Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study

Severe Acute Malnutrition (SAM) is multifactorial including poor maternal health, sociodemographic factors, and poor quality of diet of both the mother and child. Present study was carried out to determine sociodemographic factors and antenatal service utilization for SAM occurrence. This hospital-b...

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Main Authors: Rujal D. Bhitora, Vibha V. Gosalia, Harsha M. Solanki
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/ijcm.ijcm_147_23
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author Rujal D. Bhitora
Vibha V. Gosalia
Harsha M. Solanki
author_facet Rujal D. Bhitora
Vibha V. Gosalia
Harsha M. Solanki
author_sort Rujal D. Bhitora
collection DOAJ
description Severe Acute Malnutrition (SAM) is multifactorial including poor maternal health, sociodemographic factors, and poor quality of diet of both the mother and child. Present study was carried out to determine sociodemographic factors and antenatal service utilization for SAM occurrence. This hospital-based case-control study was carried out from April 2021 to April 2022. Cases (77) and controls (77) were matched for age and sex with 1:1 ratio. Cases were selected from Nutritional Rehabilitation Centre and controls from an immunization clinic using WHO’s Multicentric Growth Reference Study Criteria 2006. Mothers of study participants were interviewed by using semistructured questionnaires. The weight and height of study participants were measured. The odds of children having SAM increased significantly with illiterate parents, working mothers, and labor work of fathers. The absence of toilet facility at home and poor hygienic practices of mothers were significant risk factors. Mother’s <4 antenatal visits, home deliveries, and participants with low birth weight were associated with SAM. Logistic regression stated laborer fathers, poor hand washing practices of mothers, absence of toilet facility at home, and low birth weight of study participants were found independent determinants for SAM. Risk factors identified in the present study are modifiable and can be addressed through health system interventions.
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spelling doaj-art-75eb5aa566b440ec86fc97dcb49cf9fe2025-02-06T05:32:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812025-01-0150124625010.4103/ijcm.ijcm_147_23Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control StudyRujal D. BhitoraVibha V. GosaliaHarsha M. SolankiSevere Acute Malnutrition (SAM) is multifactorial including poor maternal health, sociodemographic factors, and poor quality of diet of both the mother and child. Present study was carried out to determine sociodemographic factors and antenatal service utilization for SAM occurrence. This hospital-based case-control study was carried out from April 2021 to April 2022. Cases (77) and controls (77) were matched for age and sex with 1:1 ratio. Cases were selected from Nutritional Rehabilitation Centre and controls from an immunization clinic using WHO’s Multicentric Growth Reference Study Criteria 2006. Mothers of study participants were interviewed by using semistructured questionnaires. The weight and height of study participants were measured. The odds of children having SAM increased significantly with illiterate parents, working mothers, and labor work of fathers. The absence of toilet facility at home and poor hygienic practices of mothers were significant risk factors. Mother’s <4 antenatal visits, home deliveries, and participants with low birth weight were associated with SAM. Logistic regression stated laborer fathers, poor hand washing practices of mothers, absence of toilet facility at home, and low birth weight of study participants were found independent determinants for SAM. Risk factors identified in the present study are modifiable and can be addressed through health system interventions.https://journals.lww.com/10.4103/ijcm.ijcm_147_23case-control studysevere acute malnutritionsociodemographic factors
spellingShingle Rujal D. Bhitora
Vibha V. Gosalia
Harsha M. Solanki
Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
Indian Journal of Community Medicine
case-control study
severe acute malnutrition
sociodemographic factors
title Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
title_full Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
title_fullStr Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
title_full_unstemmed Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
title_short Sociodemographic Factors and Antenatal Service Utilization among Severe Acute Malnutrition Children under 2 Years of Age, Western India (Rajkot, Gujarat) – A Hospital-based Case-Control Study
title_sort sociodemographic factors and antenatal service utilization among severe acute malnutrition children under 2 years of age western india rajkot gujarat a hospital based case control study
topic case-control study
severe acute malnutrition
sociodemographic factors
url https://journals.lww.com/10.4103/ijcm.ijcm_147_23
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