HEALTH AND NUTRITIONAL ASSESSMENT OF ORPHANS IN A RESIDENTIAL EDUCATIONAL FACILITY OF PESHAWAR- KHYBER PUKHTUN KHWA. PAKISTAN.

Main Article Content

Maheen Badrashi
Najib ul Haq
Farhat R Malik
Sehar Afridi

Keywords

Iron deficiency anaemia, Malnutrition, Orphanage, Underweight

Abstract

Introduction: Underprivileged children in orphanages are at a high risk of undernutrition owing to living conditions and resource unavailability. This study aimed to assess the nutritional status along with nutritional deficiencies among the children residing in the MERCY-PAK EDUCATIONAL ORPHANAGE COMPLEX.


Methods: This was a cross-sectional analytical study involving primary and secondary school children aged 5 to 17 years with data collected from 409 children. The socio-demographic background was obtained from parents. Height and weight for age were measured for malnutrition with associated deficiencies like paleness of skin and angular stomatitis. Descriptive statistics were carried in SPSS Version 16.


Results: A total of 409 children participated in the study. Analysis showed 62 % of students residing under the normal range, followed by 25.4 % and 10.5 % as underweight and overweight respectively. Evaluation of associated abnormalities demonstrated that 24.4 % showed skin paleness followed by angular stomatitis (5.4 %) and pale (1%) which makes a total of 22 and only 1 student respectively.


Conclusion: Most of the students had normal weight and height; however, acute malnutrition (wasting) was more prominent than chronic malnutrition (stunting). The signs of paleness and angular stomatitis were observed among the students, which may have been due to worm infestation or iron and vitamin deficiency. Anaemia was more common in junior classes as compared to senior classes. All these findings could be attributed to the consumed salads, milk, and milk products occasionally, which resulted in anaemia and stunting.

Abstract 180 | pdf Downloads 48

References

1. Ali Z, Abu N, Ankamah IA, Gyinde EA, Seidu AS & Abizari AR. Nutritional status and dietary diversity of orphan and non – orphan children under five years: a comparative study in the Brong Ahafo region of Ghana. BMC Nutr. 2018; 32: 1- 8
2. Government of Pakistan National Nutritional Survey Planning Commission Planning and Development Division (2011). Child Health & Nutrition. Aga Khan University & Unicef Pakistan.
3. Sial, N., Saeed, S., Ahmad, M., Hameed, Y., Rehman, A., Abbas, M., ... & Khan, M. R. (2021). Multi-omics analysis identified TMED2 as a shared potential biomarker in six subtypes of human cancer. International Journal of General Medicine, 7025-7042.
4. Usman, M., Okla, M. K., Asif, H. M., AbdElgayed, G., Muccee, F., Ghazanfar, S., ... & Hameed, Y. (2022). A pan-cancer analysis of GINS complex subunit 4 to identify its potential role as a biomarker in multiple human cancers. American Journal of Cancer Research, 12(3), 986.
5. Mohammad F, Musa I, Fage SG, Tura AK & Weldegebreal F. Undernutrition among Institutionalized School- age Orphans in Harari Regional state, Eastern Ethiopia: A Cross- sectional study. Nutr Metab Insights. 2021; 14: 12-14
6. Nelson CE (2000). Medical and developmental sequelae of early childhood institutionalization in Eastern European adoptees. The Effects of Early Adversity on Neurobehavioral Development (pp 345-355): Minnesota Symposium on Child Psychology, C. Nelson, Lawrence Erlbaum Associates Publishers, Mahwah, NJ, USA.
7. Usman, M., Hameed, Y., Ahmad, M., Iqbal, M. J., Maryam, A., Mazhar, A., ... & Aslam, A. S. (2023). SHMT2 is associated with tumor purity, CD8+ T immune cells infiltration, and a novel therapeutic target in four different human cancers. Current Molecular Medicine, 23(2), 161-176.
8. Onis Md, Blössner M & Borghi E. Prevalence and trends of stunting among pre-school children, 1990–2020. Public Health Nutr. 2012; 15 (1):142– 148.
9. Pelletier DL, Frongillo Jr EA, Habicht JP. Epidemiologic Evidence for a potentiating effect of malnutrition on child mortality. Am J Public Health. 1993; 83 (8): 1130- 1133.
10. Rodriguez L, Cervantes E, Ortiz R. Malnutrition and Gastrointestinal and Respiratory Infections in Children: A Public Health Problem. Int J Environ Res Public Health. 2011; 8 (4): 1174- 1205.
11. Salam RA, Das JK, Bhutta ZA. Current issues and priorities in childhood nutrition, growth, and infections. J. Nutr. 2015; 145 (5): 1116S- 1122S.
12. Sanghvi U, Thankappan KR, Sharma PS, Sali N. Assessing potential risk factors for child malnutrition in rural Kerala. India. J Trop Pediatrics. 2001; 47(6): 350- 355.
13. Scrimshaw NS, San Giovanni JP. Synergism of nutrition, infection and immunity: an overview. The Am J of Clin Nutr. 1997; 66 (2): 464- 477.
14. Sharada R, Damayanthi MN, Vidya B, Manjunatha S. Nutritional Status of Children Residing in Social Welfare Hostel in Bangalore City. Annals of Community Health. 2014; 2 (2): 31- 34.
15. Singh DK, Gupta A, Hameed S, Kumar SN. Health Status of Children Residing at Orphanages in Rural Karnataka. J Med Sci Health. 2021; 7 (2): 42- 46.
16. Social Security Children's Villages, “Worldwide Children's Statistics USA.” (2020) From; http://www.sos-usa.org/our-impact/childrens-statistics. [Retrieved August 23 2020]
17. Subedi S, Baral K, Dahal M, Khatiwada R & Khadgi M. Nutritional Status of children living in orphanage home of Khatmandu district, Nepal. Int. J. Res. Med. Sci. 2019; 1 (2): 11- 15.
18. Unicef |for every child (2013). In: Improving Child Nutrition: The Achievable Imperative for Global Progress, United Nations Children's Fund, New York, NY, USA. From https://data.unicef.org/resources/improving-child-nutrition-the-achievable-imperative-for-global-progress/. [Retrieved March 29 2023]
19. World Health Organization (2008). In: Training Course on Child Growth Assessment WHO Child Growth Standards Course Director's Guide. From http://www.who.int/childgrowth/training/en. [Retrieved March 3 2020]