RESUMEN
The Rohingya is a group of refugees from Myanmar who have been residing in Malaysia since the 1980s. At present, there is no published information on health and nutritional status of refugee children in Malaysia. This study was conducted to assess nutritional status of the Rohingya children aged 6 months to 12 years old (N=87) and to determine the associations between nutritional status with socio-demographic, dietary diversity and health (birth weight, immunization and childhood illness) variables. Children were measured for weight and height while their guardians were interviewed for socio-demographic, dietary diversity and health information. About 27.5% of the Rohingya children were underweight, 11.5% stunted, 16.1% thin and 12.6% at risk of overweight and overweight. The percentage of children with low birth weight (< 2.5 kg) and no immunization was 17.8% and 11.5%, respectively. Fever (67.8%) and flu (62.1%) were the most common childhood illnesses reported in previous month with 44-75% of the children with these illnesses did not receive any medical treatment. The mean dietary diversity score was 8.9+3.2 out of a possible 14, with a higher score indicating a more diverse diet. There were significant correlations between frequency of immunization received by the children with weight-for-age-z score (rs=0.27, p<0.05), height-for-age-z score (rs=0.25, p<0.05) and BMI-for-age-Z score (rs=0.24, p<0.05). Height-for-age-z score was also positively correlated with childhood illness score (rp=0.24, p<0.05) and dietary diversity score (rp=0.23, p<0.05) in that children with less common childhood illnesses and variety of foods in the diets had better linear growth. As refugees have limited access to health care services, they are at greater risk of health and nutritional problems.
RESUMEN
Objectives: There is a lack of current published information on health and nutritional status of Orang Asli children. A study was conducted to assess breastfeeding practices, dietary intake and growth status of Orang Asli children in Sepang and Carey Island, Selangor.Methods: A total of 173 children(88 Temuan and 85 Mah Meri) from 137 households were measured for body weight and height. Information on breastfeeding practices and dietary intake was obtained from their mothers. Results:Most of the mothers (98.9%) breastfed their infants with a high proportion (86.8%) initiating breastfeeding within one hour after delivery.About 53% of the mothers reported discarding colostrum due to various reasons including the perception that colostrum in undesirable and can produce ill-health. Although many of these mothers (58.3%) discarded colostrum on their own initiative, about 25% of them reported that they were advised by health professionals. Among mothers who had stopped breastfeeding at the time of the study (n=48), the mean duration of breastfeeding was 12.1 ± 8.9 months. About 33% of the mothers stopped breastfeeding before their infants were 6 months old and only 31% breastfed their children for more than 1 year. The percentages of significantly underweight, stunted and wasted were 48.9%, 5.2.2% and 4.3% respectively for children aged 1-3 years, whereas among children aged 4-6 years old, 35.8%, 50.6% and 1.3% were underweight, stunted and wasted, respectively. A higher proportion of Mah Meri than Temuan children in both age groups were significantly underweight, stunted and wasted. Despite the adequate intake of energy and most nutrients,the Orang Asli children had insufficient mean number of servings for all food groups-grain and cereals, fruits, vegetables, meat and fish, and milk and dairy products. Conclusion: In this study, undernutrition is a major health and nutrition problem among the Orang Asli children. The problem could be due to many factors that include poor infant and child feeding practices. Concerted efforts by various government and non government agencies are essential to improve the health and nutrition of Orang Asli.