Type | Journal Article - Medical Channel |
Title | Food utilization as anti-stunting intervention in Pakistan |
Author(s) | |
Volume | 22 |
Issue | 3 |
Publication (Day/Month/Year) | 2016 |
Page numbers | 80-87 |
URL | https://www.researchgate.net/profile/Hamad_Sarwar_Naqvi/publication/309406455_FOOD_UTILIZATION_AS_ANTI-STUNTING_INTERVENTION_IN_PAKISTAN/links/580ef28908aef766ef10eb81/FOOD-UTILIZATION-AS-ANTI-STUNTING-INTERVENTION-IN-PAKISTAN.pdf |
Abstract | Introduction: Worldwide childhood stunting is affecting approximately 162 million children under 5 years of age per year.It is a major public health problem in Pakistan likewise other developing countries.Children whose height for age Z-score is below minus two standard deviations i.e. (HAZ < -2 Z-score) are considered stunted. Stuntinghampers children inreaching their full developmental potential and causes lasting damage in infancy and early childhood. To address stunting at birth, pregnant mothers need to be taken care of. Interventionleading to improve the nutritional status of the mother proved helpful to prevent stunting at birth. An integrated and multi sectoral approach is required to address menace of malnutrition and stunting. Objective: Objective of this paper is to estimate/ assess the reduction in stunting at the time of birth and perinatal mortality rate by implementing interventions to pregnant mothers (from conception till time of delivery). Methods:Interventional study design has been used in this research for testing our intervention among two groups of participants.Study is carried out among 200 pregnant mothers in different cities of Pakistan. 100 mothers were taken as control group and 100 mothers as study group. All pregnant mothers were selected from same age group i.e. 20 to 30 years of age group. They all belonged to same income group (i.e. affording food groups) and having approximately similar health parameters.The study group was oriented about the healthy eating habits and given directions to eat daily one food from each offive food groups. Stunting and perinatal deaths were observed in study group and control group. A comparison was made between the two groups to assess the impact of intervention. Findings:The study revealed that perinatal mortality among study group was 30 per 1000 births while in control group it was 50 per 1000 births. In study group 30% newborns were stunted whereas 40 % were in control group. Eating weekly from five food groups was identified as significant intervention for anti-stunting at the time of birth. Conclusion: The findings shows a strong evidence that use of healthy and balanced food has positive impact in reducing stunting at the time of birth and perinatal deaths. A coordinated approach by health, food and agriculture department is required to ensure availability and use of balanced food during pregnancy to address the issue of stunting atthe time of birth.The results of our study shows that control group has same current rate of stunting in Pakistan. While intervention on study group shows significant effect in prevention of stunting. There is need to adopt an integrated approach by all relevant sectors under the umbrella of MultiSectoral Nutrition Strategy to overcome this major challenge in Pakistan. Situation can be improved by scaling up this nutrition intervention. |
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