Severe Acute Malnutrition and Feeding Practice of Children Aged 6-59 Months in Pastoral Community, Afar, Ethiopia: Descriptive Cross-Sectional Study

IF 0.1 Q4 PEDIATRICS
G. F. Mulaw, B. F. Kase, Adebabay Dessie Manchilo, Bereket Lopiso Lombebo, Begna Melkamu Tollosa
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Abstract

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality among children in developing countries, including Ethiopia. Knowing the local burden of SAM has huge importance for public health interventions. Therefore this study aimed to assess the level of severe acute malnutrition and feeding practice of children aged 6–59 months in Abaa’la district, Afar, Northeast, Ethiopia. Methods: Community-based descriptive cross-sectional study was conducted on 422 mother-child pairs of children aged 6–59 months. Kebeles were selected randomly after stratifying the district in to urban and rural, and study participants were selected using a cluster sampling technique. Data were collected using an interviewer-administered questionnaire, and child nutritional status was measured using WHO Mid upper arm circumference measuring tape. Data were entered into Epi data version 3.1 and exported to SPSS version 22 for analysis. The result was presented using Descriptive statistics. Results: The prevalence of severe acute malnutrition (SAM) was found to be 4.3% (95% CI, 2.3-6.1%) and that of moderate acute malnutrition (MAM) was 21.1 %. Almost all (98.8%) of children were ever breastfed. Prelacteal feeding and bottle feeding was practiced by 31% and 33.9% of children, respectively. Only 68.5% of children were feed colostrum. Around 45.5% of children were exclusively breastfed for the first six months, and 70.4% of children wean breastfeeding before the age of two years. Conclusion: The prevalence of severe acute malnutrition in the study area was lower than the regional figures, but still, it is a public health priority. There are improper child care and feeding practices. Therefore, public health interventions that can improve those practices should be strengthened.
埃塞俄比亚阿法尔牧师社区6-59个月儿童严重急性营养不良和喂养实践:描述性横断面研究
背景:严重急性营养不良仍然是包括埃塞俄比亚在内的发展中国家儿童发病和死亡的最常见原因之一。了解SAM的地方负担对公共卫生干预具有巨大的重要性。因此,本研究旨在评估埃塞俄比亚东北部阿法尔阿巴拉区6–59个月儿童的严重急性营养不良水平和喂养习惯。方法:对422对6~59个月大的母子进行社区描述性横断面研究。Kebeles是在将地区划分为城市和农村后随机选择的,研究参与者是使用聚类抽样技术选择的。使用访谈问卷收集数据,并使用世界卫生组织上臂中围测量带测量儿童营养状况。将数据输入Epi数据3.1版,并导出到SPSS 22版进行分析。结果采用描述性统计方法。结果:严重急性营养不良(SAM)的患病率为4.3%(95%CI,2.3-6.1%),中度急性营养不良的患病率(MAM)为21.1%。几乎所有(98.8%)的儿童都曾接受过母乳喂养。分别有31%和33.9%的儿童采用了术前喂养和奶瓶喂养。只有68.5%的儿童食用了初乳。大约45.5%的儿童在前六个月完全母乳喂养,70.4%的儿童在两岁之前断奶。结论:研究地区严重急性营养不良的患病率低于地区数字,但仍然是公共卫生的优先事项。存在不适当的儿童保育和喂养做法。因此,应当加强能够改善这些做法的公共卫生干预措施。
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