Prevalence Of Malnutrition Among Under-5 Children And Its Association With Infant And Young Child Feeding Knowledge And Practices Among Mothers In Nadia District, West Bengal: A Cross-Sectional Study
DOI:
https://doi.org/10.63682/jns.v14i9S.3134Keywords:
Eastern India, Mother’s Perception, Nutrition, Pre-school children, Relationship, SurveyAbstract
Background: Adequate knowledge and practices of Infant and Young Child Feeding (IYCF) among mothers is the key area to combat childhood malnutrition. The term malnutrition covers two broad groups of conditions. One is ‘under-nutrition’—which mainly includes stunting (low height for age), wasting (low weight for height), and under-weight (low weight for age) the other is overweight and obesity. The current study was conducted in the Nadia district to assess the nutritional status of under-five children and to find out its association, if any, with IYCF knowledge and practices among mothers.
Methods: A community-based cross-sectional study was conducted among 351 under-5 child-mother dyads recruited from 32 sub-centers of the Chakdaha block following a multi-stage random sampling method. The socio-demographic profile of the dyad, mothers’ IYCF knowledge, and practices were recorded using a predesigned, pretested questionnaire. The nutritional status of the children was assessed using WHO Anthro (version 3.2.2) software after measuring weight and height.
Results: A significant 40.1%, 54%, and 51.4% of the children fell below 2 standard deviations from the international cut-off for weight-for-height, height-for-age, and weight-for-age, emphasizing the prevalence of undernutrition. Overall, only 9.4% of the study participants belonged to the normal category regarding nutrition status if all 4 criteria (weight for age, weight for height, height for age, BMI for age) had been considered. Inferential statistics revealed that those mothers having good IYCF knowledge and practice scores had higher odds of having children with normal nutritional status.
Conclusion: Malnutrition, specifically under-nutrition, is still a significant public health problem that should be dealt with high priority and concerned authorities should implement a much-needed approach of targeted health educational interventions to improve maternal understanding and adherence to optimal IYCF practices & thereby improving the nutritional status of the children in future.
Downloads
Metrics
References
Malnutrition [Internet]. [cited 2023 Jun 21]. Available from: https://www.who.int/news-room/questions-and-answers/item/malnutrition
Fact sheets - Malnutrition [Internet]. [cited 2023 Jun 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/malnutrition
Gupta N, Shah P, Nayyar S, Misra A. Childhood obesity and the metabolic syndrome in developing countries. Indian J Pediatr. 2013 Mar;80 Suppl 1:S28-37.
Corvalán C, Garmendia ML, Jones‐Smith J, Lutter CK, Miranda JJ, Pedraza LS, et al. Nutrition status of children in Latin America. Obes Rev. 2017 Jul;18(Suppl Suppl 2):7–18.
su6203.pdf [Internet]. [cited 2024 Jul 22]. Available from: https://www.cdc.gov/mmwr/pdf/other/su6203.pdf
UNICEF DATA [Internet]. [cited 2024 Jul 22]. Malnutrition in Children. Available from: https://data.unicef.org/topic/nutrition/malnutrition/
Report_OF_2nd Repeat_Survey-96-97.pdf [Internet]. [cited 2024 Jul 22]. Available from: https://www.nin.res.in/downloads/Report_OF_2nd%20Repeat_Survey-96-97.pdf
UNICEF DATA [Internet]. [cited 2024 May 4]. Child Mortality. Available from: https://data.unicef.org/topic/child-survival/under-five-mortality/
Ranjani H, Mehreen TS, Pradeepa R, Anjana RM, Garg R, Anand K, et al. Epidemiology of childhood overweight & obesity in India: A systematic review. Indian J Med Res. 2016 Feb;143(2):160–74.
NFHS-5_Phase-II_0.pdf [Internet]. [cited 2024 Jul 23]. Available from: https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf
West Bengal NFHS-5 Factsheet.pdf [Internet]. [cited 2024 Jul 23]. Available from: https://www.im4change.org/docs/West%20Bengal%20NFHS-5%20Factsheet.pdf
Home-Based-Care-for-Young-Child-Guidelines.pdf [Internet]. [cited 2023 Jun 25]. Available from: https://www.aspirationaldistricts.in/wp-content/uploads/2019/02/Home-Based-Care-for-Young-Child-Guidelines.pdf
GBD 2015 Obesity Collaborators, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017 Jul 6;377(1):13–27.
Ramachandran P, Kalaivani K. Overnutrition in Indian Children: Challenges and Opportunities. Front Public Health. 2022 Mar 3;10:814900.
Khan GN, Ariff S, Khan U, Habib A, Umer M, Suhag Z, et al. Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey. International Breastfeeding Journal. 2017 Sep 16;12(1):40.
UNICEF DATA [Internet]. [cited 2024 Aug 2]. Infant and young child feeding. Available from: https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
Revised HBNC Operational Guidelines 2014 English.pdf [Internet]. [cited 2024 Aug 2]. Available from: https://nhsrcindia.org/sites/default/files/2021-03/Revised%20HBNC%20Operational%20Guidelines%202014%20English.pdf
Home-Based-Care-for-Young-Child-Guidelines.pdf [Internet]. [cited 2024 Aug 2]. Available from: https://www.aspirationaldistricts.in/wp-content/uploads/2019/02/Home-Based-Care-for-Young-Child-Guidelines.pdf
Nadia-West Bengal.pdf [Internet]. [cited 2024 Aug 2]. Available from: https://www.niti.gov.in/sites/default/files/2022-07/Nadia-West%20Bengal.pdf
Maiti S, Chatterjee K, Ali KM, Ghosh D, Paul S. Stunting, underweight and overweight: a major health problem among pre-school children in urban areas of West Bengal, India. 1 [Internet]. 2012 Jul 6
Bose K, Biswas S, Bisai S, Ganguli S, Khatun A, Mukhopadhyay A, et al. Stunting, underweight and wasting among Integrated Child Development Services (ICDS) scheme children aged 3–5 years of Chapra, Nadia District, West Bengal, India. Matern Child Nutr. 2007 May 29;3(3):216–21.
Giri SP, Biswas S, Bose K. Prevalence of undernutrition among Bengalee preschool children of Sundarban, South 24 Parganas, West Bengal, India. Human Biology Review, 2017 Oct; 6 (4):284-300.
Meshram II, Mallikharjun Rao K, Balakrishna N, Harikumar R, Arlappa N, Sreeramakrishna K, Laxmaiah A. Infant and young child feeding practices, sociodemographic factors and their association with nutritional status of children aged <3 years in India: findings of the National Nutrition Monitoring Bureau survey, 2011-2012. Public Health Nutr. 2019 Jan;22(1):104-114. doi: 10.1017/S136898001800294X. Epub 2018 Nov 6. PMID: 30398133; PMCID: PMC10260507.
Chaudhary SR, Govil S, Lala MK, Yagnik HB. Infant and Young Child Feeding Index and its association with nutritional status: A cross-sectional study of urban slums of Ahmedabad. J Family Community Med. 2018 May-Aug;25(2):88-94. doi: 10.4103/jfcm.JFCM_82_17. PMID: 29922108; PMCID: PMC5958529.
Mukhopadhyay, Dipta K.1,; Sinhababu, Apurba2; Saren, Asit B.3; Biswas, Akhil B.4. Association of Child Feeding Practices with Nutritional Status of Under-two Slum Dwelling Children: A Community-based Study from West Bengal, India. Indian Journal of Public Health 57(3):p 169-172, Jul–Sep 2013. | DOI: 10.4103/0019-557X.119819.
Saha R, Pal J, Ghosh M. Infant and young child feeding knowledge and practices among mothers of under-5 children in Nadia district, West Bengal: a cross-sectional study. International Journal Of Community Medicine And Public Health. 2024 Jun 28;11(7):2839–46.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

