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Risk factors of acute malnutrition among children aged 6-59 months enrolled in a community-based programme in

Monsurul Hoq1,2, Masum Ali3,4, Ashraful Islam3

  • 1Terre des hommes, Dhaka, Bangladesh. monsurul.hoq@mcri.edu.au.

Journal of Health, Population, and Nutrition
|November 29, 2019
PubMed

Insights

In Bangladesh, factors like family size and recent illness increase acute malnutrition risk in children. Improving feeding practices and sanitation are key to prevention.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutritional Epidemiology

Background:

  • Acute malnutrition poses a significant public health challenge in Bangladesh.
  • Regional variations in malnutrition prevalence necessitate localized risk factor identification.
  • Understanding specific regional determinants is crucial for effective public health interventions.

Purpose of the Study:

  • To identify region-specific risk factors for acute malnutrition in children under five.
  • To explore community perceptions regarding the causes of acute malnutrition.
  • To inform targeted public health strategies for malnutrition prevention in Kurigram district.

Main Methods:

  • A mixed-method matched case-control study was conducted in Kurigram, Bangladesh.
  • Qualitative data on community perspectives were gathered through interviews and focus groups with caregivers.
  • Quantitative data were collected via structured questionnaires from caregivers of malnourished and well-nourished children, followed by conditional logistic regression analysis.

Main Results:

  • Caregivers identified inappropriate feeding practices as a primary cause of acute malnutrition.
  • Significant risk factors identified include higher birth order (OR 0.3), larger family size (OR 1.30), recent childhood illness (OR 3.08), and lack of access to hygienic latrines (OR 0.25).
  • These factors were associated with acute malnutrition among children under five in the study area.

Conclusions:

  • Prioritizing community awareness on infant feeding and family planning is essential.
  • Effective management of childhood illnesses and improved access to hygienic latrines are critical.
  • These interventions are recommended for preventing acute malnutrition in northern Bangladesh districts.
Abstract

Keywords:
Child malnutritionRisk factors

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