Immunization status and childhood morbidities as determinants of PEM among under-five children in slums of Kanpur
Journal Title: Indian Journal of Community Health (IJCH) - Year 2014, Vol 26, Issue 4
Abstract
Introduction: Childhood morbidities like Acute Respiratory Infections (ARI), diarrhoea and malnutrition are very common. As per NFHS-3, only 23% children aged 12-23 months were fully immunized in Uttar Pradesh. 9% under-five children had diarrhoea and 7.1% had ARI. Objective: To assess the impact of immunization status and childhood morbidities on nutritional status of under five children. Material & Methods: A cross sectional study was carried out among under five children in slums of Kanpur, using 30 cluster sampling technique. The sample size was calculated to be 375. From each slum, 13 subjects were studied thus giving a total sample size of 390. A pre-designed and pre-tested questionnaire was used to illicit the requisite information from the mothers of study subjects. Weight was recorded using standard technique for the same. Protein Energy Malnutrition (PEM) was graded using IAP classification. Analysis of data was done using percentages and Chi square test. Results: The overall prevalence of PEM was found to be 54.87%. Malnutrition was found to be significantly higher (69.23%) among unimmunized study subjects (p≤0.05). Among children who reported episodes of ARI and diarrhoea within last 1 month, 67.86% and 78.52% subjects respectively were malnourished. The association between PEM and these childhood morbidities was found to be statistically significant (p≤0.05). Conclusion: Prevention of diarrhoea and ARI and complete immunization of children under five years of age through National programmes and other health measures is the need of the hour for combating malnutrition in under five.
Authors and Affiliations
Neha Agarwal, Ram Sharma, Suresh Chandra, Punit Varma, Tanu Midha, Seema Nigam
Evaluation of the baseline Widal titres in healthy blood donors of Uttarakhand
Introduction: The interpretation of Widal test depends upon the baseline titre which is prevalent amongst healthy individuals in a particular geographical area. Aim and Objective: The aim of this study was to determine t...
Assessment of Unmet Need for Contraception among eligible couples in Urban Slums of Raipur city of Chhattisgarh state
Background: India was the first country to launch National Family Planning Program in 1952. Even though various measures have been taken to encourage the usage of contraception but the achievement in this field was not t...
A cross- sectional study on prevalence of hypertension and its relationship with selected demographic factors in western Uttar Pradesh
Background: Non-communicable diseases (NCDs) are major contributors of morbidity and mortality in the middle aged and elderly population. Aim: The purpose of this study was to estimate the prevalence/distribution of hype...
Internship Training in Community Medicine – Need for Reorientation and Strengthening
Background: The goal of MBBS training program is to create a basic doctor, physicians of first contact for the community in the primary care setting both in urban as well as rural areas of our country. Internship is a ph...
Convergence of PPTCT with RCH Services in a District Hospital, Haryana
Background: The integration of PPTCT and RCH activities is an important strategy for universal screening of ANC mothers through available government health infrastructure in a district. The objective of this study was to...