Browsing Faculty of Education by Author "Nnyepi, M.S."
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Nnyepi, M.S. (Academic Journals. http://www.academicjournals.org, February NaN, 2007)[more][less]
Abstract: Access to primary health care can improve the nutritional status and survival of preschool children. The effect of the universal provision of primary health care in Botswana on the prevalence, types, and determinants of malnutrition in preschool children is unclear. 522 children 0 - 5 years old from 12 clinics in the greater Gaborone area were studied to address this gap. Children’s weights and heights were measured. Birth weights, age, sex, household’s socio-economic factors, children’s illness status and services sought at the clinics were obtained through care giver interviews and confirmed by the data in the health cards. 11.3 and 13.7% of children were stunted and wasted, respectively. Stunting and wasting ranged from 9.1 and 3.6% in middle-high income neighborhoods to 18.2 and 20.8% in low income neighborhoods, respectively. Households’ socio-economic factors were significantly associated with households’ location. Consequently, households’ location was a strong determinant of nutritional status. Children in higher income neighborhoods had better growth indicators than children in lower income neighborhoods. This was true regardless of the illness status of children and the services sought from the clinics. Therefore, where large socio-economic disparities exist, access to primary healthcare may not equitably support households in improving the nutritional status of children. URI: http://hdl.handle.net/10311/519 Files in this item: 1
Nnyepi_SRE_2007.pdf (673.0Kb) -
Nnyepi, M.S. (Medpharm Publications (Pty) Ltd., http://www.medpharm.co.za, NaN, 2009)[more][less]
Abstract: Objectives: The objectives of this study were to 1)to determine the proportion of people living with HIV/AIDS (PLWHA) at risk of developing malnutrition, 2) to determine the prevalence of malnutrition (BMI < 18.5 kg/m2, and 3)to describe the dietary intake and other nutrition parameters of PLWHA with membership in support groups. Design: Descriptive cross-sectionals study. Setting: Six support groups in Gaborone and neighboring locations. Subjects: Consenting, free- living HIV-positive adults 20-50 years of age with membership in support groups PLWHA. Outcome measures: The subjects' risk of developing malnutrition was established using a modified subjective global assessment (SGA)screening tool. Subjects with an SGA score ≥ 4 were classified as being at high risk of developing malnutrition. Results: From 145 PLWHA screened, 47.5% (n=69)were found to be at high risk of developing malnutrition (SGA score ≥ 4) and 28.5%(n=41) were malnourished (BMI <18.5 kg/m2). In the sample with SGA scores ≥ 4, 52.2% (n=35) presented with BMI <18.5 kg/m2. These two groups also reported more unintentional weight loss, gastrointestinal symptoms, and other conditions commonly associated with a high risk of developing malnutrition. PLWHA with membership in support groups also had low educational attainment and high unemployment rates. A total of 47% of subjects with an SGA score ≥ 4 needed food assistance. Conclusions: Almost 50% of PLWHA with membership in support groups for PLWHA are at risk of developing malnutrition, while about 30% have a BMI <18.5 kg/m2. Nutrition screening can also help to identify those PLWHA with BMI>18.5 kg/m2 who are still at high risk of developing malnutrition. Timely nutrition interventions can therefore be instituted in order to prevent deterioration in nutritional status. Description: Some symbols in the abstract may not be the same as in the original abstract. URI: http://hdl.handle.net/10311/966 Files in this item: 1
Nnyepi_SAJCN_2009.pdf (495.9Kb)
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