Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums

David Omondi Okeyo; Peter Kirabira

doi:doi:10.11648/j.sjph.20160403.26

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Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums

David Omondi Okeyo, Peter Kirabira

Published in Science Journal of Public Health (Volume 4, Issue 3)

Received: 1 May 2016 Accepted: 11 May 2016 Published: 27 May 2016

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Abstract

Malnutrition remains a major proxy determinant of child mortality common among under five children and account for about one-third of malnourished cases worldwide. This chronic condition is a severe public health problem in sub-Saharan Africa that requires continuous critical attention. This study explored maternal sensitive factors that are important in the etiology of malnutrition with urban slum setting. The study was conducted among 400 eligible households systematically samples at random. Analysis was based hierarchical regression with principal axis factoring for selective variables. Psychosocial indicators did not have any observable association with nutritional status. Seeking immediate medical attention from the nearest health facility (HSB-1) and Average duration of introducing a child to the first liguid in hours (FP-4) significantly reduced stunting. Clean my hands with running water and soap before feeding a child (FHP-1) significantly reduced stunting among other indicators. HSB-1 somehow increased stunting. Wasting was significantly reduced by HSB-1 but increased by consulting a private doctor to examine a child (HSB-3). Underweight had no association at all with all indicators of maternal factors except at crude odds ratio level where FHP-1and HSB-1 were somewhat associated with underweight. In conclusion, this study revealed that food hygiene practice, health seeking behavior and feeding practice were all significant associates of stunting (p<0.05). Wasting was only associated with health seeking behaviour (p<0.05) while underweight had association with food hygiene practice and health seeking behaviour (p<0.05). However, it is noted that in these factor domains only selected indicator measures exhibited significant associations.

Published in	Science Journal of Public Health (Volume 4, Issue 3)
DOI	10.11648/j.sjph.20160403.26
Page(s)	265-270
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Maternal, Malnutrition, Nutritional Status, Children Under Five, Slums

References

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[5]	Dornelles, T. L. C., Jefferson, P. P., & Paulo, J. C. M. (2007). Nutritional Status, Breastfeeding, and Evolution of Infants with Acute Viral Bronchiolitis. Journal of Health Population and Nutrition 25 (3), 336-343.
[6]	Chakrabarty, S., Ghosh, R., & Bharati, P. (2005). Breastfeeding practices and Nutritional Status of Preschool Children among the Shabar Tribal Community in Orissa, India. Paper presented at the Proceedings of National Symposium on Tribal Health.
[7]	Mahgoub, S. E. O., Nnyepi, M. & Bandeke, T. (2006). Factors affecting prevalence of malnutrition among children under three years of age in Botswana. African Journal of Food and Development, 6: 1-15.
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[9]	Kerr, M., Bogues, J. & Kerr, D. (1978). Psychosocial functioning of mothers of malnourished children. Pediatrics; 62: 77884.
[10]	Graves, P. (1976). Nutrition, infant behavior, and maternal characteristics: a pilot study in West Bengal, India. American Journal of Clinical Nutrition; 29: 305-309.
[11]	Valenzuela, M (1990). Attachment in chronically WAZ young children. Child Development; 61: 1984-96.
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[13]	Takanashi, K., Chonan, Y., Quyen, D. T., Khan, N. C., Poudel, K. C., and Jimba, M (2009). Survey of Food-hygiene practices at home and childhood diarrhoea in Hanoi, Viet Nam. Journal of Health Population and Nutrition; 27 (5): 602–611.
[14]	Rina, A., Tirta, P. S., Soemilah, S., Ingeborg, M. J. Edith, J. M. F. & Frans. J. K. (2013). Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas; BMC Public Health, 13: 977.
[15]	Ejemot, R. I., Ehiri, J. E., Meremikwu, M. M., & Critchley, J. A (2008). Hand washing for preventing diarrhoea. Cochrane Database Systems Review 1, CD004265.
[16]	Rahman, S. A. (2000). Utilization of Primary Health Care Services in Rural Bangladesh: the population and provider perspectives Unpublished PhD Thesis, London School of Hygiene and Tropical Medicine, University of London.
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APA Style

David Omondi Okeyo, Peter Kirabira. (2016). Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Science Journal of Public Health, 4(3), 265-270. https://doi.org/10.11648/j.sjph.20160403.26

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David Omondi Okeyo; Peter Kirabira. Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Sci. J. Public Health 2016, 4(3), 265-270. doi: 10.11648/j.sjph.20160403.26

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AMA Style

David Omondi Okeyo, Peter Kirabira. Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Sci J Public Health. 2016;4(3):265-270. doi: 10.11648/j.sjph.20160403.26

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@article{10.11648/j.sjph.20160403.26,
  author = {David Omondi Okeyo and Peter Kirabira},
  title = {Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums},
  journal = {Science Journal of Public Health},
  volume = {4},
  number = {3},
  pages = {265-270},
  doi = {10.11648/j.sjph.20160403.26},
  url = {https://doi.org/10.11648/j.sjph.20160403.26},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160403.26},
  abstract = {Malnutrition remains a major proxy determinant of child mortality common among under five children and account for about one-third of malnourished cases worldwide. This chronic condition is a severe public health problem in sub-Saharan Africa that requires continuous critical attention. This study explored maternal sensitive factors that are important in the etiology of malnutrition with urban slum setting. The study was conducted among 400 eligible households systematically samples at random. Analysis was based hierarchical regression with principal axis factoring for selective variables. Psychosocial indicators did not have any observable association with nutritional status. Seeking immediate medical attention from the nearest health facility (HSB-1) and Average duration of introducing a child to the first liguid in hours (FP-4) significantly reduced stunting. Clean my hands with running water and soap before feeding a child (FHP-1) significantly reduced stunting among other indicators. HSB-1 somehow increased stunting. Wasting was significantly reduced by HSB-1 but increased by consulting a private doctor to examine a child (HSB-3). Underweight had no association at all with all indicators of maternal factors except at crude odds ratio level where FHP-1and HSB-1 were somewhat associated with underweight. In conclusion, this study revealed that food hygiene practice, health seeking behavior and feeding practice were all significant associates of stunting (p<0.05). Wasting was only associated with health seeking behaviour (p<0.05) while underweight had association with food hygiene practice and health seeking behaviour (p<0.05). However, it is noted that in these factor domains only selected indicator measures exhibited significant associations.},
 year = {2016}
}

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TY - JOUR
T1 - Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums
AU - David Omondi Okeyo
AU - Peter Kirabira
Y1 - 2016/05/27
PY - 2016
N1 - https://doi.org/10.11648/j.sjph.20160403.26
DO - 10.11648/j.sjph.20160403.26
T2 - Science Journal of Public Health
JF - Science Journal of Public Health
JO - Science Journal of Public Health
SP - 265
EP - 270
PB - Science Publishing Group
SN - 2328-7950
UR - https://doi.org/10.11648/j.sjph.20160403.26
AB - Malnutrition remains a major proxy determinant of child mortality common among under five children and account for about one-third of malnourished cases worldwide. This chronic condition is a severe public health problem in sub-Saharan Africa that requires continuous critical attention. This study explored maternal sensitive factors that are important in the etiology of malnutrition with urban slum setting. The study was conducted among 400 eligible households systematically samples at random. Analysis was based hierarchical regression with principal axis factoring for selective variables. Psychosocial indicators did not have any observable association with nutritional status. Seeking immediate medical attention from the nearest health facility (HSB-1) and Average duration of introducing a child to the first liguid in hours (FP-4) significantly reduced stunting. Clean my hands with running water and soap before feeding a child (FHP-1) significantly reduced stunting among other indicators. HSB-1 somehow increased stunting. Wasting was significantly reduced by HSB-1 but increased by consulting a private doctor to examine a child (HSB-3). Underweight had no association at all with all indicators of maternal factors except at crude odds ratio level where FHP-1and HSB-1 were somewhat associated with underweight. In conclusion, this study revealed that food hygiene practice, health seeking behavior and feeding practice were all significant associates of stunting (p<0.05). Wasting was only associated with health seeking behaviour (p<0.05) while underweight had association with food hygiene practice and health seeking behaviour (p<0.05). However, it is noted that in these factor domains only selected indicator measures exhibited significant associations.
VL - 4
IS - 3
ER -

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Author Information

David Omondi Okeyo

School of Public Health, Department of Nutrition and Health, Maseno University, Maseno Township, Kenya
Peter Kirabira

Institute of Public Health and Management, International Health Sciences University, Kampala, Uganda

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APA Style

David Omondi Okeyo, Peter Kirabira. (2016). Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Science Journal of Public Health, 4(3), 265-270. https://doi.org/10.11648/j.sjph.20160403.26

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ACS Style

David Omondi Okeyo; Peter Kirabira. Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Sci. J. Public Health 2016, 4(3), 265-270. doi: 10.11648/j.sjph.20160403.26

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AMA Style

David Omondi Okeyo, Peter Kirabira. Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums. Sci J Public Health. 2016;4(3):265-270. doi: 10.11648/j.sjph.20160403.26

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@article{10.11648/j.sjph.20160403.26,
  author = {David Omondi Okeyo and Peter Kirabira},
  title = {Maternal Sensitive Determinants of Nutritional Status Among Children Below Five Years in Obunga Slums},
  journal = {Science Journal of Public Health},
  volume = {4},
  number = {3},
  pages = {265-270},
  doi = {10.11648/j.sjph.20160403.26},
  url = {https://doi.org/10.11648/j.sjph.20160403.26},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160403.26},
  abstract = {Malnutrition remains a major proxy determinant of child mortality common among under five children and account for about one-third of malnourished cases worldwide. This chronic condition is a severe public health problem in sub-Saharan Africa that requires continuous critical attention. This study explored maternal sensitive factors that are important in the etiology of malnutrition with urban slum setting. The study was conducted among 400 eligible households systematically samples at random. Analysis was based hierarchical regression with principal axis factoring for selective variables. Psychosocial indicators did not have any observable association with nutritional status. Seeking immediate medical attention from the nearest health facility (HSB-1) and Average duration of introducing a child to the first liguid in hours (FP-4) significantly reduced stunting. Clean my hands with running water and soap before feeding a child (FHP-1) significantly reduced stunting among other indicators. HSB-1 somehow increased stunting. Wasting was significantly reduced by HSB-1 but increased by consulting a private doctor to examine a child (HSB-3). Underweight had no association at all with all indicators of maternal factors except at crude odds ratio level where FHP-1and HSB-1 were somewhat associated with underweight. In conclusion, this study revealed that food hygiene practice, health seeking behavior and feeding practice were all significant associates of stunting (p<0.05). Wasting was only associated with health seeking behaviour (p<0.05) while underweight had association with food hygiene practice and health seeking behaviour (p<0.05). However, it is noted that in these factor domains only selected indicator measures exhibited significant associations.},
 year = {2016}
}

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