Browsing by Author "Sahu, M"
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Publication Double Burden of Malnutrition among Mother-Child Dyads in a Rural Area of West Bengal, India: A Comprehensive Analysis of Contributing Factors(Kathmandu University, 2025) Sengupta, T; Mallick, AK; Sahu, M; Sarkar, SABSTRACT Background The double burden of malnutrition (DBM), where undernutrition and overnutrition coexist, is a new paradigm in the global nutritional landscape. With an increasing rate of obesity and a gradual decline in undernutrition, India is currently experiencing this public health challenge. At the household level, among mother-child pairs, this disparity in nutritional status is becoming evident. Objective To assess the prevalence and patterns of the double burden of malnutrition among mother-child dyads and to determine the factors associated with this condition. Method In this observational, cross-sectional study, the nutritional status (double burden of malnutrition) of 360 mothers and their children (aged 0 - 23 months) from a rural community of West Bengal, India, was assessed. Data were collected via interviews using a pre-tested, semi-structured questionnaire and through standard anthropometric measurements. The collected data were subsequently analyzed using SPSS (Version 25). Result The findings showed that 16.1% of the mother-child pairs had double burden of malnutrition, the highest being the pair of overweight/obese mother-stunted children (10%). Mother’s education (aOR 4.19, CI 1.65-10.62), food-insecure households (aOR 3.27, CI 1.51-9.16), and lower socio-economic class (aOR 2.70, CI 1.09-6.67) were found to be significantly associated with the presence of double burden of malnutrition among participants. Conclusion The double burden of malnutrition among mother-child dyads can be seen as a dual nutrition challenge that needs to be addressed with paramount importance. This contrasting form of malnutrition claims a renewed focus and program intervention through the equity-focused policies of Double Duty Action. KEY WORDS Double burden, India, Malnutrition, Mother-child Dyad, RuralPublication Knowledge, Attitude and Level of Involvement of Married Males in Family Planning(Kathmandu University, 2022) Bag, NI; Sahu, M; Paul, B; Das, R; Bandyopadhyay, L; Bhattacharyya, M; Maity, SABSTRACT Background There is an age-old notion that family planning is women’s responsibility disregarding the fact that men have equal responsibility in fertility regulation. Although male involvement is getting more recognition, studies on men’s role in family planning are very few in the number in this part of the world. Objective To assess the knowledge, attitude and level of male involvement in family planning and to find out the factors associated with male involvement by contraceptive usage. Method A community based cross-sectional study was done from May to July 2021 among 165 currently married male, who had at least one child, living in Singur district of West Bengal. Cluster sampling method was done to select study participants and data were collected by pre-designed pretested questionnaire. Descriptive statistics, multivariable logistic regression was applied and data were analysed applying SPSS software. Result Only 36.4% participants were directly involved in family planning either by using condom or by withdrawal method but 65.5% participants were indirectly involved in family planning through spousal communication either by approving contraceptive use to their spouse or by decision making regarding family planning. Moreover, barrier of contraceptives usage were side effect (27%) and fear of impotence (25.5%). Male involvement was significantly associated with participant’s education [AOR (95% CI= 3.63 (1.45-9.05)], caste [AOR (95% CI= 7.06 (2.55-19.51)], number of living children [AOR (95%CI= 5.01(1.95-12.87)], desire for more child [AOR (95% CI=0.34 (.13-.87)] and attitude on family planning [AOR (95% CI= 3.55 (1.41-8.94)]. Conclusion This study identified the prevailing gender norms in rural areas. Advocacy for male involvement in family planning by health personnel during counselling of eligible couples should help in increasing contraceptive coverage in the long run. KEY WORDS Contraception, Decision making, Family planning, Male involvement, Rural community, Spousal communication