MALNUTRITION IN YOUNG PAKISTANI CHILDREN
Abstract
Background: Pakistan is a developing country with the second highest infant and child mortality ratein South Asia. In this region, malnutrition underlies much of the high infant and under five childmorbidity and mortality rates. Although struggle to tackle the issue of malnutrition among youngPakistani children has been going on since many decades, till yet a realistic solution for this growingproblem has not been found. Objective: This paper aims at reviewing literature to analyse thebiological, maternal, socio-cultural, environmental, and politico-economical determinants ofmalnutrition among young children in Pakistan so that need based interventions can be recommendedto prevent and overcome this growing issue. Methods: A systematic search of national, regional, andinternational literature was undertaken from peer-reviewed databases for 1991–2011 includingMEDLINE, CINAHL, and PubMed. The search was augmented by reviewing the literature from WHOand UNICEF websites, books, local newspapers, and reference lists of articles thought to be relevant.Conclusion: Determinants of malnutrition among Pakistani children are multiple and are prevalent atthe level of individual, family, and community. An analysis of biological, maternal, socio-cultural,environmental, and politico-economical factors indicate that most of these factors are interrelated;therefore, to tackle this issue, there is a need to plan composite interventions at the level ofmalnourished children, their families, and the Pakistani community.Keywords: Malnutrition, young children, Pakistan, determinantsReferences
Gopalan S. Malnutrition: Causes, consequences, and solutions.
Nutrition 2000;16(7):556–8.
Ramalingaswami V, Jonsson U, Rohde J. Commentary: The Asian
Enigma. UNICEF; 1996. Available at:
http://www.unicef.org/pon96/nuenigma.htm
Bhutta ZA, Thaver D, Akram DS, Khan M. Situation and Program
analysis of malnutrition among women and children in Pakistan. In:
Bhutta ZA, editor. Maternal and Child Health in Pakistan
Challenges and Opportunities. Pakistan: Oxford University Press;
Bhutta ZA, Hyder AA, Ali N. Defining a new challenge for health
systems: Perinatal health in Pakistan. In: Bhutta ZA, editor.
Perinatal and newborn care in South Asia: Priorities and action.
Pakistan: Oxford University Press; 2007.
World Health Statistics. World Health Organization 2008.
Available at URL: http://www.who.int/whosis/mort/profiles/mort
_emro_pak_pakistan.pdf.
Mujib SA, Kazmi T, Khan S, Shad MA, Bashir M, Khan B.
Relationship of non-organic factors with malnutrition among
children under three years of age. J Coll Physicians Surg Pak
;16(5):355–8.
Badar S, Channer MI, Channer MS, Yasmeen S, Channer MF,
Channer, SS, et al. Malnutrition: Determinants in Children between
six months to five years of age in Bahawalpur. Professional Med J
;14:669–76.
David S, Lobo ML. Childhood Diarrhea and Malnutrition in
Pakistan, Part I: Incidence and Prevalence. J Pediatr Nurs
;10(2):131–7.
David S, Lobo ML. Childhood Diarrhea and Malnutrition in
Pakistan, Part II: Treatment and Management. J Pediatr Nurs
;10(3):204–9.
Coulter JB. Malnutrition related disease. Current Pediatrics
;9:27–33.
Kumar S, Olson DL, Schwenk WF. Part I. Malnutrition in the
Pediatric population. Disease-a-month 2002;48:703–12.
Archer SL. Staying focused on the undernourished child-India. J
Am Dietetic Assoc 2007;107(11):1879–81.
Farrukh N. Hunger pangs of a nation: Editorial. Dawn 2009.
Available at URL: http://www.dawn.com.
Shannon K, Mahmud Z, Asfia A, Ali M. The social and
environmental factors underlying maternal malnutrition in rural
Bangladesh: Implications for reproductive health and nutritional
programs. Health Care Women Int 2008;29(8):826–40.
Breastfeeding and the use of human milk. American Academy of
Pediatrics. Work Group on Breastfeeding. Pediatrics
;100:1035–9.
Morisky DE, Kar SB, Chaudry AA, Chen KR, Shaheen M,
Chickering K. Breastfeeding practices in Pakistan. Pak J Nutr
;1:137–42.
Ali SS, Karim N, Billoo AG, Haider SS. Association of literacy of
mothers with malnutrition among children under three years of age
in rural area of district Malir, Karachi. J Pak Med Assoc
;55:550–3.
Pakistan Medical Research Council. National Health Survey of
Pakistan 1998.
Choudhury KK, Hanifi MA, Rasheed S, Bhuiya A. Gender
inequality and severe malnutrition among children in a remote rural
area of Bangladesh. J Health Population Nutr 2000;18(3):123–30.
Hirani SA. Care-giving Practices in Pakistan and Associated
Challenges for Health Care Professionals. Council of International
Neonatal Nurses. COINN News Letter. 2008.
Memon Y, Sheikh S, Memon A, Memon N. Feeding Beliefs and
Practices of mothers/ caregivers for their infants. J Liaquat Uni Med
Health Sci 2006;5(1):8–13.
Hoek WV, Feenstra SG, Konradsen F. Availability of irrigation
water for domestic use in Pakistan: its impact on prevalence of
diarrhoea and nutritional status of children. J Health, Population
Nutr 2002;20(1):77–84.
Humphrey JH. Child under nutrition, tropical enteropathy, toilets,
and hand washing. Lancet 2009;374:1032–5.
Breastfeeding. Society for the Protection of the Rights of Child
Available at: http://www.sparcpk.org/crs _breastfeeding.php
Gadit AA. Understanding child rights. The News 2008. Available
at URL: http://www.thenews.com.pk.
Hirani SA, Kenner C. Effects of Humanitarian Emergencies on
Newborn and Infant’s Health in Pakistan. Newborn Infant Nurs
Rev 2011;11(2):58–60.
Toole MJ, Waldman RJ. Refugees and displaced persons: War,
hunger, and public health. J Am Med Assoc 1993;270:600–5.
Gul R, Kiramat A. A profile of nutritional status of under five year
old children in internally displace persons (IDPS) camp, Jalozai
District Nowshera. J Postgrad Med Inst 2012;26(1):43–47.
Sattar, A. Pakistani refugees pain picture of death, suffering.
Oakland Tribune Newspaper 2006. Available at:
http://findarticles.com/p/articles/mi_qn4176/is_20061230/ai_n1708
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