American Journal of Public Health Research
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American Journal of Public Health Research. 2021, 9(2), 71-80
DOI: 10.12691/ajphr-9-2-5
Open AccessArticle

Prevalence and Risk Factors of Malnutrition in Children Zero-Five Years in Tole Health Area, South West Region of Cameroon

Agbor Evon Njigang1, 2, , Irene U.N. Sumbele2, Nkweleko Fankam Falone1, 3, Kah Emmanuel1, 4 and Roland N. Ndip2

1Epidemiology and Control of Infectious Diseases, Department of Microbiology and Parasitology, University of Buea, Cameroon

2Department of Microbiology and Parasitology, University of Buea, Buea 63, Cameroon

3Department of Microbiology and Parasitology, University of Buea, Buea 63, Cameroon;School of Education, Health and Social Studies, Dalarna University, Falun, Sweden

4Department of Microbiology and Parasitology, University of Buea, Buea 63, Cameroon;Department of Public Health and Hygiene, University of Buea, Buea 63, Cameroon

Pub. Date: March 07, 2021

Cite this paper:
Agbor Evon Njigang, Irene U.N. Sumbele, Nkweleko Fankam Falone, Kah Emmanuel and Roland N. Ndip. Prevalence and Risk Factors of Malnutrition in Children Zero-Five Years in Tole Health Area, South West Region of Cameroon. American Journal of Public Health Research. 2021; 9(2):71-80. doi: 10.12691/ajphr-9-2-5

Abstract

Childhood malnutrition is a multi-dimensional problem, and it adversely affects the productivity of nations as well as creating economic and social challenges among vulnerable groups. It remains a major challenge to public health in developing countries and Cameroon is not an exception. The aim of this study was to assess the prevalence of malnutrition in children 0-5years and contributing factors in the Tole health area. A cross-sectional study was carried out in eight quarters in Tole including 301parent/ children. Data was collected through the administration of questionnaire to children’s parents/caregivers to obtain socio-demographic and socio-economic information. In addition, measurement of anthropometric indices such as weight, height, and mid upper arm circumference (MUAC) were obtained. Data was entered into excel version 13 and analyzed using SPSS 22. Descriptive analysis was carried out to investigate the spread of scores. A chi square test was carried out to test for an association between sociodemographic/ socioeconomic characteristics and nutritional status of children. The Odds Ratio was used to measure the strength of association between potential predictive factors and nutritional status with significant levels measured at 95 % confidence interval (CI) and significant differences set at P<0.05. Interpretation was done using Z-scores (mild malnutrition≤1SD, moderate malnutrition≤2SD and severe malnutrition≤3SD). The overall prevalence of malnutrition was 36.5% with Stunting being the most common form of malnutrition (20.9%), underweight (8.6%) of the children and wasting (7%). Risk factors associated with malnutrition were age more than12 years (p= 0.030), lack of vaccination (p=0.028), poor feeding habits (p=0.041), household size (p=0.023). This study showed a high prevalence of malnutrition in the Tole health area among children below 5years.Nutrition education, especially to mothers and integration of activities in all health units and communities will go a long way to fight malnutrition.

Keywords:
malnutrition risk factors prevalence childhood children 0-5 years Cameroon

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References:

[1]  UNICEF. (2015). Improving child nutrition: the achievable imperative for global progress.
 
[2]  Leroy, J.L., Ruel, M., Habicht, J.P., and Frongillo, E., A (2014). Linear growth deficit continues to accumulate beyond the first 1000 days in low – and middle countries. Global evidence from 51 national surveys. The Journal of Nutrition, 144(9):1460.
 
[3]  Onis, M., Branca, F. (2016). Childhood stunting: A global perspective. Maternal and Child Nutrition. 12(S1):12-26.
 
[4]  Black, R.E., Victora ,C.G., Walker, S.P., Bhutta, Z.A., Christian, P. and De Onis, M. (2013). Maternal and child under nutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890): 427-451.
 
[5]  World Health Organisatio (2015). Guilding principles on the management of severe acute malnutrition.
 
[6]  World Health Organization (2010). World Health Statistics Report.
 
[7]  United Nation (2015). Millennium Development Goal Report.
 
[8]  Mustapha, R.A., Sanusi, R.A.(2013). Overweight and Obesity among In-school Adolescents in Ondo State, South west Nigeria. African Journal Biomedical. Res. 16:
 
[9]  Nde Fon, P., Shu, B.D., Assob, J.C.N., Kamga, H.L.F., and Koki Ndobo, P. (2014). Prevalence and determinants of Malnutrition among children consulting at the Buea Regional Hospital, South- West Cameroon. Scientific Journal of Medical Science. 3(7): 341-342.
 
[10]  WORLD HEALTH ORGANIZATION (WHO). 2009. Interventions on diet and physical activity: what works? Geneva.
 
[11]  WORLD HEALTH ORGANIZATION (WHO). 2004. WHO global database on child growth and malnutrition. World Health Organization/Programme of Nutrition. Available at: <http://www.who.int/nutgrowthdb/en/>. Accessed 01/11/2004.
 
[12]  WORLD HEALTH ORGANIZATION (WHO). 2007. WHO Child Growth Standards: Length/height-for-age, Weight-for-age, Weight-for-length, Weight-forheight and Body mass index-for-age: Methods and Development. www.savethechildren.org/.../Acute-Malnutrition-Summary-Sheet.pdf.
 
[13]  Nkuo-Akenji, T.K., Sumbele, I., Mankah, E.N., Njunda, A.L., Samje, M. and Kamga, L., (2008). The burden of malaria and malnutrition among children less than 14 years of age in a rural village of Cameroon. African Journal of Food, Agriculture, Nutrition and Development, 8(3):253-256.
 
[14]  Sumbele, I.U.N., Bopda, O.S.M., Kimbi, H.K., Ning, T.R. and Nkuo-Akenji, T., (2015). Nutritional status of children in a malaria meso endemic area: cross sectional study on prevalence, intensity, predictors, and influence on malaria parasitaemia and anaemia severity. BMC public health, 15(1): 1099.
 
[15]  Alasfoor, D., Elsayed, M., Al-Qasmi, A., Malankar, P., Sheth, M., Prakash, N. (2007). Protein-energy malnutrition among preschool children in Oman: Results of a national survey. Eastern Mediterranean health journal. La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ. 13. 1022-30.
 
[16]  Genebo, T and Girma, W. (2002). Determinants of Nutritional Status of Women and Children in Ethiopia. Calverton, Maryland, USA: ORC Macro.
 
[17]  Sebanjo, I.O., Oshikoya, K.A., Odusanya, O.O., Njokanma, O.F. (2011). Prevalence and Risk Factors for Stunting among School Children and Adolescents in Abeokuta, Southwest Nigeria. Journal of Health, Population and Nutrition. 29(4): 364-70.
 
[18]  Olack, B., Burke, H., Cosmas, L., Bamrah, S., Dooling, K., Feikin, D.R., (2011). Nutritional status of under-five children living in an informal urban settlement in Nairobi, Kenya. Jornal of Health Popul. Nutrition. 29(4): 357-61.
 
[19]  Irena AH, Mwambazi M, Mulenga V. Diarrhea is a major killer of children with severe acute malnutrition admitted to inpatient set-up in Lusaka. Zambia Nutr J. 2011; 10: 110-5.
 
[20]  Jobiba C, Andrew T, Theresa B, Catherine M, Pamela F. (2008). The impact of HIV on mortality during in-patient rehabilitation of severely malnourished children in Malawi. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102 639-644.
 
[21]  Mogre, V., Kanyiri, G. and Abukari, R. N. (2013).Overweight, Obesity and Thinness Associated f actors among school aged children (5-14) in Tamale, Northern Ghana. European Scientific Journal; 9(20): 160-17.
 
[22]  Schultz R. (2012). Prevalence of overweight and obesity among children in remote Aboriginal communities in Central Australia. Rural Remote Health. 12:1872.
 
[23]  Ahmed, M.M., Hokororo, A., Kidenya, B.R., Kabyemera, R. and Kamugisha, E., (2016). Prevalence of under nutrition and risk factor of severe under nutrition among children admitted at Bugando Medical Centre in Mwanza, Tanzania. BMC Nutritional Journal, 2(1): 49.
 
[24]  Kandala, N.B., Madungu, T.P., Emina, J.B., Nzita, K.P. and Cappuccio, F.P. (2011). Malnutrition among children under the age of five in the Democratic Republic of Congo.BMC Public Health, 11(1): 261.
 
[25]  Kanjilal, B., Mazumdar, P.G., Mukherjee, M. and Rahman, M.H., (2010). Nutritional status of children in India: household socio-economic condition as the contextual determinant. International Journal for Equity in Health, 9(1):19.
 
[26]  Chigali, L, M., and Thandi, p. (2005). Factors Associated with nutritional status of childrenaged Six to Fifty Nine months in Livingstone, Zambia. Factors associated with nutritional status of children aged six ... (uwc.ac.za).