Household and Community Factors Affecting Nutritional Status of Under-five Children (6-59 months) in Gairo District Using Composite Index of Anthropometric Failure

Tausi M. Mohamed, C. Nyaruhucha
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Abstract

In Tanzania, where the majority of under-five children are affected, undernutrition is still a significant public health concern. The study aimed at assessing the prevalence of undernutrition and its determinants among under-five children in Gairo District using a Composite Index of Anthropometric Failure (CIAF). A household-based cross-sectional study was employed involving 300 under-five children with their mothers/caregivers in three wards in the Gairo District. Data collection on socio-demographics, dietary diversity, and healthcare factors were collected by interviewer-based semi-structured questionnaires. Anthropometric measurements using standard procedures were performed to collect anthropometric data. Odds ratios with a 95% confidence interval and p-value ≤ 0.05 were used to identify determinants of undernutrition. Prevalence of undernutrition using CIAF was 57.3%, whereby children with single failure were 105 (61%), double failures were 62 (36%) and triple failures were 5 (2.9%). Factors that were significantly associated with undernutrition were the nearest health facility (p = 0.014; OR: 0.504 (0.291-0.873)), place of delivery (p = 0.000; OR: 0.717 (0.107-0.490)), source of drinking water (p = 0.001; OR: 0.452 (0.283-0.722)), type of latrine (p = 0.000; OR: 21.338 (9.807-46.427)), household solid waste disposal method (p = 0.012; OR: 1.806 (0.682-1.964)), birth weight (p = 0.000; OR: 5.400 (2.625-11.109) and marital status (p = 0.00; OR: 0.403 (0.240-0.676)). Therefore, nutrition intervention efforts should be given to the factors reported to positively affect undernutrition. Keywords: Undernutrition, factors, Gairo, under-five, CIAF
影响盖罗地区5岁以下儿童营养状况的家庭和社区因素(6-59个月
在坦桑尼亚,大多数五岁以下儿童都受到影响,营养不良仍然是一个重大的公共卫生问题。该研究旨在利用人体测量失败综合指数(CIAF)评估Gairo地区5岁以下儿童营养不良的发生率及其决定因素。采用了一项以家庭为基础的横断面研究,涉及盖罗区三个病房的300名五岁以下儿童及其母亲/照顾者。通过基于访谈者的半结构化问卷收集有关社会人口统计学、饮食多样性和医疗保健因素的数据。使用标准程序进行人体测量以收集人体测量数据。使用95%置信区间和p值≤0.05的优势比来确定营养不良的决定因素。使用CIAF的营养不良发生率为57.3%,其中单次失败儿童105例(61%),两次失败儿童62例(36%),三次失败儿童5例(2.9%)。与营养不良显著相关的因素是最近的卫生设施(p = 0.014;OR: 0.504(0.291-0.873)),交货地点(p = 0.000;OR: 0.717(0.107-0.490)),饮用水来源(p = 0.001;OR: 0.452(0.283-0.722)),厕所类型(p = 0.000;OR: 21.338(9.807-46.427)),生活固体废物处理方法(p = 0.012;OR: 1.806(0.682-1.964)),出生体重(p = 0.000;OR: 5.400(2.625-11.109)与婚姻状况(p = 0.00;或:0.403(0.240-0.676))。因此,营养干预工作应给予报告的积极影响营养不良的因素。关键词:营养不良,因素,Gairo, 5岁以下,CIAF
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