Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania
Identifieur interne : 000E65 ( Main/Merge ); précédent : 000E64; suivant : 000E66Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania
Auteurs : Omar Ali Juma [Tanzanie] ; Zachary Obinna Enumah [États-Unis] ; Hannah Wheatley [Tanzanie] ; Mohamed Yunus Rafiq [États-Unis] ; Seif Shekalaghe [Tanzanie] ; Ali Ali [Tanzanie] ; Shishira Mgonia [Tanzanie] ; Salim Abdulla [Tanzanie]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
Malnutrition has long been associated with poverty, poor diet and inadequate access to health care, and it remains a key global health issue that both stems from and contributes to ill-health, with 50 % of childhood deaths due to underlying undernutrition. The purpose of this study was to determine the prevalence of malnutrition among children under-five seen at Bagamoyo District Hospital (BDH) and three rural health facilities ranging between 25 and 55 km from Bagamoyo: Kiwangwa, Fukayosi, and Yombo.
A total of 63,237 children under-five presenting to Bagamoyo District Hospital and the three rural health facilities participated in the study. Anthropometric measures of age, height/length and weight and measurements of mid-upper arm circumference were obtained and compared with reference anthropometric indices to assess nutritional status for patients presenting to the hospital and health facilities.
Overall proportion of stunting, underweight and wasting was 8.37, 5.74 and 1.41 % respectively. Boys were significantly more stunted, under weight and wasted than girls (
Hospital and facility attending populations of under-five children in and around Bagamoyo suffer moderately high rates of malnutrition. Current nutrition programs focus on education for at risk children and referral to regional hospitals for malnourished children. Even though the general population has even greater malnutrition than the population presenting at the hospital, in areas of high malnutrition, hospital-based interventions should also be considered as centralized locations for reaching thousands of malnourished children under-five.
Url:
DOI: 10.1186/s12889-016-3751-0
PubMed: 27756276
PubMed Central: 5070185
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000778
- to stream Pmc, to step Curation: 000777
- to stream Pmc, to step Checkpoint: 000543
- to stream Ncbi, to step Merge: 003A81
- to stream Ncbi, to step Curation: 003A81
- to stream Ncbi, to step Checkpoint: 003A81
Links to Exploration step
PMC:5070185Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania</title><author><name sortKey="Juma, Omar Ali" sort="Juma, Omar Ali" uniqKey="Juma O" first="Omar Ali" last="Juma">Omar Ali Juma</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Enumah, Zachary Obinna" sort="Enumah, Zachary Obinna" uniqKey="Enumah Z" first="Zachary Obinna" last="Enumah">Zachary Obinna Enumah</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Johns Hopkins University School of Medicine, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins University School of Medicine, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Wheatley, Hannah" sort="Wheatley, Hannah" uniqKey="Wheatley H" first="Hannah" last="Wheatley">Hannah Wheatley</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Rafiq, Mohamed Yunus" sort="Rafiq, Mohamed Yunus" uniqKey="Rafiq M" first="Mohamed Yunus" last="Rafiq">Mohamed Yunus Rafiq</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Anthropology, Brown University, Providence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anthropology, Brown University, Providence</wicri:regionArea><orgName type="university">Université Brown</orgName><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Shekalaghe, Seif" sort="Shekalaghe, Seif" uniqKey="Shekalaghe S" first="Seif" last="Shekalaghe">Seif Shekalaghe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Ali, Ali" sort="Ali, Ali" uniqKey="Ali A" first="Ali" last="Ali">Ali Ali</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Mgonia, Shishira" sort="Mgonia, Shishira" uniqKey="Mgonia S" first="Shishira" last="Mgonia">Shishira Mgonia</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Bagamoyo District Hospital, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Bagamoyo District Hospital, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Abdulla, Salim" sort="Abdulla, Salim" uniqKey="Abdulla S" first="Salim" last="Abdulla">Salim Abdulla</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27756276</idno><idno type="pmc">5070185</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070185</idno><idno type="RBID">PMC:5070185</idno><idno type="doi">10.1186/s12889-016-3751-0</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000778</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000778</idno><idno type="wicri:Area/Pmc/Curation">000777</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000777</idno><idno type="wicri:Area/Pmc/Checkpoint">000543</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000543</idno><idno type="wicri:Area/Ncbi/Merge">003A81</idno><idno type="wicri:Area/Ncbi/Curation">003A81</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A81</idno><idno type="wicri:Area/Main/Merge">000E65</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania</title><author><name sortKey="Juma, Omar Ali" sort="Juma, Omar Ali" uniqKey="Juma O" first="Omar Ali" last="Juma">Omar Ali Juma</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Enumah, Zachary Obinna" sort="Enumah, Zachary Obinna" uniqKey="Enumah Z" first="Zachary Obinna" last="Enumah">Zachary Obinna Enumah</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Johns Hopkins University School of Medicine, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins University School of Medicine, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Wheatley, Hannah" sort="Wheatley, Hannah" uniqKey="Wheatley H" first="Hannah" last="Wheatley">Hannah Wheatley</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Rafiq, Mohamed Yunus" sort="Rafiq, Mohamed Yunus" uniqKey="Rafiq M" first="Mohamed Yunus" last="Rafiq">Mohamed Yunus Rafiq</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Anthropology, Brown University, Providence, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anthropology, Brown University, Providence</wicri:regionArea><orgName type="university">Université Brown</orgName><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Shekalaghe, Seif" sort="Shekalaghe, Seif" uniqKey="Shekalaghe S" first="Seif" last="Shekalaghe">Seif Shekalaghe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Ali, Ali" sort="Ali, Ali" uniqKey="Ali A" first="Ali" last="Ali">Ali Ali</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Mgonia, Shishira" sort="Mgonia, Shishira" uniqKey="Mgonia S" first="Shishira" last="Mgonia">Shishira Mgonia</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Bagamoyo District Hospital, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Bagamoyo District Hospital, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author><author><name sortKey="Abdulla, Salim" sort="Abdulla, Salim" uniqKey="Abdulla S" first="Salim" last="Abdulla">Salim Abdulla</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Health Institute, Bagamoyo Branch, PO BOX 74, Bagamoyo</wicri:regionArea><wicri:noRegion>Bagamoyo</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Malnutrition has long been associated with poverty, poor diet and inadequate access to health care, and it remains a key global health issue that both stems from and contributes to ill-health, with 50 % of childhood deaths due to underlying undernutrition. The purpose of this study was to determine the prevalence of malnutrition among children under-five seen at Bagamoyo District Hospital (BDH) and three rural health facilities ranging between 25 and 55 km from Bagamoyo: Kiwangwa, Fukayosi, and Yombo.</p></sec><sec><title>Methods</title><p>A total of 63,237 children under-five presenting to Bagamoyo District Hospital and the three rural health facilities participated in the study. Anthropometric measures of age, height/length and weight and measurements of mid-upper arm circumference were obtained and compared with reference anthropometric indices to assess nutritional status for patients presenting to the hospital and health facilities.</p></sec><sec><title>Results</title><p>Overall proportion of stunting, underweight and wasting was 8.37, 5.74 and 1.41 % respectively. Boys were significantly more stunted, under weight and wasted than girls (<italic>p</italic>-value < 0.05). Children aged 24–59 months were more underweight than 6–23 months (<italic>p</italic>-value = <0.0001). But, there was no statistical significance difference between the age groups for stunting and wasting. Children from rural areas experienced increased rates of stunting, underweight and wasting than children in urban areas (<italic>p</italic>-value < 0.05). The results of this study concur with other studies that malnutrition remains a problem within Tanzania; however our data suggests that the population presenting to BDH and rural health facilities presented with decreased rates of malnutrition compared to the general population.</p></sec><sec><title>Conclusions</title><p>Hospital and facility attending populations of under-five children in and around Bagamoyo suffer moderately high rates of malnutrition. Current nutrition programs focus on education for at risk children and referral to regional hospitals for malnourished children. Even though the general population has even greater malnutrition than the population presenting at the hospital, in areas of high malnutrition, hospital-based interventions should also be considered as centralized locations for reaching thousands of malnourished children under-five.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mamiro, Pr" uniqKey="Mamiro P">PR Mamiro</name></author><author><name sortKey="Van Camp, J" uniqKey="Van Camp J">J Van Camp</name></author><author><name sortKey="Roberfroid, D" uniqKey="Roberfroid D">D Roberfroid</name></author><author><name sortKey="Kolsteren, P" uniqKey="Kolsteren P">P Kolsteren</name></author><author><name sortKey="Huyghebaert, A" uniqKey="Huyghebaert A">A Huyghebaert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mwanri, L" uniqKey="Mwanri L">L Mwanri</name></author><author><name sortKey="Worsley, A" uniqKey="Worsley A">A Worsley</name></author><author><name sortKey="Ryan, P" uniqKey="Ryan P">P Ryan</name></author><author><name sortKey="Masika, J" uniqKey="Masika J">J Masika</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alderman, H" uniqKey="Alderman H">H Alderman</name></author><author><name sortKey="Hoogeveen, H" uniqKey="Hoogeveen H">H Hoogeveen</name></author><author><name sortKey="Rossi, M" uniqKey="Rossi M">M Rossi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Black, Re" uniqKey="Black R">RE Black</name></author><author><name sortKey="Allen, Lh" uniqKey="Allen L">LH Allen</name></author><author><name sortKey="Bhutta, Za" uniqKey="Bhutta Z">ZA Bhutta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rice, Al" uniqKey="Rice A">AL Rice</name></author><author><name sortKey="Sacco, L" uniqKey="Sacco L">L Sacco</name></author><author><name sortKey="Hyder, A" uniqKey="Hyder A">A Hyder</name></author><author><name sortKey="Black, Re" uniqKey="Black R">RE Black</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bryce, J" uniqKey="Bryce J">J Bryce</name></author><author><name sortKey="Boschi Pinto, C" uniqKey="Boschi Pinto C">C Boschi-Pinto</name></author><author><name sortKey="Shibuya, K" uniqKey="Shibuya K">K Shibuya</name></author><author><name sortKey="Black, Re" uniqKey="Black R">RE Black</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author><author><name sortKey="Lopez, Ad" uniqKey="Lopez A">AD Lopez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van De Poel, E" uniqKey="Van De Poel E">E Van de Poel</name></author><author><name sortKey="Hosseinpoor, Ar" uniqKey="Hosseinpoor A">AR Hosseinpoor</name></author><author><name sortKey="Speybroeck, N" uniqKey="Speybroeck N">N Speybroeck</name></author><author><name sortKey="Van Ourti, T" uniqKey="Van Ourti T">T Van Ourti</name></author><author><name sortKey="Vega, J" uniqKey="Vega J">J Vega</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shubis, K" uniqKey="Shubis K">K Shubis</name></author><author><name sortKey="Juma, O" uniqKey="Juma O">O Juma</name></author><author><name sortKey="Sharifu, R" uniqKey="Sharifu R">R Sharifu</name></author><author><name sortKey="Burgess, B" uniqKey="Burgess B">B Burgess</name></author><author><name sortKey="Abdulla, S" uniqKey="Abdulla S">S Abdulla</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brown, Kh" uniqKey="Brown K">KH Brown</name></author><author><name sortKey="Nyirandutiye, Dh" uniqKey="Nyirandutiye D">DH Nyirandutiye</name></author><author><name sortKey="Jungjohann, S" uniqKey="Jungjohann S">S Jungjohann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garenne, M" uniqKey="Garenne M">M Garenne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fotso, J C" uniqKey="Fotso J">J-C Fotso</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Lc" uniqKey="Smith L">LC Smith</name></author><author><name sortKey="Ruel, Mt" uniqKey="Ruel M">MT Ruel</name></author><author><name sortKey="Ndiaye, A" uniqKey="Ndiaye A">A Ndiaye</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sahn, De" uniqKey="Sahn D">DE Sahn</name></author><author><name sortKey="Stifel, Dc" uniqKey="Stifel D">DC Stifel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Howard, M" uniqKey="Howard M">M Howard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kassouf, Al" uniqKey="Kassouf A">AL Kassouf</name></author><author><name sortKey="Senauer, B" uniqKey="Senauer B">B Senauer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waber, Dp" uniqKey="Waber D">DP Waber</name></author><author><name sortKey="Vuori Christiansen, L" uniqKey="Vuori Christiansen L">L Vuori-Christiansen</name></author><author><name sortKey="Ortiz, N" uniqKey="Ortiz N">N Ortiz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagstaff, A" uniqKey="Wagstaff A">A Wagstaff</name></author><author><name sortKey="Van Doorslaer, E" uniqKey="Van Doorslaer E">E Van Doorslaer</name></author><author><name sortKey="Watanabe, N" uniqKey="Watanabe N">N Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gupta, Mc" uniqKey="Gupta M">MC Gupta</name></author><author><name sortKey="Mehrotra, M" uniqKey="Mehrotra M">M Mehrotra</name></author><author><name sortKey="Arora, S" uniqKey="Arora S">S Arora</name></author><author><name sortKey="Saran, M" uniqKey="Saran M">M Saran</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000E65 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 000E65 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Merge
|type= RBID
|clé= PMC:5070185
|texte= Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:27756276" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |