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Presented by DR Salman Zaib: Master of Public Health

MASTER of PUBLIC HEALTH OF PROTEIN ENERGY MALNUTRITION IN CHILDREN UNDER THREE YEAR OF AGE LITERATURE REVIEW 167 MILLION THAN HALF of WORLD LO BIRTH WT BABIES BORN in SOUTH ASIA.

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Noman Zaib Khan
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23 views

Presented by DR Salman Zaib: Master of Public Health

MASTER of PUBLIC HEALTH OF PROTEIN ENERGY MALNUTRITION IN CHILDREN UNDER THREE YEAR OF AGE LITERATURE REVIEW 167 MILLION THAN HALF of WORLD LO BIRTH WT BABIES BORN in SOUTH ASIA.

Uploaded by

Noman Zaib Khan
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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PRESENTED BY DR SALMAN ZAIB

MASTER OF PUBLIC HEALTH

PREVALANCE

OF PROTEIN ENERGY MALNUTRITION IN CHILDREN UNDER THREE YEAR OF AGE

LITERATURE REVIEW
167 MILLION<5 YEARS CHILDREN IN WORLD SUFFER FRM MALNUTRITION 20 MILLION SUFFER PEM 19 MILLION <5 YR CHILD LIVE IN SOUTH ASIA PEM IN SOUTH ASIA 50% SUB SAHARAN AFRICA 30% 5 MILLION SOUTH ASIA CHILD DIE BEFORE 5 YR 2-3 MILLION INFANT DIE IST 12 MONTH LOW BIRTH WT BEST PREDICTOR MALNUTRITION > THAN HALF OF WORLD LO BIRTH WT BABIES BORN IN SOUTH ASIA

LOW BIRTH WEIGHT BABIES


IN IN IN

PAK 25% INDIA 35% BANGLADESH 50%

IN 1997 MALNUTRITION OF <5 YR OF AGE CHILDREN


IN IN IN

PAK 38% INDIA 53% BANGLADESH 67%

AIMS
TO

IMPROVE THE HEALTH STATUS OF CHILDREN UNDER THREE YEAR OF AGE

OBJECTIVE
TO

DETERMINE THE NUTRITION STATUS OF CHILDREN UNDREN THREE YEAR OF AGE

SUB OBJECTIVE
TO

DETERMINE THE PREVALANCE OF PEM AMONG UNDER THREE YEAR CHILDREN TO DETERMINE THE RISK FACTOR OF PEM AMONG LESS THAN THREE OLD CHILDREN

MATERIAL & METHOD


STUDY

DESIGN (1 ) CROSS SECTION STUDY ( DATA COLLECTED ANTHROPOMETRIC ASSESSMENT OF CHILDREN & QUESTIONNAIRE)

STUDY SITE
FATEH

JANG DISTRIC ATTOCK

UC 20 VILLAGES TOTAL POPULATION 24069 5 BHUs

Study population
Under On

3 years

day of visit in area of selected LHW WERE EXAM FR ANTHROPOMETRIC MEASURMENT

MOTHER

WERE INTERVIEWED

DATA COLLECTION
WITH DEC

HELP OF LHWs

2010

EXAMINE
80% 20%

393 CHILDREN < 3 YEARs

IN LHWs HOUSE IN CHILDER HOME

DATA COLLECTION TOOL


ANTHROPOMETRIC

AGE WEIGHT HEIGHT/ LENGTH RISK FACTOR SEX PARENTAL EDUCATION FEEDING PRACTICE IMMUNIZATION STATUS

CHARACTERISTICS OF STUDY SUBJECT


TOTAL

CHILDREN MALE

388 51%

FEMALE

49%

BIRTH ORDER
0

3 YEARS

70%

5 YEARS

29%

BIRTH WEIGHT
NORMAL

93.3%

UNDER

WEIGHT

6.7%

FIRST FEED GIVEN AFTER BIRTH


BREAST

MILK

49.7%

GHUTY

32.5%

HONEY

17.8%

BREAST FEED
YES

94.6%

NO

5.4%

EXCLUSIVE BREAST FEEDING


EXCLUSIVE

BREAST FEED

88.5%

NON

EXCLUSIVE

11.5%

NATURAL OF LIQUID DIET


ANIMAL

MILK

93.9%

FORMULA

MILK

6.1%

METHODE OF FEEDING
BOTTLE

FEEDING

56.1%

CUP

& SPOON

43.95

STARTING SOLID/SOLID WEANING


4

6 MONTHS

50%

AFTER

6 MONTHS

27.5%

DID

NOT FEED

22.4%

VACCINATION STATUS
FULL

VACCINATED

60%

PARTIALLY

VACCINATED

32.5%

NOT

VACCINATED

6.7%

DISEASE PATTREN
ARI

27.3%

DIARRHEA WORM

12.9% 3.4%

MEASEL

5.4%

SOCIO DEMOGRAPHIC
FATHER

OCCUPATION & EDUCATION 80.3%

WORKER

LANDLORD

13.7%

FATHER EDUCATION
LITERATE

50.3%

ILLETRATE

49.7%

MOTHER AGE
UPTO

30 YEARS

70%

MORE THAN 30 YEARS

29.9%

MOTHER EDUCATION
LITRATE

25.5 %

ILLETRATE

74.5 %

INCOME IN RUPEES
UPTO

2000

58.8% 35.8% 5.4%

> 2000 - < 4000 1000

>4000

TYPE OF HOUSE
KATCH

30.7%

PACCA

17.3%

KATCH

& PACCA

52.3%

HAVING UNDER FIVE CHILDERN


ONE TWO THREE

57.5% 41.5% 1%

B AR c hart s howing weig H T F OR ag e dis tribution (n 388) (UND E R WE IG H T )


70

perc entag e of c hildren

60 50 40 30 20 10 0 MA L NUR IIS HE D NO R MA L

bar chat showing height for age distribution (n 388) ( stunting )


90 80 70 60 50 40 30 20 10 0 malnourished NORMAL

percentage of children

bar chart showing weight for height distribution ( n 388 ) ( wasting )


90 80

percentage of children

70 60 50 40 30 20 10 0 MALNURIISHED NORMAL

MALE FEMALE BOTH SEXES


bar chart showing prevalence of malnutrition [ moderate and severe (less than -2 SD ) ] By sex ( n 388 )
40 35 30 25 20 15 10 5 0 WEIGHT FOR AGE(UNDER WEIGHT) HEIGHT FOR AGE (STUNTING) WEIGHT FOR HEIGHT(WASTING) STUNTING AND WASTING

percentage of children

<6months 6m-<1yr 1y-<2y 2y-<3y


prevalence of malnutrition [ moderate and severe (< -2 SD ) ] BY AGE ( N 388 )
PERCENTAGE OF CHILDREN
60 50 40 30 20 10 0 WEIGHT FOR AGE(UNDER WEIGHT) HEIGHT FOR AGE (STUNTING) WEIGHT FOR HEIGHT(WASTING) STUNTING AND WASTING

SHOWING BIRTH WEIGHT & WITH PEM [MALNOURISHED(UNDER WEIGHT)] FEEDING PRACTICE IN RELATION
BIRTH

WEIGHT 31.5% 69.2%

NORMAL UNDER WEIGHT

BREAST

FEEDING 34.7%

YES

NO

28.6%

STARTING BREAST FEEDING AFTER BIRTH

WITHIN SIX HOURS

30.9%

AFTER

SIX HOURS

44.4%

GIVING OTHER MILK ALONG WITH BREAST MILK


YES

41%

NO

29%

SOCIO/DEMOGRAPHIC CHARACTERISTIC IN RELATION FATHER EDUCATION WITH PEM

ILLETRATE OR PRIMARY

37.7%

ABOVE PRIMARY

26.7%

MOTHER EDUCATION
ILLETRATE

OR PRIMARY

34.9%

ABOVE

PRIMARY

20.8%

INCOME
1000-3000

34.4%

3001-10000

30/3%

TYPE OF HOUSE
KATCHA

& KATCHA PACCA

34.9%

PACCA

29.9%

EFFECT OF DISEASE & VACCINATION STATUS ON PEM MALNOURISHED(UNDER WEIGHT)


MEASLES

YES

57.9%

NO

33.3%

WORM

YES

53.8%

NO

33.3%

VACCINATION STATUS
UNVACCINATED/PARTIALLY
VACCINATED FULLY

23.7% 40.7%
0%

VACCINATED

RISK FACTORS IN RELATION WITH ACUTE MALNUTRIYION (WASTING)

ACUTE MALNUTRITION IN RELATION WITH RISK FACTOR MALNUORISHED (WASTING)


BIRTH

WEIGHT 15.7%

NORMAL

UNDER WEIGHT

42.3%

MOTHER EDUCATION
ILLETRATE

OR PRIMARY

17.9%

ABOVE

PRIMARY

12.5%

FATHER EDUCATION
ILLETRATE

OR PRIMARY

19.8%

ABOVE

PROMARY

13%

EXCLUSIVE BREAST FEEDING


EXCLUSIVE

BREAST FEED UP TO FOUR MONTHS


BREAST

16.9%

SUPPLEMENT

23.8%

FEEDING

RISK FACTOR IN RELATION WITH CHRONIC MALNUTRITION (STUNTING)

CHRONIC MALNOURISHEDIN RELATION WITH RISK FACTOR(STUNTING)

BIRTH WEIGHT NORMAL


UNDER WEIGHT

16.9%
38.5%

MOTHER EDUCATION
ILLETRATE

20.4%

LITRATE

12.1%

STARTING BREAST FEEDING AFTER BIRTH


WITHIN

SIX HOURE

15.35

AFTER

SIX HOURE

29.3%

BIRTH ORDER
UP

TO THREE

14.9%

MORE

THAN THREE

26.5%

MEASLE

YES

42.1%

NO

17.1%

RECCOMENDATION
LITERACY HEATH

PROGRAM FOR MOTHER

EDUCATION PROGRAM REGARDING BREAST FEEDING MEASURMENT SHOULD BE TAKEN AT LEAST 2 TIME A YEAR THROUGH LHWs

ANTHROPOMETRIC

THANX

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