Chulalongkorn University Theses and Dissertations (Chula ETD)

Nutritional status in children under 18 months and associations with community's characteristics in 5 provinces in Vietnam

Other Title (Parallel Title in Other Language of ETD)

ความสัมพันธ์ของภาวะโภชนาการในเด็กวัยน้อยกว่า 18 เดือนกับลักษณะชุมชนใน 5 จังหวัดประเทศเวียดนาม

Year (A.D.)

2006

Document Type

Thesis

First Advisor

Sungkom Jongpiputvanich

Second Advisor

Kriangsak Prasopsanti

Faculty/College

Faculty of Medicine (คณะแพทยศาสตร์)

Degree Name

Master of Science

Degree Level

Master's Degree

Degree Discipline

Health Development

DOI

10.58837/CHULA.THE.2006.774

Abstract

This research was to identify the prevalence of malnourished children and the association between community's characteristics and children's nutritional status among the children aged 6 to 17 months in Lao Cai, Hung Yen, Phu Yen, Ben Tre and DaNang provinces in Vietnam. This was a cross-sectional study of 2000 children and their caregivers; a care giver questionnaire survey survey was performed along with child anthropometric measurements. Child nutritional status was assessed by 3 indices: height-for-age, weight-for-age, and weight-for-height. To control the problem of hierarchical data, the multilevel regression modeling for child nutritional status was performed to clarify the association with its potential factors. The results show that the prevalence of stunting of children aged 6 to 17 months in DaNang, BenTre, HungYen, PhuYen and LaoCai was 9.1 per cent (95%CI[8.3-9.9]), 10.9 per cent (95%CI[10.4-11.3]), 14.3 per cent (95%CI[13.9-14.8]), 18.7 per cent (95%CI[17.6-19.8]) and 32.2 per cent (95%CI[31.2-33.1]) respectively. The prevalence of underweight in DaNang, BenTre, HungYen, PhuYen and LaoCau was 15.4 per cent (95%CI[14.7-16.1]), 24.8 percent (95%CI[24.1-25.5]), 20.6 per cent (95%CI[19.9-21.4]), 31.7 per cent (95%CI[30.5-33.0]) and 30.6 per cent (95%CI[30.0-31]) respectively. The prevalence of washing in DaNang, BenTre, HungYen, PhuYen and LaoCai was 4.6 per cent (95%CI[4.4-4.8]), 13.7 per cent (95%CI[13.0-14.3]), 3.3 per cent (95%CI[3.3-3.6]), 9.4 per cent (95%CI[8.6-10.2]) and 2.2 per cent (95%CI[2.1-2.3]) respectively. The analysis of association reveals the basic services available in commune had a positive association with child nutritution status. Similar associations were also reported between commune health care index variable and height-for-age of the children. Children living in communes easily accessing health care services had higher HAZ. Based on the findings, this research concluded that child malnutritution in the provinces still was public health problem especially in mountainous areas (PhuYen and LaoCai). Community characteristics were significantly associated with child nutritional status in the provinces.

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