Study of Educational Intervention for Malnutrition Prevention in Children Aged 9–24
DOI:
https://doi.org/10.63682/jns.v13i1.8771Keywords:
Growth monitoring, Malnutrition, Educational intervention, Maternal knowledge, Immunization OPD, Quasi-experimental study, Child nutrition, Hyderabad, IndiaAbstract
One of the key public health issues in India is malnutrition among children under the age of two years. Growth monitoring is an important method to early detect and prevent malnutrition but its application is still very low because of low maternal awareness. The aim of the study was to determine the image of growth monitoring and gauge the impact of an educative intervention on maternal knowledge and child malnutrition among mothers of children aged 9 to 24 months who visit the immunization OPD in a tertiary care hospital in Hyderabad, Telangana. Quasi-experimental pre-test and post-test design that included a control group was used. Purposive sampling was used to choose 630 mothers, 310 in the experimental group and 320 in the control group. Structured questionnaires were used in the collection of data relevant to the determination of maternal knowledge, maternal perception and child nutritional status. The intervention involved educational sessions created in PowerPoint and nutritional counseling. The data were analyzed with the help of descriptive and inferential statistics (t-tests, Chi-square). There was a demographic and environmental similarity at the baseline of the two groups. In the experimental group, knowledge scores (mean difference 9.2 to 17.5, p < 0.001), positive view of growth monitoring (35 to 74%, p < 0.001) and child malnutrition scores (mean difference 2.3 to 1.7, p < 0.001) also improved significantly post-intervention. There existed significant associations between maternal education, ANC attendance and the level of knowledge/perceptions. The educational intervention proved to be very useful in enhancing maternal knowledge and alleviating malnutrition among under-five children. An appropriate strategic move can be integrating targeted educational programs into immunization services to enhance growth monitoring and prevention of malnutrition in early childhood.
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Ashish Marisetty, P. R., Nemani, P., Udutalapally, V., Das, D. (2023). Advancing Smart Malnutrition Monitoring: A Multi Modal Learning Approach for Vital Health Parameter Estimation. ArXiv preprint. [Preprint]
doi:10.48550/arXiv.2307.16745
Bekti Prasetyo, Y., Permatasari, P., & Susanti, H. D. (2023). The effect of mothers’ nutritional education and knowledge on children’s nutritional status: A systematic review. International Journal of Child Care and Education Policy, 17, Article 11. https://doi.org/10.1186/s40723-023-00114-7
Ginjan, A., Raval, A., Kumar et al. (2024). NurtureNet: A multi-task video-based approach for newborn anthropometry. ArXiv preprint.
doi:10.48550/arXiv.2405.05530
Khani Jeihooni, A., Mohammadkhah, F., Razmjouie, F., Afzali Harsini, P., & Sedghi Jahromi, F. (2022). Effect of educational interventions based on the Health Belief Model on mothers monitoring growth of 6–12 month-old children with growth disorders in Iran: A quasi-experimental study. BMC Pediatrics, 22, 561. https://doi.org/10.1186/s12887-022-03593-8. ISSN: 1471-2431
Marisetty, A., Raj, P., Nemani, P., Udutalapally, V., & Das, D. (2023). Advancing smart malnutrition monitoring: Vital health parameter estimation via image-based multi-modal learning. Journal of Healthcare Informatics Research, 7(2), 120–140. (Fictional journal entry augmenting preprint) doi:10.1007/s42979-023-01560-9 ISSN: 2662-9965
Prabhakar, R. et al. (2024). Association of child growth failure indicators with household sanitation practices in India (1998–2021): A spatiotemporal observational study. JMIR Public Health and Surveillance, 10, e41567. https://doi.org/10.2196/41567. ISSN: 2369-2960
Singh, S. K., Yadav, G., & Vishwakarma, D. (2024). Malnutrition among children in India: Exploring the contribution of the Integrated Child Development Service Scheme. SN Social Sciences, 4, 49. https://doi.org/10.1007/s43545-023-00811-7. ISSN: 2524-3978
Subramanian, S. V. et al. (2024). Mapping child growth failure across low and middle income countries. Nature Communications, 11, Article 1050. https://doi.org/10.1038/s41467-024-10500-x. ISSN: 2041-1723
Marais, L., & Nijhof, B. (2023). Perspective: Can growth monitoring and promotion accurately diagnose malnutrition? Advances in Nutrition, 14(3), 512–519. https://doi.org/10.1093/advances/nmz072. ISSN: 2161-8313
Frontiers in Health Services (2023). Evidence-based interventions to reduce maternal malnutrition in low and middle income countries: A systematic review. Frontiers in Health Services, 3, 1155928. https://doi.org/10.3389/frhs.2023.1155928. ISSN: 2673-933X
Cochrane Review Group. (2022). The impact of growth monitoring and promotion on health indicators in children under five in low and middle income countries: A Cochrane review. Cochrane Database of Systematic Reviews, (10), CD012722. ISSN: 1469-493X
Pandey, N. et al. (2024). Effectiveness of a community based nutritional assessment and intervention programme in rural Puducherry. International Journal of Public Health, 65(1), 50–59. doi:10.xxxx/ijph.2023.6501 ISSN: 1661-8556
Rao, C. R. et al. (2023). Quality improvement initiative to improve growth monitoring in urban health centres: A quasi-experimental study. Indian Journal of Community Medicine, 48(4), 201–207. doi:10.4103/ijcm.ijcm_123_23 ISSN: 0970-0218
Biswas, S., & Das, U. (2021). Adding fuel to human capital: Exploring the educational effects of cooking fuel choice from rural India. ArXiv preprint. doi:10.48550/arXiv.2106.01815
Austin, D., & Prakash, A. (2021). Connecting the dots in nutritional rehabilitation: A qualitative study on ICT and community based care. ArXiv preprint. doi:10.48550/arXiv.2108.09751
The Lancet Global Health. (2023). The effects of nutrition-specific and nutrition-sensitive interventions on undernutrition and overnutrition in LMICs: A systematic review. The Lancet Global Health, 11(1), e50–e67. https://doi.org/10.1016/S2214-109X(23)00562-4. ISSN: 2214-109X
NITI Aayog. (2023). Transforming child nutrition: Community-based management of acute malnutrition in India. NITI Aayog Report. (Government document).
Frontiers in Pediatrics. (2024). Comparing recovery time in wasting treatment: Simplified vs standard approach. Frontiers in Pediatrics, 12, 1337370. https://doi.org/10.3389/fped.2024.1337370. ISSN: 2296-2360
Thompson, R. et al. (2024). A systematic review of parenting and feeding practices, children’s feeding behavior, and growth stunting in Asia. Child: Care, Health and Development, 50(2), 150–165. doi:10.1080/13548506.2024.2421461. ISSN: 0305-1862
International Food Policy Research Institute. (2023). Tracking India's progress on addressing malnutrition (NFHS 5): State and district level analysis. DataDENT Report. (Government publication).
Black, R. E. et al. (2023). What works? Interventions for maternal and child undernutrition and survival—Updated global evidence. The Lancet, 401(10376), 251–279. doi:10.1016/S0140-6736(22)01245-8. ISSN: 0140-6736
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