight (parents' perspective) (OR = 1.6, 95% CI = 1.08-2.16) and lack of breast-feeding (OR = 2.7, 95% CI = 1.19-6.17).
Conclusion:
Effective strategies to discourage consanguineous marriages between first cousins are required. Promoting breast feeding is another factor that should be incorporated while designing control strategies to reduce morbidity and mortality due to malnutrition in children (< 5 years).
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