CAUSES OF MULNUTRITION IN CHILDREN UNDER FIVE YEAR OLD IN MATHARE SLUMS NAIROBI
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A RESERCH PROPOSAL SUBMITED TO KENYA INSTITUTE OF DEVELOPMENTAL STUDIES IN PARTIAL FULFILMENT OF A DIPLOMA IN NUTRITION AND DIETETICS MANAGEMENT
May 2012
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I declare that this is my original work and has not been submitted in any other learning institution for the award of degree or diploma.
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This proposal has been submitted with any approval as college supervisor
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Contents
DECLARATION ii
Contents iii
ACKNOWLEGMENT v
ABSTRACT vi
ABBREVIATIONS / ACRONYMS vii
CHAPTER I 1
1.0 INTRODUCTION 1
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The researcher will use purposive sampling method for selecting all parents with malnourished children below 5years old. Data analysis will use both qualitative and quantitative methods. Quantitative data will be analyzed using Microsoft excel and electronic calculator. Data will be presented in percentages, frequency tables and graphs.
ABBREVIATIONS / ACRONYMS
A M R E F Africa Medical Research Foundation
A N C Ante- Natal Care/ Clinic
C H W Community Health Worker
M C H Maternal Child Health
M U A C Mid- Upper Arm Circumference
P E M Protein Energy Malnutrition
R A P Rapid Assessment Procedure
U N United Nations
U N H C R United Nation High Commission for Refugees
W F P World Food Program
W H O World Health Organization
CHAPTER I
1.0 INTRODUCTION
1.1 Background of the study Malnutrition can either be under nutrition or over nutrition. All these are mentioned in the research but more attention is given to the latter. Under nutrition is a state resulting from intake of inadequate amount of nutrients, the nutrients commonly affected are protein and energy sources known as protein energy malnutrition (PEM),( AMREF training manual 1990).
World Health Organization (WHO) defines malnutrition as the cellular imbalance between supply of nutrients and energy and the body demand for them to ensure growth, maintenance and functions. Malnutrition is globally the most important
Despite the vast research on nutrition and health, malnutrition is still a major fatality in this present day. Policymakers, social scientist and medical experts have expressed alarm about the growing problem. While most agree that the issue deserves attention, consensus dissolves around how to respond and resolve the problem. Malnourishment continues to be a primary health liability in developing nations such as Asia, sub-Saharan Africa and Latin America. It is globally the most significant risk factor for illness and death, predominantly with hundreds of millions of pregnant women
There are three main ways that malnutrition can occur, either through impaired absorption, impaired nutritional intake or an increased metabolic demand. (Cartwright & Williams, 2002).
Malnutrition is a problem that is estimated to contribute to more than one third of death among children (WHO, 2014). Under nutrition is a form of malnutrition; it occurs when nutritional reserves are exhausted or nutritional intake is insufficient to satisfy daily needs or increased metabolic demands (Jarvis, 2013, p. 175). Prolonged periods in this state can lead to stunted growth which is associated with lower
The word means poor nutrition and malnutrition is a broad term referring to both under-nutrition and over-nutrition.
There are many nutrients we eat within our foods, these are vitamins, minerals, carbohydrates and protein. Malnutrition is when an individual is not getting enough nutrients into the bod, this means their body will not function properly this can be dangerous as your immune system could stop working or shut down which means individuals will be open to more cold, flu’s, infections etc. Malnutrition can also include under nutrition and over nutrition.
References Shashidhar, H. (2016, March 10). Malnutrition. Retrieved September 27, 2016, from
Patient malnutrition is a very real and serious matter; it can lead to a worsening of the patient's
The first and most important is protein-energy malnutrition which is basically a lack of calories and protein. Food is converted into energy, and the energy contained in food is measured by calories. Protein is necessary for key body functions including provision of essential amino acids and development and maintenance of muscles. Protein-energy malnutrition is the one that is the that is the most death causing form of hunger and is the type of malnutrition that is referred to when talking about world hunger.
Malnutrition is defined, by Merriam-Webster, as, “faulty nutrition due to inadequate or unbalance intake of nutrients or their impaired assimilation or utilization.” Malnutrition can affect both those who don’t eat enough and those who eat too much. You can be obese and malnourished due to eating only certain nutrients and not others. The body needs a balance of all nutrients. Prevention of malnutrition starts simply with eating a well balance diet based on the MyPlate recommendations. This helps will help a person eat the correct nutrients in the correct balance to avoid eating too many or too few of any one nutrient. The amount of different types of nutrients depends on the type of lifestyle someone leads. Someone who is more active will need more calories from carbohydrates and protein as compared to a sedentary person. Another way to help prevent malnutrition is education on what nutrients are and why you need them. There is a lot of misinformation out in the world and correct information can help prevent malnutrition. Some misinformation states that certain, necessary nutrients are bad for you, leading to people not eating them. Not eating these nutrients can lead to malnutrition. Malnutrition can lead to wasting of muscles, heart problems, and even death. Treatment depends on the cause of the malnutrition. For a person malnourished due to under-nutrition, the treatment includes increasing calories with a balance of nutrients. If it is bad enough, the nutrition may be supplied through an IV line or possible through a feeding tube (Nordqvist). This ensures the nutrients needed are supplied, along with the calories needed. For a person malnourished due to overconsumption, a diet with balanced nutrients and fewer calories is
Malnutrition is defined as a lack of proper nutrition, caused by not having enough to eat, not eating enough of the right things, or being unable to use the food that one does eat. This is another environmental factor in which children of poor families are at a great disadvantage due to the fact that it tends to occur most in those confronting the adverse socioeconomic and environmental conditions typically associated with poverty. It has become widely known that malnutrition may lead to increased early child mortality, impairment of physical growth and substantial destruction to brain development. In addition, the short-term implications of malnutrition lead to long term complications and cognitive delays such as attention deficit disorder, impaired school performance, decreased IQ scores, memory deficiency, learning disabilities, reduced social skills, reduced language development, and reduced problem-solving abilities. It has even been argued that nutrition may be the single greatest environmental influence on babies in the womb, during infancy, and throughout the first years of life.
Malnutrition is a growing problem in the world. According to Medical News Today, malnutrition can include many things such as undernutrition and even overnutrition. Undernutrition can include not getting enough nutrients and calories in the diet, which can diminish a person’s growth and ability to fight off diseases. Overnutrition is the opposite where too many calories are consumed leading to an imbalance of nutrients in the diet and can also cause some health effects such as obesity. If certain nutrients are missing in the diet or if too many nutrients are in the diet, it can affect nutrition and how the body functions.
Malnutrition is serious and a health problem. Your health is what keeps your body strong enough to fight any colds and help you stay alive. If your body is unhealthy, then you have bigger chances of becoming ill. Not having enough food will give you headaches, make you throw up, become thinner, and eventually become sick and close to death.
Malnutrition is when the body doesn’t receive enough nutrients for proper function. Undernutrition is when one’s body could be underweight, too short for their age, or excessively thin and “receiving fewer calories than the minimum dietary energy requirement” (Withcott & Laposata, 2012). Overnutrition is a form of malnutrition but comes from eating too much, eating junk, lack of physical activities or just eating the wrong foods and the intake too many supplements. “Overnutrition leads to unhealthy weight gain, which leads to cardiovascular disease, diabetes, and other health problems” (Withcott & Laposata, 2012). One is of the opinion that overnutrition is the most common in the United States. In our textbook by Withcott & Laposata, in the
Food will always be one of the most important things in your life. Every living thing on the face of the earth needs nutrition to survive, grow, and reproduce. Unfortunately, about 795 million people in the world do not have enough to eat. This number represents about 1 in 9 people on the planet and is much higher in developing countries where 13% of the population is malnourished. Malnutrition or malnourishment is a condition that results from a diet in which there are not enough nutrients or there are so many that the diet causes health problems. A malnourished persons body has difficulty doing normal things like growing and fighting illnesses. Two billion people in the world suffer from various forms of malnutrition. The most basic kind is called protein energy malnutrition. This includes low height and weight and a lack of nutrients that help the body to function properly. Another common group is overweight, obesity, and diet related diseases like diabetes and heart disease. When people refer to world hunger, they are talking about undernutrition. One of the places most affected by this is Sub-Saharan Africa. Sub-Saharan Africa, the area of the African continent that lies south of the Sahara Desert, has the highest level of food insecurity in the world.
Imagine being so hungry, you have to resort to extreme measures just to survive, imagine witnessing first hand, your children suffering and you can’t do anything for them, imagine living day to day in fear and not knowing whether today or tomorrow would be the last day of you or your child being alive. This is a major concern for families facing food insecurity all over the world. Everyday children in developing countries are suffering from childhood stunting. These children are going days without having anything to eat, clean water to drink, and getting the proper nutrients essential for growth and