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PREVALENCE OF MALNUTRITION AMONG UNDER FIVE CHILDREN VISITING PEDIATRIC CLINIC IN FAITH MEDIPLEX HOSPITAL

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ABSTRACT

This study examined the prevalence of malnutrition among children below five years of age attending the paediatric clinic at Faith Mediplex Hospital. It also investigated the socioeconomic and demographic factors associated with malnutrition and evaluated the effectiveness of existing nutritional interventions in addressing the condition. A quantitative survey research design was adopted, and data were collected from 120 respondents using a structured questionnaire. The information obtained was analysed and presented with the aid of the Statistical Package for the Social Sciences (SPSS), version 27. T-tests were employed to examine the formulated research hypotheses. The findings revealed a considerable occurrence of malnutrition among children under five years attending the hospital. Socioeconomic factors, particularly parental income, educational attainment and family size, were found to have significant associations with the prevalence of malnutrition. Furthermore, the existing nutritional interventions provided by the hospital were found to be insufficiently effective in reducing malnutrition among the children studied. These findings highlight the importance of developing targeted interventions that address socioeconomic inequalities while improving the effectiveness of nutritional programmes in healthcare facilities serving children.

In conclusion, the study identifies childhood malnutrition as an important public health concern among children below five years of age and emphasises the need to address its underlying socioeconomic determinants and strengthen existing nutritional interventions. Based on the findings, the study recommends the introduction of comprehensive socioeconomic support programmes, improvement of healthcare facilities and services, and the strengthening of nutritional education and counselling initiatives. These recommendations are intended to address the various factors contributing to malnutrition and promote better health and nutritional outcomes among vulnerable children.

CHAPTER ONE

INTRODUCTION

1.1 Background to the Study

Malnutrition remains a major public health concern across the world, particularly among children below five years of age. It includes both undernutrition and overnutrition, conditions that can negatively affect children's health, growth and overall development. Undernutrition is commonly associated with stunting, wasting and underweight, and is particularly prevalent in low-income communities where access to adequate and balanced diets may be limited. Overnutrition, on the other hand, occurs when energy intake is excessive or dietary quality is poor, potentially resulting in obesity and other non-communicable diseases (Kang & Kim, 2019). Both forms of malnutrition can have serious consequences for children's physical growth, cognitive development and long-term well-being.

The World Health Organization identifies malnutrition as a major contributor to illness and death among young children, particularly in developing countries. Poor nutritional status during the early stages of life can produce lasting consequences, including impaired intellectual development, increased vulnerability to infections and a greater likelihood of developing chronic health conditions later in life (Jude, Chukwunedum, & Egbuna, 2019). Consequently, effective approaches to preventing and managing malnutrition must address children's immediate nutritional requirements as well as the underlying conditions responsible for poor nutrition, including household food insecurity, inadequate healthcare access and maternal health challenges.

Several factors contribute to the development of malnutrition among children. These include poverty, inadequate food consumption, poor maternal health and limited access to essential healthcare services. Poverty is particularly important because it reduces the ability of households to obtain nutritious foods and afford necessary healthcare services (Kavosi et al., 2020). Inadequate dietary intake, which may result from insufficient food quantities and limited dietary diversity, further increases the risk of nutritional deficiencies. Similarly, poor maternal nutritional status during pregnancy, including conditions such as anaemia and maternal undernutrition, may negatively affect the nutritional health of children.

In Nigeria, malnutrition among children below five years remains a serious public health challenge, although its prevalence and severity vary across geographical regions. Rural communities frequently experience higher levels of nutritional vulnerability due to poverty, inadequate healthcare infrastructure and limited access to safe water and proper sanitation facilities (Mdimu et al., 2020). However, urban communities are also affected, particularly densely populated neighbourhoods where households experience financial difficulties and inadequate access to quality food and healthcare services.

Faith Mediplex Hospital, situated in a densely populated urban environment, provides healthcare services to individuals from different socioeconomic backgrounds, including families who may experience conditions that increase children's vulnerability to malnutrition. The hospital's paediatric clinic offers important healthcare services to children, including nutritional assessments and interventions (Manyike et al., 2020). Its diverse patient population and the range of health conditions presented by children attending the clinic make it a relevant setting for examining the occurrence and contributing factors of malnutrition within an urban Nigerian healthcare environment.

Determining the prevalence of malnutrition among children attending the paediatric clinic at Faith Mediplex Hospital is important for developing interventions that address the nutritional needs of this population. Reliable information about the extent of malnutrition and its contributing factors can guide healthcare professionals and policymakers in designing appropriate programmes to improve child health outcomes (Ghodsi et al., 2021). Furthermore, identifying the specific circumstances that place children at risk can help healthcare providers develop interventions that respond to the needs of different groups within the community.

Maternal health literacy is another important factor that may influence the nutritional status of children. It involves mothers' knowledge, understanding and practices concerning nutrition, healthcare and hygiene, all of which can affect children's health and development (Johri et al., 2016). Improving maternal health literacy through appropriate education, counselling and support programmes may encourage better feeding practices, improve household health decisions and contribute to reducing childhood malnutrition.

In addition to improving healthcare delivery, addressing the socioeconomic conditions that contribute to malnutrition is essential. Programmes that strengthen household food security, improve maternal education and promote access to clean water and adequate sanitation can contribute significantly to better nutritional outcomes (Khattak, Iqbal, & Ghazanfar, 2017). Similarly, poverty-reduction strategies and broader economic development policies are important for creating conditions that enable families to provide adequate nutrition and a healthier environment for their children.

Community-based nutritional programmes also play an important role in preventing and managing childhood malnutrition. Such programmes often involve community health workers, local leaders and other stakeholders in promoting appropriate feeding practices, monitoring children's growth and providing nutritional supplements when necessary (Fufa & Laloto, 2021). The involvement of community members is essential because it encourages participation, promotes cultural acceptance and increases the likelihood that nutritional interventions will meet the actual needs of the population.

Evidence from previous research suggests that combining healthcare services, educational activities and social support can produce better outcomes in efforts to address malnutrition. For example, integrating nutritional interventions with maternal and child healthcare programmes may improve the overall health of children and their families (Gebre et al., 2019). Similarly, combining nutrition-related activities with water, sanitation and hygiene (WASH) initiatives can help address several environmental and health-related factors associated with poor nutritional status.

At Faith Mediplex Hospital, collaboration among healthcare professionals, nutritionists and social welfare personnel may strengthen the delivery and effectiveness of nutritional interventions. Continuous monitoring and evaluation of nutritional programmes are also necessary to determine their effectiveness and identify areas requiring improvement (Grewal, Kataria, & Dhawan, 2019). Through multidisciplinary collaboration and appropriate community involvement, the hospital can contribute to improving nutritional care and reducing the burden of malnutrition among children attending its paediatric clinic.

1.2 Statement of the Problem

Despite continuous efforts at national and international levels to prevent and manage malnutrition, the condition remains a major public health problem, particularly among children below five years of age. In Nigeria, childhood malnutrition continues to occur at concerning levels, although the extent and severity differ across geographical locations. These differences are influenced by socioeconomic circumstances, access to healthcare services and maternal educational attainment, all of which contribute to children's nutritional conditions (Jude, Chukwunedum, & Egbuna, 2019). However, specific information regarding the prevalence and contributing factors of malnutrition among children attending urban healthcare facilities such as Faith Mediplex Hospital remains limited. This shortage of locally relevant information may make it difficult to develop effective interventions that address the particular nutritional challenges experienced by children in urban communities.

A significant proportion of existing research on childhood malnutrition in Nigeria focuses on rural populations or examines the condition from a broad national perspective without adequately considering the distinct circumstances of urban communities. While rural areas may experience nutritional challenges associated with food insecurity and limited healthcare facilities, urban populations may face different difficulties, including poor dietary quality, household financial pressures and varying patterns of healthcare utilisation (Mdimu et al., 2020). Understanding these differences is important because the causes of malnutrition and the interventions required to address them may vary between rural and urban settings.

Another area requiring attention is the influence of maternal health literacy on the nutritional status of children in Nigerian urban communities. Maternal health literacy involves the knowledge and practices mothers possess concerning nutrition, healthcare and hygiene, which can significantly influence children's health outcomes (Johri et al., 2016). However, the extent to which maternal understanding and health-related practices affect childhood nutrition in urban healthcare settings requires further investigation. Examining this relationship may provide useful information for developing educational programmes and interventions that improve maternal knowledge and child nutritional outcomes.

Furthermore, there is a need for more detailed information about the socioeconomic and demographic conditions associated with childhood malnutrition in urban communities. Factors such as household income, parental educational background, family size and access to clean water and adequate sanitation can influence the ability of families to maintain appropriate nutritional standards (Khattak, Iqbal, & Ghazanfar, 2017). Without sufficient information about these factors within the specific study environment, it may be difficult to design comprehensive interventions that address the underlying causes of malnutrition.

Consequently, this study seeks to investigate the prevalence of malnutrition among children below five years attending the paediatric clinic at Faith Mediplex Hospital. It also examines the socioeconomic and demographic factors associated with the condition and assesses the effectiveness of existing nutritional interventions. The findings are expected to provide relevant information that may support the development of appropriate strategies for preventing and managing childhood malnutrition within the hospital and its surrounding community.

1.3 Objectives of the Study

The main objective of this study is to determine the prevalence of malnutrition among children below five years of age attending the paediatric clinic at Faith Mediplex Hospital.

The specific objectives are to:

1. Determine the proportion of children below five years attending Faith Mediplex Hospital who are diagnosed with malnutrition.
2. Identify the socioeconomic and demographic factors associated with malnutrition among these children.
3. Evaluate the effectiveness of existing nutritional interventions in reducing the prevalence of malnutrition among children attending the clinic.

1.4 Research Questions

The following research questions were formulated to guide the study:

1. What is the prevalence of malnutrition among children below five years attending the paediatric clinic at Faith Mediplex Hospital?
2. Which socioeconomic and demographic factors are associated with malnutrition among these children?
3. How effective are the existing nutritional interventions in addressing malnutrition among children attending the clinic?

1.5 Research Hypotheses

The following null hypotheses were formulated for the study:

1. The prevalence of malnutrition among children below five years attending the paediatric clinic at Faith Mediplex Hospital is not significantly high.
2. Socioeconomic and demographic factors, including parental income, educational level and family size, are not significantly associated with the prevalence of malnutrition among these children.
3. Existing nutritional interventions implemented at Faith Mediplex Hospital are not significantly effective in reducing the prevalence of malnutrition among children below five years of age.

1.6 Significance of the Study

This study is important because it seeks to provide information about the prevalence of malnutrition among children below five years attending the paediatric clinic at Faith Mediplex Hospital. Its significance extends beyond the immediate assessment of childhood nutritional conditions, as the findings may contribute to improved public health interventions, healthcare planning and community well-being.

First, determining the prevalence of malnutrition within this particular urban healthcare setting is important for understanding the extent of the problem and its implications for child health. Malnutrition during early childhood can negatively affect physical growth, cognitive development and general health, while also increasing the risk of illness and death. By identifying the proportion of children affected and examining the patterns of malnutrition within the hospital population, the study may provide useful information for developing interventions that respond to the nutritional needs of children in the community. Such locally relevant evidence can assist healthcare professionals in planning services that are appropriate for the population they serve.

Furthermore, the study may contribute to the broader understanding of childhood malnutrition in urban Nigerian communities. Much of the existing research has concentrated on rural populations, whereas urban environments present additional socioeconomic and environmental challenges that may influence children's nutritional status. Examining the circumstances surrounding malnutrition among children attending Faith Mediplex Hospital may help identify these distinct challenges and contribute to a more balanced understanding of childhood nutrition in both urban and rural settings.

The findings may also be useful in the formulation and improvement of healthcare policies. Policymakers require reliable information about the prevalence and determinants of health conditions to make informed decisions concerning resource allocation and programme development. By providing evidence about childhood malnutrition and its associated factors within an urban healthcare facility, this study may support policy decisions at local, state and national levels. It may also contribute to the development of nutritional support programmes, improved healthcare funding strategies and appropriate interventions for vulnerable families.

Another important contribution of the study concerns maternal health literacy and its possible influence on children's nutritional status. By examining factors associated with child nutrition, the research may highlight the importance of educating mothers and caregivers about appropriate feeding practices, dietary diversity, hygiene and child healthcare. Such educational programmes can strengthen caregivers' ability to make informed decisions concerning their children's nutrition and overall well-being. This approach also supports broader public health objectives of preventing disease and promoting healthy development through education and early intervention.

The community served by Faith Mediplex Hospital may also benefit from the findings. Identifying common nutritional problems and the socioeconomic circumstances associated with them can help healthcare providers develop more appropriate interventions. These may include nutritional counselling, supplementation programmes and collaboration with relevant community organisations to address household food insecurity. When properly implemented, such interventions may improve children's nutritional conditions and contribute to the long-term health and development of the wider community.

In addition, the research may provide useful information for other urban healthcare facilities experiencing similar challenges. The research approach and findings may serve as a reference for institutions seeking to assess childhood malnutrition and improve their nutritional care programmes. Sharing relevant findings and applying appropriate lessons across different healthcare settings may strengthen the overall effectiveness of interventions aimed at reducing childhood malnutrition.

Overall, this study is significant to healthcare professionals, policymakers, researchers, parents and the wider community. By investigating the prevalence of malnutrition, identifying its socioeconomic and demographic determinants, and examining existing nutritional interventions, the research may provide a foundation for improving child nutrition services. Addressing the factors identified through appropriate policies, educational activities and healthcare interventions may contribute to better nutritional outcomes and improved quality of life for children.

1.7 Scope of the Study

This study was conducted at Faith Mediplex Hospital and focused on children below five years of age attending the hospital's paediatric clinic. The study covered the period from January 2022 to December 2022. It examined the prevalence of malnutrition among the children, the socioeconomic and demographic factors associated with their nutritional status, and the effectiveness of existing nutritional interventions. Information for the study was obtained from medical records, patient interviews and hospital databases to provide relevant data for the investigation.

1.8 Operational Definition of Terms

Malnutrition: A nutritional condition that occurs when an individual's intake of energy or nutrients is insufficient, excessive or improper
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MalnutritionUnder-Five ChildrenPediatric ClinicChild NutritionFaith Mediplex Hospital

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