STUDY ON STUNTING OF 6 TO 59 MONTHS CHILDREN AND FACTORS ASSOCIATED WITHIN AT GARDEZ CITY, PAKTIA PROVINCE OF AFGHANISTAN

Mohammad Hanif Ahmadzai, Khoshal Janatzai, Maail K Mangal
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Abstract

Introduction: Evidence about risk factors of Stunting is useful to design appropriate policies and strategies to control health problems. Objective: A cross-sectional study was conducted among children aged 6-59 months in Paktia Regional Hospital. Material and Methods: A total of 400 children were included in the study. Data were collected using a structured questionnaire and anthropometric measurement. The interview was conducted with parents/caretakers of the children to fill the questionnaire. SPSS version 25.0 statistical software was used for analysis. Cross tabulation and Logistic regression analyses were conducted to identify factors associated with the nutritional status of the children.  Results: Statistical association was declared significant if the p-value was less than 0.05.  The prevalence of Stunted was 41%. Variables; Gender, Family size, Number of children under 5, Life status of parents, Father's educational level, Mother's educational level, Annual income status, Food items do you feed to children, Awareness about weaning and supplementary food, Awareness about malnutrition, Age Weaning food should be started, Breast-feed status, period of time to feed breast, Food during Pregnancy, Status of immunity, Vaccinated during pregnancy, The age gap between babies and mothers' malnutrition (MUAC) status are statistically associated with Stunting. Height for age (stunted) is high among children aged 6–59 months in Gardez Town. Conclusion: Lack of awareness on malnutrition and child feeding, maternal nutrition status, family size, family income, and the age gap between babies are risk factors of malnutrition. Thus, therefore, the concerned bodies must design policies, which can improve the livelihood of households, works on information dissemination using mass media about malnutrition, weaning, and supplementary foods, and family planning and on meals during pregnancy.
阿富汗帕克蒂亚省加德兹市6至59个月儿童发育迟缓及其相关因素研究
关于发育迟缓危险因素的证据有助于制定控制健康问题的适当政策和战略。目的:对Paktia地区医院6-59月龄儿童进行横断面研究。材料与方法:本研究共纳入400名儿童。采用结构化问卷和人体测量法收集数据。访谈是由孩子的父母/看护人进行的,以填写问卷。采用SPSS 25.0版统计软件进行分析。通过交叉表和Logistic回归分析来确定与儿童营养状况相关的因素。结果:p值小于0.05为显著性。发育不良的患病率为41%。变量;性别、家庭规模、5岁以下儿童人数、父母生活状况、父亲受教育程度、母亲受教育程度、年收入状况、你给孩子喂的食物项目、断奶和辅食的认识、营养不良的认识、应该开始断奶的年龄、母乳喂养状况、母乳喂养的时间、怀孕期间的食物、免疫状况、怀孕期间接种疫苗、婴儿和母亲营养不良(MUAC)状况之间的年龄差距在统计上与发育迟缓有关。在加德兹镇6-59个月的儿童中,身高与年龄(发育迟缓)相当。结论:缺乏对营养不良和儿童喂养的认识、母亲营养状况、家庭规模、家庭收入、婴儿年龄差距是发生营养不良的危险因素。因此,有关机构必须制定能够改善家庭生计的政策,努力利用大众媒体传播关于营养不良、断奶和补充食品、计划生育和怀孕期间膳食的信息。
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