Suchergebnisse

BACKGROUND: Malnutrition was the main cause of death among children below 5 years in every state of India in 2017. Despite several flagship programmes and schemes implemented by the Government of India, the latest edition of the Global Nutrition Report 2018 addressed that India tops in the number of stunted children, which is a matter of concern. Thus, a micro-level study was designed to know the level of nutritional status and to study this by various disaggregate levels, as well as to examine the risk factors of stunting among pre-school children aged 36–59 months in Malda. METHOD: A primary cross-sectional quantitative survey was conducted using structured questionnaires following a multi-stage, stratified simple random sampling procedure in 2018. A sum of 731 mothers with at least one eligible child aged 36–59 months were the study participants. Anthropometric measures of children were collected following the WHO child growth standard. Children were classified as stunted, wasted, and underweight if their HAZ, WHZ, and WAZ scores, respectively, were less than −2SD. The random intercept multilevel logistic regression model has been employed to estimate the effects of possible risk factors on childhood stunting. RESULTS: The prevalence of stunting in the study area is 40% among children aged 36–59 months, which is a very high prevalence as per the WHO's cut-off values (≥40%) for public health significance. Results of the multilevel analysis revealed that preceding birth interval, low birth weight, duration of breastfeeding, mother's age at birth, mother's education, and occupation are the associated risk factors of stunting. Among them, low birth weight (OR 2.22, 95% CI: 1.44–3.41) and bidi worker as mothers' occupation (OR 1.92, 95% CI: 1.18–3.12) are the most influencing factors of stunting. Further, about 14 and 86% variation in stunting lie at community and child/household level, respectively. CONCLUSION: Special attention needs to be placed on the modifiable risk factors of childhood stunting. Policy ...

PART I: Social Issues- Health and Health Care Services -- Chapter 1 - Attitude of Men Towards Contraceptive Use in India: A Case Study of the High Focus State of Bihar(Anuradha Banerjee, Vidyasagar Trigun) -- Chapter 2 - Reproductive Morbidity in Bangladesh: Patterns, Determinants and Treatment Seeking Behaviour in Dhaka District (Sadananda Mitra) -- Chapter 3 - A Comparative Study of Socio-Economic Determinants of Infant and Child Mortality in Jorhat and Dhubri Districts, Assam (Ritu Kumar Mishra) -- Chapter 4 - Pattern and Utilisation of Maternal and Child Health Services in Nepal (Bina Rai) -- Chapter 5 - Trend and Pattern of Infant Mortality in West Bengal, India: A Critical Appraisal (N.C. Jana, Syfujjaman Tarafder) -- Chapter 6 - Health Seeking Behaviour and Reproductive Rights of Antenatal Women in Delhi (Sweta Kumari Gupta) -- PART II: Socio-Economic Issues- Education and Occupation -- Chapter 7 - Educational Development in Himachal Pradesh (Suman Negi) -- Chapter 8 - Socio-Economic Deprivation among Slum Dwellers: A Case Study of Migrants in Slums of Allahabad (Vinod Kumar Mishra, Anuradha Banerjee) -- Chapter 9 - Occupational Structure of Workforce in a Peri-Urban Setting: A Case Study of NCT Delhi (Tarsem Lal) -- Chapter 10 - Educational Attainment and Occupation of Women in Haryana: A Geographical Analysis (Anita Yadav) -- Chapter 11 - Spatial Patterns of Educational Levels and Outputs in Bikaner District, Rajasthan (Vikas Saharan) -- PART III: Mobility and Migration -- Chapter 12 - Pattern, Structure and Consequences of International Migration in Nepal (Deo Kumari Gurung) -- Chapter 13 - Integrating Migrants in an Urban Industrial Environment (Nivedita Hansraj) -- Chapter 14 - A Geographical Analysis of Rural Male Out-Migration: A Case Study of Bhagalpur District (Sarvottam Kumar) -- PART IV: Quality of Life -- Chapter 15 - A Geographical Analysis of Social and Economic Well Being of Female Children in Rajasthan (Chandana Saha) -- Chapter 16 - Quality of Life: A Comparative Study of Kerala and Tamil Nadu (Raghavan Gopa Kumar) -- Chapter 17 - Quality of Life of Elderly Population in Bihar: A Case Study of Patna District (Abhay Kumar).