Title: Nutritional Profile of Children in Orphanages of Kashmir Valley: A Cross sectional Study
Authors: Sameena Yousuf Dar, Rauf-ur Rashid Kaul, Mohamad Rafiq Mir, Tawheeda Ara
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.120
Abstract
Objective:- To assess the prevalence of nutritional problems among children living in orphanages of Kashmir Valley. Design and Settings:- A cross sectional study design was adopted and the study was conducted in orphanages in 6 randomly selected districts of Kashmir Valley during April 2014 - March 2015. Assessment of factors that might be associated with nutritional problems in the defined population was carried out simultaneously.
Results:- Among 450 children, prevalence of underweight was found to be 37 % whereas that of overweight was 2.4 %. It was further observed that the prevalence of stunting among study participants was 37.3 %.The prevalence of underweight was found to have a statistically significant association with age, orphanage setting, duration of stay in institution and personal hygiene.The prevalence of overweight was found to have a statistically significant association with type of orphanage, orphanage setting and protein – calorie intake. A statistically significant association was observed between stunting and age, gender, duration of stay in institution and orphanage setting.
Conclusion:- Prevalence of underweight and stunting among children living in orphanages is very high. This calls for immediate attention and urgent action with regard to the nutritional needs of this marginalised section of the society.
Keywords:- Orphans, Nutritional status, Underweight, Overweight, Stunting.
References
1. Juvenile Justice (Care and Protection) Act 2000.
2. Park, K., 2015. Parks Textbook of Preventive and Social Medicine.23rd edition. Jabalpur: BanarasidasBhanot.
3. WHO, 2002. Child Health Research: A Foundation for Improving Child Health, World Health organization, Geneva.
4. Rattan V. 1997. Women and child develo-pment: sustainable human development. New Delhi. S Chand and Co, Vol 1.
5. Ghai Textbook of Essential Pediatrics, 6th ed. New Delhi, CBS Publishers 2005, p66-67, 73, 76, 78.
6. Wang Y, Monterio C, Popkin B M. Trends of obesity and underweight in older children and adolescents in US, Brazil, China and Russia. American Journal of Clinical Nutrition, 2002, 75(6): p 971-977.
7. Kapil U, Singh p, Pathak P, Bhasin S. Prevalence of obesity amongst affluent adolescent school children in Delhi. Journal of Indian Pediatrics, 2002, 39(5): p449-452.
8. D Skinner. Defining Orphan and Vulnerable Children, HSRC Publications South Africa 2008.p.8.
9. United States Government. Fifth Annual Report to Congress on PL 109-95. World’s Vulnerable Children (2010).
10. UNICEF, HIV / AIDS, JUNPO. Children on the brink 2002; A joint report on orphan estimates and program strategies. UNICEF 2002.
11. GCM India, h.g.o.o.h.h (Producer).
Retrieved from http: //gcmindia.org/orphan-homes.html
12. UNICEF. The state of the world's children 2006; excluded and invisible.United Nations Publications 2005.
13. Save the Children. Orphaned in Kashmir - The State of Orphans in Jammu and Kashmir. 2012.
14. UNAIDS, UNICEF, USAID. Children on the brink: A joint report of new orphan estimates and a framework for action. New York USAID 2004.
15. Rogu G. Physician: Detrimental effects of institutions and orphanages.
16. International Adoption. Web. November 2011.
17. Johnson, D. E., & Gunnar, M. R. IV. Growth Failure in Institutionalized Children. Monographs of the Society for Research in Child Development2011.76: 92–126.
18. Dobrova-Krol, N. A., Van IJzendoorn, M. H., Bakermans-Kranenburg, M.J., Juffer, F., & Cyr, C. Physical growth delays and stress dysregulation in stunted and non-stunted Ukrainian institution reared children. Infant Behavior and Development 2008. 31: 539–553.
19. Levin, A., Zeanah, C., Fox, N. & Nelson, C. Motor Outcomes in Children Exposed to Early Psychosocial Deprivation. The Journal of Pediatrics 2014.164(1): 123-130.
20. Mwaniki EW and Makokha AN. Nutrition Status of Children in Orphanages in Selected Primary Schools within Dagoretti Division Nairobi, Kenya. Journal of Nutrition and Food Sciences 2013.4(1): 248.
21. Panpanich R, Brabin B, Gonani A, Graham S. Are orphans at increased risk of malnutrition in Malawa? Annals of Tropical Pediatrics Sep 1999. 19(3): 279-85.
22. Nwaneri DU, Omuemu VO. Intestinal helminthiasis and nutritional status of children living in orphanages in Benin City, Nigeria. Nigerian Journal of Clinical Practice Apr-Jun 2013. 1(2).
23. Ribeira R, Brown LB and Akuamoa-Boateng A. Correlates and Barriers to Pediatric Nutrition in Two Orphanages in the Ashanti Region of Ghana: A Surprising Comparison. Journal of Nutrition, Dietetics and Food Science 2009.3(1).
24. 5C-SAFE/WFP. Regional Analysis, prepared by Tongo International. 2004.