Mapping the Nutritional Divide Among Tribal Children in Odisha: Evidences from a Cross-Sectional Study
摘要
Malnutrition remains a significant public health challenge among tribal children in Odisha, impacting their growth, development, and overall well-being. The Sustainable Development Goals (SDGs), particularly those related to nutrition and health, play a crucial role in fostering economic growth and the development of human capital. The aim of this study are; first, examine the nutritional status (stunting, wasting, underweight) of children among tribal communities; secondly, analyze and compare the nutritional status of children between tribal and non-tribal children and finaly, identify the key determinants of the undernutrition status among tribal children. The study used data from the 4th (2015–16) and 5th (2019–21) rounds of the National Family Health Survey (NFHS). Outcome variables, such as stunting, wasting, and underweight were analysed in accordance with WHO recommendations. Further, to assess the relationship between socio-economic and demographic factors and the nutritional status of children under five binary logistic regression is used. The study revealed a decline in the prevalence of undernutrition among both tribal and non-tribal childrren from NFHS-4 to NFHS-5. However, undernutrition have a higher prevalance among tribal children compared to their non-tribal counterparts. Further, the analysis indicated that maternal education and nutritional status of mother were crucial factors influecing children’s nutritional status. Notably, tribal children residing in rural areas were less likely to be stunted as compared to those living in urban areas. The findings of the study suggest valuable insights for policymakers to design targeted interventions regarding improvement in nutritional status specifically for children under age six months. This study also suggests empowering women through improving maternal nutrition and education are crucial intervention to addressing child malnutrition. Additionally, the study revealed that children of higher birth orders and those belongs to economically disadvantaged households are more vulnerable. Further, this emphasize the role of poverty alleviation and family planning in tackling undernutrition.