DETERMINANTS OF MALNUTRITION IN CHILDREN UNDER FIVE YEARS AT KISUMU COUNTY REFERRAL HOSPITAL (KCRH)

Abstract

This study investigates the socio-economic determinants of malnutrition among children under five years in KCRH, focusing on a sample of 44 participants. Utilizing a mixed-methods approach, data was systematically collected and analyzed, revealing critical insights into the relationships between maternal education, occupation, income, place of residence, and child nutritional outcomes. Findings indicate that 50% of respondents had only attained secondary education, with the majority (32 participants) being unemployed. Urban residence was predominant among participants, with 35 living in urban areas. Notably, breastfeeding cessation occurred predominantly at 2 to 3 months for 19 participants, while 25 children were not fully immunized, and 25 had not been dewormed. The data highlighted that 26 participants had birth weights between 1500 to 2000 grams, suggesting potential risks for malnutrition. The analysis underscores that maternal education significantly influences child health, with educated mothers exhibiting better knowledge of nutrition and caregiving practices. Additionally, poverty emerged as a pivotal factor, exacerbating food insecurity and limiting access to healthcare resources. Socio-cultural norms and maternal health status were also identified as key influences on child nutrition. The study concludes that multifaceted interventions targeting education, healthcare access, and economic support are essential for improving nutritional outcomes in this vulnerable population. Recommendations include community education programs, healthcare accessibility initiatives, and collaborations with local leaders to promote healthier feeding practices. Overall, this research contributes valuable insights into the complex dynamics of malnutrition and lays the groundwork for future studies and policy development in the region