Various Anthropometric Methods of Assessment of Nutritional Status in Under Five Children.

Background: For assessment of nutritional status of under five children various anthropometric indices are being used indiscriminately and so the estimated prevalence of malnutrition varies in different methods. Objectives: 1. To determine the prevalence of under nutrition is assessed as per various methods assessment of nutritional status in children under five years of age attending Anganwadi. 2. To compare the common anthropometric measurements in order to find out best suitable method for individual assessment of malnutrition. Materials & Methods: The under-five children attending Anganwadies were selected randomly and each child underwent different anthropometric measurement such as Gomez classification (Weight for age), Wasting (Weight for height), Stunting (Height for age) and mid-arm circumference by Bangle test. Statistical Analysis: Percentage, proportion and discriminant analysis were applied. Results: Total 235 under five children were included in the study. As per Gomez classification 119 (51.14%) children were undernourished. 67 ((28.52%) children were wasted, 116 (49.36%) children were stunted and as per Bangle test 75 (31.91%) children were undernourished. The discriminant analysis of all these methods observed that stunting has the highest proportion of correctly classifying a child into normal or malnourished group. Conclusion: Stunting should be preferred over other methods for assessment of nutritional status of under five children.

Behavioral surveillance survey regarding human immunodeficiency virus/acquired immunodeficiency syndrome among high school and junior college students.

Background and Aims: It is necessary to know the baseline knowledge, attitude, and practices about human immunodeficiency virus/acquired immunodeficiency syndrome among young people and the changes in these with intervention to guide prevention efforts. Methods: A cross-sectional pre- and post-survey with health education as a method of intervention was carried out in four different randomly selected schools and junior colleges among the Class IX-XII students of both sex. Instrument developed by the World Health Organization (WHO)/UNAIDS in their best practice recommendations was used for data collection. Results: Knowledge about all correct methods was present in 61.23% of the respondents. Knowledge of at least two methods of prevention was present in 70.31% of the respondents. Misconceptions about prevention were that good diet (33.42%), avoiding mosquito bite (49.71%) and avoiding public toilets (65.14%) could help in the prevention. With intervention, there was an improvement in the knowledge. However, the proportion of students with misconceptions did not come down. Correct knowledge about two methods of prevention also did not reach the WHO recommendation of 90%. Conclusion: It is very difficult to change the attitude and practices by a single health educational intervention and an ongoing behavior change communication is recommended.