Abstract
Introduction: Nutritional status and morbidity profile of children goes hand in hand. Personal hygiene is a prime factor playing a pivotal role in above two domains and thereby influencing health of an adolescent girl in the period of growth spurt and development.
Objective: The study aimed to assess the nutritional status, morbidity profile and to find out their predictors among school going adolescent girls in a slum area of Kolkata.
Materials and Methods
Study design-A school based cross-sectional study.
Study area- It was conducted in a Government Secondary Girls’ school situated in a slum area of Kolkata Municipal Corporation.
Sampling method- Complete enumeration method.
Study population- All the students of class V – VIII fulfilling the inclusion criteria were included after taking informed consent from the guardians.
Method of data collection- Interview with a predesigned and pretested questionnaire.
Results: The mean age of participants was 12.17 ± 1.255 years. Overall under nutrition was 67.3% among the students. Majority of the students were suffering from hair related morbidities (73.7%), ENT related morbidities (85.32%), oro-dental morbidities (77.1%), dermatological morbidities (61.2%), and G.I.T related morbidities (84.4%) and specific nutrient deficiencies (68.5%). Multivariate analyses revealed other than socio-demographic factors poor personal hygiene was an important risk factor of under nutrition and high morbidities among the students.
Conclusions: Awareness generation, motivation and behavioural change communications in schools will play a major role in improvement of personal hygiene and thereby resulting in a healthy adolescent.
Keywords: Personal hygiene, Morbidity, Nutritional status, Adolescent girls, School, Slum.
References
1. International institute of Population Sciences (IIPS) and Macrointernational, 2007, National Family Health Survey (NFHS-3) 2005-06, India, Vol 1. http:/nfhsindia.org/nfhs3_national_report.-html last accessed on Dec 24. 2012.
2. Nutrition for the school-aged child. NebGuide Series No.G92-1086-A 2002,1.
3. Ghai OP, Gupta P, Paul VK. Ghai essential pediatrics, adolescent health and development. Pediatrics 2006;6:66.
4. Nokes C, Grantham-McGregor SM, Sawyer AW, Cooper ES,Bundy DA. Parasitic helminthes infection and cognitive functionin schoolchildren. Proc Biol Sci 1992;247:77-81.
5. Srivastava A, Mahmood S E, Srivastava P M, Shrotriya V P, Kumar B. Nutritional status of school-age children – A scenario of urban slums in India. Archives of Public Health 2012, 70:8.
6. Park K. Text Book of Preventive and Social medicine. 23st ed. Jabalpur, India, M/S Banarsidas Bhanot publishers; 2002 : 522,593.
7. Algur V, Yadavannavar M C, Patil S S. Assessment of nutritional status of under five children in urban field practice area. IJCRR. 2012; 4(22): 122-126.
8. Safikul Islam S, Mahanta T G, Sarma R, Saikia H. Nutritional Status of under 5 Children belonging to Tribal Population Living in Riverine (Char) Areas of Dibrugarh District, Assam. Indian J Community Med. 2014 Jul-Sep; 39(3): 169–174.
9. Purohit L, Sahu P, Godale L. Nutritional status of under- five children in a city of Maharashtra: a community based study. Int J Community Med Public Health. 2017 Apr;4(4):1171-1178.
10. Sahu SK, Kumar S G, Bhat B V, Premarajan K C, Sarkar S, Roy G, Joseph N. Malnutrition among under-five children in India and strategies for control. J Nat Sc Biol Med 2015;6:18-23.
11. Mamulwar MS, Rathod HK, Jethani S, Dhone A, Bakshi T, Lanjewar B, et al. Nutritional status of under- five children in urban slums of Pune. Int J Med Public Health 2014;4:247-52.
12. Prashant K , Shaw C. Nutritional status of adolescent girls from an urban slum area in South India. Indian J Pediatr. 2009 May;76(5):501-4.
13. Awasthi R, Srivastava A, et al. Int J Community Med Public Health. 2016 Jan;3(1):276-280.
14. Kumar A S, Amrita N S, Sridhar M. Nutritional status of Adolescent girls of urban slums of Hyderabad. Indian Journal of Basic and Applied Medical Research. December 2014; 4(1): 457-461.
15. www.who.int. Geneva: World Health Organization; c2013. Available from:http://www.who.int/growthref/tools/en/. [Last updated on 2011 Jan 19; Last cited on 2012 May 16].
16. Deb S., Dutta S, Dasgupta A, Misra R. Relationship of Personal Hygiene with Nutrition and Morbidity Profile: A study among primary school children in south Kolkata .Indian J of Community Med – April 2010; 35(2): 280-284.
17. Dongre AR,Deshmukh PR, Garg BR 2006.The impact of school health education programme on personal hygiene and related morbidities in tribal school children of wardha district. Ind J of Comm Med, 31(2): 81-82.
18. Babar N.F., Muzaffar R., Khan A.K, Imdad S. Impact of socioeconomic factors on nutritional status of primary school children. Abottabad, Pakistan. J Ayub Med Coll – 2010; 22(4): 15-18.
19. Vivas A.P. ,Gelaye B., Aboset N,Kumie A, Berhane Y,Williams MA. Knowledge, attitudes and practices (KAP) of hygiene among school children in Angolela, Ethiopia. J Preventive Medicine Hygiene – Jun 2010; 51 (2) : 73-9.
20. Pandey S, Dudani I,Pradhan A. Health profile of school children in Bhaktapur, Nepal. Kathmandu university Med J – 2005; 3(11): 274-280.
21. Kakkar R., Kandpal S.D. Health status of the children under school health service in Doiwala block, Dehradun. Indian J of community health – Jan 2012;24(1):45-48.