Benchmarking the Determinants of Nutritional Status among Community Schools' Children in Nepal.

The government of Nepal initiated the Mid Day Meal Program (MDMP) to reduce hunger and increase educational outcomes, including health status. However, limited studies have been conducted on these issues covering the nutritional status of students at the lower basic level at community schools in Nep...

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Publicado en:Current Research in Nutrition & Food Science Vol. 12; no. 2; pp. 747 - 766
Autores principales: ACHARYA, DEVARAJ, THAPA, KRISHNA BAHADUR, BHANDARI, TULSI RAM, GIRI, SURENDRA, UPRETI, YADU RAM, DEVKOTA, BHIMSEN, BHATTARAI, SUSHIL SHARMA, TRIPATHI, KRISHNA PRASAD
Formato: research tables/charts Journal Article
Publicado: Current Research in Nutrition & Food Science Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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        atl: Benchmarking the Determinants of Nutritional Status among Community Schools' Children in Nepal.
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          ACHARYA, DEVARAJ
          THAPA, KRISHNA BAHADUR
          BHANDARI, TULSI RAM
          GIRI, SURENDRA
          UPRETI, YADU RAM
          DEVKOTA, BHIMSEN
          BHATTARAI, SUSHIL SHARMA
          TRIPATHI, KRISHNA PRASAD
        affil: Research Centre for Educational Innovation and Development [CERID], Tribhubvan University, Kathmandu
      sug:
        subj:
          Nutritional Status In Infancy and Childhood
          Nutritional Assessment
          Benchmarking
          School Health Services Nepal
          Malnutrition Psychosocial Factors
          Malnutrition Risk Factors
          Risk Assessment
          Human
          Funding Source
          Nepal
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Quantitative Studies
          Nonexperimental Studies
          Cross Sectional Studies
          Retrospective Design
          Questionnaires
          Anthropometry Methods
          Logistic Regression
          Food Services
          Nutrition Education
          Students, Elementary Psychosocial Factors
          Sociodemographic Factors
          Nutrition
          Stakeholder Participation
          Nutrition Policy
          Multi-Stage Cluster
          Test-Retest Reliability
          Univariate Statistics
          Bivariate Statistics
          Multivariate Analysis
          Child Health
          Body Mass Index
          Descriptive Statistics
          Comparative Studies
          Chi Square Test
          Data Analysis Software
          Confidence Intervals
          Odds Ratio
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: The government of Nepal initiated the Mid Day Meal Program (MDMP) to reduce hunger and increase educational outcomes, including health status. However, limited studies have been conducted on these issues covering the nutritional status of students at the lower basic level at community schools in Nepal. The main objective of the study is to determine the factors associated with malnutrition among children from community schools in Nepal. A school-based cross-sectional study was conducted in 98 (46 basic and 52 secondary) community schools from 44 municipalities in Nepal. Altogether, 2727 students participated in the questionnaire survey and anthropometric measurement. Data collection was performed on May 10-31, 2023. WHO Anthro plus and LMS (Lambda Mu and Sigma) parameters were used: weight for age for national health and nutrition survey recommended by CDC/National Center for Health Statistics for ages older than ten years to analyze nutritional status, including z scores. Descriptive analysis, including inferential analyses such as the chi-square test and logistic regression, was performed using IBM SPSS Statistics v25. The prevalence of weight-for-age Z-score[WAZ], height-for-age Z-score [HAZ], and body mass index-for-age Z-score [BAZ] were 72%, 75%, and 82%, respectively. Students with z-scores outside the range of ± 2 were classified as malnourished. Of them, 27.3%, 23% and 16.6% were assessed as underweight, stunted and thin, respectively. Students' sociodemographic characteristics such as age, sex, family size and type, source of income, wealth status were significantly associated with malnutrition, while age group, sex, wealth status, residence setting, and geographical location were noted as significant predictors of nutritional status. The study found no statistical relationship between school feeding and good nutrition, questioning the quality of the midday meal program. The study concludes that existing school-based nutritional interventions need to be re-evaluated and re-designed since it is less potent to minimize malnutrition among students substantially. Policymakers could consider these findings when planning and implementing nutrition- related policies and programs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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