Prevalence and etiological factors predisposing the underfive years children to malnutrition at kome island sengerema.

Loth Joseph CUHAS/MD/4000506/T/10

Prevalence and etiological factors predisposing the underfive years children to malnutrition at kome island sengerema. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2014 - 52 Pages Includes References

Abstract:

Background: Malnutrition is a disease affecting commonly children from 0 to 5 years of age. It is a public health problem globally however the magnitude of malnutrition is higher in developing countries especially those is Sub-Saharan Africa in which Tanzania is one of them.

In Tanzania the prevalence of malnutrition in 36% with 28% mortality however in Mwanza region the prevalence of malnutrition was found to be 30%. (Ngallaba, S. E., et al. (2014). The prevalence differs from one geographical area to another. No similar study has been done in the Island of Kome.

Therefore this study was focused on Kome Island to determine the magnitude, epidemiological distribution, and etiological factors related to malnutrition.

Objective: Was to determine the magnitude of malnutrition (prevalence) and factors predisposing the under-fives to malnutrition in Kome Island Sengerema district.

Methodology: A cross sectional study was conducted in the Island of Kome Sengerema district, the study population was all under five children represented by a sample size of 300 children residents of Kome Island. The tools which were used for collecting information included questionnaires which consisted both closed and open and open ended questions also an observation check list based on the growth chart of under-five growth development in their RCH cards. For those without growth chart form, anthropometric measurement were used to estimate and categorize nutritional status. Following data collection, data entry and analysis was completed by using SPSS software version 17.0.

Results: A total of 300 under five years children were involved in a study. The prevalence of malnutrition, marasmic type was found to be 25% which is lower than the national prevalence which is 36% and even lower than the prevalence of Mwanza region which is 30%. Stunted and underweight were found to be 44.3% and 42% respectively. The prevalence of kwashiorkor in Kome Island at Nyakasasa ward is 7%.

Conclusion: These results show that malnutrition is still a serious public health problem in Kome Island and requires urgent attention. The major factors which have contributed to this are; poor knowledge on malnutrition, early initiation of complimentary feeding and early weaning. Though the prevalence might seem lower compared to the national prevalence and the prevalence of Mwanza region, out and targeted intervention programmes are long overdue.



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