Overall burden of under-nutrition measured by a Composite Index in rural pre-school children in Purba Medinipur, West Bengal, India

• Autorzy: Atanu Acharya , Gopal Chandra Mandal , Kaushik Bose
• Języki publikacji: EN

Abstrakty

EN

Malnutrition is a leading cause of child mortality in India. To counteract this problem, a nutrition supplementation programme has been operating under the Integrated Child Development Service (ICDS) scheme in India since 1975. Recently, the Composite Index of Anthropometric Failure (CIAF) has been implemented to measure the seriousness and severity of overall under-nutrition in a population. Since this index presents a more complete picture than the previous three conventional measures. CIAF is utililized in this study which focuses on the overall burden of under-nutrition determination in pre-school children in Purba Medinipur, West Bengal, India. Our study was conducted in 10 Integrated Child Development Service (ICDS) centres, commonly known as “Anganwadi”, in the villages of the Argoal Gram Panchayat at Patashpur - II block. The total sample of 225 Bengalee ethnic children aged between 3 and 6 years was composed of 115 girls and 110 boys. The overall age and gender-combined prevalence of stunting, underweight and wasting recorded was 30.7%, 42.7% and 12.0%, respectively, and these rates were considered high (30-39%), very high (≥ 40%) and high (10-14%), respectively. CIAF results revealed the same trend, with 50.2% of these children affected by anthropometric failure, with the prevalence of underweight, wasting and CIAF higher in boys than in girls. This 50.2% CIAF result highlighted that approximately half the study children were undernourished. Since this figure is much higher than that estimated by any of the three conventional indicators,, CIAF has thus proven a far better indicator in assessing the overall burden of under-nutrition in a population. The nutritional status of the children in this study requires serious remedial action.

Słowa kluczowe

EN

under-nutrition; Composite Index of Anthropometric Failure; rural pre-school children; India

• Wydawca: Sciendo
• Czasopismo: Anthropological Review
• Rocznik: 2013
• Tom: 76
• Numer: 1
• Strony: 109-116

Daty

wydano

2013-06-01

online

2013-12-01

Twórcy

autor

Atanu Acharya

• Department of Anthropology, Vidyasagar University, Midnapur

autor

Gopal Chandra Mandal

• Department of Anthropology, Bangabasi College, Kolkata,

autor

Kaushik Bose

• Department of Anthropology, Vidyasagar University, Midnapur

Bibliografia

• Bamji MS. 2003. Early nutrition and health: Indian perspective. Current Science 85:1137-42.
• Bharati S, Pal M, Bharati P. 2008. Determinants of Nutritional Status of Pre-school Children in India. J Biosoc Sci 40(6):801-14.[PubMed][WoS]
• Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Matters C, Rivera J. 2008. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 371:243-60.[WoS]
• Bryce J, Coitinho D, Darnton-Hill I, Pelletier D, Pinstrup-Anderson P. 2008. Maternal and child undernutrition study group. Maternal and child undernutrition: effective action at national level. Lancet 371:510-26.[WoS]
• Chatterjee S, Saha S. 2008. A study on knowledge and practice of mothers regarding infant feeding and nutritional status of under-five children attending immunization clinic of a medical college. Internet J Nutrition and Wellness 5(1).
• Das S, Bose K. 2009. Report on “anthropometric failure” among rural 2-6 years old Indian Bauri caste children of West Bengal. Anthropological Review 72:81-88.
• Elankumaran C. 2003. Malnutrition in preschool children of Jaffna society - a post-exodus statistical perspective. Paper Presented at 9th International Conference on Sri Lankan Studies. University of Ruhuna. Sri Lanka. 28-30 November. Unpublished.
• Hamill PV, Drizd TA, Johnson CL, Reed RB, Roche AF, Moore WM. 1979. Physical growth: National Center for Health Statistics Percentiles. Am J Clin Nutr 32:607-29.[PubMed]
• Lohmann TG, Roche AF, Martorell R. 1988.Anthropometric Standardization Reference Manual. Chicago: Human Kinetics Books.
• Mandal GC, Bose K. 2009. Assessment of Overall Prevalence of Undernutrition Using Composite Index of Anthropometric Failure (CIAF) among Preschool Children of West Bengal, India. Iran J Ped 19 (3):237-43.
• Mandal GC, Bose K, Acharya A. 2010. Stunting among rural Bengalee children from ICDS centers of Patashpur-II Block, East Mindnapur, West Bengal, India. Ind J Phys Anthrop & Hum Genet 29(1-2):99-107.
• Ministry of Women & Child Development, Government of India. 2011. Integrated Child Development Services (ICDS) Scheme” (http://wcd.nic.in/icds.htm. Retrieved 21 March 2011).
• Mukhopadhyay DK, Biswas AB. 2011. Food Security and Anthropometric Failure Among Tribal Children in Bankura, West Bengal. Indian Pediatr 48:311-14.[Crossref][PubMed][WoS]
• Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. 2005. Poverty, child undernutrition and morbidity: new evidence from India. Bull World Health Organ 83(3):210-6.[PubMed]
• National Family Health Survey (NFHS-2), conducted in 1998-99. (www.rchiips.org/nfhs/nfhs2.shtml. accessed on 20.01.2013).
• India National Family Health Survey (NFHS-3) 2005-06 Key Findings.
• http://www.measuredhs.com/pubs/pdf/SR128/SR128.pdf Accessed on 20.01.2013.
• Seetharaman N, Chacko TV, Shankar SRL, Mathew AC. 2007. Measuring malnutrition - the role of Z-scores and the Composite Index of Anthropometric Failure (CIAF). Indian J Community Med 32(1):35-39.[Crossref]
• Shah PU, Patel NJ. 2009. A study about prevalence of undernutrition among slum children of 0-60 months of age of Mehsana city. International Research Journal 2(7):84-85.
• Svedberg P. 2000. Anthropometric status; An incomplete indicator of undernutrition. In: Poverty and undernutrition; theory, measurement and policy. New Delhi: Oxford India Paperbacks.
• Svedberg P. 2011. How Many People Are Malnourished? Annu Rev Nutr 31:263-83.[PubMed][Crossref][WoS]
• United Nations Children’s Fund. 1990. Children and Women in India - A situation analysis. UNICEF India, New Delhi.
• World Health Organization. 1995. Physical Status: the Use and Interpretation of Anthropometry: Technical Report Series no. 854. Geneva: World Health Organization.

Identyfikatory

DOI

10.2478/anre-2013-0005