Comparison of Nutritional Status of Pre-Schooling Children as Per Sex

 

Rathi HB, Bansal AK and Chauhan P*

Dept. of Community Medicine,*Dept. of Obs. And Gyn. Govt. Medical College, Jagdalpur (C.G.) 494001.

 

ABSTRACT:

On analysis of the collected data it has been found that 17 percent female child were in normal grade in comparison to their 15 percent male counter parts. Similarly in grade -1, there were 34 percent females in comparison to 33.3 percent males. As far as severely malnourished concerned again percentage of males were higher in comparision to female children.

 

KEY WORDS: Severely malnourished, Sex.

 

 

INTRODUCTION:

Since long there are reports of discrimination against the girl child in family because they have been looked upon as liabilities and burden weather it is a case of health, feeding, Schooling, enjoyment and so on. Even there are reports in the media of killing new borne female child in some communities. In almost every part of India both rural and urban alike a midwife’s tip is higher when the new borne baby is a boy than a girl. With a view of aborting the female fetus by identifying sex is an example of discrimination against girl child even before birth. The birth of daughter particularly the second is an occasion of mourning while that of a son for rejoicing.

 

On this single issue where there is no fault of her own, she has to suffer a great humiliation so much so particularly where in the house hold / Community, there is another fellow women gave birth to a son that her status in her own eyes goes down, resulting some of the mothers even committed suicide.

 

In view of the above facts and taking in to account the hitch of the community, would not admit it right away the authors consider “Nutritional Status” may prove an independent indicator Bansal A. K. et al (1) for revealing truth about status of the girl child in community.

 

MATERIAL AND METHODS:

As per sampling procedure 555 children belong to 0 to 60 months of age were weighed in the slum of Nagpur city (Maharashtra) between 1st December to 31st October 1992.

 

Grading of Nutritional status was done as per classification suggested by Indian Academy of Pediatrics using NCHS standards as references National Centre for Health statistics of USA. The growth standard considered to represent normal growth and which is currently being widely used for the purpose of evaluation of growth performance in any country including India is the one develops by the national centre for health statistics (NCHS) of USA. On growth measurement of large numbers American children .An expert group of World Health Organization (WHO.) had recommended after a care full examination of data world wide that the NCHS standard was best suited for use as an International Reference since it meets most of the criterion considered necessary for the choice of a standard. The  NCHS standard do not differ significantly from the Havard standard as far as under five are concerned.(12 ).

 


TABLE – I: NUTRITIONAL STATUS OF CHILDREN AS PER SEX

Nutritional status of Children

No. of Children

N = 555

Male

N = 267

Female

N = 288

Normal

89

40(15.0)

49(17.0)

Malnourished

Grade – I

 

187

 

89(33.3)

 

98(34.0)

Grade – II

210

105(39.3)

105(36.5)

Grade – III

60

29(10.9)

31(10.8)

Grade - IV

09

04(1.5)

05(1.7)

Figures in parenthesis indicate percentage.

 

TABLE – II: NUTRITIONAL STATUS AS PER AGE AND SEX

Age in Months

See of Children

No. of Children

Normal

Malnourished

0 - < 6

Male

Female

12

27

07(58.4)

11(40.8)

5(41.6)

16(59.2)

6 - < 12

Male

Female

24

34

06(25.0)

11(32.4)

18(75.0)

23(67.6)

12 - < 24

Male

Female

70

65

08(11.4)

05(7.7)

62(88.6)

60(92.3)

24 - < 36

Male

Female

53

60

07(13.2)

08(13.3)

46(86.8)

52(86.7)

36 - < 48

Male

Female

54

57

12(22.2)

08(14.0)

42(77.8)

49(86.0)

48 - < 60

Male

Female

54

45

00(0.0)

06(13.3)

54(100.0)

39(86.7)

Figures in parenthesis indicate percentage.

 


 

OBSERVATION AND DISCUSSION:

On analysis of the collected data it has been revealed that out of 555 only 89 (19.0 %) of children were of normal grade and of these 89, 40 (15.0 %) were males in comparison to their counterparts 49 (17.0 %) females (Table-I). Table further reveals that 33.7 % male children belong to grade - I malnutrition, while 34.0 % females. Regarding proportion of severely malnourished (grade III + IV) children concerned there were 12.4 % male children which is more or less equal to their counterparts female children (12.5 %). The difference between the malnourished male and female children was statistically found not significant.

(X2 = 0.33, d. f. = 1, P > 70.05)

 

In comparison to(Table - II) reveals that in age group of 0 to <6 months, 58.4 % male children were of normal grade 40.8 % females while in 6 to < 12 months of age group percentage of normal grade male children 25.0 in comparison to their female 32.4 % counterparts. While in 12 – 60 months old male and female children were concerned, 46.8 % belongs to male category in comparison to females 48.37 %.

 

Bansal et al (1) in their study observed that there were higher percentage of female children belong to normal grade nutrition than their male counterparts Dr. Mrs. Daga (4) in her study in adivasi – area of Thane Distt. of Maharashtra noted that higher percentage of girls had good nutritional status in comparison to their male counterparts.

 

Gupta S. C. (5) in his study conducted in Ludhiana (Panjab) observed higher percentage of female children suffered from protein energy malnutrition in comparison to male children. Like wise in the studies of Bombay and Calcutta region about malnutrition status of infants also noted neglect of female child. Women in India surviving against which is more or less with the findings of the present study.

 

Thus the authors reached to the conclusion that there are discrimination against female child. In spite of various laws have been in acted from time to time such as pre natal diagnostic techniques (Regulation and prevention of miss crying act of 1994 / child marriage Restraint amendment  act of 1978 / various scheme of  incentives as announced on the various occasions, the society has been uncared towards females.

 

In a democratic setup like ours people have a right to make their own choices regarding their lifestyle, living standard, nutritional habits, and health but still it is the responsibility of the state to bring in to the notice, the right choices among the people.

 

REFERENCES:

1.       Bansal A. K., Agrawal Ashok K. and Govila A. K. (1998-99) status of the girl child amongst Tribals and non Tribals in the under reached rural India; Journal of Ravishankar University Vol. 11-12; No. B (Science); 31-36.

2.       Bansal A. K. and Chandorkar R. K. (1993) Effectiveness of ICDS in child care in rural and tribal areas of Chhattisgarh, M.P., Journal of Ravishankar University Vol. 6; no.B (Sciences) 61-65.

3.       Bansal A. K. and Chandorkar R. K. (1997) Immunization status of Tribal and Non Tribal children of Raipur District, Madhya Pradesh Tribal Health Bulletin Vol. 3, No. 2, July;12-14. (4)Daga (1992) the girl child in India issaes and perceptives Bombay branch of Incian Academy of Paediatrics: 129.

4.       Gupta S. C. (1986) Proceeding of IUHE – SEARB 1st regional Conference; 226-231.

5.       Women in India surviving against odds (1989) souvenir IUHE - SEARB 2nd regional Conference: 28 – 31.

6.       Indian Academy of Paediatrics (1975) Suggestion and recommendation of workshop on Protein energy Malnutrition. Indian Pediatric, Vol. 12; No. 1; 116-117.

7.       World Health Organization (1983): Measuring change in nutritional status. Guidelines for assessing the nutritional impact of supplementary feeding programme for vulnerable groups, WHO Geneva.

8.       Bansal A. K. (2000) Situation analysis of family welfare Programme; J Ravi Shankar uni. Vol.13; No. B (Science) 48-52.

9.       Bansal A. K. and Govila A. K. (1996) An Assessment of educational needs of Industrial workers regarding family welfare; J Ravi Shankar uni. Vol. 9; No. B (Science) 77-81.

10.     Bansal A. K. et. al. (2000) Impact of ICDS on pregnancy pattern of Tribal and Non Tribal women; J Ravi Shankar uni. Vol. 13; No. B (Science) 54-58.

11.     Bansal A.K. and Chandorkar R.K. Impact of ICDS on morbidity due to Nutritional Deficiency Diseases amongst Tribe and non Tribe Children; Research J Science and Tech ;2009: 1(2) 82-84.

12.     Kellon W. and Fillmore; Prevalence of PEM, World Health Statistics; Quarterly; WHO, Geneva;Vo.-l36,No.2;129-165.  

 

Received on 14.02.2010

Accepted on 28.02.2010

© A&V Publication all right reserved

Research J. Pharmacology and Pharmacodynamics 2(2): March –April 2010: 181-182