American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.5, No.2, Jun. 2020, Pub. Date: Dec. 11, 2020
Prevalence of Severe Acute Malnutrition and Associated Factors Among Children Under Five Years in Umkaddada Locality, North Darfur, Sudan (2018)
Pages: 11-23 Views: 1071 Downloads: 623
Authors
[01] Ibrahim Abdallah Khatir Shaib, Al Fasheir Paediatrics Hospital, Al Fasheir, Sudan.
[02] Mohmed Musa Ali, Economic and Food Security, Al Fasheir, Sudan.
[03] Widad Elsheikh Mustafa, Faculty of Medicine, University of Bahari, Khartoum, Sudan.
Abstract
Severe Acute Malnutrition among under five is a major health problem in the developing countries, which contributes to nearly half of under five deaths, and it is wide spread in Asia; around 17 million were severely wasted which represent half of the world wasting followed by Africa which is second home to severe acute malnutrition approximately 28% of all world severe acute malnutrition (SAM). The main objective of the study was to determine the prevalence of severe acute malnutrition and risk factors associated with; in children less than five years of age in Um-kaddada locality during the period (September to October 2018). The study was across-sectional, observational and descriptive health centers and units based. A total of 522 under five children recruited in the study 195 (36.9%) were found severely malnourished. The most common risk factors associated with severe acute malnutrition was large family size (p-value=.003), child age between 12-17moths (p-value=.000), being female child (p-value=.027), child birth interval between 12-17months (p-value=.002), illness experienced by child 2 weeks prior (p-value=.034), mainly was diarrheal illness (p-value=.014), unvaccinated child (p-value =.044) and prolonged breast feeding up to 2 years of age (p-value=.002) and there were no association between severe acute malnutrition and the age, level of education, employment, antenatal care of the mother, initiation of breast feeding within first hour, exclusive breast feeding in first 6 months and introduction of food at age of 6 months of the infant life. Conclusion; the prevalence of severe acute malnutrition among under five was above extremely threshold (>15%). The major determinants of severe acute malnutrition among children below five in the area; were large family size, child age, being female child, birth interval, diarrheal illness, being not vaccinated and prolonged breast feeding. Recommendation; the government and it is partners have to co-ordinate for urgent intervention to save the life of children in; (Therapeutic Feeding Centre setting, Out Patient Department feeding program and Supplementary Feeding Program), Efforts are needed to increase the coverage rate of Expanded Program on Immunization (EPI) for at least 90% and Furthers studies with more details in this field are highly recommended.
Keywords
Prevalence, Severe Acute Malnutrition, Risk Factors, Under Five, Wasting
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