Partially funded by DFID & British Council under Higher Education Link Programme
Pakistani Food Composition Tables

Title of the thesis

Socio-Demographic & Nutritional indicator of Malnourished children, A cross sectional study in OPD of a public sector hospital Karachi.

Name of Author

Dr. M Shahid


13A Block # 9, Administration Society Karachi.

Reg #


Roll #


Student’s Batch # 1st
Research Supervisor

Dr Seema Nighah-e- Mumtaz


Dept. of Community Health Hamdard University, Karachi.
Res: 4530936


Forty percent Pakistani children under-five are malnourished and twenty five percent of babies born are under-weight. Not only are they susceptible to illness and death but also their right to proper physical and mental development and well being is jeopardized.

Present study was conducted to assess the knowledge, attitude and practices of mothers regarding protein energy malnutrition. This was a cross sectional study conducted on an Out Patient Department of a government hospital (National Institute of Child Health Karachi). A questionnaire containing 55 questions was filled with 150 mothers visiting the hospital with their malnourished children aged between one to four years.

These children were visiting the hospital for at least the second time. Every second malnourished child fulfilling the above criteria was taken for the study. It was found that 85.3% of the women had more than one child and 42% had 7 to 10 family members. 48.7% of the mothers interviewed had their last child of 1-year of age. 92% of the women were not using family planning measures. 54.7% of the mothers were illiterate.26.7% of the child’s fathers were unemployed and in 40% of the cases the house hold monthly income was between Rs. 1000 to 3000. 54% of the children were brought to hospital because of diarrhea and 29.3% for respiratory tract infection. Only 26.6% of the children were fully immunized. In 50% of the cases weaning was started at the age of 4 months but it was improper as far as the type and time of food was concerned. 56.7% children were lethargic during playing. 60% of the children were advised both drugs and diet by the doctor. 54% of the mothers were not satisfied by the treatment given to their children, as there was no response of the treatment.

There are multiple factors that influence the nutrition of a child. In this study every possible effort was made to view these factors from different aspects. Large family size, too many children. Poverty, literacy, unemployment, repeated infections to the child like diarrhea and respiratory tract infection, lack of immunization, bottle feeding and improper type and time of food during weaning were few factors which caused malnutrition in children.

Mothers practiced the things, which she knew, therefore, their education is important in order to improve their knowledge.


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