A Cross Sectional Study on Prevalence of Diarrhoeal Disease and Nutritional Status Among Children Under 5-Years of Age In Kushtia, Bangladesh
Science Journal of Public Health
Volume 1, Issue 2, May 2013, Pages: 56-61
Received: Mar. 28, 2013;
Published: May 2, 2013
Views 2593 Downloads 335
Afroza Khatun, Dept. of Applied Nutrition and Food Technology, Islamic University, Kushtia, Bangladesh
Sk. Shahinur Rahman, Dept. of Applied Nutrition and Food Technology, Islamic University, Kushtia, Bangladesh
Hafizur Rahman, Dept. of Applied Nutrition and Food Technology, Islamic University, Kushtia, Bangladesh
Sabir Hossain, Dept. of Biochemistry and Molecular Biology, Jahangirnogor University, Savar, Dhaka, Bangladesh
Children under 5 years old are most vulnerable and high risk group who need special health care services. Be-cause infectious diseases, diarrhea, malnutrition etc are very common in this group. This study was carried out among the total of 400 children in Kushtia from January 2008 to December 2008 and observed the prevalence of diarrhoea among them. A cross sectional survey was carried out to determine nutritional status of under-5years children by anthropometric measurement, MUAC measurement and bio-chemical assessment. Anthropometric measurements were performed by standard methods National Centre for Health Statistics (NCHS) of the United States. Amongst all the children higher proportion of children 47% were found to be malnourished (under weight) using W/A as indicator in the age range of 0-60 months. Amongst all the subjects’ prevalence of wasting and stunting was 51% and 49% respectively. Age group 0-12 months shows the highest prevalence of wasting, under weight and stunting. The prevalence of diarrhoea was found 44.5%. The maximum prevalence (48.86%) and frequency (1.7) of diarrhoea was present in 12-24 months of age. Factors that influence malnutrition and frequency of diarrhea were limited access to sanitation facilities, unhygienic water drinking and handling, mother’s education, misconception about food, infectious diseases and weaning practices. These results suggested that improving nutritional status of urban poor requires direct, focused and integrated strategies that are preferably community based and involve the behavior modification by education in addition to providing comprehensive preventive and curative health and nutritional services.
Sk. Shahinur Rahman,
A Cross Sectional Study on Prevalence of Diarrhoeal Disease and Nutritional Status Among Children Under 5-Years of Age In Kushtia, Bangladesh, Science Journal of Public Health.
Vol. 1, No. 2,
2013, pp. 56-61.
UNICEF. The state of the world's children 1988. Oxford; UK: Oxford University Press, 1988.
Onyango and Angienda. Epidemiology of Waterborne Di-arrhoeal Diseases among Children Aged 6-36 Months Old in Busia - Western Kenya. International Journal of Biological and Life Sciences 6:2 2010
WHO. Selected publications and documents on diarrhoeal diseases (including cholera), 1999. url:http//www.who.int/aboutwho/en/preventing/preventing.htm.
Black RE, Huq I, Merson MH, Alim A, Yunus MD. Incidence and severity of rotavirus and E. coli diarrhoea in rural Bangladesh. Lancet 1981;1:141-43.
Suan GJ, Rowland GDH, Lloyd-Evans N. Williams K, Rowland, MM. The etiology of diarrhoea studied in the community in young urban Gambian children. J Diarrhoeal Dis Res 1985;3(1):7-13.
Black RE, Merson MH, Rahman ASMM et al. A two year study of bacterial, viral and parasitic agents associated with diarrhoea in rural Bangladesh. J Infect Dis 1980;142:66064.
D. Rogers, J. McEwen, R. Beaglehole and H. Tanaka, "The practice of public health",Oxford text book of Public Health; 4th ed. 2002.
K. E. Byers, R. L. Guerrant, B. M. Farr, Fecal-oral transmis-sion, In: Thomas JC, Webber DJ editor(s). "Epidemiologic methods for the study of infectious disease". Oxford Uni-versity Press. 228-48, 2001.
Rowland MOM, Barrel RAE, Whitehead RG. Bacterial contamination in traditional Gambian weaning foods. Lancet 1978;1:136-38.
Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet 2003;361: 2226-34.
Chen LC, Scrimshaw NS, eds. Diarrhea and malnutrition. New York: Plenum Press, 1983:319.
Mathur R. Reddy V. Bacterial contamination of infant foods. Ind J Med Res 1983;77:342-46.
Scrimshaw NS, SanGiovanni JP. Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutr 1997;66: 464S–77S.
Victora CG, Kirkwood BR, Ashworth A, et al. Potential interventions for the prevention of childhood pneumonia in developing countries: improving nutrition. Am J Clin Nutr 1999; 70:309–20.
O’Dempsey TJ, McArdle TF, Morris J, et al. A study of risk factors for pneumococcal disease among children in a rural area of west Africa. Int J Epidemiol 1996;25:885–93.
Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet 2003;362: 65-71.
Clinical management of acute diarrhoea. WHO/Unicef joint statement. United Nations Children's Fund, World Health Organization, 2004. (WHO/FCH/CAH/04.7.)
Blount BW and et al. (1993): Nutritional states of rural Bolivian children, Military Medicine, 158:20-4.
Behrman RE (2000): Nelson, textbook of pediatrics, 16th ed, Saunders company.
F Majlesi, B Nikpoor, B Golestan , F Sadre. Growth Chart Study in Children Under 5 Years Old in Rural Area of Kho-ramabad Province. Iranian J. Publ. Health, Vol. 30, Nos. 3-4, PP. 107-110, 2001
Aldana MJ and Piechulek H (1992): Nutrition states of 0-59 months old childern in urban and rural areas of cameron, Bull WHO, Vol 70
Grant GP (1988): Children situation in world. World Health, (translation by Hoseiny) Tehran.
Black RE, Lanata CF. Epidemiology of diarrheal diseases in developing countries. In : Blaser MJ, Smith PD, Ravdin JI, Greenberg HB, Guerrant RL, editors. Infections of the ga-strointestinal tract. New York: Raven Press, 1995:13-36.
Brown KH, Black RE, de Romana GL, de Kanashior HC. Infant-feeding practices and their relationship with diarrheal and other diseases in Huascar (Lima), Peru. Pediatrics 1989;83:31-40.
UNICEF/WHO. Pneumonia: The forgotten killer of children. 2006