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 URBAN DISTRICT 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

DEDICATION

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 Bibliography 18 20

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 be to 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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