International Journal of Clinical Nutrition
ISSN (Print): 2376-1385 ISSN (Online): 2376-1393 Website: http://www.sciepub.com/journal/ijcn Editor-in-chief: Apply for this position
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International Journal of Clinical Nutrition. 2016, 4(1), 7-11
DOI: 10.12691/ijcn-4-1-2
Open AccessArticle

Assessment of Childhood Nutritional Status: Findings from a Health and Demographic Surveillance System

Adeola Alabi1, Macellina Yinyinade Ijadunola1, Olatunji Alabi2, , Adedeji Onayade1 and Olufemi Aluko1

1Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria

2Department of Demography and Social Statistics, Federal University, Birnin Kebbi, Kebbi State, Nigeria

Pub. Date: May 10, 2016

Cite this paper:
Adeola Alabi, Macellina Yinyinade Ijadunola, Olatunji Alabi, Adedeji Onayade and Olufemi Aluko. Assessment of Childhood Nutritional Status: Findings from a Health and Demographic Surveillance System. International Journal of Clinical Nutrition. 2016; 4(1):7-11. doi: 10.12691/ijcn-4-1-2

Abstract

Background: Globally, malnutrition is a major public health concern. Malnutrition, mostly resulting from poor dietary choices is related to physiological, socioeconomic and psychological factors and remains one of the leading causes of under-five mortality (U5M) in developing countries. Interventions aimed at addressing the high prevalence of malnutrition in most developing countries is hampered by paucity of data on its prevalence and thus, most countries do not accord malnutrition especially among children under-five (under-5) years the required urgent attention. The study therefore assessed the nutritional status of under-five children in Zamfara State, northwest Nigeria. Methods: Households with children under-5 registered within the Nahuche Health and Demographic Surveillance System (Nahuche HDSS) were identified from the centre’s database. Nutritional status of 397 children under-5 were assessed from three out of the six districts under the demographic surveillance area (DSA) using anthropometric indices. The anthropometric measurements (z-scores) were calculated for height-for-age (HAZ), weight-for-height (WHZ) and weight-for-age (WAZ) using the Emergency Nutrition Assessment (ENA) for SMART Software. The nutritional status of children under-5 in the DSA was compared with new growth standards published by World Health Organisation (WHO) in 2006. Results: Results show that malnutrition was prevalent, with 70% (n=397) of the under-5 stunted, 15% (n=292) wasted and 37% (n=397) underweight. About half of the stunted children, were severely stunted while almost a quarter (23.9%) of the underweight children, were severely underweight. Conclusion: The study provided evidence of high malnutrition among under-five children in the study area and thus, emphasized the need for multidimensional and multisectoral intervention aimed at addressing prevalence of high malnutrition. This can be achieved through strategic advocacy to policy level stakeholders, promotion of maternal and child health (MCH) services and integrated health promotion focusing on caregivers of children under-5.

Keywords:
nutritional status under-5 maternal and child health malnutrition demographic surveillance INDEPTH Network Nigeria

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Akinyemi, O. And Ibraheem, A.G. Assessment of Nutritional status of Queens College Students of Lagos State, Nigeria. Pakistan Journal of Nutrition, 2009; 8:937-939.
 
[2]  Ahmad, O. B., Lopez, A. D., Inoue M.,: The decline in child mortality: A reappraisal. Bull World Health Organization. 2000; 78(10): 1175-1191.
 
[3]  World Health Organization (WHO). The World Health Report 2003: Shaping the Future. Geneva. 2003a. Available at: http://www.who.int/whr/2003/en/whr03_en.pdf (Accessed May 2012).
 
[4]  World Health Organisation (WHO). Global Strategy for Infant and Young Child Feeding. World Health Organization. 2003b.
 
[5]  UNICEF.The State of the World’s Children. New York Times. May, 2, 2006. Available at: http://www.unicef.org/sow06.
 
[6]  NPC, ICF International. Nigeria 2013 Demographic and Health Survey. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International. 2014.
 
[7]  Ehikioya, A., Adanikin, O. The report, ‘11 million Nigerian children are malnourished’. 2012. Available and retrieved from A life free from hunger website: http://www.A life free from hungerinternational.org/url.cfm. (Accessed 6/7/2012).
 
[8]  Cameron, M., and Hofvander Y.,: Manual on Feeding Infants and Young Children. New York: Oxford university press. 1983
 
[9]  Omobuwa, O. Nutrition Status and Health Care Services Utilization by Children of Non- Indigenous and Indigenous Dwellers in Ile-Ife, Nigeria. (Unpublished MPH Thesis). October, 2010.
 
[10]  Jeffrey, T. Diet and Nutritional practices. Aug 11, 2011. Available at: http://www.livestrong.com/article/357533-diet-nutritional-practices/ (Accessed 23/01/2016).
 
[11]  Madoka Inoue. Breastfeeding and perceptions of breast shape changes in Australian and Japanese women. 2012.
 
[12]  Ebiloma, I. P. "STUDY OF MALNUTRITION AMONG CHILDREN VISITING HOSPITALS IN NORTH-WESTERN NIGERIA." (2013). Journal of Science & Multidisciplinary Research Vol. 2(1), pp29-33. Available at: http://irjset.com/attachments/article/44/IRJSET%202013-Ebiloma.pdf (Accessed 29/04/2016).
 
[13]  Alabi, O., Doctor, H.V., AbdulAzeez Jumare, Nasiru Sahabi, Ahmad Abdulwahab, Sally E. Findley and Sani D. Abubakar. “Profile: The Nahuche Health and Demographic Surveillance System- Northern Nigeria [Nahuche HDSS]”. International Journal of Epidemiology. 2014.
 
[14]  Abramson J.H, Gahhinger P.M. Computer Program for Epidemiologists (PEPI) version 3.01. LIanidloes, Powys, Wales Brixton Books: 1999.
 
[15]  NPC, ICF Macro. Nigeria 2008 Demographic and Health Survey. Abuja, Nigeria: National Popoulation Commission and ICFMacro. 2009.
 
[16]  Adelekan,D.A., Fatusi, A.O., Fakunle, J.B., Olotu, C.T., Olukoga, I.A., Jinadu, M.K., et al. “Prevalence of malnutrition and vitamin A deficiency in Nigerian preschool children subsisting on high intakes of carotenes.” Nutrition and health; 12(1): 17-24. 1997.
 
[17]  Ekpo, UF., Omotayo, AM, Dipeolu, MA. “Prevalence of malnutrition among settled pastoral Fulani children in southwest Nigeria.” BMC Research Notes 1, no 1 (2008): 7.