Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums
Science Journal of Public Health
Volume 4, Issue 3, May 2016, Pages: 265-270
Received: May 1, 2016;
Accepted: May 11, 2016;
Published: May 27, 2016
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David Omondi Okeyo, School of Public Health, Department of Nutrition and Health, Maseno University, Maseno Township, Kenya
Peter Kirabira, Institute of Public Health and Management, International Health Sciences University, Kampala, Uganda
Malnutrition remains a major proxy determinant of child mortality common among under five children and account for about one-third of malnourished cases worldwide. This chronic condition is a severe public health problem in sub-Saharan Africa that requires continuous critical attention. This study explored maternal sensitive factors that are important in the etiology of malnutrition with urban slum setting. The study was conducted among 400 eligible households systematically samples at random. Analysis was based hierarchical regression with principal axis factoring for selective variables. Psychosocial indicators did not have any observable association with nutritional status. Seeking immediate medical attention from the nearest health facility (HSB-1) and Average duration of introducing a child to the first liguid in hours (FP-4) significantly reduced stunting. Clean my hands with running water and soap before feeding a child (FHP-1) significantly reduced stunting among other indicators. HSB-1 somehow increased stunting. Wasting was significantly reduced by HSB-1 but increased by consulting a private doctor to examine a child (HSB-3). Underweight had no association at all with all indicators of maternal factors except at crude odds ratio level where FHP-1and HSB-1 were somewhat associated with underweight. In conclusion, this study revealed that food hygiene practice, health seeking behavior and feeding practice were all significant associates of stunting (p<0.05). Wasting was only associated with health seeking behaviour (p<0.05) while underweight had association with food hygiene practice and health seeking behaviour (p<0.05). However, it is noted that in these factor domains only selected indicator measures exhibited significant associations.
David Omondi Okeyo,
Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums, Science Journal of Public Health.
Vol. 4, No. 3,
2016, pp. 265-270.
Engle, P. L., Menon, P., & Haddad, L. (1997). Care and Nutrition: Concepts and Measurement. International Food Policy Research Institute (IFPRI), Washington, D. C.
Rahman, A., Patel, V., Maselko, J., & Kirkwood, B. (2008). The neglected ’m’ in MCH programmes–why mental health of mothers is important for child nutrition. Tropical Medicine and International Health, 13 (4), 579-583.
Ramji, S. (2009). Impact of infant and young child feeding & caring practices on nutritional status & health. Indian Journal of Medical Research 130: 624-626.
Kumar, D. Agarwal, N. & Swani, H. M. (2006). Socio-demographic correlates of breast-feeding in urban slums of Chandigash. Indian Journal of Science, 60: 461-466.
Dornelles, T. L. C., Jefferson, P. P., & Paulo, J. C. M. (2007). Nutritional Status, Breastfeeding, and Evolution of Infants with Acute Viral Bronchiolitis. Journal of Health Population and Nutrition 25 (3), 336-343.
Chakrabarty, S., Ghosh, R., & Bharati, P. (2005). Breastfeeding practices and Nutritional Status of Preschool Children among the Shabar Tribal Community in Orissa, India. Paper presented at the Proceedings of National Symposium on Tribal Health.
Mahgoub, S. E. O., Nnyepi, M. & Bandeke, T. (2006). Factors affecting prevalence of malnutrition among children under three years of age in Botswana. African Journal of Food and Development, 6: 1-15.
Olson, S. L., Bayales, I., & Bates, J. E. (1986). Mother-child interactions and children's speech progress: a longitudinal study of the first two years. Merril-Palmer Q; 32: 1-20.
Kerr, M., Bogues, J. & Kerr, D. (1978). Psychosocial functioning of mothers of malnourished children. Pediatrics; 62: 77884.
Graves, P. (1976). Nutrition, infant behavior, and maternal characteristics: a pilot study in West Bengal, India. American Journal of Clinical Nutrition; 29: 305-309.
Valenzuela, M (1990). Attachment in chronically WAZ young children. Child Development; 61: 1984-96.
Nahar, B., Hamadani, J. D. Ahmed, T., Tofail, F., Rahman, A. Huda, S. N. & Grantham-McGregor, S. M (2009). Effects of psychosocial stimulation on growth and development of severely malnourished children in a nutrition unit in Bangladesh. European Journal of Clinical Nutrition; 63: 725–731.
Takanashi, K., Chonan, Y., Quyen, D. T., Khan, N. C., Poudel, K. C., and Jimba, M (2009). Survey of Food-hygiene practices at home and childhood diarrhoea in Hanoi, Viet Nam. Journal of Health Population and Nutrition; 27 (5): 602–611.
Rina, A., Tirta, P. S., Soemilah, S., Ingeborg, M. J. Edith, J. M. F. & Frans. J. K. (2013). Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas; BMC Public Health, 13: 977.
Ejemot, R. I., Ehiri, J. E., Meremikwu, M. M., & Critchley, J. A (2008). Hand washing for preventing diarrhoea. Cochrane Database Systems Review 1, CD004265.
Rahman, S. A. (2000). Utilization of Primary Health Care Services in Rural Bangladesh: the population and provider perspectives Unpublished PhD Thesis, London School of Hygiene and Tropical Medicine, University of London.
Katona, P. and Katona, A. J. (2008). The Interaction between Nutrition and Infection. Clinical Infectious Diseases; 46 (10): 1582-1588.
Nyamongo, AM., and Nyamongo, K. N (2006). Health Seeking Behaviour of Mothers of Under-Five-Year-Old Children in the Slum Communities of Nairobi, Kenya. Anthropology & Medicine, 13 (1): 25-40.
Mugenda, O. M. and Mugenda, A. G. (1999) Research Methods: Quantitative and Qualitative Approaches. Acts Press, Nairobi.