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ACTUAL STATUS OF STUNTING AND DIETARY
INTERVENTION EFFECTIVENESS FOR CHILDREN UNDER 5
YEARS OF AGE IN THE COASTAL AREA OF TIEN HAI, THAI BINH
Author: Tran Quang Trung
BACKGROUND
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"Actual status of
stunting and dietary intervention effectiveness for children under 5 years of age
in the coastal area of Tien Hai, Thai Binh"
Study objectives:
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Chapter 1
LITERATURE REVIEW
1 - Stunting situation of children in the world and Vietnam
- Stunting malnutrition in the world:
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- Stunting malnutrition of children in Vietnam:2
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2. Causes of malnutrition.
- Inadequate food in both quantity and quality, and infectious diseases:
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- Lack of maternal and child health care services, knowledge of the
caregivers, clean water and environmental sanitation.
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- Low socio-economic conditions, poverty, backwardness and unequal
economic status.
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3. Some intervention solutions to improve the stunted children.
- Communication and education on nutrition and health care:1
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- Medical intervention to children's nutrition status: &
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- Intervention studies to improve children's diets: &
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Chapter 2
STUDIES SUBJECTS AND METHODOLOGY
2.1.Study subjects
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2. 2.Methodology
2. 2.1 - Study design: "
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2. 2.2.Sampling and sample size
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Chapter 3. STUDY RESULTS
3.1. Malnutrition in children under 60 months of age and some related factors in
the coastal area of Tien Hai, Thai Binh
3.1.1. Stunting among children under 5 years old
Table 3.3. Rate of stunted children under 5 years old in the coastal area of
Tien Hai
@
4 @
n n (%) n n (%)
D7 % *6*$8 $68
<0.05
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<0.05
+*$ *3 969*8 *3% 6**$8 K
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Total
1471 342 (23.2) 1571 477 (30.4) <0.05
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-1,3
-1,21
-1,27
-1,41
-1,43
-1,37
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-1,45
-0,25
-1,6
-1,4
-1,2
-1
-0,8
-0,6
-0,4
-0,2
0
≤ 12 months 13-24
months
25-36
months
37-48
months
49-60
months
Age group
HAZ score
Male
Female
Figure 3. 1.Distribution of HAZ score of each age group, by gender
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%
23,7
13,1
5,3
29,3
18,1
31,6
30
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8,7
8,3
4,7 3,7
5,1
3,6
0
10
20
30
40
≤ 12 months 13-24 months 25-36 months 37-48 months 49-60 months
Age group
Rate (%)
Stunted Underweight Skinny
Figure 3.4. Rate of 3 types of malnutrition, by age group
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Table 3.6. Analysis of the stunting combined with the others
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Table 3.7.Regression model on relation of some family factors with the stunted
children
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1 - Mother's occupation
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2 - Latrine
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3 - Water sources
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4 - Number of living children
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96
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Table 3.9. Regression model on relation of some individual factors with
the stunting
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Birth weight
K* ** *% 36*+$8
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Gender
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Age group
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3.2.Deficiency of micronutrients in stunted children aged 25-48 months
in the baseline survey
Table 3.11.Mean values of Hb, Zn in stunted children
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Table 3.12.Rate of anemia, zinc deficiency in stunted children
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3.3. Effectiveness of dietary intervention on nutrition status of children
25-48 months of age in some kindergartens in Tien Hai, Thai Binh
Table 3.18.Intervention effectiveness to underweight status
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Average weight (Kg,
X
± SD)
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WAZ-score (
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Table 3.19.Intervention effectiveness to underweight status, by age group
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Rate of underweight W/A: n (%)
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Table 3.20.Intervention effectiveness on stunting status
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Average height (cm,
X
± SD)
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K 7
Rate of stunting H/A (n,%)
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Table 3.21.Intervention effectiveness on stunting status, by age group
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Table 3.24.Intervention effectiveness on hemoglobin concentration, serum zinc
and IGF-1 through the time of intervention.
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Table 3.25. Intervention effectiveness on reduction of anemia and zinc
deficiency
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Table 3.28. Intervention effectiveness on children’s diets
Intervention
effectiveness - IE (%)
25-36 months old 37-48 months old
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IE 8.9 13.7
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IE 8.7 19.3
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IE 30.8 42.5
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Chapter 4.DISCUSSION
4.1.Assessment of malnutrition status and some related factors in children
under 60 months old in the coastal area of Tien Hai, Thai Binh
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4.3. Effectiveness of dietary intervention on nutrition status of children 25-48
months of age in some kindergartens in Tien Hai, Thai Binh
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CONCLUSIONS
1. Assessment of malnutrition status and some related factors in children
under 60 months old in the coastal area of Tien Hai, Thai Binh
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2. Status of micronutrient deficiency in stunted children 25-48 months of
age in the baseline survey
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3. Effectiveness of dietary intervention on status of children 25-48 months
of age in some kindergarten
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RECOMMENDATIONS
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