Nutritional and immunisation status, weaning practices and socio-economic conditions of under five children in three villages of Bangladesh.
A total of 479 children aged 6-60 months (male/female, 240/239) were studies during 1991 to 1992. Weight for age, height for age (mean +/- SD) were 72 +/- 11%, 90 +/- 7 and 87 +/- 10% of NCHS median respectively. According to Gomez classification, 96% of children had varying degrees of protein energy malnutrition (PEM) (28.4% mild, 58.2% moderate and 9.2% severe). According to Waterlow classification 84% were stunted(36% mild, 33% moderate and 15% severe) and 67% were wasted (47% mild, 18% moderate and 2% severe). Of all children 368 (77%) received BCG and 439 (82%) received partial or full dose of DPT and Polio vaccines. Among children aged 13-60 months 75% received Measles vaccine. Weaning food was started at (mean +/- SD) 8 +/- 4 months. Low household income, parental illiteracy, small family size (< or = 6), early or late weaning and absence of BCG vaccination were significantly associated with severe PEM. Timely weaning, education and promotion of essential vaccination may reduce childhood malnutrition especially severe PEM.
CDDR, B, Sirajganj, Bangladesh.
M
M
Iqbal Hossain
R
R
Yasmin
I
I
Kabir
D000886:Anthropometry; D001459:Bangladesh / Q000453:epidemiology; D002669:Child Welfare / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007223:Infant; D008297:Male; D009752:Nutritional Status; D011502:Protein-Energy Malnutrition / Q000453:epidemiology* / Q000517:prevention & control; D012959:Socioeconomic Factors; D013997:Time Factors; D014886:Weaning