• Determinants Of Acute Malnutrition Among Under-five Years Children
    [A CASE STUDY OF ILLELA LOCAL GOVERNMENT SOKOTO STATE, NIGERIA]

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    • According to Sommerfelt  et  al.,  (1994),  there is a negative association between the mother’s education and  underfive child malnutrition.  The higher the level of mothers’ education, the lower the percentage of  under-five  children classified as undernourished. According to the study, malnutrition was most prevalent among children whose mothers attended primary school.  It is however important to note that  the decline in the levels of malnutrition with increasing maternal  education is not always gradual.  In some countries, malnutrition levels are  fairly similar  among children whose mothers attended primary or secondary  school while elsewhere  there is a greater similarity  with children whose mothers attended primary school or had  no formal schooling.  Median levels of  malnutrition across  all countries range from 36 percent for children whose mothers had some primary education to 16 percent for children of mothers with secondary or higher education.
      With increasing level of mother’s education, the proportion of children who are malnourished goes down as found out in the Uganda Demographic and Healthy Survey of 2006 (UBOS and Macro International Inc., 2007).This result is consistent with the findings of Webb and Block (2004)  that  highlighted the importance of human capital investment in improving child nutrition status. This implies that educated mothers are better aware about the nutrition requirements of their children by providing improved health care (Babatunde, 2011).In a similar study in Bangladesh, children of mothers with no education and primary education were 28% and 33% respectively more  stunted than  children of  mothers with secondary or higher education. Wasted and underweight children also showed similar results.
      Children whose mother had no education or had primary education were more times significantly stunted and underweight than children whose mothers had secondary or higher level. However for wasting, children whose mothers had primary or secondary education had0.87 times lower odds of wasting than those of mothers with higher education (Nure, Nuruzzaman and Goni, 2011).
      According to Lisa (2000), education of a mother has several potentially positive effects on the quality of care of children and consequently malnutrition. More educated women are better able to process information, acquire skills and model positive caring behaviours. More educated women tend to be better able to use healthcare facilities to interact effectively with health care providers, to comply with treatment recommendations and to keep their living environment clean. Education also increases women’s ability to earn income but this increases the opportunity cost of their time which may mitigate against some important care giving behaviours for example breastfeeding.
      More to note is that  mother’s  education is  associated with  more efficient  management of limited  household resources, greater utilization of available health care services, better health promoting behaviours, lower fertility as well as child centred caring practises. All this consequently results into a reduction in malnutrition among under-five children  (Nguyen and Kam,  2008).  Indeed from the above study, children whose mothers had primary or no education were less likely to be stunted, underweight or even wasted perhaps because most of these mothers were unemployed and were able to stay home and care for their children.
      2.4.2 MARITAL STATUS
      On the study about mothers’ marital status and under-five child nutrition, findings in Ethiopia reveal that child's malnutrition is significantly associated with marital status.  It was found out that under-five child malnutrition is higher among unmarried rural and divorced/separated women compared to married ones (Teller, 2000).  Similarly, being a married mother was positively associated with good  nutritional status among children under five years in the Volta region of Ghana (Appoh and Krekling., 2005).  Contrary to the above, a study in Tanzania revealed that mothers  who are married were more likely to have undernourished children unlike those that were unmarried perhaps because of the cost of maintaining families hence sometimes these families fail to produce nutritious supplements to the under-five children (Nyaruhucha et al., 2006).
      It is however important to note  that there  is scanty  literature linking mothers  marital status and malnutrition among under-five children in developing countries.  During the study done inAraba and Kalmalodistricts, marital status of the mother was also assessed in comparison to under-five malnutrition.
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    • ABSRACT - [ Total Page(s): 1 ]ABSTRACTMalnutrition is one of the major causes of mortality and morbidity among under-five children in Sub Saharan Africa. To understand the determinants of malnutrition among under –five children, a study was conducted in Araba and  kalmalo  districts of Illela l/g  to Understand the determinants in these districtsMajority of the children were aged 37-59 months 54(51.9%) and followed by those aged 13-36 months 44 (42.3%) respectively the average age of the children in months is 37 wi ... Continue reading---

         

      QUESTIONNAIRE - [ Total Page(s): 2 ]COLLAGE OF PURE AND APPLY SCIENCEDEPARTMENT OF COMMUNITY HEALTH SCIENCE KWARA STATE UNIVERSITY, MALETE.A QUESTIONNAIRE ON THE DETERMINANTS OF MALNUTRITION AMONG UNDER-FIVE CHILDREN IN ARABA AND KALMALO DISTRICTS IN ILLELA.Dear respondent, This is an academic research intended to assess the determinants  of  malnutrition  under-five children in the districts of Araba and kalmalo district in Illela.The purpose of this study and its findings is purely academic. I kindly request for your assistan ... Continue reading---

         

      APPENDIX B - [ Total Page(s): 1 ] ... Continue reading---

         

      LIST OF TABLES - [ Total Page(s): 1 ]LIST OF TABLESTable 4.1: Under five Child factors.                                                           Table 4.2: Maternal factors  of malnutrition among under-five children  Table 4.3: Immunization status of under-five children in Araba and kalmalo Districts Table 4.4: Levels of malnutrition among under five children in Araba and Kalmalo  Table 4.5: Bivariate associations between child and maternal factors with malnutrition among ... Continue reading---

         

      TABLE OF CONTENTS - [ Total Page(s): 1 ]TABLE OF CONTENTSDECLARATION  APPROVAL BY SUPERVISORS  DEDICATION  ACKNOWLEDGEMENTS   ABSTRACT  LIST OF ACRONYMS/ ABBREVIATIONS   CHAPTER ONE: INTRODUCTION   1.1 Background to the study   1.2 Problem Statement   1.3 Main objective  1.4 Specific objectives  1.5 Hypotheses  1.6 Scope of the study   1.7 Conceptual frame work   1.8 Significance of the study  1.9 Structure of the dissertation  CHAPTER TWO:LITERATURE REVIEW  2.1 Introduction   2.2 Malnutrition among under-fiv ... Continue reading---

         

      List of symbols/Abbreviations - [ Total Page(s): 1 ]LIST OF ACRONYMS/ ABBREVIATIONS AfrII:   Africa Innovations InstituteBCG:    Bacille Calmette-GuerinBMI:   Body Mass IndexCDP:   Child Days PlusDHS:   Demographic and Health SurveysEPI:   Expanded Programme on ImmunizationFAO:   Food and Agricultural OrganizationMAAIF:   Ministry of Agriculture, Animal Industry and FisheriesMoH:   Ministry of HealthNPA:   National Planning AuthorityTASO:   The AIDS Support OrganizationUNICEF:   United Nations Children’s FundWHO:  ... Continue reading---

         

      CHAPTER ONE - [ Total Page(s): 4 ]CHAPTER ONEINTRODUCTION            1.1 Background to the studyThe World Health Organization (2013) estimates that there are 178 million children that are malnourished across the globe, and at any given moment, 20 million are suffering from the most severe form of malnutrition. Malnutrition contributes to between 3.5 and 5 million annual deaths among under-five children. UNICEF estimates that there are nearly 195 million children suffering from malnutrition across the globe. In 1997, the ... Continue reading---

         

      CHAPTER THREE - [ Total Page(s): 2 ]CHAPTER THREEMETHODOLOGY3.1 INTRODUCTIONThis chapter presents the methodology used in the study. This has been divided into  study population,  data source,  variable specification, anthropometric analysis, data analysis  andstudy limitations  on the  determinants of  malnutrition  among under-five  children  in  Arabaand Kalmalo districts. 3.2 STUDY POPULATION The study population consistedof children below five years inAraba and Kalmalo districts.  The two districts were considered ... Continue reading---

         

      CHAPTER FOUR - [ Total Page(s): 10 ]The levels of malnutrition by district, results in Table 4.4 above indicate that stunting was higher in Araba district than in Kalmalo. Similarly, child wasting and underweight were highest in Araba than in kalmalodistrict. ... Continue reading---

         

      CHAPTER FIVE - [ Total Page(s): 3 ]The immunization status of the  under-five  children  that were  involved in  the study  reveals that majority  of the children  (51.9%) were immunized up to date according to the Expanded Programme on Immunization Card (EPI  Card), and this was confirmed by at least  32.7% of the mothers whose children were fully immunized. Similar results were obtained for the BacilleCalmette-Guerin (BCG) immunization where most of the children had BCG scars (46.2%) followed by 32.7% of t ... Continue reading---

         

      REFRENCES - [ Total Page(s): 2 ]Tanzania Health Bulletin.8, 3.Olwedo,  M.  A.,  Mworozi,  E.  M.,  Bachou,  H.,  and Orach,  C.G.  (2008).  Factors associated with malnutrition among children in internally displaced person’s camps, Northern Uganda.  Journal of Africa Health Sciences 8(4), 244-252.United Nations Children’s Fund.  (1990).  Strategies of improving nutrition of children and women in developing countries, New York: UNICEF, USA.Victora, C. G., Huttly, S.R., Fuchs, S.C.,  andOlinto, M.T. ... Continue reading---