Nutrition status of pre-school children in a Cape Town township

Insights

This study found high chronic malnutrition in Cape Town preschool children, with nearly half below the 3rd percentile for height-for-age. Acute malnutrition was low, but healthcare access needs improvement.

Area of Science:

  • Public Health
  • Pediatric Nutrition
  • Anthropometry

Background:

  • Nutritional status is critical for preschool children's development.
  • Khayelitsha, Cape Town, faces unique public health challenges.
  • Assessing child malnutrition requires accurate anthropometric data.

Purpose of the Study:

  • To evaluate the nutritional state of preschool children in Khayelitsha's Site C squatter area.
  • To identify the prevalence of acute and chronic malnutrition.
  • To inform public health interventions and nutritional surveillance.

Main Methods:

  • Anthropometric measurements (weight-for-age, height-for-age, weight-for-height, mid-upper arm circumference) were collected.
  • A cluster sampling method included 872 children aged 1-5 years.
  • National Centers for Health Statistics percentile charts served as the reference standard.

Main Results:

  • 13.7% of children were below the 3rd percentile for weight-for-age (low acute malnutrition).
  • 1.0% were below the 3rd percentile for weight-for-height (no acute severe malnutrition).
  • 47.2% were below the 3rd percentile for height-for-age, indicating high chronic malnutrition.

Conclusions:

  • Chronic malnutrition is a significant public health issue in this population.
  • Low 'Road to Health' card ownership (42.2%) suggests gaps in healthcare access.
  • Further research, nutritional surveillance, and targeted health interventions are essential.