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060			_aTHS-00582
100			_aDahal,Kajol. _93799
245			_aDeterminants of severe acute malnutrition among under 5 children in Satar community of Jhapa, Nepal.
260			_cc2020.
300			_aviii,83p.
500			_aThesis Report.
518			_aABSTRACT: Background: The world is marching towards the elimination of infectious disease, hunger and care of non-communicable disease but developing world is still fighting with malnutrition and its associated morbidities. One of the indigenous and marginalized community of Nepal, Satar/Santhal has often been neglected and is devoid of good education and are economically deprived. This predisposes under 5 children of Satar into malnutrition. Therefore, thestudy aims to assess determinants of SAM among children under 5 years of age in Satar community of Jhapa district, Nepal. Material & Methods: A community based case control study was carried out in two urban municipalities (Birtamode and Bhadrapur) and two rural municipalities (Jhapa and Haldibari) of Jhapa district. Fifty cases and hundred controls in 1:2 ratio had taken for the study. Information was collected through personal interview with the parents and anthropometric measurement of the children was measured. Analysis was carried out by using statistical software and conditional logistic regression was used to calculate crude and adjusted odds ratios to find out the determinants associated with severe acute malnutrition. Results: A total of 664 children between the age group of 6 - 59 months were screened for SAM. The prevalence of SAM was found 7.53%. Factors like, low economic status, birth interval less than 2 years, frequency of breast feeding <8 times/day and household food insecurity were found to be significant determinants of SAM. Multivariate logistic regression documented low economic status (AOR: 11.139, 95% CI 1.419 to 87.456); and frequency of breast feeding <8 times/day (AOR: 2.093, 95% CI 1.003 to 4.368) as predictors of SAM. Conclusion: Low economic status and frequency of breast feeding less than 8times/day were major determinants of SAM among children under 5yrs of age. Ending malnutrition will require greater efforts and integrated approaches to eradicate extreme poverty. Multi-sector approaches have been conducting for SAM in Nepal but there are no specific approaches for marginalized community. Keywords: Severe acute malnutrition, Satar community, Household food insecurity
650			_aSevere acute malnutrition. _93800
650			_aSatar community. _93801
650			_a Household food insecurity. _93802
856			_uhttp://nhrc.gov.np/contact/ _yVisit NHRC Library
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