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|Title: ||AGRO ECOLOGICAL COMPARISON OF LEVELS AND CORRELATES OF NUTRITIONAL STATUS OF UNDER FIVE CHILDREN IN DARA WOREDA OF SIDAMA ZONE, SNNPRS, ETHIOPIA|
|Authors: ||Nebiyu, Melaku|
|Advisors: ||Fikru Tesfaye(MD,MPH)|
|Keywords: ||AGRO ECOLOGICAL|
|Copyright: ||Jan-2007 |
|Date Added: ||3-May-2012 |
|Abstract: ||A community based comparative cross-sectional survey was conducted to measure the level of child malnutrition and identify the determinant factors associated with chronic child malnutrition among children aged 6-59 months of low and high land societies in Dara Woreda of Sidama Zone SNNPR State from June to August 2006. Stratified sampling procedure was employed to select the required households. For the purpose of this study five kebeles from the high land and three kebeles from low land were selected by simple random sampling. Based on the target group of each selected kebeles the required sample size was allocated proportionally to size and the required number of eligible children was selected from eight kebeles by simple random sampling technique to select a total of 924 children, 308 from low land and 616 from high land communities. Structured and pre-tested questionnaire was used to obtain information on demographic, social, behavioral and economic factors, and information on anthropometric indices were also collected using well-calibrated weighing scale and height measuring board.
Overall prevalence of malnutrition was high among children of both groups. About (30.8%, 40.6%), (38.3%, 30.0%), (17.9%, 12.7%) children from low land and high land were stunted, underweight and wasted respectively. However, stunting was found to be very high among children of high land as compared to children of low land, while wasting and under was extremely high among children of low land society. Altitude was the determinant factor for stunting, wasting and viii
underweight and hence there was a significant association (AOR: 1.53(1.04, 2.26)), (AOR: 2.07(1.29, 3.31)) and (AOR: 1.70(1.19, 2.42)) respectively.
Different factors were identified to cause under nutrition and they were found to have an equal impact in different sub groups of the society. And no one solution by it self will be effective in eliminating child under nutrition. Mother education and age, house hold income, birth interval, immunization status, bottle feeding, introduction of complimentary food, sex of a child and altitude were found to be major determinants of chronic child malnutrition in both groups. Only house hold income was found to be a determinant factor for wasting and underweight. There is a need for food and nutrition policy that is responsive to the needs/context of low land and high land communities. There is also a need to promote women’s education, community participation and integration of MCH services with other sectors.|
|Appears in:||Thesis - Public Health|
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