A study of severe acute malnourished children who failed to respond to therapy given under Mission Balam Sukham at anganwadi of Western India
Journal Title: International Journal of Medical Science and Public Health - Year 2017, Vol 6, Issue 6
Abstract
Background: Childhood under-nutrition is a major public health problem and developmental challenge in India. In this context, Government of Gujarat has launched Mission Balam Sukham to improve the nutrition status of child at anganwadi level, but there were children who did not improve after 30 days of enrollment. Objectives: The objectives of this study were (i) to compare respondent and non-respondent children who enrolled in Mission Balam Sukham in terms of their care taker’s knowledge, attitude behavior and practices, their hygienic habits, and facilities provided by anganwadi and (ii) to find out reasons for failure to respond among those who treated under Mission Balam Sukham at anganwadi level. Materials and Methods: A case-control study was conducted at anganwadi center of Surat city. Sample size of 190 (cases 95 and controls 95) using the prevalence of those who improved from severe undernourishment (control) which is 50% and prevalence of those who did not improve at all (case) which is 30% based on results of pilot study of anganwadi. Odds ratio (OR) with 95% confidence interval was calculated. Results: Cases were found to have significant association with mother accompanied child at anganwadi (OR: 29.2 [11.53-73.99]), literacy (OR: 5.67 [2.79-11.55]), working status of mother (OR: 30.62 [12.07-77.71]), clean water supply at home (OR: 12.44 [6.267-24.71]), hand washing practices of child (OR: 106.9 [38.89-293.6]), contact with tuberculosis patient (OR: 3.037 [1.592-5.795]), having siblings (OR: 6.37 [2.86-14.18]) and cleanliness of anganwadi (OR: 4.73 [1.831-12.26]). Conclusions: At anganwadi under Mission Balam Sukham, improvement in child’s nutrition is positively correlated with mother’s care, hygienic practices, environment of home and anganwadi.
Authors and Affiliations
Neha R Bavarva
Keywords
Related Articles
- EP ID EP333919
- DOI 10.5455/ijmsph.2017.0205421032017
- Views 57
- Downloads 0
Vitamin A deficiency and anemia: alarming public health problems among the tribal Rathwa adolescents of Chota Udepur, Gujarat, western India: a cross-sectional study
Background: There are 573 scheduled tribes living in India and 15% of Gujarat’s population is tribal. They are particularly vulnerable to undernutrition because of their geographical isolation, socioeconomic disadvan...
Comparing lipid profile in healthy participants with and without smoking: A prospective study
Background: Smoking can induce cancer, stroke, and heart disease and also has been reported to cause periodontal disease, gastric ulcer, sudden infant death syndrome, and metabolic syndrome. Objectives:...
GIS for rapid epidemiological mapping and health-care management with special reference to filariasis in India
This study was carried out to apply geographic information systems (GIS) technology for rapid epidemiological mapping and health-care management of filariasis in India. GIS has essentially become important role in epid...
Transfusion-related acute lung injury (TRALI) – Blood transfusion complication
Background: The blood transfusion reactions occur during or after transfusion. The untoward affect vary from being relatively mild to lethal. Some of them can be prevented while others cannot. Transfusion-related acute...
The causes of death among reproductive age group: Perspective of African countries
Background: Nearly, every day young people die from injuries, especially from motor vehicle injuries, poisoning, violence, falls, and burns. Objective: The present study aimed to address the major causes of death and its...