1
2
3
• Nutrition may be defined as the science of
food and its relationship to health.
• Concerned primarily with the part play...
• Malnutrition refers to insufficient, excessive,
or imbalanced consumption of nutrients.
• Child malnutrition is the most...
• Nutrition is the focal point of health and well-
being.
• Nutrition is directly linked to human resource
development, pr...
• In 2003 , 25 township of Magway region were
448 ( 0.8 % ) low birth weight children of 54828
7.7 % of malnutrition in un...
• Nutrition is one the essential factors for health.
• Nutrition problem is major public health problem
of community not o...
• Mothers education, knowledge level and feeding
practice which concerned with nutrition are very
important.
• This study ...
• General objective
–To study nutritional status of 5 - 10 years
children and knowledge and practice on
nutrition among th...
- To determine the relationship of between some
socio – demographic characteristics, nutritional
status of 5 – 10 years ch...
Socio-economic status
- Education
- Occupation
- Family income
Maternal
Knowledge
On nutrition
Environmental
Sanitation
- ...
4.1 Study design
A community based cross – sectional descriptive
study was conducted.
4.2 Study area
This study conducted ...
4.5 Sample size determination
Sample size calculated by using the following
formula.
n = p q x ( z α / d ) 2
n = 0.5 x ( 0...
• 4.6 Sampling method and procedure
• Simple random sampling method.
• children 5-10 years were obtained from the
responsi...
4.7 Data collection method and procedure
• by face to face interview with semi structured
questionnaires
• Knowledge of mo...
4.9 Data processing and analysis
• Data entry and analysis was conducted by
manually by data master sheet and Statistical
...
4.10 Ethnical considerations
• The general objective of the study, procedure
and confidentiality was explained to the stud...
We were studied the nutritional status of 5-10
years children and knowledge and practice of mothers
in rural areas in Magw...
Table ( 2 ) Frequency and percent distribution for marital
status of mothers
Table ( 3 ) Frequency and percent distributio...
Table ( 4 ) Frequency and percent distribution for occupation
group of mothers
Table ( 5 ) Frequency and percent distribut...
Table ( 6 ) Frequency and percent distribution number of
family member
Table ( 7 ) Frequency and percent distribution for ...
Table ( 8 ) Frequency and percent distribution for age of
children
Sr.
No
Age in completed
years
Frequency Percent
1 5 58 ...
Table( 9 ) Frequency and percent distribution for sex of
children
Sr.
No
Sex of children
Frequency Percent
1 Male 230 54.8...
Table ( 10 ) Frequency and percent distribution for education
level of children
Sr.
No
Edudcation level of
children
Freque...
Table ( 11 ) Frequency and percent distribution of weight for
age of children
Sr.
No
Weight for age Frequency Percent
1 No...
Table ( 12 ) Frequency and percent distribution of height for
age of children
Table ( 13 ) Frequency and percent distribut...
Table ( 14 ) Frequency and percent distribution of condition
for practice of mothers and nutritional status of their
child...
Table ( 15 ) Frequency and percent distribution of condition
for personal hygiene of mothers and their children
always som...
Table ( 16 ) Frequency and percent distribution of type of
water supply
1 Shallow well 71 16.9
2 Tube well 52 12.4
3
Publi...
Table ( 17 ) Frequency and percent distribution of type of
latrine
1 Pit latrine 36 8.6
2
Sanitary fly proof
latrine
369 8...
Table ( 18 ) Frequency and percent distribution of type of
refuse disposal
1 Dumping 10 2.4
2 Burning 163 38.8
3 Manual pi...
Table ( 19 ) Frequency and percent distribution for feeding
pattern of children per week
None 1 - 3 times 4 -7 times
1 Mea...
Table ( 20 ) Relationship between age group of mothers and
weight for age of children
Normal
weight
Mild to
moderate
malnu...
Table ( 21 ) Relationship between education group of
mothers and weight for age of children
Normal
Mild to
moderate
malnut...
Table ( 22 )Relationship between income group of mothers
and weight for age of children
Normal
Mild to
moderate
malnutriti...
Table ( 23 ) Relationship between occupation group of
mothers and weight for age of children
Normal
Mild to
moderate
malnu...
Table ( 24 ) Relationship between knowledge score group of
mother and weight for age of children
Normal
Mild to
moderate
m...
Table ( 25 ) Relationship between age group of mothers and
height for age of children
Normal Stunning
1 <= 35
157
84.4 %
2...
Table ( 26 ) Relationship between education of mothers
group and height for age of children
Normal Stunning
1 Low
88
83.8 ...
Table ( 27 ) Relationship between income group of mothers
and height for age of children
Normal Stunning
1 < 50000
111
80....
Table ( 28 ) Relationship between occupation group of
mothers and height for age of children
Normal Stunning
1 Dependence
...
Table ( 29 ) Relationship between knowledge score group of
mothers and height for age of children
Normal Stunning
1 <= 6
2...
The aim of the study was to determine the
nutritional status of ( 5 - 10 ) years children and also
knowledge and practice ...
Family type ( 70.2% ). Total number of family
member, 265 ( 63.1 % ) of the family had < 5 family
members and 155 (36.9 %)...
The study was carried out with the objectives of
nutritional status of 5 - 10 years children and practice
of their mothers...
In our study, prevalence of malnutrition among
5 - 10 years children were ( 24.3 % ) is mild to
moderate malnutrition, ( 1...
1 . Should to be raised assessment of child weight
and regular reporting for promotion of nutritional
status of children a...
4 . Should to be educated mothers finely about food
habits for change mother’s attitude, traditional
culture, and belief, ...
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Study On Nutritional Status Of 5-10 Years Childrens in Magway ,Phoe ThantZin Group's PP,University of Community Health Magway,Myanmar(Burma)

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Study On Nutritional Status Of 5-10 Years Childrens in Magway ,Phoe ThantZin Group's PP,University of Community Health Magway,Myanmar(Burma)

  1. 1. 1
  2. 2. 2
  3. 3. 3
  4. 4. • Nutrition may be defined as the science of food and its relationship to health. • Concerned primarily with the part played by nutrients in body growth. • Nutritional status is a measurement of how will the nutrients in diet are meeting the physiologic needs of human body. • About 200 million children suffer from malnutrition and 2 billion people suffer from micronutrient deficiencies. 4
  5. 5. • Malnutrition refers to insufficient, excessive, or imbalanced consumption of nutrients. • Child malnutrition is the most pressing problem of the world, damaging both children and the nations. 5
  6. 6. • Nutrition is the focal point of health and well- being. • Nutrition is directly linked to human resource development, productivity and ultimately to the national growth. • In Myanmar, the study of nutritional status among under 5 years children and knowledge, attitude and practice of their mother in Daungnay RHC in Magway region 71.7 % of mother had low knowledge 19.3 % of mothers had median knowledge 9 % of mothers had high knowledge level 6
  7. 7. • In 2003 , 25 township of Magway region were 448 ( 0.8 % ) low birth weight children of 54828 7.7 % of malnutrition in under one year children 6.7 % malnutrition in age group of 1-3 years 6.2 % malnutrition in under three years 0.5 % severe malnutrition in age of under 3 years children. 7
  8. 8. • Nutrition is one the essential factors for health. • Nutrition problem is major public health problem of community not only in Myanmar but also in the world. • Children are the future of the nation. • Therefore, child health has become a growing world wide concern. • All form of children malnutrition are closely associated with their care takers(mostly mother). 8
  9. 9. • Mothers education, knowledge level and feeding practice which concerned with nutrition are very important. • This study attempt to explore the nutritional status of children and also to estimate knowledge and practice on nutrition among their mothers in rural areas. • Information on nutritional status of children and associated factors gained from this study may be useful as an effective tool to improve the nutritional status of children. 9
  10. 10. • General objective –To study nutritional status of 5 - 10 years children and knowledge and practice on nutrition among their mothers in Magway Region, 2013. • Specific objectives –To describe socio-demographic characteristics of 5 - 10 years children and their family –To assess the nutritional status of 5 - 10 years children by measuring weight and height –To determine the knowledge and practice on nutrition among their mothers 10
  11. 11. - To determine the relationship of between some socio – demographic characteristics, nutritional status of 5 – 10 years children and the knowledge on nutrition among their mothers. 11
  12. 12. Socio-economic status - Education - Occupation - Family income Maternal Knowledge On nutrition Environmental Sanitation - water supply - refuse disposal - excreta disposal Health status of children - previous history of illness - immunization - deworming - personal hygiene Maternal practice on nutrition Nutritional status of 5-10 years old children 12
  13. 13. 4.1 Study design A community based cross – sectional descriptive study was conducted. 4.2 Study area This study conducted in Magway Region. 4.3 Study period Study period was conducted from February to March, 2013. 4.4 Study population The study population was the children age of 5- 10 years and their mothers who have been residing 13
  14. 14. 4.5 Sample size determination Sample size calculated by using the following formula. n = p q x ( z α / d ) 2 n = 0.5 x ( 0.5 ) ( 1.96 / 0.05 )2 = 384.16 ( nearly 400 ) n = minimum required sample size z = reliability coefficient ( 95 % confidence p = anticipated population ( p = 0.05 ) q = ( 1 – p ) d = required size of marginal error ( absolute precision 5 % point ) 14
  15. 15. • 4.6 Sampling method and procedure • Simple random sampling method. • children 5-10 years were obtained from the responsible midwife and to collect the children of 5- 10 years. • more than one index mother of 5 - 10 years children per household, one was selected by lottery method. • more than one illegible child per mother, mother was asked the last. 15
  16. 16. 4.7 Data collection method and procedure • by face to face interview with semi structured questionnaires • Knowledge of mothers about nutrition was assessed by scoring system. 4.8 Instruments for data collection Semi structured questionnaires was used. 16
  17. 17. 4.9 Data processing and analysis • Data entry and analysis was conducted by manually by data master sheet and Statistical Package for social science ( SPSS ) version 15.0 • Calculate frequencies and chi-square analysis. • The result was considered as statistically significant if p value ( p <0.05 ). 17
  18. 18. 4.10 Ethnical considerations • The general objective of the study, procedure and confidentiality was explained to the study participants before enrolling the, in the study. • A verbal informed consent was obtained from involved mothers. 18
  19. 19. We were studied the nutritional status of 5-10 years children and knowledge and practice of mothers in rural areas in Magway Region. We found the data about nutritional status showed by the following tables. Table ( 1 ) Frequency and percent distribution for age group of mothers Sr. No Age group of mothers Frequency Percent 1 2 =< 35 > 35 186 234 44.3 55.7 3 Total 420 100.019
  20. 20. Table ( 2 ) Frequency and percent distribution for marital status of mothers Table ( 3 ) Frequency and percent distribution for education group of mothers Sr. No Marital status Frequency Percent 1 2 3 Married Separated Divorced 411 4 5 97 1.0 1.2 4 Total 420 100.0 Sr. No Education group of mothers Frequency Percent 1 2 3 Low Medium High 105 195 120 25.0 46.4 28.6 4 Total 420 100.0 20
  21. 21. Table ( 4 ) Frequency and percent distribution for occupation group of mothers Table ( 5 ) Frequency and percent distribution for type of family Sr.No Occupation group of mothers Frequency Percent 1 dependence 149 35.5 2 farmer 150 35.7 3 non-farmer 121 28.8 4 Total 420 100 Sr. No Type of family Frequency Percent 1 nuclear family 295 70.2 2 joint/extented family 50 11.9 3 three generation family 75 17.9 4 Total 420 100 21
  22. 22. Table ( 6 ) Frequency and percent distribution number of family member Table ( 7 ) Frequency and percent distribution for income group of mothers Sr. No No. of family member Frequency Percent 1 <=5 265 63.1 2 > 5 155 36.9 3 Total 420 100 Sr. No Income group Frequency Percent 1 < 50000 138 32.9 2 50000 - 100000 233 55.5 3 > 100000 49 11.7 4 Total 420 100 22
  23. 23. Table ( 8 ) Frequency and percent distribution for age of children Sr. No Age in completed years Frequency Percent 1 5 58 13.8 2 6 89 21.2 3 7 78 18.6 4 8 73 17.4 5 9 73 17.4 6 10 49 11.7 7 Total 420 100 23
  24. 24. Table( 9 ) Frequency and percent distribution for sex of children Sr. No Sex of children Frequency Percent 1 Male 230 54.8 2 Female 190 45.2 3 Total 420 100 24
  25. 25. Table ( 10 ) Frequency and percent distribution for education level of children Sr. No Edudcation level of children Frequency Percent 1 Not attended 27 6.4 2 Grade 1 113 26.9 3 Grade 2 73 17.4 4 Grade 3 95 22.6 5 Grade 4 62 14.8 6 Grade 5 50 11.9 7 Total 420 100 25
  26. 26. Table ( 11 ) Frequency and percent distribution of weight for age of children Sr. No Weight for age Frequency Percent 1 Normal 27 61.7 2 Mild to moderate malnutrition 113 24.3 3 Severe malnutrition 73 14 4 Total 420 100 26
  27. 27. Table ( 12 ) Frequency and percent distribution of height for age of children Table ( 13 ) Frequency and percent distribution for knowledge score group of mothers Sr. No Height for age Frequency Percent 1 Normal 349 83.1 2 Stunning 71 16.9 3 Total 420 100 Sr. No knowledge score group Frequency Percent 1 <= 6 ( low ) 343 81.7 2 > 6 ( high ) 77 18.3 3 Total 420 100 27
  28. 28. Table ( 14 ) Frequency and percent distribution of condition for practice of mothers and nutritional status of their children Yes No 1 using iodized salted 243 57.9 % 177 42.1 % 420 100 % 2 Did deworming to child regularly 352 83.8 % 68 16.2 % 420 100 % 3 Feeding Vit A to child 402 95.7 % 18 4.3 % 420 100 % Sr. No Frequency Percent 28
  29. 29. Table ( 15 ) Frequency and percent distribution of condition for personal hygiene of mothers and their children always sometimes never 1 Wash child`s hand b/f meal ? 244 58.1 % 152 36.7 % 24 5.7 % 420 100 % 2 Cut the nails of child regularly ? 315 75.0 % 103 24.5 % 2 0.5 % 420 100 % 3 Child wear the shoes regularly ? 258 61.4 % 137 32.6 % 25 6.0 % 420 100 % 4 Drink boiled water ? 82 19.5 % 243 57.9 % 95 22.6 % 420 100 % 5 Wash child`s hand a/f defication regularly ? 243 57.9 % 159 37.9 % 18 4.2 % 420 100 % Practice of mothers Sr. No Percent Frequency 29
  30. 30. Table ( 16 ) Frequency and percent distribution of type of water supply 1 Shallow well 71 16.9 2 Tube well 52 12.4 3 Public water supply 297 70.7 4 Total 420 100 Type of water supply Sr. No PercentFrequency 30
  31. 31. Table ( 17 ) Frequency and percent distribution of type of latrine 1 Pit latrine 36 8.6 2 Sanitary fly proof latrine 369 87.8 3 Surface latrine 15 3.6 4 Total 420 100 Type of latrine do you use Sr. No PercentFrequency 31
  32. 32. Table ( 18 ) Frequency and percent distribution of type of refuse disposal 1 Dumping 10 2.4 2 Burning 163 38.8 3 Manual pit 247 58.8 4 Total 420 100 Type of refuse disposal do you use Sr. No PercentFrequency 32
  33. 33. Table ( 19 ) Frequency and percent distribution for feeding pattern of children per week None 1 - 3 times 4 -7 times 1 Meat 4 314 102 2 Fishes 17 256 147 3 Eggs 26 209 185 4 Wheat 333 64 23 5 Vegetables 4 40 376 Type of food Sr. No Feeding by weekly 33
  34. 34. Table ( 20 ) Relationship between age group of mothers and weight for age of children Normal weight Mild to moderate malnutrition Severe malnutritio n 1 <=35 122 65.6% 62 33.3% 2 1.1% 186 100.0% 2 >35 140 59.8% 90 38.5% 4 1.7% 234 100.0% 3 Total 262 62.4% 152 36.2% 6 1.4% 420 100.0% Age group of mothers ( years ) Sr. No Weight for age of children Total 34
  35. 35. Table ( 21 ) Relationship between education group of mothers and weight for age of children Normal Mild to moderate malnutrition Severe malnutrition 1 Low 66 65.6 % 25 23.8 % 14 13.3 % 105 100.0 % 2 Medium 112 57.4 % 53 27.2 % 30 15.4 % 159 100.0 % 3 High 81 67.5 % 24 20.0 % 15 12.5 % 120 100.0 % 4 Total 259 61.7 % 102 24.3 % 59 14.0 % 420 100 % Education group of mothers Sr. No Weight for age of children Total 35
  36. 36. Table ( 22 )Relationship between income group of mothers and weight for age of children Normal Mild to moderate malnutrition Severe malnutrition 1 < 50000 83 60.1 % 55 39.9 % 2 1.1 % 138 100.0 % 2 50000 - 100000 153 65.7 % 75 32.2 % 5 2.1 % 233 100.0 % 3 > 100000 26 53.1 % 22 44.9 % 1 2.0 % 49 100.0 % 4 Total 262 62.4 % 152 36.2 % 6 1.4 % 420 100 % Income group of mothers Sr. No Weight for age of children Total 36
  37. 37. Table ( 23 ) Relationship between occupation group of mothers and weight for age of children Normal Mild to moderate malnutrition Severe malnutrition 1 Dependence 111 74.5 % 17 11.4 % 21 14.1 % 149 100.0 % 2 Farmer 83 55.3 % 48 32.0 % 19 12.7 % 150 100.0 % 3 Non-farmer 65 53.7 % 37 30.6 % 19 15.7 % 121 100.0 % 4 Total 259 61.7 % 102 24.3 % 59 14.0 % 420 100 % Occupation group of mothers Sr. No Weight for age of children Total 37
  38. 38. Table ( 24 ) Relationship between knowledge score group of mother and weight for age of children Normal Mild to moderate malnutrition Severe malnutrition 1 <= 6 216 60.2 % 92 25.6 % 51 14.2 % 359 100.0 % 2 > 6 43 70.5 % 10 16.4 % 8 13.1 % 61 100.0 % 3 Total 259 61.7 % 102 24.3 % 59 14.0 % 420 100 % Knowledge score group of mothers Sr. No Weight for age of children Total 38
  39. 39. Table ( 25 ) Relationship between age group of mothers and height for age of children Normal Stunning 1 <= 35 157 84.4 % 29 15.6 % 186 100.0 % 2 > 35 192 82.1 % 42 17.9 % 234 100.0 % 3 Total 349 83.1 % 71 16.9 % 420 100 % Age group of mothers Sr. No Height for age of children Total 39
  40. 40. Table ( 26 ) Relationship between education of mothers group and height for age of children Normal Stunning 1 Low 88 83.8 % 17 16.2 % 105 100.0 % 2 Medium 161 82.6 % 34 17.4 % 195 100.0 % 3 High 100 83.3 % 20 16.7 % 120 100 % 4 Total 349 83.1 % 71 16.9 % 420 100 % Education group of mothers Sr. No Height for age of children Total 40
  41. 41. Table ( 27 ) Relationship between income group of mothers and height for age of children Normal Stunning 1 < 50000 111 80.4 % 27 19.6 % 138 100.0 % 2 50000 - 100000 201 86.3 % 32 13.7 % 233 100.0 % 3 > 100000 37 75.5 % 12 24.5 % 49 100 % 4 Total 349 83.1 % 71 16.9 % 420 100 % Income group of mothers Sr. No Height for age of children Total 41
  42. 42. Table ( 28 ) Relationship between occupation group of mothers and height for age of children Normal Stunning 1 Dependence 130 87.2 % 19 12.8 % 149 100.0 % 2 Farmer 127 84.7 % 23 15.3 % 150 100.0 % 3 Non - farmer 92 76.0 % 29 24.0 % 121 100 % 4 Total 349 83.1 % 71 16.9 % 420 100 % Occupation group of mothers Sr. No Height for age of children Total 42
  43. 43. Table ( 29 ) Relationship between knowledge score group of mothers and height for age of children Normal Stunning 1 <= 6 298 83.0 % 61 17.0 % 359 100.0 % 2 > 6 51 83.6 % 10 16.4 % 61 100.0 % 4 Total 349 83.1 % 71 16.9 % 420 100 % Knowledge score group of mothers Sr. No Height for age of children Total 43
  44. 44. The aim of the study was to determine the nutritional status of ( 5 - 10 ) years children and also knowledge and practice of mother concerned with nutrition. In our study , most of the care takers are the age of > 35 years ( 55.7 % ) ( 25.0 % ) of the mother were low education and ( 46.0 % ) of mothers were median education level less than 50000 kyats per month ( 32.9 %) and 50000-100000 kyats per month ( 5.5 % ) was the most 44
  45. 45. Family type ( 70.2% ). Total number of family member, 265 ( 63.1 % ) of the family had < 5 family members and 155 (36.9 %) of the family had > 5 family member. Nutrition status of children ( 14.0 % ) were severe malnutrition ( 24.3 % ) were mild to moderate malnutrition and ( 61.7 % ) were normal Normal height for age was ( 83.1 % ) and stunning was ( 16.9 % ). 45
  46. 46. The study was carried out with the objectives of nutritional status of 5 - 10 years children and practice of their mothers on nutrition. A total population of 420, 5 - 10 years children were studied on nutritional status using exploratory cross-sectional descriptive study design from 1 . 2 . 2013 to 28 . 3 . 2013 in rural areas in Magway region. The subjects were selected by the simple random sampling and weighing the children by bath room scale and asking the mothers with structured questionnaires form. 46
  47. 47. In our study, prevalence of malnutrition among 5 - 10 years children were ( 24.3 % ) is mild to moderate malnutrition, ( 14.0 % ) is severe malnutrition and ( 61.7 % ) is normal nutritional status. According to height for age of children,( 81.1 % ) were normal and ( 16.9 % ) were stunning. There is no significantly association between occupation of mothers and weight for age and height for age of children. There is no significantly association between knowledge score group of mothers and weight for age and height for age of children. 47
  48. 48. 1 . Should to be raised assessment of child weight and regular reporting for promotion of nutritional status of children and to receive early diagnosis and prompt treatment. 2 . Should to improved the educational status of mothers in rural areas in Magway region, in the provision of nutritional counseling about proper type of wearing food, malnutrition diseases, nutritive value of locally available foods. 3 . Should to be given health education to mothers about how to child care. 48
  49. 49. 4 . Should to be educated mothers finely about food habits for change mother’s attitude, traditional culture, and belief, etc. 5 . Should to be encouraged birth spacing in the family. Birth spacing may decrease family size and so may reduce malnutrition. 49
  50. 50. 50

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