Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience
Objectives: This study was done to explore the effect of immunization (as specified in EPI) on under-five children's nutritional status in a rural area of Bangladesh. Methods: The data for this study originated from a sub-sample of a baseline survey conducted in 60 DSS villages of Matlab tha...
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| Ձևաչափ: | Research report |
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BRAC Research and Evaluation Division (RED)
2019
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| Առցանց հասանելիություն: | http://hdl.handle.net/10361/12877 |
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10361-128772019-11-08T11:57:47Z Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience Ahmed, Syed Masud Bhuiya, Abbas Chowdhury, AMR EPI Under-five children Matlab thana MUAC Nutrition. Rural health--Bangladesh. Objectives: This study was done to explore the effect of immunization (as specified in EPI) on under-five children's nutritional status in a rural area of Bangladesh. Methods: The data for this study originated from a sub-sample of a baseline survey conducted in 60 DSS villages of Matlab thana during 1992. :MUAC, height and weight of 992 children between the age of one to five years were measured using standard technique and socioeconomic information were collected from their mothers using a set of pre-tested structured questionnaire. The level '-2 Z score ' was taken as the cut-off point for "stunting" and the value of less than 125 mm of MUAC for "severely malnourished" children. Results: Both bi-variate and multi-variate analyses revealed the significant role of immunization status in affecting less severe acute malnutrition (NillAC) in poor households which was not seen in the better-off households. Again, immunization status appeared not to have any effect on 'stunting' i.e., long-term nutrition. Wnen considering long-term nutrition (Ht/age), both bi-variate and multi-variate analyses identified mother's education and number of dwellings in the household to be significant influencing factors for the BRAC eligible children. Also, completely immunized children from BRAC non-eligible households were found to have significantly better anthropometric indices than their counterparts . . .<\nother interesting finding was the sex difference seen among the better-off households. Girls in these households were much less likely to be completely immunized, and more likely to be acutely malnourished. This issue needs further exploration for a better understanding of the households' gender dynamics. Conclusions: EPI immunization has some beneficial, if only margina~ impact on the acute nutritional status of the poor children only. It has no effect on chronic nutrition, for which socioeconomic factors seems to play a greater role. Differences exist across socioeconomic status of the household and sex of the children. 2019-11-06T09:28:49Z 2019-11-06T09:28:49Z 1995-12 Research report Ahmed, S. M., Bhuiya, A., & Chowdhury, A. (1995, December). Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience. Research Reports (1995): Health Studies, Vol - XVIII, 1–16. http://hdl.handle.net/10361/12877 en application/pdf BRAC Research and Evaluation Division (RED) |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
English |
| topic |
EPI Under-five children Matlab thana MUAC Nutrition. Rural health--Bangladesh. |
| spellingShingle |
EPI Under-five children Matlab thana MUAC Nutrition. Rural health--Bangladesh. Ahmed, Syed Masud Bhuiya, Abbas Chowdhury, AMR Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| description |
Objectives: This study was done to explore the effect of immunization (as specified in
EPI) on under-five children's nutritional status in a rural area of Bangladesh.
Methods: The data for this study originated from a sub-sample of a baseline survey
conducted in 60 DSS villages of Matlab thana during 1992. :MUAC, height and weight of
992 children between the age of one to five years were measured using standard technique
and socioeconomic information were collected from their mothers using a set of pre-tested
structured questionnaire. The level '-2 Z score ' was taken as the cut-off point for
"stunting" and the value of less than 125 mm of MUAC for "severely malnourished"
children.
Results: Both bi-variate and multi-variate analyses revealed the significant role of
immunization status in affecting less severe acute malnutrition (NillAC) in poor households
which was not seen in the better-off households. Again, immunization status appeared not
to have any effect on 'stunting' i.e., long-term nutrition. Wnen considering long-term
nutrition (Ht/age), both bi-variate and multi-variate analyses identified mother's education
and number of dwellings in the household to be significant influencing factors for the
BRAC eligible children. Also, completely immunized children from BRAC non-eligible
households were found to have significantly better anthropometric indices than their
counterparts . . .<\nother interesting finding was the sex difference seen among the better-off
households. Girls in these households were much less likely to be completely immunized,
and more likely to be acutely malnourished. This issue needs further exploration for a
better understanding of the households' gender dynamics.
Conclusions: EPI immunization has some beneficial, if only margina~ impact on the acute
nutritional status of the poor children only. It has no effect on chronic nutrition, for which
socioeconomic factors seems to play a greater role. Differences exist across socioeconomic
status of the household and sex of the children. |
| format |
Research report |
| author |
Ahmed, Syed Masud Bhuiya, Abbas Chowdhury, AMR |
| author_facet |
Ahmed, Syed Masud Bhuiya, Abbas Chowdhury, AMR |
| author_sort |
Ahmed, Syed Masud |
| title |
Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| title_short |
Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| title_full |
Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| title_fullStr |
Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| title_full_unstemmed |
Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience |
| title_sort |
effects of epi on nutrition of under-five children in rural bangladesh: the matlab experience |
| publisher |
BRAC Research and Evaluation Division (RED) |
| publishDate |
2019 |
| url |
http://hdl.handle.net/10361/12877 |
| work_keys_str_mv |
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