Factors Related To Malnutrition Among Children Below 5years In Rengen Health Center Iii, Kotido District

ABSTRACT

The study was carried in Rengen health center iii located in Rengen sub -county Kotido district.

The general objectives were to assess factors related to malnutrition among children under 5years in Rengen health center III. Height /length for weight, weight for age, MUAC measurements and general physical examination were used. In 40 children 32 were found to be having malnutrition. Out of 32 children majority 17 (53.1%) were between 2 and 5 years of age followed by 11 (34.4%) who were between 1 and 2 years while 4 were less than 1 year of age . In the treatment outcome, out of the 32 children enrolled in the study 8 of them were having kwashiorkor with edema and of which 6 (75%) were found edema to have subsided during follow up time whereas 2 (25%) edema were not subsided. In addition 19 children that were marusmic low weight for age, by the time of the follow up 10 (52.6%) had gained weight whereas only 9 (47.4%) had not gained weight. The findings are presented in form of bar graphs, pie charts, table and figures. Therefore, from the findings of the study it was concluded that: malnutrition among children is still high, particularly among children between 2 and 5 years and higher in males than females. The recommendation is that screening of malnutrition should be performed to identify the risk group so that proper intervention can be taken in the management by following WHO regimen. Success rate of outpatient therapeutic feeding program where “ready to use therapeutic food”

(RUTF) used, should be monitored regularly. A large multicenter study should be undertaken to determine the burden of malnutrition in the all district and speculate its risk factors, which may help to provide proper measures on how malnutrition can be prevented

TABLE OF CONTENTS

Title page

Abstract..………………………………...…………….…….…………………………………….i

Copy right……………………………………………………….……………………………......ii

Authorization.……………………..……………………..………………………………………iii

Dedication………………………………………………………………………………..……….iv

Acknowledgement.……………………………………………………………………….………v

Table of contents…………………………………………………..………………….………….vi

List of figures……………………………………………………….…………………….………x

Lists of tables……………………………………………..………….….………………………xi

List of acronyms and abbreviations………………………………………..…………….………xii

Definition of terms…………………………………………..…………………………………xiv

CHAPTER ONE:………………………………………………….………………………………1

1.0 Introduction………………………………………………….……..…………..……………...1

1.1 Background………………………………………………………….………….……………..1

1.2 Problem statement…………………………….………………………….……………………3

1.3 Purpose of the study…………………………………………………..…………….…………3

1.4 Objectives of the study……………………………………………..………………….………3

Specific objectives …...……………………….…..……..…….……………………………….…3

Research questions…………………………………………………………….…………………..3

1.5 justification…………………..……….……………………………………………………….4

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CHAPTER TWO;…………………………………………………………...…………………….6

2.0 Literature review……………………………………………………………..….……………6

2.1 introduction………………………………………………………………………..………….6

2.2 client related factors…………………………………………………………………….……6

2.3 socio-economic and health related factors………………….……………….……………..…7

2.4 preventive measures to malnutrition among children under 5years…………………………..9

CHAPTER THREE; ……………………….……………………………….……….…………..11

3.0 Methodology…………………………………………………………………..…………..…11

3.1 Introduction……………………………………………………….…………..……..………11

3.2 Research design and rationale……………………………………………….……………….11

3.3 Study setting…………………………………………………………………………………11

3.4 Study population………………………………………………..……………………………12

3.4.1 Sample size determination…………………………………………………………………12

3.4.2 Sampling procedure………………………………………………………..………………12

3.4.3 Selection criteria…………………………………………………..………………………13

Inclusion criteria……………………………………………………………………..………….13

Exclusion criteria……………………..…………………………………………………………13

3.5 study variables………………………………………………………………………………13

Dependent variables…………………………………………………………………..…………13

Independent variables…………………………………………………………..………………13

3.6 Research instruments…………………………………………….………………………...13

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3.7 Data collection procedure……………………………….…………………..………………14

3.7.1 Data management……………………………………….…………………………………15

3.7.2 Data analysis and presentation……………………………………….……………………15

Quality control techniques…………………………………….…………….…………………..15

3.8 Ethical consideration…………………………………….………….………………….……15

3.9 Anticipated study limitations…………………………………………………….………….16

3.10 Dissemination of results………………………………………..………….….……………16

CHAPTER FOUR:……………………………..………………..………….…………….……..17

Data analysis and presentation…………………………………………………………….……..17

4.0 Introduction…………………………………………………………….………………….…17

4.1 Bio-demographic data……………………………………………..…………………………17

4.2 Client related factors………………………………...……………………………………….18

4.3 The health related factors…………………………………………………………………….20

4.4 socio-economic factors………………………………………………………………………22

CHAPTER FIVE;……………………...……………..………………………………………….26

Discussions, conclusion and recommendations…………………………….……………………26

5.0 Introduction…………………………………………………………………..……..………..26

5.1 Dissemination of findings……………………………………………………..……………..26

5.1.1 Bio-demographic data…………………………………………………………...…………26

5.1.2 Client related factors……………………………………………………………………….27

5.1.3 The health related factors……………………………….………………………………….28

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