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Volume 06 Issue 12 December 2023

Nutrition Status and Selected Factors Associated with Malnutrition of Children between 2-5 Years of Age in Medical Officer of Health Area Attanagalla, Sri Lanka
1D M J B Dissanayake, 2G P Nilanthi Pathirana, 3K R Avanthi Rupasinghe
1Medical Superintendent of Base Hospital Hingurakgoda
2,3Acting Consultant in Medical Administration, Ministry of Health Sri Lanka
DOI : https://doi.org/10.47191/ijmra/v6-i12-18

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ABSTRACT:

Gampaha district is the second most populous district of Sri Lanka and prevalence of stunting, wasting and underweight among 2 to 5 years old children has been on average, at a level higher than 10%. This study aims to describe the nutrition status and selected factors associated with malnutrition of children of 2 to5 years of age, in the Medical Officer of Health Attanagalla area in Sri Lanka. A community based cross sectional study was carried out in all fifty Public Health Midwife areas in Attanagalla, Gampaha district from January to March 2014 among 455 children, within the age category of 2 to 5 years. Interviewer administered, pre tested and structured questionnaire was used by five trained data collectors, to obtain data from the mothers or female guardians of the children. Results show that among the children prevalence of stunting (16.3%), wasting (9.5%) and underweight (18.7%) were identified based on anthropometric measurements. All three nutritional indices were high among male children (P>0.05) and children within the age categories of 36-47 months and 48-59 months were more susceptible (Df=2, P>0.05). Higher level of education (Df=1, P<0.01), both parents being employed and high income had a positive impact on the reduction of the three indices. Breast feeding only during the first six months and adopting complimentary feeding during the first six months since birth, had a significant (P<0.05) impact. Lack of knowledge on proper feeding practices during a child’s illness and unsafe drinking water (P<0.01), were other key concerns. Implementing community empowering and educational programmes are recommended in reducing malnutrition in the Medical Officer of Health Attanagalla area in Sri Lanka.

KEYWORDS:

children, malnutrition, stunting, underweight, wasting

REFERENCES
1) Cattaneo, A, et al.Child nutrition in countries of the Commonwealth of Independent States: time to redirect strategies? 12, 2008, Vol. 11. 1209–1219. doi:10.1017/S136898000800326.

2) World Health Organization, WHO Annual Report 2009. s.l. : WHO, 2009.

3) Jayatissa, R. Nutrition and Food Security Assessment in Sri Lanka - 2009,. 2010.

4) Family Health Bureau . Family Health Bureau Report. Colombo : Family Health Bureau , Ministry of Health, Sri Lanka, 2013.

5) Medical Statistics Unit, Ministry of Health, Nutrition and Indigenous Medicine. ANNUAL HEALTH STATISTICS, 2016. Colombo : Medical Statistics Unit, Ministry of Health, Nutrition and Indigenous Medicine, 2018.

6) Garenne, M, Maire, B and Fontaine, O.Adequacy of child anthropometric indicators for measuring nutritional stress at population level. 9, 2012, Vol. 16. 1533–1539. doi:10.1017/S136898001200448X.

7) Senanayake, H, et al. Achieving Millennium Development Goals 4 and 5 in Sri Lanka. 2011. 78–87. doi:10.1111/j.1471-0528.2011.03115.x.
Volume 06 Issue 12 December 2023

There is an Open Access article, distributed under the term of the Creative Commons Attribution – Non Commercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/), which permits remixing, adapting and building upon the work for non-commercial use, provided the original work is properly cited.


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