Malnutrition in young Pakistani children
1Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan. shela.hirani@aku.edu
Insights
Malnutrition in Pakistani children is a significant issue, driven by interconnected biological, maternal, and socio-economic factors. Addressing this requires comprehensive interventions targeting children, families, and the wider community.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Pakistan faces high infant and child mortality rates, with malnutrition as a primary underlying cause.
- Despite decades of effort, effective solutions for child malnutrition in Pakistan remain elusive.
Purpose of the Study:
- To review and analyze the multifaceted determinants of malnutrition in young Pakistani children.
- To identify biological, maternal, socio-cultural, environmental, and politico-economic factors contributing to child malnutrition.
- To inform the development of targeted interventions for malnutrition prevention and management.
Main Methods:
- Systematic literature search of peer-reviewed databases (MEDLINE, CINAHL, PubMed) from 1991-2011.
- Inclusion of literature from WHO, UNICEF, books, local newspapers, and reference lists.
- Comprehensive review of national, regional, and international research on child malnutrition determinants.
Main Results:
- Malnutrition determinants are numerous and operate at individual, family, and community levels.
- Biological, maternal, socio-cultural, environmental, and politico-economic factors are significantly interrelated.
- The complexity of malnutrition requires a holistic understanding of its contributing factors.
Conclusions:
- Effective strategies to combat child malnutrition in Pakistan must be composite and multi-level.
- Interventions should address the interconnectedness of individual, family, and community factors.
- A coordinated approach is essential for sustainable improvements in child nutrition and health outcomes.
Background:
Pakistan is a developing country with the second highest infant and child mortality rate in South Asia. In this region, malnutrition underlies much of the high infant and under five child morbidity and mortality rates. Although struggle to tackle the issue of malnutrition among young Pakistani children has been going on since many decades, till yet a realistic solution for this growing problem has not been found.
Objective:
This paper aims at reviewing literature to analyse the biological, maternal, socio-cultural, environmental, and politico-economical determinants of malnutrition among young children in Pakistan so that need based interventions can be recommended to prevent and overcome this growing issue.
Methods:
A systematic search of national, regional, and international literature was undertaken from peer-reviewed databases for 1991-2011 including MEDLINE, CINAHL, and PubMed. The search was augmented by reviewing the literature from WHO and UNICEF websites, books, local newspapers, and reference lists of articles thought to be relevant.
Conclusion:
Determinants of malnutrition among Pakistani children are multiple and are prevalent at the level of individual, family, and community. An analysis of biological, maternal, socio-cultural, environmental, and politico-economical factors indicate that most of these factors are interrelated; therefore, to tackle this issue, there is a need to plan composite interventions at the level of malnourished children, their families, and the Pakistani community.
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