The prevalence of under-nutrition among the tribal children in India: a systematic review
DOI:
https://doi.org/10.2478/anre-2019-0014Keywords:
preschool children, tribal, nutritional status, meta-analysis, underweightAbstract
Tribal population of India constitutes 8.6% of the total population. They are more susceptible to undernutrition which is recognized as a prevalent health problem mainly because of their uncertainty of food supply, which has serious long term consequences for the child and adversely influences the development of the nation. The assessment of nutritional status is paramount importance because it impels to identify malnutrition which is an aggravation of morbidity and mortality. This review was aimed to find out the overall nutritional status of tribal preschool children. It also seek the major socio-cultural causes which influence the nutritional status from bio-cultural perspectives among the tribal children in India in order to make foundation of new research. In the present review, 41 papers on nutritional status of tribal preschool children published from January 1st 2000 till date, have been identified and included for analysis. To analyze the data, meta-analysis was done using MedCalc software. The meta-analysis revealed the average rate of prevalence of underweight, stunting and wasting among the preschool tribal children of India was 42.96%; 44.82% and 23.69%. Among the 41 different studies these rates vary among the different tribal groups of different states associated with their socio-economic status (10%), their cultures of food consumption (10%), maternal education (15%), child feeding practices (20%), dietary deficit during pregnancy (25%) and poor nutrition of the child (52%). Prevalence rate of under-nutrition and stunting is relatively high in comparison to WHO in India whereas, rate of wasting was lower in comparison to national level which reflect that immediate nutritional status was poor but chronic deficiency of nutrition was less. Nutritional education and short term appropriately planned nutritional intervention programs may also be useful for enhancing their nutritional status.
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References
Arjun CM, Kumar A. 2017. Nutritional status and its association with various socio demographic variables among preschool tribal children in Kerala. JMCSR 5 (11):30543–8.
Bepari M, Pal A, Maity P, Maiti Choudhury S. 2015. Nutritional and health status of adult women of the Lodha tribal population of Paschim Midnapore, West Bengal, India: compared with non-tribal women. East Afr J Public Health 12(1):988e96.
Bisai S. 2001. Prevalence of undernutrition among Santal tribal preschool children of Paschim Medinipur District, West Bengal, India. Int J Pediatr 2(4-3):347–54.
Bisai S, Bose K, Ghosh A. 2008. Nutritional status of Lodha children in a village of Paschim Medinipur district, West Bengal. Indian J Public Health 52:203–6.
Bisai S. 2008. Nutritional status and growth pattern of urban infants in relation to birth weight. Curr Sci 175.
Bisai S, Mallick C. 2011. Prevalence of undernutrition among Kora-Mudi children aged 2–13 years in Paschim Medinipur District, West Bengal, India. World J Pediatr 7:31–6.
Bisai S, Bose K, Ghosh T, De GK, Khongsdier R, Kozieł S. 2012. Nutritional status based on anthropometry of tribal preschool children in Paschim Medinipur district of West Bengal, India. Int J Innov Res Dev 1:61–9.
Bisai S, Mahalanabis D, Sen A, Bose K. 2014. Maternal education, reported morbidity and number of siblings are associated with malnutrition among Lodha preschool children of Paschim Medinipur, West Bengal, India. Indian J Pediatr 2:13–21.
Chakma T. 2009. Nutritional status of Baiga – a primitive tribe of Madhya Pradesh. Anthropol 11:39–43.
Chakraborty R, Bose K. 2008. Anthropometric characteristics and nutritional status of adult Oraon men of Gumla District, Jharkhand, India. Int J Biol Anthro 2(1).
Chakrabarty S, Ghosh R, Bharati P. 2005 Breastfeeding practices and nutritional status of preschool children among the Shabar tribal community in Orissa, India. Paper presented at the proceedings of National Symposium on tribal health.
Chalmers I, Haynes RB. 1995. Reporting, updating, and correcting systematic reviews of the effects of health care. In: I Chalmers and DG Altman editors. Systematic reviews. London: BMJ: 86–95.
Chatterjee K, Sinha RK, Kundu AK, Shankar D, Gope R, Nair N, Tripathy PK. 2016. Social determinants of inequities in under-nutrition (weight-for-age) among under-5 children: a cross sectional study in Gumla district of Jharkhand, India. Int J Equity Health 15(1):104.
Das S, Bose K. 2011. Prevalence of thinness using new international cut-off points among Santal tribal children and adolescents of Purulia District, West Bengal, India. SlJOL 40:105–10.
Debnath A, Bhattacharjee N. 2016. Understanding malnutrition of tribal children in India: the role of women’s empowerment. Ecol Food Nutr 55 (6):508–27.
Devara R, Deshmukh D. 2017. Impact of nutritious meals on the nutritional status of the tribal students: A comparison between centralized kitchens (annapurna) and regular kitchens in government tribal residential schools from two Districts of Maharashtra, India. Indian J Public Health 61:233–8.
Dave PH, Mistry JJ, Chaudhary MK. 2016. Assessment of nutritional status of tribal school going children of Sabarkantha District, Gujarat. Inter J Agri Sci 8:2308–11.
Ghosh J, Pati RR. 2015. Assessment of nutritional status among Santal-Munda tribal children in rural area of Amdanga block, North 24th Parganas District of West Bengal, India. Inter J Curr Microbio and Appl Sci 4:810–5.
Ghosh JR, Sarkar A. 2013. Prevalence of undernutrition among Santal children of Birbhum District, West Bengal, India. SL J Child Health 42:147–50.
Glass GV. 1976. Primary, secondary, and meta-analysis of research. Educational Researcher 5:3–8.
Gopinath TT, Logaraj M, John KR. 2018. Assessment of nutritional status of children aged under five years in tribal population of Jawadhu hills in Tamil Nadu. Int J Comm Med and Public Health 5:1041–6.
Goswami M. 2016. Prevalence of under-nutrition measured by Composite Index of Anthropometric Failure (CIAF) among the Bhumij children of Northern Odisha, India. J Nepal Paediatr Soci 36:61–7.
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–06: India. Mumbai: IIPS, 2007.
International Institute for Population Sciences (IIPS). National Family Health Survey-4. India fact sheet. Mumbai: 2015–6.
Islam S, Mahanta TG, Sarma R, Hiranya S. 2014. Nutritional status of under 5 children belonging to tribal population living in riverine (Char) areas of Dibrugarh district, Assam. Indian J Community Med 39:169–74.
Khandare AL, Siruguri V, Rao A, Venkaiah K, Reddy G, Rao GS. 2006. Diet and nutrition status of children in four tribal blocks of Thane district of Maharashtra, India. Pak J Nutr 7:465–8
Khargekar NC, Khargekar VC, Shingade PP. 2016. A cross-sectional study to assess the protein energy malnutrition in children between one to five years of age in a tribal area Parol, Thane district, Maharashtra, India. International Journal of Community Medical Public Health 3:112–20.
Krishnan L. 2014. Nutritional status of children in tribal communities of Wayanad. Dissertation Paper.
Lohman TG, Roche AF, Martorell R. 1988. Anthropometric Standardization Reference Manual. Chicago: Human Kinetics Books.
Longkumer T. 2014. Physical growth and nutritional status among Ao Naga children of Nagaland, Northeast India. J Clin Diagn Res 8:JC01–JC04.
Millennium Development Goals Report 2012. New York: United Nations 2012.
Millennium Development Goals – India Country Report. Ministry of Statistics and Programme Implementation.New Delhi: Government of India 2011.
Mitra M, Kumar PV, Chakraborty S, Bharati P. 2007. Nutritional status of Kamar tribal children in Chhattisgarh. Indian J Pediatr 74:381–4.
Meshram II, Arlappa N, Balakrishna N, Laxmaiah A, Mallikarjun Rao K, Gal Reddy Ch. 2012. Prevalence and determinants of undernutrition and its trends among Pre-School tribal children of Maharashtra State, India. J Trop Pediatr 58(2):125–32.
Manjunath R, Kumar KJ, Kulkarni P. Begum K, Gangadhar MR. 2014. Malnutrition among under-five children of Kadukuruba tribe: Need to reach the unreached. J Clin Diagn Res 8:JC01–JC04.
National Nutrition Monitoring Bureau Diet and Nutritional status of tribal population – A first repeat survey Technical report No. 24. National Institute of Nutrition, Indian council of Medical research, Hyderabad, India, 2000.
National Nutrition Monitoring Bureau. Diet and nutritional status of tribal population – Report on first repeat survey (1998–99). Hyderabad: National Institute of Nutrtion; 2000:14.
Padmanabhan PS and Mukherjee K. 2016. Nutrition in tribal children of Yercaud region, Tamil Nadu. Indian J Nutr 3:148.
Patwari AK. 2013. Millennium development goals and child undernutrition. Indian J Pediatr 50: 440–52.
Philip RR, Vijayakumar K, Indu PS, Shrinivasa BM, Sreelal TP, Balaji J. 2015. Prevalence of undernutrition among tribal preschool children in Wayanad district of Kerala. Int J Adv Med Health Res 2:33–8.
Physical Status: The use and interpretation of anthropometry. Technical Report Series No. 854. Geneva: World Health Organization, 1995.
Prabhakar SC. 2009. Health and nutritional status among the tribal children of Mysore District, Karnataka. Ph.D. dissertation.
Purohit L, Sahu P, Godale LB. 2017. Nutritional status of under- five children in a city of Maharashtra: a community based study. Int J Comm Med Public Health 4:1171–8.
Rao KM, Kumar RH, Krishna SR, Bhaskar V, Laxmaiah A. 2015. Diet & nutrition profile of Chenchu population – a vulnerable tribe in Telangana & Andhra Pradesh, India. Indian J Med Res 141:688–96.
Rao KM, Laxmaiah A, Venkaiah K, Brahmam GN. 2006. Diet and nutritional status of adolescent tribal population in nine states of India. Asia Pac J Clin Nutr 15 (1):64–71.
Rao VG, Yadav R, Dolla CK, Kumar S, Bhondeley MK. Ukey M. 2005. Undernutrition and childhood morbidities among tribal preschool children. Indian J Med Res 122:43–7.
Reddy VB, Kusuma YS, Pandav CS, Goswami AK. Krishnan A. 2016. Prevalence of malnutrition, diarrhea, and acute respiratory infections among under-five children of Sugali tribe of Chittoor district, Andhra Pradesh, India. J Nat Sc Biol Med 7(2):155–60.
Sachdev HPS. 1995. Assessing child malnutrition: some basic issues. NFI Bull 16:1–5.
Shahnawaz M, Singh JB. 2014. Nutritional status among the children living in predominantly tribal block of Jhadol in district Udaipur, Rajasthan, India: A cross sectional study. Epidemiology Biostatistics and Public Health e 8893.
Sharma B, Mitra M, Chakrabarty S, Bharati P. 2006. Nutritional status of preschool children of Raj Gond – a tribal population in Madhya Pradesh, India. Malays J Nutr 12:147–55.
Singh M, Sharma P, Kumar D, Bhardwaj AK. 2015. Self reported performance appraisal of Integrated Child Development Scheme (ICDS) in a health block of a rural area of Himachal Pradesh. Sub Himalayan J Health Res 2:78–82.
Singh, H., Gupta, A., Sachdeva, A., Barall, D., Kumar, D., Singh, S. 2016. Nutritional status of 1–5 years children in a hilly tribal district of North India. Int J Contemp Med Res 3:3286–8.
Sil SK, Roy Sarkar S and Roy S. 2011. Assessment of nutritional status of rural tribal children in Tripura. Indian Pediatr 48:488–9.
Somawar BN, Phuljhale S. 2015. Assessment of nutritional status amongst Bihor tribal children residing in Dharamjaigarh block of Raigarh district (C.G.), India. Inter J Res Med Sci 3:2820–5.
Sukhdas G, Challa S, Bhatia P. Rao AR, Rao K. 2014. Nutritional status of tribal children in Andhra Pradesh. Int J Med Res Health Sci 3:76–9.
Talapalliwar MR and Garg BS. 2014. Nutritional status and its correlates among tribal children of Melghat, Central India. Indian J Pediatr 81:1151–7.
Tubid D. 2015. Undernutrition among Tribal Children. DOI: 10.13140/RG.2.1.3708.9442
UNICEF, Media Kit: Nourishing India’s Tribal Children: The nutrition situation of children of India’s scheduled tribes 2014. Retrieved December 17, 2018 from http://infochangeindia.org/agriculture/books-a-reports/malnutrition-amongst-maharashtras-tribals-how-bad-is-it.html
UNICEF, Save the children. 2012. State of the World’s Mothers 2012.
UNICEF. Tracking progress on child and maternal nutrition: a survival and development priority. New York: UNICEF; 2009.
Uppal M, Kumari K, Sidhu S. 2005. Clinical assessment of health and nutritional status of scheduled caste children of Amritsar. Anthropologist 7:169–71.
Vidya and Panjikkaran. 2018. Nutritional status of the tribal preschool children in Thrissur district. INDJSRT 18: 62–6.
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