Public Health and Preventive Medicine
Articles Information
Public Health and Preventive Medicine, Vol.5, No.1, Mar. 2019, Pub. Date: Apr. 29, 2020
Prevalence of Anemia, Stunting and Parasitic Infection Among 5-6 Years Children in Gaza Strip, Palestine
Pages: 6-15 Views: 1562 Downloads: 632
Authors
[01] Marwan Jalambo, Nutrition Sciences and Public Health Program/Palestine Technical College, Deir Al-Balah, Palestine.
[02] Basil Kanoa, Palestinian Ministry of Health, Gaza, Palestine.
[03] Mueen Kareri, Palestinian Ministry of Health, Gaza, Palestine.
[04] Samaher Younis, Palestinian Ministry of Health, Gaza, Palestine.
[05] Sujod Aljazzar, Nutrition Sciences and Public Health Program/Palestine Technical College, Deir Al-Balah, Palestine.
Abstract
Globally, malnutrition is the major problem especially in children, that includes anemia, stunting, wasting, obesity and others. Also, parasitic infections are responsible for morbidity in children worldwide. This study aimed to measure the prevalence of anemia, stunting and parasitic infection among 5-6 years children in Gaza strip. A descriptive cross-sectional study was conducted among 571 preschool children. Data were collected in January and February 2018 based on a multistage sampling which children were selected by a cluster randomization from five kindergartens in five governorates in Gaza Strip. A validated self-administered questionnaire was completed by parents of children to investigate demographic and socio-economic status, dietary habits, lifestyle and physiological factors. Anthropometric measurements such as weight and height were determined as well as blood samples and stool samples were collected. Statistical analysis was carried out using Statistical Package for Social Sciences (SPSS) version 22.0. The study contained 52.4% males and 47.6% females which obtained from North Gaza 14.0%, Gaza 42.0%, Middle area 16.3%, Khanyounis 13.1% and Rafah 14.5%. The prevalence of anemia was 40.7%, Stunting 9.1% and parasite infection 17.1%. North Gaza and Rafah were the highest suffering from parasite infection. There a statistically significant association between family size, mother education, income and eating raw fruits with parasite infection. Moreover, there significant association between mother job and anemia and between birthweight and stunting. Regarding dietary habits, all results may be indicated inadequate amount of protein and micronutrient intake for large proportion of children. The prevalence of anemia was high among preschool children which appears to be a public health problem in Gaza Strip. Stunting and parasitic infection seem to be lower than the other studies in previous years. Some interventions to improve children nutritional status must be in concern.
Keywords
Anemia, Stunting, Parasitic Infection, Preschool Children, Gaza Strip
References
[01] Ewusie, J. E., et al. (2014). Prevalence of anemia among under-5 children in the Ghanaian population: estimates from the Ghana demographic and health survey. BMC public health, 14 (1), 626. doi: 10.1186/1471-2458-14-626.
[02] Hussein, M. and S. Mohamed. (2014). Prevalence of anaemia in preschool children in Karma Albalad area, Northern State, Sudan. EMHJ-Eastern Mediterranean Health Journal, 20 (1), 33-38. doi: 10.26719/2014.20.1.33.
[03] Ncogo, P., et al. (2017). Prevalence of anemia and associated factors in children living in urban and rural settings from Bata District, Equatorial Guinea, 2013. PloS one, 12 (5). doi: 10.1371/journal.pone.0176613.
[04] Harding, K. L., et al. (2018). Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data. Maternal & child nutrition. 14 (S4), e12478. doi: 10.1111/mcn.12478.
[05] Bhojan, C., (2014). Research Article Study on Prevalence of Anaemia among School Children in a Rural Community Setup.
[06] De Onis, M. (2017). Child Growth and Development. Nutrition and Health in a Developing World, 119–141. doi: 10.1007/978-3-319-43739-2_6.
[07] De Onis, M., & Branca, F. (2016). Childhood stunting: a global perspective. Maternal & Child Nutrition, 12 (S1), 12–26. doi: 10.1111/mcn.12231.
[08] Mareeswaran, N., A. et al. (2018). Prevalence of intestinal parasites among urban and rural population in Kancheepuram district of Tamil Nadu. Int J Community Med Public Health. 5 (6), 2585-9. doi: 10.18203/2394-6040.ijcmph20182199.
[09] Patterson, J. E. H., & Ruckstuhl, K. E. (2013). Parasite infection and host group size: a meta-analytical review. Parasitology, 140 (07), 803–813. doi: 10.1017/s0031182012002259.
[10] UNDP., (2016). Building Resilience in Gaza: Challenges and Opportunities. Palwstine Resilience Conference. https://www.ps.undp.org/content/papp/en/home/ourwork/resilience-conference-2016.html. [accessed in 13-Nov-2019].
[11] El Kishawi, R. R., et al., (2015). Anemia among children aged 2–5 years in the Gaza Strip-Palestinian: a cross sectional study. BMC Public Health, 15 (1), 319. Doi: 10.1186/s12889-015-1652-2.
[12] Palestinian Ministry of Education (MoE). (2018). Annual Statistics for Education.
[13] WHO, (2006), Who Child Growth Standards: Length/Height for Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age, Methods and Development. https://www.who.int/childgrowth/standards/technical_report/en/. [accessed in 15-July-2018].
[14] WHO. (2009). Who Child Growth Standards: Growth Velocity Based on Weight, Length and Head Circumference: Methods and Development. https://apps.who.int/iris/bitstream/handle/10665/44026/9789241547635_eng.pdf?sequence=1&isAllowed=y. [accessed in 20-Feb-2020].
[15] Taherdoost, H. (2016). Validity and Reliability of the Research Instrument; How to Test the Validation of a Questionnaire/Survey in a Research. SSRN Electronic Journal. 5 (3), 28-36. doi: 10.2139/ssrn.3205040.
[16] Palestinian Central Bureau of Statistics PCBS. (2019). Highlights the situation of the Palestinian women on the International women's day. http://www.pcbs.gov.ps/post.aspx?lang=en&ItemID=3406#. [accessed in 20-Jan-2020].
[17] Palestinian Central Bureau of Statistics PCBS. (2017). Preliminary Results of the Population, Housing and Establishments Census. http://www.pcbs.gov.ps/Downloads/book2364-1.pdf. [accessed in 28-June-2019].
[18] Soeters, P., et al. (2017). Defining malnutrition: A plea to rethink. Clinical Nutrition, 36 (3), 896–901. doi: 10.1016/j.clnu.2016.09.032.
[19] Bourke, C. D., J. A. Berkley, and A. J. Prendergast, (2016). Immune dysfunction as a cause and consequence of malnutrition. Trends in immunology, 37 (6), 386-398. doi: 10.1016/j.it.2016.04.003.
[20] Teng, G. G., et al., (2015). Food sources of protein and risk of incident gout in the Singapore Chinese Health Study. Arthritis & rheumatology, 67 (7), 1933-1942. doi: 10.1002/art.39115.
[21] González-Gross, M., et al., (2008). The" healthy lifestyle guide pyramid" for children and adolescents. Nutrición hospitalaria, 23 (2), 159-168. https://www.redalyc.org/pdf/3092/309226725012.pdf
[22] Belyaev, A., et al. (2020). Microelements application methods influence on physiological-biochemical processes and yellow pepper yields. in IOP Conference Series: Earth and Environmental Science. IOP Publishing, 422. doi: 10.1088/1755-1315/422/1/012013.
[23] Al-Mendalawi, M. D. and N. T. Karam, (2014). Risk factors associated with deciduous tooth decay in Iraqi preschool children. Avicenna journal of medicine, 4 (1), 5-8. doi: 10.4103/2231-0770.127414.
[24] Zalewska, M. and E. Maciorkowska, (2017). Selected nutritional habits of teenagers associated with overweight and obesity. PeerJ, 5: e3681. doi: 10.7717/peerj.3681.
[25] ALHINDI, A. I. H. and A.-L. Mervat, (2013). Trends of intestinal parasites prevalence in the Gaza Strip, 1998-2007: the use of government health records. Turkish Journal of Medical Sciences, 43 (4), 652-659. doi: 10.3906/sag-1208-86.
[26] Bolka, A. and S. Gebremedhin, (2019). Prevalence of intestinal parasitic infection and its association with anemia among pregnant women in Wondo Genet district, Southern Ethiopia: a cross-sectional study. BMC infectious diseases, 19 (1), 483. doi: 10.1186/s12879-019-4135-8.
[27] Shubair, M., et al., (2000). Intestinal parasites in relation to haemoglobin level and nutritional status of school children in Gaza. Journal of the Egyptian Society of parasitology, 30 (2), 365-375.
[28] Green, H. K., et al. (2011). Anaemia in Ugandan preschool-aged children: the relative contribution of intestinal parasites and malaria. Parasitology, 138 (12), 1534-1545. Doi: https://doi.org/10.1017/S0031182011001016
[29] Osazuwa, F., O. M. Ayo, and P. Imade, A. (2011). significant association between intestinal helminth infection and anaemia burden in children in rural communities of Edo state, Nigeria. North American journal of medical sciences, 3 (1), 30. doi: 10.4297/najms.2011.330.
[30] Kanoa, B., et al., (2006). Evaluation of the relationship between intestinal parasitic infection and health education among school children in Gaza city, Beit-lahia village and Jabalia refugee camp, Gaza strip, Palestine. Islamic Univ J, 14 (2), 39-49. http//www.iugzaza.edu.ps/ara/research/
[31] Al-Zain, B. and A. I. Al-Hindi, (2005). Distribution of Strongyloides stercoralis and other intestinal parasites in household in Beit-lahia city, Gaza Strip, Palestine. Annals of Alquds medicine, 1, 48-52.
[32] Al-Mohammed, H. I., et al., (2010). Prevalence of intestinal parasitic infections and its relationship with socio–demographics and hygienic habits among male primary schoolchildren in Al–Ahsa, Saudi Arabia. Asian Pacific Journal of Tropical Medicine, 3 (11), 906-912. doi: 10.1016/s1995-7645(10)60218-0.
[33] Gelaw, A., et al., (2013). Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School, Northwest Ethiopia: a cross-sectional study. BMC public health, 13 (1), 304. doi: 10.1186/1471-2458-13-304.
[34] Tappe, K. H., et al., (2011). Prevalence of intestinal parasitic infections among primary school attending students in Barandooz-Chay rural region of Urmia, West Azerbaijan province, Iran in 2008. African Journal of Microbiology Research, 5 (7), 788-791. doi: 10.5897/AJMR10.626.
[35] Doni, N. Y., et al., (2015). Risk factors and relationship between intestinal parasites and the growth retardation and psychomotor development delays of children in Sanliurfa, Turkey. Türkiye Parazitolojii Dergisi, 39 (4), 270. doi: 10.5152/tpd.2015.3620.
[36] Daryani, A., et al., (2012). Epidemiological survey of the prevalence of intestinal parasites among schoolchildren in Sari, northern Iran. Transactions of the Royal Society of Tropical Medicine and Hygiene, 106 (8), 455-459. doi: 10.1016/j.trstmh.2012.05.010.
[37] Nobre, L. N., et al., (2013). Risk factors for intestinal parasitic infections in preschoolers in a low socio-economic area, Diamantina, Brazil. Pathogens and global health,. 107 (2), 103-106. doi: 10.1179/2047773213y.0000000075.
[38] Tefera, T., et al., (2014). Parasitic contamination of fruits and vegetables collected from selected local markets of Jimma Town, Southwest Ethiopia. International scholarly research notices, 1-7. doi: 10.1155/2014/382715.
[39] Ezatpour, B., et al., (2013). Prevalence of parasitic contamination of raw vegetables in Khorramabad, Iran. Food control, 34 (1), 92-95. doi: 10.1016/j.foodcont.2013.03.034.
[40] Kumar, R. (2014). Anemia: A common health problem, consequence and diet management among young children and pregnant women. Biological Forum, 6 (1), 27-32.
[41] Subramaniam, G. and M. Girish, (2015). Iron deficiency anemia in children. The Indian Journal of Pediatrics, 82 (6), 558-564. doi: 10.1007/s12098-014-1643-9.
[42] Palestinian Central Bureau of Statistics (PCBS), (2010). Annual Report of Palestine children. http://www.pcbs.gov.ps/Downloads/book1741.pdf. [accessed in 16-April-2018].
[43] Palestinian Central Bureau of Statistics (PCBS), (2007). Palestinian Family Health Survey, Final Report. http://www.pcbs.gov.ps/Downloads/book1416.pdf. [accessed in 16-April-2018].
[44] Palestinian Ministry of Health (MoH), (2017). Health Annual Report of Palestine. http://www.site.moh.ps/Content/Books/38pf7Q9KpsHKGjWZxroQEuJ1OZeOJw8mhssgDKBJGnoAu5C4oKFpoW_kUFGingMuntfG2fm4rVu2grDremJD77xH9P5xgfSFQPvvxcOPgeyD7.pdf. [accessed in 20-May-2018].
[45] Selmi, A. and A. I. Al-Hindi, (2011). Anaemia among school children aged 6-11 years old in Gaza Strip, Palestine. Anaemia among school children aged 6-11 years old in Gaza Strip, Palestine, 7. http://hdl.handle.net/20.500.12358/25388
[46] Yang, W., et al., (2012). Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study. BMC Public Health, 12 (1), 1127. doi: 10.1186/1471-2458-12-1127.
[47] Hark, L., (2014). Medical nutrition and disease: a case-based approach. John Wiley & Sons.
[48] Sirdah, M. M., A. Yaghi, and A. R. Yaghi, (2014). Iron deficiency anemia among kindergarten children living in the marginalized areas of Gaza Strip, Palestine. Revista brasileira de hematologia e hemoterapia, 36 (2), 132-138. doi: 10.5581/1516-8484.20140030.
[49] Abudayya, A., et al., (2007). Overweight, stunting, and anemia are public health problems among low socioeconomic groups in school adolescents (12-15 years) in the North Gaza Strip. Nutrition research,. 27 (12), 762-771. doi: 10.1016/j.nutres.2007.09.017.
[50] Hammoudeh, W., S. Halileh, and D. Hogan, (2013). Determinants of stunting in children younger than 5 years between 2006 and 2010 in the occupied Palestinian territory: a cross-sectional study. The Lancet, 382, S16. doi: 10.1016/s0140-6736(13)62588-x.
[51] Abdeljawad, A. and J. Humeid. (2008). Nutritional status of Palestinian children under five (6–59 months) in three governorates of the Gaza Strip: a rapid assessment study. in Siege and Mental Health… Walls vs. Bridges International Conference, 27-29.
[52] El Kishawi, R. R., et al., (2017). Prevalence and associated factors influencing stunting in children aged 2–5 years in the Gaza Strip-Palestine: a cross-sectional study. BMC pediatrics, 17 (1), 210. doi: 10.1186/s12887-017-0957-y.
[53] Lestari, E. D., Hasanah, F., & Nugroho, N. A. (2018). Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatrica Indonesiana, 58 (3), 123–7. doi: 10.14238/pi58.3.2018.123-7.
[54] Rahman, M. S., et al., (2016). Association of low-birth weight with malnutrition in children under five years in Bangladesh: do mother’s education, socio-economic status, and birth interval matter? PloS one, 11 (6), e0157814. doi: 10.1371/journal.pone.0157814.
[55] Ramakrishnan, U., Young, M. F., & Martorell, R. (2017). Maternal Nutrition and Birth Outcomes. Nutrition and Health in a Developing World, 487–502. doi: 10.1007/978-3-319-43739-2_22.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.