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Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan

BACKGROUND: Child malnutrition is a major public health problem in developing countries. Therefore, the aim of this study was to estimate the prevalence of undernutrition among children <5 years in River Nile state (RNS) in North Sudan. SUBJECTS AND METHODS: A cross-sectional household survey was...

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Autores principales: Sulaiman, Amel Abdalrhim, Bushara, Sarra O., Elmadhoun, Wadie M., Noor, Sufian K., Abdelkarim, Mutaz, Aldeen, Ilham Nasr, Osman, Meissa M., Almobarak, Ahmed O., Awadalla, Heitham, Ahmed, Mohamed H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958549/
https://www.ncbi.nlm.nih.gov/pubmed/29915742
http://dx.doi.org/10.4103/jfmpc.jfmpc_73_17
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author Sulaiman, Amel Abdalrhim
Bushara, Sarra O.
Elmadhoun, Wadie M.
Noor, Sufian K.
Abdelkarim, Mutaz
Aldeen, Ilham Nasr
Osman, Meissa M.
Almobarak, Ahmed O.
Awadalla, Heitham
Ahmed, Mohamed H.
author_facet Sulaiman, Amel Abdalrhim
Bushara, Sarra O.
Elmadhoun, Wadie M.
Noor, Sufian K.
Abdelkarim, Mutaz
Aldeen, Ilham Nasr
Osman, Meissa M.
Almobarak, Ahmed O.
Awadalla, Heitham
Ahmed, Mohamed H.
author_sort Sulaiman, Amel Abdalrhim
collection PubMed
description BACKGROUND: Child malnutrition is a major public health problem in developing countries. Therefore, the aim of this study was to estimate the prevalence of undernutrition among children <5 years in River Nile state (RNS) in North Sudan. SUBJECTS AND METHODS: A cross-sectional household survey was done in four localities in RNS. Using Multistage Cluster sampling, 1635 under 5 years' children had participated. Pretested questionnaire and anthropometric measures were used during data collection. The analysis was done using SPSS software program version 21 and World Health Organization (WHO) Anthro 2005 software. Indices were reported in z-scores and compared with the WHO 2005 reference population to determine the nutritional status of children. RESULTS: Among 1,447 surveyed children, the prevalence of stunting, underweight, and wasting were 42.5%, 32.7%, and 21%, respectively. Stunting was highest among the 48–60 months of age group (82.5%). Boys had poorer indicators of undernutrition in comparison to girls. Geographically stunting was more prevalent in Berber locality. Infectious diseases (gastroenteritis and respiratory symptoms) and incomplete vaccination were significantly associated with wasting (P = 0.007, P = 0.013, and P = 0.008). Poor socioeconomic status (P = 0.043), poorer household sanitation (P = 0.022), large family size, lack of family spacing, and infants weaned suddenly were regarded as risk factors for undernutrition. CONCLUSION: There was a high prevalence of undernutrition in the 4(th) and 5(th) year of life in RNS population, with significant gender imbalance. Our survey highlighted the importance of urgent need to improve child health in this region.
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spelling pubmed-59585492018-06-18 Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan Sulaiman, Amel Abdalrhim Bushara, Sarra O. Elmadhoun, Wadie M. Noor, Sufian K. Abdelkarim, Mutaz Aldeen, Ilham Nasr Osman, Meissa M. Almobarak, Ahmed O. Awadalla, Heitham Ahmed, Mohamed H. J Family Med Prim Care Original Article BACKGROUND: Child malnutrition is a major public health problem in developing countries. Therefore, the aim of this study was to estimate the prevalence of undernutrition among children <5 years in River Nile state (RNS) in North Sudan. SUBJECTS AND METHODS: A cross-sectional household survey was done in four localities in RNS. Using Multistage Cluster sampling, 1635 under 5 years' children had participated. Pretested questionnaire and anthropometric measures were used during data collection. The analysis was done using SPSS software program version 21 and World Health Organization (WHO) Anthro 2005 software. Indices were reported in z-scores and compared with the WHO 2005 reference population to determine the nutritional status of children. RESULTS: Among 1,447 surveyed children, the prevalence of stunting, underweight, and wasting were 42.5%, 32.7%, and 21%, respectively. Stunting was highest among the 48–60 months of age group (82.5%). Boys had poorer indicators of undernutrition in comparison to girls. Geographically stunting was more prevalent in Berber locality. Infectious diseases (gastroenteritis and respiratory symptoms) and incomplete vaccination were significantly associated with wasting (P = 0.007, P = 0.013, and P = 0.008). Poor socioeconomic status (P = 0.043), poorer household sanitation (P = 0.022), large family size, lack of family spacing, and infants weaned suddenly were regarded as risk factors for undernutrition. CONCLUSION: There was a high prevalence of undernutrition in the 4(th) and 5(th) year of life in RNS population, with significant gender imbalance. Our survey highlighted the importance of urgent need to improve child health in this region. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5958549/ /pubmed/29915742 http://dx.doi.org/10.4103/jfmpc.jfmpc_73_17 Text en Copyright: © 2018 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sulaiman, Amel Abdalrhim
Bushara, Sarra O.
Elmadhoun, Wadie M.
Noor, Sufian K.
Abdelkarim, Mutaz
Aldeen, Ilham Nasr
Osman, Meissa M.
Almobarak, Ahmed O.
Awadalla, Heitham
Ahmed, Mohamed H.
Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title_full Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title_fullStr Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title_full_unstemmed Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title_short Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan
title_sort prevalence and determinants of undernutrition among children under 5-year-old in rural areas: a cross-sectional survey in north sudan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958549/
https://www.ncbi.nlm.nih.gov/pubmed/29915742
http://dx.doi.org/10.4103/jfmpc.jfmpc_73_17
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