Article,

Determinants of Malnutrition among Children Under Five Years in SOS Hospital, Mogadishu

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Imperial Journal of Interdisciplinary Research, (2017)

Abstract

Malnutrition is defined as a lack of proper nutrition. The vast majority of the world‟s hungry people live in developing countries, where 12.9 percent of the population are undernourished. It is prevalent in children particularly those in developing countries where one person out every four there is undernourished 1. Mortality is related to the severity of the malnutrition 2. In Somalia, child malnutrition remains a major health problem where the proportion of under-five children who were underweight in 2013 was 40% and 21% in rural and urban areas respectively 3. The purpose of this study was to investigate determinants of malnutrition among children under five years in SOS Hospital in Mogadishu, Somalia. The study comprised of a cross-sectional hospital survey. The study population constituted children who were diagnosed as malnutrition cases at SOS Hospital in Mogadishu.  The probability systematic random sampling technique was used and the sample size was constitute 384 malnutrition patients. A semi structured questionnaire was used to collect data. Data collected was analyzed using SPSS software to describe and identify significant associations between different variables. Descriptive summary statistics and graphical summaries in tables and charts were used to present the study findings. There is 43.0% underweight, 52.6% marasmus, 1.0% Kwashiorkor, 1.6% Marasmic – kwashiorkor and 1.8% unclassified among children admitted to SOS Hospital.  Key study findings revealed are: poor household income  ( P-value = 0.000); large household size  ( P-value = 0.002); counselling of the caregiver/mother on healthy eating  ( P-value = 0.004); age of child  ( P-value = 0.001); vitamin A supplementation  (P-value = 0.048); age up-to when the child was breastfed  (Pvalue = 0.001); type of the milk the baby is fed on particularly Cows milk (P-value = 0.012) with most prevalent comorbidities among the malnourished children admitted to SOS hospital were bronchopneumonia, diarrhea, malaria and measles with a proportions of 62.2%, 55.5%, 33.1% and 24.2% respectively.

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