Abstract

BackgroundMalnutrition is a major problem in the world, especially in developing countries such as Ghana. Malnutrition is directly and indirectly responsible for over a million deaths in under-fives worldwide. In spite of the abundance of protein from fish and other staples in fishing communities, they are not spared of the problem of undernutrition. The study sought to assess the prevalence undernutrition among children under-five years in a fishing community in Ghana.MethodsWe conducted a community-based cross-sectional study in Ekumfi Narkwa. We assessed the nutritional status of 250 children aged 6–59 months using anthropometric methods. A structured questionnaire was also used to gather socio-demographic data on the children. We generated nutritional indices with Microsoft Excel 2010 and WHO Anthro software version 3.2.2. We generate frequencies and percentages and ran a simple logistic regression to determine factors associated with malnutrition using STATA software version 13.ResultsAbout 80%(198/250) of the children were reported to have consumed fish products more than three times in the past week whiles 85%(214/250) consumed staples more than three times in the past week. More than one-quarter (26.4%) of the children were under-nourished. The prevalence of stunting, wasting and underweight were 17.6% (44/250), 4.4% (11/250) and 12% (30/250) respectively. Age of caregiver was found to be associated with a child being underweight. The age group of the caregiver was found to be associated with undernutrition (OR:1.53; 95%CI:1.07–219).ConclusionsThese findings suggest a high prevalence of under-five undernutrition in the fishing community in spite of the abundance of fish and its presence in their diet. Malnutrition interventions should therefore be extended to these communities. These interventions in fishing communities need to be tailored towards caregiver utilization of fish and other food sources available in order to improve nutrition of the children.

Highlights

  • Malnutrition is a major problem in the world, especially in developing countries such as Ghana

  • Its consequences include retarded physical and mental growth and even death [4]. In developing countries, such as Ghana, undernutrition is the major type of malnutrition people struggle with

  • The prevalence of undernutrition among under-fives was assessed in Ekumfi Narkwa, a fishing community along the coastline of Ghana

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Summary

Introduction

Malnutrition is a major problem in the world, especially in developing countries such as Ghana. Malnutrition is one of the major public health concerns worldwide with developing countries facing the greatest burden [1,2,3]. Its consequences include retarded physical and mental growth and even death [4] In developing countries, such as Ghana, undernutrition is the major type of malnutrition people struggle with. De Onis and his colleagues had earlier observed an uneven progress in the trend of improved malnutrition. From their observation, Africa showed very little improvement compared to Eastern and South-Eastern Asia [8]. There is the need for new ways of tackling the malnutrition in Africa

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