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Nutritional Status Of Under-5 Children In Migrant Laborer Settlements Of Ernakulam District, Kerala, Southern India - A Mixed Method Study.

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Nutritional Status Of Under-5 Children In Migrant Laborer Settlements Of Ernakulam District, Kerala, Southern India - A Mixed Method Study.

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Nutritional Status of Under-5 Children in Migrant Laborer Settlements of Ernakulam District, Kerala, Southern India -

Renjini B Ambika¹, Sobha George¹, Jeby Jose Olickal¹

¹Department of Community Medicine and Public Health, Amrita Institute of Medical Science and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine

|June 13, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Malnutrition is a significant issue for migrant children under 5 in Kerala. Many face barriers accessing essential Integrated Child Development Scheme services, highlighting an urgent need for improved support.

Keywords:

Barriers Integrated Child Development Scheme inequity malnutrition migrant children service use

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Area of Science:

Pediatrics
Public Health
Nutrition Science

Background:

Migrant laborer settlements in Ernakulam district, Kerala, host a vulnerable population of children under 5.
Assessing the nutritional status and service utilization of this demographic is crucial for targeted interventions.

Purpose of the Study:

To evaluate the nutritional status of children under 5 residing in migrant laborer settlements.
To determine the extent of their utilization of Integrated Child Development Scheme (ICDS) services.

Main Methods:

A mixed-methods approach was employed, combining a community-based cross-sectional survey.
165 migrant children under 5 were selected using multistage cluster sampling.
16 in-depth interviews were conducted with various stakeholders.

Main Results:

High prevalence of malnutrition: 46% stunted, 26% wasted, 12% severely wasted.
Awareness of Anganwadi services was 72%, but only 49% received nutritional supplementation and 42% used growth monitoring.
Barriers included language, inconvenient hours, taste preferences, fear of discrimination, and frequent displacement.

Conclusions:

The nutritional status of migrant under-5 children is a critical public health concern requiring immediate attention.
Addressing identified barriers is essential to improve ICDS service utilization among this population.