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Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Malnutrition: Its Impact on Attendance among Primary School 
Pupils in Kirie Division, Embu County 
Anne Muiru*, Dr. Ruth Thinguri, Amos Njagi, Catherine Wanjiku Kiarie 
School of education, Mount Kenya University, P.O Box 342, 0100 Thika, Kenya 
Corresponding Author Email account: annemuiru12@gmail.com 
Abstract 
This study seeks to evaluate the causes of malnutrition its extent and the effects it has on participation in learning 
among primary school pupils. The crucial role nutrition plays for developmental, conductive and behavioral 
outcomes in life’s early stages is often not well understood and appreciate acted upon by schools and parents. 
Kirie division is among the divisions greatly affected by irregular rain and inadequate food supplies due to 
drought. In this regards, it is necessary to evaluate the malnutrition effects on learning ability of children. 
Malnutrition is a medical condition where one is weak or ill because he/she doesn’t eat enough, or the right kind 
of food. Descriptive research design was adopted. The study covered 10 schools where class one pupils were 
obtained from each school. Five teachers and 5 parents were selected from each school. The data was collected 
by use of two questionnaires, one for the teacher and the other for the parent.an interview schedule was used for 
the pupils. Data was analyzed by use of excel programme and presented in frequency tables, bar graphs and pie 
charts. From the study, it was found that poor malnutrition had an effect on learning due to increased infections, 
diminished cognitive ability and low school attendance rate. By improving on the feeding programme, the 
learners can continue to attend school. Basic needs should also be provided for. 
Keywords: Malnutrition, Attendance 
Heading 1Background of the study 
The nutrition quality of our diet affects our wellbeing but it has greater impact on children whose bodies and 
minds are still growing. Nutritional deficiencies can seriously damage a child’s neural development, possibly 
leading to lower IQ and learning deficiencies. Studies by neuroscientists have found that low-quality nutrition 
during childhood can be detrimental to the development of cognitive capabilities, such as learning, problem 
solving and memorizing. Early malnutrition can lead to deficiencies in vision, fine motor skills, language and 
social skills as well as an array of chronic illness lasting well into adulthood. The crucial role nutrition in the 
early stages of life is not well understood and therefore not given priority. 
According to a study by the American school of health association, students who had consistently insufficient 
protein intake scored lowered on achievement tests than their classmates who had adequate nutrition. Students 
with chronic iron deficiency were more likely to suffer from attention deficit hyper activity disorder. 
Malnourished children were found to be more prone to infections and illnesses, causing them to miss school and 
lag behind in their education. 
Pediatric and pediatric dieticians have long emphasized that giving children a healthy breakfast plays an 
important role for their nutritional wellbeing. Without a boost at the beginning of the day, young brains cannot 
function well. To do its work, the brain needs a sufficient supply of healthy fats, proteins, carbohydrates, 
vitamins, minerals and water. 
1.1 Heading 2 
Problem statement 
The crucial role nutrition plays for developmental, cognitive and behavioral outcomes in early stages is often not 
well understood and appropriately acted upon by the school and parents. Kirie division is among the divisions 
greatly affected by irregular rains and inadequate food supplies due to drought. In this regard, it was necessary to 
evaluate the malnutrition effects on the attendance of learners in Kirie division Embu County. 
1.1.1 Heading 3 
Objectives 
This study was guided by the following objectives 
• To evaluate the causes of malnutrition among primary school pupils in kirie division. 
• To examine the extent to which there is malnutrition among primary schools in kirie division. 
• To assess the effectiveness of attendance among primary school pupils in Kirie division. 
79 
1.1.2 Heading 3 
Roughly 80% of Kenyans live in rural areas and makes out a living a farmers. Poor land quality and 
chronic water shortages in parts of Kenya have put the country in a constant state of food insecurity, 
(UNESCO 2005).
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
The ASAL, home to roughly 30% of the Kenyan population has suffered through the crippling social effects of 
recently intensifying droughts and food shortages. Kenyans school aged population is among the groups most 
negatively impacted. In many parts of the world, families urgently support to grow or buy a variety of foods for 
their children to survive. To effectively fight and improve the childwell-being, nutritious food must be provided. 
Galloway explains that when learners are not distracted by hunger and the extreme effects of malnutrition, they 
will be able to concentrate better, understand new material and socialize with both teachers and peers, Galloway 
(2009). 
A laboratory study that involved healthy, well-nourished school aged children found a negative effect 
of morning fasting on cognitive performance. A test of the speed and accuracy of response on problem solving 
tasks given to children who did or did not eat breakfast found that skipping breakfast had an adverse effect on 
their performance in tests, Pillotit (1991). Another study among fourth grade students found that those with least 
protein intake in their diets had the lowest achievements scores, ASFSA, (1989). 
Research Methodology 
Research Design 
This study adopted descriptive survey research designs where field studies were conducted between May to July 
2013, data was gathered to enable the researcher make conclusions. 
Target population 
This comprised of pupils from the 84 primary schools, teachers and parents in Kirie Division, Embu County. 
Sample and sampling procedure 
A sample of 150 pupils, 50 teachers and 50 parents were obtained, 15 pupils were selected for the study from 
every school using stratified sampling techniques, 5 teachers and 5 parents from every school were selected for 
the study using random sample technique. 
Research instruments 
The researcher used questionnaires for pupils and interview schedules on parents and teachers for the purpose of 
gathering data from the respondents. The questionnaires had both open and close ended questions. 
CONCLUSION AND RECOMMENDATIONS 
Based on the findings of the study, the following recommendations were made. 
In order to improve learning participation and abilities among learners, in the area of study and in areas with 
similar problem, better farming practices should be introduced in order to have better food production. 
There should be the establishment of proper and organized schools feeding program me, so that all pupils in 
primary and nursery schools are provided with the basic foods while in the school during all the school days. 
Provision of education on nutritional health is of great essence for the community of the people living in kirie 
division. Therefore there should be sensitization program me so that people can learn the necessity of proper 
nutrition. 
Training on better farming practices are also recommended so as to enable the parents to maximize on the 
available rains especially through the use of draught resistant crops. This courts increase a harvest hence curbing 
the problem of hunger, food shortage and malnutrition. 
Education on the nutritional value of locally available foods is suggested in order to provide knowledge on the 
foods that can be used to feed the community especially in arid and semiarid areas. This should help people to 
avoid and present malnutrition problem. 
References 
Bogonko, S.(1992).History of Modern Education in Kenya (1895-1991). Nairobi, Kenya: Evans Brothers 
80 
(Kenya), 1992. 
Bwonda, Eldah N. and Enos H. Njeru. (2005) Primary Education in Kenya: Access and Policy Implications, 
1989-2002. Working paper no. 62. Nairobi: Institute of Policy Analysis and Research. 
Espejo, F (2009). Home-grown School Feeding: A Framework to Link School Feeding with Local Agricultural 
Production. Rome: World Food Programme. 
Finan, T (2010). Impact Evaluation of WFP School Feeding Programmes in Kenya (1999-2008): Mixed- 
Methods Approach. Rome: World Food Programme. 
Galal, O (2005), ed. Proceedings of the International Workshop on Articulating the Impact of Nutritional 
Deficits on the Education for All Agenda. 2nd ed. Vol. 26. 
Tokyo: International Nutrition Foundation for the United Nations University. 
Galloway, R. (2009)School Feeding: Outcomes and Costs. Food and Nutrition Bulletin, 
Government of Kenya, 2003.Ministry of Education, Science, and Technology.A Policy Framework for Education, 
Training, and Research. Nairobi: Government of Kenya,
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Judith C&Clive O(2002). Learningfrom Research.Getting more from your data. Open university press. 
81 
Burkingham. Philadelphia 
Kombo K. & Tromp L. (2006) Proposal & thesis writing.An introduction.Nbi.PaulinespubAfrica 
Kothari C. (2004). Research methodology: Methods & Techniques (2nd den). India. New Delhi. New Age Int. 
.Mugenda O& Mugenda A. (2003).Research methods: Quantitative Approaches: Nairobi. Acts press. 
Parker, L. (1989).The Relationship between Nutrition and Learning: A School Employee's Guide to Information 
and Action. Washington, DC: National Education Association. ED 309 207 
Pollitt E., Gorman K, Engle P., Rivera J. &Martorell R. (1991).Nutrition in early life and the Breakfast and 
Learning in Children Page 39 fulfillment of intellectual potential. Journal of Nutrition, 125, 1111S- 
1118S. 
Regnault De La Mothe, Marc.(2008) "Kenya Case Study." Learning from Experience: Good Practices from 45 
Years of School Feeding. World Food Programme, Timothy. (2010). Impact Evaluation of WFP 
School Feeding Programmes in Kenya(1999-2008): A Mixed-Methods Approach. Rome: World Food 
Programme, . 
Notes 
Table 1 
Summary of respondents 
Targeted sample Sample size 
Pupils 150 
Parents 50 
Teachers 50 
Total 250 
A sample of 150 pupils, 50 teachers and 50 parents were obtained, 15 pupils were selected for the study from 
every school using stratified sampling techniques, 5 teachers and 5 parents from every school were selected for 
the study using random sample technique. Therefore, the summary of the respondents who participated in this 
study were as follows. 
Figure 1 
Opinion on the major causes of malnutrition in Kirie division 
The teachers who were interviewed attributed cause of malnutrition to famine while the others said that the 
major cause of malnutrition is the ignorance of the parents.This shows that that the major cause of malnutrition is 
famine in the area which can be attributed to consistent crop failure in the division.
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Table 2 
Responses on common deficiency diseases in the school 
Deficiency disease frequency 
Scurvy 9 
kwashiorkor 7 
Anemia 4 
Total 20 
The study showed that the most prevalent deficiency disease is scurvy which had a frequency of 9.kwarshiokor 
was the next common disease with a frequency of 7 followed by anemia with a frequency of 4.It can be 
concluded that the high frequency of scurvy in comparison to other diseases was due to the low crop harvest 
rates in the area, may be due to inadequate fruits and vegetables which would help to prevent the disease. 
Figure 2 
Responses on how malnutrition affects attendance of pupils. 
7 teachers attributed malnutrition effects on attendance to poor concentration due to hunger while 13 attributed it 
to absenteeism from school due to diseases. 
82
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Responses on whether the parent had any of his/her children malnourished 
Figure 3 
Responses on whether the parent had any of his/her children malnourished 
83 
18 
16 
14 
12 
10 
8 
6 
4 
2 
0 
yes No 
Figure 4.8 indicate that 18 parents out of the 30 respondents had experienced malnutrition in their children.12 
had not.This shows that malnutrition was common in the area. 
Responses on whether pupils take breakfast before going to school 
Figure 4 
Responses on whether pupils take breakfast before going to school 
Figure shows that 120 pupils, out of the interviewed 150 did not take breakfast before going to school, Only 30 
pupils took breakfast. This shows that most of the pupils went to school while hungry and this could therefore 
lower their ability to concentrate in class work.
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Responses on whether pupils carry midday snack while going to school 
Figure 5 
Responses on whether pupils carry midday snack while going to school 
Figure 4.10 shows that 97% of the pupils did not carry midday snack to eat in between the lessons. Considering 
that most of the pupils do not take breakfast, and then it means they are unable to concentrate in class due to 
hunger. 
84 
Figure 6 
Responses on why pupils miss school 
From the responses indicated in figure 4.12, most of the children miss school due to sickness. This could be due 
to increased vulnerability to diseases as a result of poor nutrition.This could be one of the effects of malnutrition 
on learners’ participation in school.
Journal of Education and Practice www.iiste.org 
ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) 
Vol.5, No.24, 2014 
Table 3 
Effect of malnutrition to the learners’ in class 
EFFECT NUMBER OF TEACHERS 
Absenteeism 12 
Lack of concentration 14 
Failure to finish homework 10 
Truancy 15 
Sleeping in class 12 
According to the results in the table above, absenteeism, lack of concentration in class, failure to finish 
classwork, truancy and sleeping in class are the major effects of malnutrition among the learners in school 
85
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Malnutrition its impact on attendance among primary school pupils in kirie division, embu county

  • 1. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Malnutrition: Its Impact on Attendance among Primary School Pupils in Kirie Division, Embu County Anne Muiru*, Dr. Ruth Thinguri, Amos Njagi, Catherine Wanjiku Kiarie School of education, Mount Kenya University, P.O Box 342, 0100 Thika, Kenya Corresponding Author Email account: annemuiru12@gmail.com Abstract This study seeks to evaluate the causes of malnutrition its extent and the effects it has on participation in learning among primary school pupils. The crucial role nutrition plays for developmental, conductive and behavioral outcomes in life’s early stages is often not well understood and appreciate acted upon by schools and parents. Kirie division is among the divisions greatly affected by irregular rain and inadequate food supplies due to drought. In this regards, it is necessary to evaluate the malnutrition effects on learning ability of children. Malnutrition is a medical condition where one is weak or ill because he/she doesn’t eat enough, or the right kind of food. Descriptive research design was adopted. The study covered 10 schools where class one pupils were obtained from each school. Five teachers and 5 parents were selected from each school. The data was collected by use of two questionnaires, one for the teacher and the other for the parent.an interview schedule was used for the pupils. Data was analyzed by use of excel programme and presented in frequency tables, bar graphs and pie charts. From the study, it was found that poor malnutrition had an effect on learning due to increased infections, diminished cognitive ability and low school attendance rate. By improving on the feeding programme, the learners can continue to attend school. Basic needs should also be provided for. Keywords: Malnutrition, Attendance Heading 1Background of the study The nutrition quality of our diet affects our wellbeing but it has greater impact on children whose bodies and minds are still growing. Nutritional deficiencies can seriously damage a child’s neural development, possibly leading to lower IQ and learning deficiencies. Studies by neuroscientists have found that low-quality nutrition during childhood can be detrimental to the development of cognitive capabilities, such as learning, problem solving and memorizing. Early malnutrition can lead to deficiencies in vision, fine motor skills, language and social skills as well as an array of chronic illness lasting well into adulthood. The crucial role nutrition in the early stages of life is not well understood and therefore not given priority. According to a study by the American school of health association, students who had consistently insufficient protein intake scored lowered on achievement tests than their classmates who had adequate nutrition. Students with chronic iron deficiency were more likely to suffer from attention deficit hyper activity disorder. Malnourished children were found to be more prone to infections and illnesses, causing them to miss school and lag behind in their education. Pediatric and pediatric dieticians have long emphasized that giving children a healthy breakfast plays an important role for their nutritional wellbeing. Without a boost at the beginning of the day, young brains cannot function well. To do its work, the brain needs a sufficient supply of healthy fats, proteins, carbohydrates, vitamins, minerals and water. 1.1 Heading 2 Problem statement The crucial role nutrition plays for developmental, cognitive and behavioral outcomes in early stages is often not well understood and appropriately acted upon by the school and parents. Kirie division is among the divisions greatly affected by irregular rains and inadequate food supplies due to drought. In this regard, it was necessary to evaluate the malnutrition effects on the attendance of learners in Kirie division Embu County. 1.1.1 Heading 3 Objectives This study was guided by the following objectives • To evaluate the causes of malnutrition among primary school pupils in kirie division. • To examine the extent to which there is malnutrition among primary schools in kirie division. • To assess the effectiveness of attendance among primary school pupils in Kirie division. 79 1.1.2 Heading 3 Roughly 80% of Kenyans live in rural areas and makes out a living a farmers. Poor land quality and chronic water shortages in parts of Kenya have put the country in a constant state of food insecurity, (UNESCO 2005).
  • 2. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 The ASAL, home to roughly 30% of the Kenyan population has suffered through the crippling social effects of recently intensifying droughts and food shortages. Kenyans school aged population is among the groups most negatively impacted. In many parts of the world, families urgently support to grow or buy a variety of foods for their children to survive. To effectively fight and improve the childwell-being, nutritious food must be provided. Galloway explains that when learners are not distracted by hunger and the extreme effects of malnutrition, they will be able to concentrate better, understand new material and socialize with both teachers and peers, Galloway (2009). A laboratory study that involved healthy, well-nourished school aged children found a negative effect of morning fasting on cognitive performance. A test of the speed and accuracy of response on problem solving tasks given to children who did or did not eat breakfast found that skipping breakfast had an adverse effect on their performance in tests, Pillotit (1991). Another study among fourth grade students found that those with least protein intake in their diets had the lowest achievements scores, ASFSA, (1989). Research Methodology Research Design This study adopted descriptive survey research designs where field studies were conducted between May to July 2013, data was gathered to enable the researcher make conclusions. Target population This comprised of pupils from the 84 primary schools, teachers and parents in Kirie Division, Embu County. Sample and sampling procedure A sample of 150 pupils, 50 teachers and 50 parents were obtained, 15 pupils were selected for the study from every school using stratified sampling techniques, 5 teachers and 5 parents from every school were selected for the study using random sample technique. Research instruments The researcher used questionnaires for pupils and interview schedules on parents and teachers for the purpose of gathering data from the respondents. The questionnaires had both open and close ended questions. CONCLUSION AND RECOMMENDATIONS Based on the findings of the study, the following recommendations were made. In order to improve learning participation and abilities among learners, in the area of study and in areas with similar problem, better farming practices should be introduced in order to have better food production. There should be the establishment of proper and organized schools feeding program me, so that all pupils in primary and nursery schools are provided with the basic foods while in the school during all the school days. Provision of education on nutritional health is of great essence for the community of the people living in kirie division. Therefore there should be sensitization program me so that people can learn the necessity of proper nutrition. Training on better farming practices are also recommended so as to enable the parents to maximize on the available rains especially through the use of draught resistant crops. This courts increase a harvest hence curbing the problem of hunger, food shortage and malnutrition. Education on the nutritional value of locally available foods is suggested in order to provide knowledge on the foods that can be used to feed the community especially in arid and semiarid areas. This should help people to avoid and present malnutrition problem. References Bogonko, S.(1992).History of Modern Education in Kenya (1895-1991). Nairobi, Kenya: Evans Brothers 80 (Kenya), 1992. Bwonda, Eldah N. and Enos H. Njeru. (2005) Primary Education in Kenya: Access and Policy Implications, 1989-2002. Working paper no. 62. Nairobi: Institute of Policy Analysis and Research. Espejo, F (2009). Home-grown School Feeding: A Framework to Link School Feeding with Local Agricultural Production. Rome: World Food Programme. Finan, T (2010). Impact Evaluation of WFP School Feeding Programmes in Kenya (1999-2008): Mixed- Methods Approach. Rome: World Food Programme. Galal, O (2005), ed. Proceedings of the International Workshop on Articulating the Impact of Nutritional Deficits on the Education for All Agenda. 2nd ed. Vol. 26. Tokyo: International Nutrition Foundation for the United Nations University. Galloway, R. (2009)School Feeding: Outcomes and Costs. Food and Nutrition Bulletin, Government of Kenya, 2003.Ministry of Education, Science, and Technology.A Policy Framework for Education, Training, and Research. Nairobi: Government of Kenya,
  • 3. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Judith C&Clive O(2002). Learningfrom Research.Getting more from your data. Open university press. 81 Burkingham. Philadelphia Kombo K. & Tromp L. (2006) Proposal & thesis writing.An introduction.Nbi.PaulinespubAfrica Kothari C. (2004). Research methodology: Methods & Techniques (2nd den). India. New Delhi. New Age Int. .Mugenda O& Mugenda A. (2003).Research methods: Quantitative Approaches: Nairobi. Acts press. Parker, L. (1989).The Relationship between Nutrition and Learning: A School Employee's Guide to Information and Action. Washington, DC: National Education Association. ED 309 207 Pollitt E., Gorman K, Engle P., Rivera J. &Martorell R. (1991).Nutrition in early life and the Breakfast and Learning in Children Page 39 fulfillment of intellectual potential. Journal of Nutrition, 125, 1111S- 1118S. Regnault De La Mothe, Marc.(2008) "Kenya Case Study." Learning from Experience: Good Practices from 45 Years of School Feeding. World Food Programme, Timothy. (2010). Impact Evaluation of WFP School Feeding Programmes in Kenya(1999-2008): A Mixed-Methods Approach. Rome: World Food Programme, . Notes Table 1 Summary of respondents Targeted sample Sample size Pupils 150 Parents 50 Teachers 50 Total 250 A sample of 150 pupils, 50 teachers and 50 parents were obtained, 15 pupils were selected for the study from every school using stratified sampling techniques, 5 teachers and 5 parents from every school were selected for the study using random sample technique. Therefore, the summary of the respondents who participated in this study were as follows. Figure 1 Opinion on the major causes of malnutrition in Kirie division The teachers who were interviewed attributed cause of malnutrition to famine while the others said that the major cause of malnutrition is the ignorance of the parents.This shows that that the major cause of malnutrition is famine in the area which can be attributed to consistent crop failure in the division.
  • 4. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Table 2 Responses on common deficiency diseases in the school Deficiency disease frequency Scurvy 9 kwashiorkor 7 Anemia 4 Total 20 The study showed that the most prevalent deficiency disease is scurvy which had a frequency of 9.kwarshiokor was the next common disease with a frequency of 7 followed by anemia with a frequency of 4.It can be concluded that the high frequency of scurvy in comparison to other diseases was due to the low crop harvest rates in the area, may be due to inadequate fruits and vegetables which would help to prevent the disease. Figure 2 Responses on how malnutrition affects attendance of pupils. 7 teachers attributed malnutrition effects on attendance to poor concentration due to hunger while 13 attributed it to absenteeism from school due to diseases. 82
  • 5. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Responses on whether the parent had any of his/her children malnourished Figure 3 Responses on whether the parent had any of his/her children malnourished 83 18 16 14 12 10 8 6 4 2 0 yes No Figure 4.8 indicate that 18 parents out of the 30 respondents had experienced malnutrition in their children.12 had not.This shows that malnutrition was common in the area. Responses on whether pupils take breakfast before going to school Figure 4 Responses on whether pupils take breakfast before going to school Figure shows that 120 pupils, out of the interviewed 150 did not take breakfast before going to school, Only 30 pupils took breakfast. This shows that most of the pupils went to school while hungry and this could therefore lower their ability to concentrate in class work.
  • 6. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Responses on whether pupils carry midday snack while going to school Figure 5 Responses on whether pupils carry midday snack while going to school Figure 4.10 shows that 97% of the pupils did not carry midday snack to eat in between the lessons. Considering that most of the pupils do not take breakfast, and then it means they are unable to concentrate in class due to hunger. 84 Figure 6 Responses on why pupils miss school From the responses indicated in figure 4.12, most of the children miss school due to sickness. This could be due to increased vulnerability to diseases as a result of poor nutrition.This could be one of the effects of malnutrition on learners’ participation in school.
  • 7. Journal of Education and Practice www.iiste.org ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.5, No.24, 2014 Table 3 Effect of malnutrition to the learners’ in class EFFECT NUMBER OF TEACHERS Absenteeism 12 Lack of concentration 14 Failure to finish homework 10 Truancy 15 Sleeping in class 12 According to the results in the table above, absenteeism, lack of concentration in class, failure to finish classwork, truancy and sleeping in class are the major effects of malnutrition among the learners in school 85
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