Báo cáo nghiên cứu khoa học: Tình trạng suy dinh dưỡng và các yếu tố liên quan trong trẻ em dân tộc thiểu số dưới 5 tuổi Trong bắc Trà My, tỉnh Quảng Nam trong năm 2010.

Tuyển tập các nghiên cứu khoa học của trường đại học Huế đề tài: Tình trạng suy dinh dưỡng và các yếu tố liên quan trong trẻ em dân tộc thiểu số dưới 5 tuổi Trong bắc Trà My, tỉnh Quảng Nam trong năm 2010...
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Báo cáo nghiên cứu khoa học: "Tình trạng suy dinh dưỡng và các yếu tố liên quan trong trẻ em dân tộc thiểu số dưới 5 tuổi Trong bắc Trà My, tỉnh Quảng Nam trong năm 2010."JOURNAL OF SCIENCE, Hue University, N0 61, 2010 MALNUTRITION STATUS AND RELATED FACTORS WITHIN ETHNIC MINORITY CHILDREN UNDER 5 YEARS OLD IN NORTH TRA MY DISTRICT, QUANG NAM PROVINCE IN 2010 Dinh Dao Quang Nam Central General Hospital Vo Van Thang Hue College of Medical and Pharmacy Do Thi Hoa Hanoi Medical College SUMMARY The number of malnourished children in Vietnam has reduced remarkably in recentyears, but in mountainous and ethnic minority areas, the children malnutrition rate is still veryhigh. We conducted this study in 9 poor communes where about 90% of the population belong tothe ethnic minorities of North Tra My district, Quang Nam province with the followingobjectives: (1) to determine the malnutrition rate in ethnic minority children under 5 years oldin North Tra My; (2) to describe factors related to the malnutrition rate in children under 5years old at this location; (3) to propose solutions for feasible and sustainable interventions toimprove the level of malnutrition in children under 5 years old. Methods: Using a cross-sectional descriptive study, combining quantitative and qualitative methods in January, 2010,with a random sample including 1200 ethnic minority children under 5-year-old and theirmothers; by weighing and measuring childrens height, interviewing mothers. Results: Themalnourished prevalence rate of underweight was 36.5%, in which 28.3% level I, 6.8% level II,and 1.4% level III; the stunting 62.9% and the wasting 8.6%; In-depth interviews show thatmany mothers don’t let their children at eat protein-rich, available and fat- rich food because ofthey are afraid of it causing them abdominal pain and diarrhea. Conclusion: Some factors aschilds age, weight at birth, exclusive breastfeeding within 6 months, time of the first additionalfeeding, childs acute respiratory infection, the child feeding practices that mother’s lackknowledge about: using protein-rich and fat-rich food, using protein-rich, available food locally,mother’s low educational level, poor economic conditions of families; dieting during pregnancy,going to work soon after birth, the limited capacity of health officials, a lack of interest of localleaders are the related factors to the childs malnourished status. Key words: ethnic minority children malnutrition. 391. Introduction The national program for preventing and controlling child malnutrition has beendeployed in Vietnam for many years and has achieved remarkable results. However themalnutrition rate amongst children is still very high in mountainous areas, within ethnicminorities and the rate is different among regions. Scientific evidence is needed forfeasible solutions which are selected by the communities themselves. This is aneffective and sustainable approach. North Tra My, a high mountainous district of QuangNam province, has 9 poor communes in which about 90% of people belong to ethnicminorities. Priority health issues such as child malnutrition require attention. Therefore,we conducted this research to determine the malnutrition rate of ethnic minoritychildren under 5 years old in North Tra My district; describe factors related tomalnourished children under 5 years old at this location; and propose feasible andsustainable interventions to improve malnutrition in children under 5 in this location.2. Methodology 2.1. Subject and setting: - Subject research: + Ethnic minority children under 5 years old and their mothers + The commune leaders, village leaders, other officials of departments such aswomen, youth, the village elders. - Setting: 9 poor communes of North Tra My district, Quang Nam province. 2.2. Research Method: - Study Design: A cross-sectional descriptive design was used, combiningquantitative and qualitative methods - Sample size and sampling. + Sample size: The formula calculating sample size for a rate was used: p 1  p  n  Z 2  / 2  1 d2  With a 95% CI (co ...