1.Association of Maternal Social Capital with Nutritional Status of 6 to 24-Month-Old Children Living in Urban and Rural Areas in Laguna, Philippines
Divine Grace C Domingo ; Corazon VC Barba ; Ma Theresa M Talavera
Malaysian Journal of Nutrition 2017;23(1):53-63
Malnutrition in young children is often viewed as an outcome of the interactions
of dietary consumption, socio-economic, and demographic factors. Social capital is a widely
explored subject because of its implications on health and socio-economic factors, but has
not gained recognition in its role as a determinant of nutritional status.
Objectives:
The
study aimed to determine the association between maternal social capital and nutritional
status of 6 to 24-month-old children living in urban and rural areas and to compare the
effect of maternal social capital on the child’s nutritional status between an urban and
a rural community setting.
Methods:
A total of 135 randomly selected mothers were
interviewed in selected urban and rural communities in San Pablo City and Municipality
of Rizal, Laguna, Philippines. Chi-square and Spearman’s test were used to determine the
association of variables. Binary logistic regression was used to predict the effect of maternal
social capital on nutritional status.
Results:
Levels of maternal social capital were the same
in the urban and rural areas (p=0.24) and had a strong association with household food
security (
p
<0.05). In the urban area, maternal social capital was strongly associated with
mother’s education (
p
<0.01) and weight-for-age (
p
<0.01) and height-for-age (
p
<0.05). In the
rural area, maternal social capital was strongly associated with mother’s education (
p
<0.01),
ethnicity (
p
<0.01), marital status (
p
<0.05) and weight-for-age (
p
<0.01).
Conclusion:
There
is an association between material social capital and nutritional status. Improvements in
education and household food security as well as having parents living-in together may
lead to better nutritional outcomes as these factors are associated with maternal social
capital which in turn affects nutritional status of children aged 6 to 24 months.
2.Maternal characteristics and weight-for-length status of young children aged 0-23 months in the Philippines.
Alea Paula V. HINOJOSA ; Nancy A. TANDANG ; Divine Grace C. DOMINGO
Acta Medica Philippina 2022;56(10):5-15
Introduction. Malnutrition in the forms of wasting and overweight among children ages 0 to 23 months is a continuing public health concern in the Philippines. Childhood malnutrition has lifelong consequences. For young children aged 0-23 months, maternal influences play a significant role in the realization of optimal nutritional status.
Objective. This study aimed to identify maternal characteristics that may influence the nutritional status of children aged 0-23 months.
Methods. This study utilized data from the 2015 Updating Survey from Department of Science and Technology-Food and Nutrition Research Institute. The association of maternal characteristics with the nutritional status of a child was determined using the Rao-Scott Chi-squared test statistic. Multinomial logistic regression was used to model a child's nutritional status using weight-for-length as an indicator.
Results. A child whose mother was educated was less likely to be wasted. The odds of a child being wasted was observed to increase with underweight mothers, longer duration of lactation and higher wealth quintile. Alternatively, the odds of a child to be overweight is reduced if the mother had formal education, was in late lactation stage, and availed tetanus toxoid vaccine. The likelihood that a child will be overweight increased with higher family wealth quintile and obesity of the mother.
Conclusion. Maternal nutritional status, education, duration of lactation, wealth quintile, and availment of prenatal services were found to be associated with the weight-for-height status of children 0-23 months. Incorporating the identified maternal factors when planning new interventions and policies is recommended to address wasting in young children.
Nutrition Surveys ; Overweight
3.Acceptability of height measuring equipment of different materials among community nutrition and health workers and parents in Laguna Province, Philippines.
Maria Theresa M. TALAVERA ; Normahitta P. GORDONCILLO ; Nancy A. TANDANG ; Divine Grace C. DOMINGO
Acta Medica Philippina 2022;56(3):30-36
OBJECTIVES: This study aimed to determine the acceptability of four height/length boards as measuring equipment, (1) NNC wooden height board (HB), (2) Allen's stick, (3) aluminum-acrylic height board, and (4) stadiometer, from the perspective of the community nutrition and health workers (CNHWs) and mothers/caregivers.
METHODS: The study was conducted in two municipalities in the province of Laguna, Philippines. Respondents were 12 CNHWs and 22 parents/guardians of randomly selected children ages 1-5 years. Focus group discussions were also conducted among CNHWs to determine their perceptions, experiences, and feedback on the use of the equipment. Parents/guardians were interviewed about their views on the acceptability of the equipment.
RESULTS AND CONCLUSION: In the urban area, Allen's stick was most favored by end-users, while in the rural area, the NNC wooden HB was the most acceptable. Meanwhile, guardians preferred the aluminum-acrylic HB in the rural area and Allen's stick in the urban area. It was concluded that the use of height boards to measure the height or length of children was acceptable to both CHNWs and parents. CHNWs preferred the stadiometer for height measurement and Allen's stick for length measurement. In contrast parents/guardians preferred the aluminum-acrylic HB and Allen's stick as these were deemed non-threatening, culturally acceptable, safe, comfortable for the children, and the procedures were easily understood.
Nutritional Status
4.Relationship between maternal characteristics and stunting in children aged 0 to 23 months in the Philippines
Alea Paula V. Hinojosa ; Nancy A. Tandang ; Divine Grace C. Domingo
Malaysian Journal of Nutrition 2021;27(No.3):411-420
Introduction: Stunting is the most prevalent form of child malnutrition worldwide,
and is the best overall indicator of growth. This study aimed to determine the
relationship between maternal characteristics and nutritional status of children
aged 0-23 months based on their length/height-for-age. Method: The study
used data from the 2015 Updating Survey conducted by the Philippines’ Food and
Nutrition Research Institute – Department of Science and Technology. It employed
a stratified multi-stage sampling technique covering all regions in the Philippines.
Mothers (n=5,254) of sampled children 0-23 months were the respondents of the
Maternal Health and Nutrition survey. The length-for-age z-scores (LAZ) of children
and maternal characteristics were analysed. Rao-Scott Chi-square test was used for
association analysis. Logistic regression was performed for model fitting. Results:
A quarter (25.2%) of children aged 0-23 months in the Philippines at the time of
the survey were stunted, with the highest prevalence (36.2%) observed among
12-23 months. Children being stunted or normal in height was associated with
prenatal services, maternal nutritional status, education, and duration of lactation.
Maternal education (OR: 0.39; p=0.012), age-appropriate breastfeeding (OR: 0.63;
p=0.042), and prenatal services like tetanus toxoid vaccination (OR: 0.67; p=0.011)
and ultrasound (OR: 0.71; p=0.025) lowered the likelihood of a child being stunted.
Conclusion: It is recommended to strengthen and intensify service delivery among
pregnant and lactating women because of the implication of maternal factors to the
length-for-age status of children 0-23 months.
5.Motivating and hindering factors affecting muslim mothers' Infant and Young Child Feeding (IYCF) practices in select municipalities of Maguindanao, BARMM, Philippines
Paul Alteo A. Bagabaldo ; Maria Theresa M. Talavera ; Divine Grace C. Domingo ; Angelina R. Bustos ; Leila S. Africa ; Angelina DR. Felix ; Anna Teresa O. Orillo ; Nancy A. Tandang ; Warren TK Lee ; Maria Cecilia F. Pastores
Acta Medica Philippina 2024;58(Early Access 2024):1-11
Objectives:
This study aimed to determine the motivating and hindering factors affecting the Infant and Young Child Feeding (IYCF) practices of Muslim mothers in select municipalities of Maguindanao.
Methods:
A pretested questionnaire was administered through face-to-face interviews conducted among 320 randomly selected Muslim mothers with a child aged 6-23 months.
Results :
Results revealed that prelacteal feeding was practiced by 16.6% of the Muslim mothers, giving mostly plain water. Solid/semi-solid foods were introduced at a mean age of 6.1 ± 1.4 months, with home-cooked lugao (porridge) (55.0%) and commercial baby food (31.3%) as the top foods introduced. The majority of Muslim mothers (82.5%) fed processed foods as complementary food to their children, including instant noodles (85.2%) and canned goods (51.5%).
Conclusion
The results revealed suboptimal practices in prelacteal feeding and the reliance on processed foods among Muslim mothers, with economic factors, availability, and convenience as motivating factors in complementary feeding practices. Challenges such as household duties, low milk output, and financial constraints hinder breastfeeding and nutritious food provision for infants and young children. The study reinforced the necessity for holistic strategies in IYCF promotion among Muslim mothers.
breast feeding, Islam, malnutrition