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Acute malnutrition associated with mid-upper arm circumference among under-five children in tribal areas, India: a

Shraboni Patra1, Shashikant Sambharkar2, Sheetal Harode3

  • 1State Monitoring and Resource Cell, Nutrition Bureau, Nagpur, MH, India.

Public Health Nutrition
|December 5, 2024
PubMed

Insights

This study assessed acute malnutrition in tribal children, finding significant disparities in moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) prevalence based on sex and age. Urgent monitoring and program evaluation are needed in tribal areas.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition Science

Background:

  • India has long-standing nutrition programs targeting under-five malnutrition.
  • Assessing the impact of these programs is crucial for public health interventions.

Purpose of the Study:

  • To evaluate the prevalence of acute malnutrition, moderate acute malnutrition (MAM), and severe acute malnutrition (SAM) in tribal children.
  • To analyze malnutrition prevalence using mid-upper arm circumference (MUAC) and identify risk factors.

Main Methods:

  • A community-based cross-sectional survey was conducted in two tribal blocks of Maharashtra.
  • 1055 children aged 0-59 months were assessed for MAM and SAM using MUAC measurements.

Main Results:

  • Overall prevalence of SAM was 1.4% and MAM was 9.8%.
  • Higher prevalence of SAM was observed in females (1.7%) compared to males (1.0%).
  • Children aged 12-17 months were significantly more likely to have MAM than those aged 6-11 months.

Conclusions:

  • There is an urgent need for block-level monitoring of MAM and SAM.
  • Existing nutrition programs require evaluation to address sex-specific prevalence disparities.
  • Targeted interventions are necessary for tribal populations to combat malnutrition.
Abstract

Keywords:
mid-upper arm circumferencemoderate acute malnutritionsevere acute malnutritionunder-five tribe childrenweight-for-height z scores

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