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7/29/2019 Zambian Open University Thesis Cover
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ZAMBIAN OPEN UNIVERSITY
NAMPOLELE KASWAYA
SIN. 2091690
A STUDY TO ESTABLISH THE PREVALENCE RATE OF STUNTING
IN CHILDREN UNDER-FIVE (5) YEARS AT KAPIRI MPOSHI URBANDISTRICT CLINIC
A Final Thesis Proposal To The Academic Department
Of the School of Social Sciences In Partial Fulfilment of Requirements
For a Bachelor Degree in Development Studies
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DEDICATION
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TABLE OF CONTENT
Abstruct..................................................................................................................................... i
Research Topic...........................................................................................................................1
Purpose ......................................................................................................................................2
Literature review........................................................................................................................3
Statement of the problem...................7
Objectives...................................................................................................................................8
Rationale.....................................................................................................................................9
Methodology......................................................9
Annex1 15
Annex 2.. 16
Annex 3 18
Bibliography 20
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ABSTRACT
Zambia is one of the 22 countries with the highest burden of under nutrition among the
under-five year olds. Many suffer from different forms of malnutrition such as low birth
weight, wasting, underweight, multiple micronutrient deficiencies such as iron, iodine
deficiency
However under nutrition in infancy and early childhood is thought to adversely affect
cognitive development, although evidence of lasting effects is not well established.
Lancet (2008) shows that approximately 30% of the world population is suffering from
stunting. According to the Zambia Demographic Health Survey (2007) stunting in children
less than five years of age is above 45% with 21% severe stunted. This is due to poor
maternal nutrition leading to low birth weight babies. Low birth weight predisposes children
to high risk of infection and malnutrition and permanent disadvantage. Stunted children at 24
months often suffer permanent losses to health, growth, learning capacity, and productivity
throughout their life time.
Routinely Zambia has been able to assess childrens growth using one growth indicator,weight for age (under weights), leaving out length for age (stunting) and length for weight
(wasting). There is need to assess a child comprehensively so that all the three indicators are
assessed. This way no child will be missed in terms of assessing the nutrition status.
This paper will show how the stunting levels of under five children reporting to Kapiri Urban
and Masansa Rural community will be established. The main objective will beto establish
the prevalence rate of stunting in children among the under two years reporting at Kapiri
Urban Clinic and Masansa Rural Health Centre. Some of the specific objectives will be to
assess the growth of all under five year olds reporting to Kapiri Mposhi Urban Clinic and
Masansa Rural health Centre. The other specific objective will be to sensitize community
members.
Data will be captured from 10% of the population for each site and will be analysed using
graphs. Routinely mothers whose babies found to be stunted will be counselled accordingly.
Finally the report will be compiled.
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I
BIBLIOGRAPHY
Adair, L. S et al (1999). Filipino children exhibit catch-up growth between ages 2 and 11. J.
Nutrition. 129:1140-1148.
Adair, L. S et al (1993). Growth dynamics during the first two years of life: A
prospective study in the Philippines. Eur. J. Nutrition 47:42-51
Alderman, H., J. Hoddinott, and B. Kinsey. (2003).Long Term Consequencesof Early Childhood Malnutrition. Washington, DC:World Bank.
Grantham-McGregor, S. (1995). A review of studies of the effect of severe malnutrition on
mental development. J. Nutrition. 125:22335-22385.
Guthrie, G.M., et al (1977). The Philipine Non-Verbal Intelligence Test. J. Soc.
Psychology. 102:3-1
Laura E at el (). Stunting, Wasting, and Micronutrient Deficiency Disorders.
Olivieri, F., Semproli, S.,Pettener, D., & Toselli, S. (2007). Growth and malnutrition ofrural zimbabwean children (6-17 years of age). American Journal of Physical
Anthropology.
The Cebu Study Team (1991). Underlying and proximate determinants of child health:
The Cebu Longitudinal Health and Nutrition Study. Am. J. Epidemiol 133: 185-201.
The Zambia Demographic health Survey (2007). Lusaka: Ministry of health
Zambia Central Statistics Office - Population Survey Report 2010.