9 coast and jungle malnutritionPresentation Transcript
PEDRO RUIZ GALLO NATIONAL UNIVERSITY HUMAN MEDICINE FACULTY PROFFESSOR : DRA. ROSA GONZALES LLONTOPGROUP 09 STUDENTS: BALLENA RÁZURI, LUIS ANDRÉ. CORONADO VIDARTE, KRISTIAN ALBERT. DÁVILA DÍAZ, JOB JOEL. SALINAS GUTIÉRREZ , CINTHYA. SUYÓN DELGADO, ALEXANDRA. YONG CADENA, HUGO ALBERTO.
CHRONIC MALNUTRITION is an indicator of a countrys Achieve its reduction development will help to ensureThis indicator is determined by comparing the size of the girl the developmentor boy with that expected for of their age and sex. physical social In the framework of the Budget Result, chronic malnutrition is an intellectual emotionalindicator of outcome and is used to analyze the achievements Articulated Nutrition. Children
Standard Reference NCHS2 / inadequate food and nutrient intake Chronic malnutrition is the state in which girls and boys, are reflects the repeated episodes short relative to a reference cumulative of illness population effects and the interaction between them For 2007-2010 2010the national chronic By 2010 a breakdown ofmalnutrition has fallen children under five years by 4.7 percentage of age in two groups points shows that the proportion of chronic malnutrition is somewhat from 22.6 to 17.9 higher in the second age group, percent 19.4 percent versus 16.9 percent for the group of under 36 months.
GRAPHIC No. 01 PERU: RATIO UNDER 5 chronic malnutrition, STANDARDIZED REFERENCE NCHS, 2000, 2007, 2009 AND 2010
of the DHS 2007 the results DHS 2010 shows a decreaseContinuing, being much Between 2007 higher in rural areas. and 2009 chronic malnutrition in urban areas rose from 11.8 percent decreasing by 1.7 to 10.1 percent percentage points while that in rural areas decreased from 36.9 to 31, 3 percent. which means 5.6 percentage points. concerning the behavior of the socioeconomic and By natural region, shows demographic variables related the trend found in different investigations to chronic malnutrition.
is the one with of chronic 27.6 the highest malnutrition percent percentage Mountainregion 21.7 percent Jungle region which has the lowest percentage 10.3 percent Coast region
GRAPHIC No. 02 PERU: RATIO UNDER 5 chronic malnutrition, BY AREA OF RESIDENCE AND NATURAL REGION, 2007, 2009 AND 2010 Resistance Area natural region
the education of the mother Is one variable that influences the level of chronic malnutrition of childrenthe higher the educational 6.2 percent in children of mothers with higher level education of malnutrition observed smaller percentage 32 , 5 percent in those with primary education or no education.
Another variable associated TREATED WATER IS with the level of chronic malnutrition is the availabilityThe 25.3 percent of children under five years of age with chronic malnutrition consume water without treatment. Chronic malnutrition is lower 5.6when consuming water treated percent with chlorine residual meanwhile that the 19.0 percent consume boiled water, public network (17.5 and other sources (23 percent) , 5 percent)
Wealth quintile we can see that the rates of chronic in the second quintile malnutrition are high in the 21.3 percent lowest quintile (35.9 percent) corresponding to the top quintile only 2.9 per percent of children with chronic malnutrition. In girls and children under five years2010 old living in the National Program of Direct Support to the poorest TOGETHER have more than twice the which the whole rate of chronic malnutrition country (17.9 (38.0 percent) percent)
In 2007, chronicmalnutrition was 42.1 percentin 2010 reached 38.0 percent representing in thisperiod decreased 4.1 percentage points.
Chronic malnutrition departmental At the departmental Chronic malnutritionlevel, higher levels 50 of chronic malnutrition in 40 children under 30 five years are presented 20 10 Chronic M. 0 Tacna, Moquegua and Lima had the lowest levels of chronic malnutrition (2.4, 4.8 and 6.2 percent respectively).
taking into account the value of the national baseline for this indicator (22.6 percent) implemented in 2007, the Huancavelica results of the Continuous Cajamarca DHS 2010 Huánuco Apurimac Ayacucho Cuscoshow that levels of malnutrition Junín in eleven departments are for Loreto above the baseline: Pasco Ucayali Ancash Amazonas In five departments, malnutrition Meanwhile, eight San Martinlevels are below the baseline but departments that La Libertad higher than the goal to be show lower levels of Piura reached in 2011 (16.0 percent) malnutrition to 16, 0 Puno percent, which is the national goal.
Standard Reference OMS3 / Using the OMS standard In 2006, the World Health Organization, recommended a chronic malnutrition new benchmark known as affected 23.2 percent of WHO Patron children under five years old this pattern is more demanding in certain periods of growth in this would reflect a children downward trend when compared with 2007 resulting in the estimation of chronic malnutrition which recorded 28.5 percent of malnutrition chronic. using this pattern reference is greater than the estimated NCHS4 pattern.
GRAPHIC No. 03 PERU: RATIO UNDER 5 chronic malnutrition, STANDARDIZED REFERENCE WHO, 2000, 2007, 2009 AND 2010
By area of residence chronic malnutrition affected a greater proportion of girls and rural children (38.8 percent) means, 2.8 times more than in urban areas (14.1 percent) By natural region Forest region Lima metropolitan and the Sierra the rest sub-regionhas the highest proportion of (28.5 percent) has the lowest percentages chronic malnutrition (34.4 Costa, 2000, 2007, 2009 AND percent) 2010 On the other hand, chronic malnutrition (8.6 and 14.9 affected more strongly to children of mothers percent, respectively) with no education and primary level (40.4 percent)
GRAPHIC No. 04 PERU: RATIO UNDER 5 chronic malnutrition, BY AREA OF RESIDENCE AND NATURAL REGION, 2007, 2009 AND 2010
Malnutrition departmental At the departmental levelhigher levels of chronic malnutrition in using the OMS children under five years reference standard are presented Huancavelica (54.6 percent) Cajamarca (40.5 percent) Ayacucho (38.8 percent) Apurimac (38.6 percent) Huánuco (37.4 percent) Conversely, Tacna, Moquegua and Lima had the lowest levels of chronic malnutrition (3.0, 5.7 and 8.9 percent respectively).
Anemia is a condition in which blood lacks sufficient red blood cells.An iron deficiency in the daily diet is more than half the total number of cases of anemia.
HIGHLAND JUNGLE COASTSOURCE: INEI, National Populationand Family Health DHS 2007, 2009and 2010.
• Provides essential nutrients for the first 6A months of life • Immunization of different diseasesB • Its absence causes acute childhoodC malnutrition
GRAPHIC No. 01 PERU: PROPORTION OF LESS THAN SIX MONTHS Forest, 77.6 Exclusively breastfed, 2007, 2009 AND 2010 percent, has theON THE COAST highestIS A GREATER proportion in RISK FACTOR FOR contrast to thatMALNUTRITION observed in theDUE TO LACK CoastOF EXCLUSIVEBREASTFEEDIN G URBAN RURAL COAST MOUNTAIN JUNGLE S AREA OF RESIDENCE NATURAL REGION SOURCE: INEI, National Population and Family Health DHS 2007, 2009 and 2010.
PREVALENCE OF INFECTION ACUTE RESPIRATORY(IARs)
• Malnutrition decreases the bodys defensesA • Microorganisms infect the respiratory tract and the bodyB has few defenses to combat • The highest proportion of respiratory infections, is in theC jungle and in urban areas
GRAPHIC No. 02 NATIONALLY, TH PERU: PROPORTION OF CHILDREN UNDER 36 MONTHS IN TWO WEEKS E HIGHEST PROPORTION OF PRIOR TO THE IAR HAD SURVEY BY AREA OF RESIDENCE AND UNDER- NATURAL AREA, 2007, 2009 AND 2010 36 MONTHS OF AGE WITH ARF ARE PRESENTED IN DEPARTMENTS IN THE JUNGLE FROM THE COAST. URBAN RURAL COAST MOUNTAIN JUNGLE S AREA OF NATURAL RESIDENCE REGIONSOURCE: INEI, National Population and Family Health DHS 2007, 2009 and 2010.
PREVALENCE OF DIARRHEA
having three or more loose or liquiddefined by World Health stools per day, or as having more Organization stools than is normal for that person It is a common cause of death in developing countries and the second most common cause of infant deaths worldwide dehydration can cause The lossof fluids throu gh diarrhea electrolyte disturbances
In Peru the highest prevalence of diarrhea is found in Mountain Junglechildren are less in rural and exposed to coastal disease areas
1 in 1.6 childrenPeruvian children will experience an In their first 5 episode of years of life rotavirus diarrhea 1 in 9.4 will seek medical care 1 in 19.7 will require hospitalizati on 1 in 375 will die of IN A YEAR the THIS REPRESENTS APPROXIMATELY disease 384,000 cases 64,000 clinic visits 30,000 hospitalizations 1,600 deaths
40%20% Se… 0% Se…
LOW BIRTH WEIGHT
newbornsLow-birthweight weighing less are babies than 2,500 grams stunted growth children who may cognitive were born experience problems with a LBW chronic diseases in later life
IN PERU• Low-birthweight babies (% of births) was: 8.00 as• Its highest value over the past 25 of 2010 years was 12.00 in 1986• Its lowest value was 5.80 in 1995 PERU: PROPORTION OF LIVE BIRTHS IN THE LAST 5 YEARS PRIOR TO SURVEY WITH LOW BIRTH WEIGHT (<2.5 KG.), 2000, 2007, 2009 AND 2010
When comparing with the ENDES 2007 JUNGLE•The proportion of newborns with LBW increased in presents a proportion rural areas (0.9 percentage point) above the national•decreased (0.7 percentage point) in the urban average (8.8 percent) area. PERU: PERCENTAGE OF LIVE BIRTHS IN THE LAST 5 YEARS PRIOR TO SURVEY WITH LOW BIRTH WEIGHT (<2.5 KG.), AS AREA OF RESIDENCE AND NATURAL REGION 2007, 2009 AND 2010 URBAN RURAL COAST MOUNTAIN JUNGLE S AREA OF NATURAL RESIDENCE REGION
HOUSEHOLDS WITH ACCESS TO TREATED WATER
Water has a close relationship with the life of the People.It is an essential agent or health disease.
Nationally, nine out of ten households (91.5 percent) have access to safe water. SOURCE: INEI, National Population and Family Health DHS 2000, 2007, 2009 and 2010. According natural region, the proportion of households with access to water in the forest region is 75.3 percent.