巴基斯坦信德省塔尔帕卡尔地区一家乡村偏远医院的五岁以下儿童重度急性营养不良的决定因素：一项基于医院的研究
Determinants of severe acute malnutrition among children under five years in a rural remote setting: A hospital based study from district Tharparkar-Sindh, Pakistan.
作者信息
Sand Aurangzeb, Kumar Ramesh, Shaikh Babar T, Somrongthong Ratana, Hafeez Assad, Rai Dalpat
机构信息
Aurangzeb Sand, Health Services Academy, Islamabad, Pakistan. Taluka Hospital, Nagarparkar, Sindh, Pakistan.
Ramesh Kumar, MBBS, MBA, MPH, PhD. Assistant Professor, Health Services Academy, Islamabad, Pakistan.
出版信息
Pak J Med Sci. 2018 Mar-Apr;34(2):260-265. doi: 10.12669/pjms.342.14977.
OBJECTIVES
To understand and catalogue the specific determinants of this alarming rate of malnutrition among children of Tharparkar district, Sindh Pakistan.
METHODS
This was a hospital based analytical survey. Data was collected through a semi-structured questionnaire by interviewing mothers of the children (age 6-59 months), admitted in the hospital. Following WHO guidelines, weight and length/ height of 105 children were recorded. Study was conducted in District Headquarters Hospital, Tharparkar district of Sindh province.
RESULTS
Almost 48% children admitted in the hospital were identified with severe acute malnutrition. More males (55%) were malnourished as compared to females (45%). Maternal education, household income, family size, breastfeeding, vaccination status, and frequent infections were found to be significantly associated with the severe acute malnutrition.
CONCLUSION
Specific interventions on promoting exclusive breastfeeding, vaccination, and timely health care seeking behaviors would definitely improve the outcomes. Nevertheless, sector wide approaches would be needed on girls' education, poverty, and food security in the district in order to address the issue of malnutrition.
目的
了解并梳理巴基斯坦信德省塔尔帕卡尔地区儿童营养不良发生率惊人的具体决定因素。
方法
这是一项基于医院的分析性调查。通过半结构化问卷，对入院儿童（6至59个月）的母亲进行访谈来收集数据。按照世界卫生组织的指南，记录了105名儿童的体重和身长/身高。研究在信德省塔尔帕卡尔地区的区总部医院开展。
结果
入院儿童中近48%被认定为患有重度急性营养不良。与女性（45%）相比，男性营养不良的比例更高（55%）。发现母亲教育程度、家庭收入、家庭规模、母乳喂养、疫苗接种状况和频繁感染与重度急性营养不良显著相关。
结论
促进纯母乳喂养、疫苗接种和及时就医行为的具体干预措施肯定会改善结果。然而，为解决营养不良问题，该地区需要在女童教育、贫困和粮食安全方面采取全部门方法。
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