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International Journal of Population Studies


                             RESEARCH ARTICLE


                             Cross-sectional study of child malnutrition and

                             associated risk factors among children aged

                             under five in West Bengal, India



                             Sanjit Sarkar 1,2,3

                             1  Poverty and Human Development Monitoring Agency (PHDMA), State Secretariat, Sachibalaya Marg,
                               Bhubaneswar-751001, India
                             2  Public Health Foundation of India, Delhi NCR, Plot No. 47, Sector 44, Institutional Area Gurgaon –
                               122002, India
                             3   International Institute  for  Population  Sciences, Govandi Station Road, Deonar,  Opposite Sanjona
                               Chamber, Mumbai, Maharashtra 400088, India



                             Abstract: Using a cross-sectional study of 485 sample households in 2013, the present paper examines
                             the prevalence and risk factors of child malnutrition among children under the age of five in West Bengal,
                             India. As a part of this investigation, children’s underweight status, wasting, and stunting were examined
                             in order to determine child nutritional status using the WHO growth standard. We performed bivariate
                             analyses in order to elucidate differentials in nutritional indices and fitted multinomial logistic regression
                             models to examine the net effect of different socio-economic factors on the likelihood of child malnutri-
                             tion. Analysis results revealed stunting (51%) as the most common form of malnutrition among children
                             aged under  five,  followed by underweight  status (41%),  and wasting (22%).Gender discrimination
                             among children increases with age, whereby girls are more deprived (as measured by nutritional indi-
                             ces) compared to boys later in childhood relative to younger ages. Results from  multinomial analyses
                             reveal age, religion, caste, and birth-order of the child as significant predictors of child’s nutritional status.
                             Keywords: underweight, wasting, stunting, WHO Growth Standard, gender discrimination

                              *Correspondence to: Sanjit Sarkar, Poverty and Human Development Monitoring Agency (PHDMA), State Secretariat,
                              Sachibalaya Marg, Bhubaneswar-751001, India; Email: sanjitiips@gmail.com
                             Received: January 27, 2016; Accepted: March 5, 2016; Published Online: March 11, 2016
                             Citation: Sarkar S. (2016). Cross-sectional study of child malnutrition and associated risk factors among children
                             aged under five in West Bengal, India, International Journal of Population Studies, vol.2(1): 89–102.
                             http://dx.doi.org/10.18063/IJPS.2016.01.003.
                             1. Introduction
      Copyright:  ©  2016 Sanjit
      Sarkar. This is an Open Ac-
      cess article distributed under   Malnutrition, which is one of the global culprits, resists the optimal health achievement among chil-
      the terms of the Creative Com-  dren and has serious implications, including death, especially in the low- and middle-income coun-
      mons Attribution-NonCommer-  tries. Although prevalence  of underweight status  among  under-five children has decreased since
      cial 4.0 International License   1990, 99 million children under five years of age are underweight around the globe (UNICEF, WHO
      (http://creativecommons.org/
      licenses/by-nc/4.0/),  permitt-  and World Bank, 2014). UNICEF estimates that nearly 2.6 million children, who die each year due
      ing all non-commercial use,   to malnutrition, are equivalent to one-third of all registered child deaths globally (UN Inter-agency
      distribution,  and  reproduction   Group for Child Mortality Estimation, 2011). However, the contribution made by under-nutrition
      in any medium, provided the
      original work is properly cited.  towards child mortality varies by disease, and is the highest for diarrheal diseases (73%), with much

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