BMJ Open (Mar 2023)

Nutritional and dietary diversity status of under-5 children and adolescent girls among forcibly displaced Myanmar nationals living in Bhasan Char relocation camp, Bangladesh: a cross-sectional survey

  • Subhasish Das,
  • Shah Mohammad Fahim,
  • Tahmeed Ahmed,
  • Md Ashraful Alam,
  • Shams El Arifeen,
  • Morseda Chowdhury,
  • Md Golam Rasul,
  • Sazia Afrin,
  • Mahabub Uz Zaman

DOI
https://doi.org/10.1136/bmjopen-2022-068875
Journal volume & issue
Vol. 13, no. 3

Abstract

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Objective To generate baseline evidence regarding the nutritional and dietary diversity status of under-5 children and adolescent girls among forcibly displaced Myanmar nationals (FDMN) relocated to Bhasan Char relocation camp of Bangladesh.Design Cross-sectional survey.Setting Bhasan Char relocation camp, Bangladesh, 7 November 2021–12 November 2021.Participants 299 under-5 children (both male and female) and 248 adolescent girls (11-17 years) were surveyed.Outcome measures Anthropometric indices and nutritional status of the study participants.Results Nearly 17% of the adolescent girls were suffering from severe thinness/thinness, while 5% were overweight/obese. Severe thinness was more prevalent (2% vs 3.9%) in older adolescents (15–17 years) than their younger counterparts (11–14 years). The prevalence of severe stunting and stunting in adolescents were 14% (95% CI 11.21 to 16.87%) and 29% (95% CI 25.93 to 31.59%), respectively. One-third of the surveyed under-5 children were severely (8.50% (95% CI 5.60 to 11.33%)) or moderately (23.08% (95% CI 20.24 to 25.90%)) stunted, 27% were either severely (4.43% (95% CI 1.60 to 7.27%)) or moderately (22.98% (95% CI 20.15 to 25.81%)) underweight and 12% were severely (1.21% (95% CI 0.00 to 4.04%)) or moderately (10.88% (95% CI 8.05 to 13.72%)) wasted. The prevalence of moderate and severe acute malnutrition in children was low. Surveyed adolescents took a mean of 3.10 (SD 1.03) of nine food groups and 25% (95% CI 22.97 to 28.64%) of under-5 children took minimum diversified diet. The survey respondents mostly consumed carbohydrate-based poorly diversified diets. Nutritional status of the participants did not show any statistically significant association to the dietary diversity status.Conclusion A significant number of surveyed under-5 children and adolescent girls of relocated FDMN living in Bhasan Char of Bangladesh were suffering from thinness, stunting, underweight and wasting. Dietary diversity was poor among the surveyed population.