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Volume 08

Journal of Community Medicine & Health Education

Public Health Summit 2018

May 24-25, 2018

May 24-25, 2018 Osaka, Japan

World Congress on

Public Health, Epidemiology & Nutrition

J Community Med Health Educ 2018, Volume 8

DOI: 10.4172/2161-0711-C2-036

Community based intervention and nutritional status among children under five years of age in Dang, Nepal

Rajan Paudel

Iran Medical Sciences University, Iran

Background:

Undernutrition is high prevalent in Nepal which interferes with physical and mental development among

children. This study aimed to identify the effect of community-based nutritional intervention to reduce undernutrition among

children under five.

Methods:

The study design included a quasi-experimental, time series. The minimum sample size to identify the factors

associated with undernutrition was 426 and to determine the effect of intervention was 75. Logistic regression was used to

identify the factors of undernutrition. Repeated measures ANOVA and random-effects panel data regression was applied to

evaluate the effect of the intervention and exposure time.

Results:

This study found that female children, illiterate or non-formally educated women, mother’s occupation other than

housewife, food insufficiency from own land, ANC, PNC and place of delivery were significantly associated with childhood

undernutrition among children. The mean Z-sores of weight for age and weight for height were increasing till the intervention

ended, however height for age mean Z-score was still negative (<-2SD). On an average, in every one month of nutritional

intervention leads to an improvement in WAZ by 0.49 units (Coef. 0.49, 95% CI: 0.47-0.50), WHZ by 0.41 units (Coef. 0.41,

95% CI: 0.38-0.44) and HAZ by 0.31 units (Coef. 0.31, 95% CI: 0.29-0.33) adjusting the important socio-demographic and

health related variables.

Conclusion:

Community-based intervention utilizing local resources was found effective to reduce undernutrition among

children, that is why local government should think to scale up such interventions in other areas.