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Published on: January 19, 2024
Malnutrition and anaemia among hospitalised children in Vavuniya
J Keerthiwansa1, S Gajealan, S Sivaraja
1General Hospital, Vavuniya, Sri Lanka. janaki_kee@yahoo.com.
Insights
Social determinants like lower parental education and income significantly impact severe malnutrition and anemia in hospitalized children. These factors are crucial for understanding child health outcomes.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood malnutrition remains a significant global health challenge.
- Understanding the social determinants of malnutrition is crucial for effective interventions.
Purpose of the Study:
- To describe factors associated with the degree of malnutrition among hospitalized children.
- To assess the prevalence and associated factors of anemia in malnourished children.
Main Methods:
- Cross-sectional descriptive study conducted at General Hospital, Vavuniya.
- Screening of 1210 hospitalized children (Jan-June 2012) for nutritional status using WHO growth standards.
- Assessment of anemia prevalence in 284 malnourished children.
Main Results:
- Prevalence of moderate acute malnutrition (MAM) was 14.8% (n=179) and severe acute malnutrition (SAM) was 8.7% (n=105).
- SAM was significantly associated with lower maternal and paternal education, low family income, and mothers being housewives.
- Anemia prevalence was 55.3% (mild 32.4%, moderate 22.2%, severe 0.7%), highest in infants.
Conclusions:
- Social determinants play a critical role in the degree of malnutrition and anemia in hospitalized children.
- Interventions should address socioeconomic factors to reduce the burden of malnutrition and anemia.
Abstract:
We conducted a cross sectional descriptive study to describe the factors associated with the degree of malnutrition among hospitalised malnourished children in General Hospital, Vavuniya. All hospitalised children from January to June 2012 (n=1210) were screened and the nutritional status assessed using WHO growth standards for weight for height/length. A total of 179 children with moderate acute malnutrition (MAM) (14.8%) and 105 children with severe acute malnutrition (SAM) (8.7%) were detected during this period. Having SAM (compared to MAM) was associated with lower maternal education (p<0.001), lower paternal education (p<0.001), low family income (p=0.022) and mother being a housewife (p=0.009). Prevalence of anaemia among 284 malnourished children was mild 32.4% (n=92), moderate 22.2% (n=63) and severe 0.7% (n=2). Anaemia was highest among infants and prevalence decreased with increasing age. Social determinants played an important role in degree of malnutrition and anaemia among malnourished children admitted to the General Hospital, Vavuniya.
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