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Malnutrition in Children

Introduction

What is Malnutrition?

Malnutrition means a child is not getting the right amount or type of food for healthy growth. It includes both:

  • Undernutrition – when a child is not getting enough food or nutrients.
  • Overnutrition – when a child eats too much or unhealthy food, leading to overweight or obesity.

Malnutrition weakens a child’s body, brain, and future. It can lead to illness, poor school performance, and even death.

Discussion
Types of Malnutrition
  1. Undernutrition

This includes:

  • Wasting – child is too thin for their height
  • Stunting – child is too short for their age
  • Underweight – child is too light for their age
  • Micronutrient deficiencies – not enough vitamins or minerals (e.g., iron, vitamin A, iodine)

Causes:

  • Poverty
  • Inadequate breastfeeding or weaning
  • Frequent infections (e.g., diarrhea, malaria)
  • Poor food access during droughts, floods, or conflict
  • Cultural practices that limit certain foods
  • Large family sizes with limited food

Signs of Undernutrition:

  • Thin arms and legs
  • Swollen belly (in severe cases)
  • Slow growth
  • Hair changes (thin, discolored)
  • Tiredness and low energy
  • Frequent illness
  • Swollen legs and body
  • Prominent bones
  •  Body rashes

 

  1. Overnutrition (Overweight and Obesity)

This is becoming more common in cities and even some rural areas.

Causes:

  • Eating too many processed foods, sugary drinks, and fried snacks
  • Lack of physical activity (e.g., too much sitting or screen time)
  • Poor knowledge about balanced diets
  • Feeding young children too much food or unhealthy foods.
Signs of Overnutrition:
  • Excess body fat
  • Child gets tired easily
  • Trouble with movement or breathing
  • At risk of diabetes, high blood pressure, and future heart problems

 

Balanced Nutrition: What Children Need

To grow well, children need:

  • Energy (from foods like maize, cassava, rice, yam, and sweet potatoes).
  • Proteins (from beans, eggs, milk, fish, groundnuts, meat).
  • Vitamins and minerals (from fruits, vegetables, seeds, and local greens).
  • Clean water and safe hygiene to avoid disease.

What Parents and Caregivers Can Do

For Undernourished Children:

  • Exclusively breastfeed for the first 6 months
  • After 6 months, provide nutritious, soft, home-prepared meals
  • Feed 3–5 times a day with a mix of grains, vegetables, proteins, and fruits
  • Seek help from a health center for growth monitoring
  • Use ready-to-use therapeutic foods (RUTF) if prescribed by a health worker

For Overweight Children:

  • Reduce sugary snacks, fried foods, and sodas
  • Give more fruits, vegetables, whole grains
  • Encourage active play and exercise
  • Avoid forcing children to finish large meals when full
  • Teach healthy habits early

 

Cultural Beliefs and Realities

Belief Reality
A fat child is always healthy Not always – overweight can lead to health problems
A thin child is bewitched Thinness may be due to poor nutrition or infection
Only poor families have malnourished children Even well-off families may feed children unbalanced diets
Herbal mixtures cure poor appetite Always consult a trained health worker first
Apply herbal preparation over anterior fontanelle prevents diarrhea  Prominent skull bones are commonly due to malnutrition. So adequate feeding rather than local application is the solution.
When to Visit a Health Facility

Go to a clinic or hospital if your child:

  • Is losing weight
  • Refuses to eat or breastfeed
  • Has swelling in the feet or face
  • Has diarrhea or fever with poor appetite
  • Looks very thin or very tired
  • Is overweight or gaining too much weight rapidly

Where to Get Help

  • Local health centers and growth monitoring clinics
  • Nutrition programs run by NGOs and governments
  • Community health workers
  • School feeding programs
  • Organizations like UNICEF, WFP, and local ministries of health

Final Message

Malnutrition can be prevented and treated.
Good food, clean water, love, and care can save lives.
Parents, caregivers, teachers, and communities all play a role.

References
  1. World Health Organization (WHO). (2021). Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition
  2. UNICEF. (2023). The State of the World’s Children – Nutrition. https://www.unicef.org
  3. Global Nutrition Report. (2022). Sub-Saharan Africa Nutrition Profile. https://globalnutritionreport.org
  4. Black RE, et al. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451.

Ministries of Health (various countries), National Guidelines on Integrated Management of Acute Malnutrition (IMAM).