Determination of Nutritional Status of Under-Five Year Children Employing Multiple Interrelated Contributing Factors in Southern Part of Bangladesh

Objectives: Children under-five years are more vulnerable and susceptible to malnutrition especially in the coastal region. Therefore, this study sought to find out the contributing factors of malnutrition among under-five children in coastal region of Bangladesh.Study Design: It is descriptive type cross-sectional study.Methods: Anthropometric methods and structured questionnaires were used to collect required data. Nutritional status was measured using Z score according to WHO classification.175 children (6-59 months) and their householdin Barguna district was considered for study subjects. Results and discussion:Only 5.7% children were introduced with colostrum and 25.71% followed exclusive breast feeding. The rate of literacy was found to be higher in father (85.1%) as compared to mother (39.4%). 68.6% children are suffering from underweight whereas the percentage of wasting and stunting children were found to 40.6% and 60% respectively. Breastfeeding practice and monthly family income were significantly associated with wasting, stunting and underweight. Children who were not exclusively breast fed had higher rate of moderate wasting (59.5%), stunting (70.5%) and underweight (74.6%). Children with illiterate father were found to have more odd value of having wasting, stunting and underweight compared to literate father. Furthermore, early age (6-24 month) of children are more susceptible for malnutrition as compared to the age (25-59 months) of children. Conclusions: Children are underweight and stunting due to the insufficient breast feeding practice, father’s education, monthly income of families and sanitary practices. Therefore, community nutrition and public health education are early demands for the people in the coastal area.