The problems of malnutrition in Armenia
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The transition to the new social-economic conditions creates deep changes in living standards in Republic and that's why the most part of population is appeared under the threshold of poorness, which reflects on the health index level.. The situation is threatening for the social health

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The problems of malnutrition in Armenia Luiza Gharibyan, PhD Associate professor Yerevan State Medical University,

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The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The problems of malnutrition in Armenia

Luiza Gharibyan, PhD

Associate professor

Yerevan State Medical University, Department of Hygiene and Ecology,

Armenia


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The transition to the new social-economic conditions creates deep changes in living standards in Republic and thats why the most part of population is appeared under the threshold of poorness, which reflects on the health index level.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The situation is threatening for the social health. One of the most important indexes of social health is childrens physical development.In literature there is a lot of information about the decrease of anthropometrics indexes during the wars and economic crashes.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

In poor countries the number of short and thin children (according to the standards) is bigger, because of malnutrition.

Over 200 million children in developing countries under the age of five are malnourished.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Malnutrition contributes to more than half of the nearly 12 million under-five deaths in developing countries each year.Malnourished children often suffer the loss of precious mental capacities.They fall ill more often. If they survive, they may grow up with lasting mental or physical disabilities.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Using data from 53 developing countries, researchers from Cornell University have concluded that over half of those 13 million child deaths each year are associated with malnutrition.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Further, they show that more than three quarters of all these malnutrition-assisted deaths are linked not to severe malnutrition but to mild and moderate forms.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The major nutrition problems in the world are: 1.Proteinenergy malnutrition (PEM) 2.Iodine deficiency disorders (IDD)3.Iron deficiency 4.Vitamin A deficiency or hypovitaminosis A(VAD)5. Nutrition-related chronic diseases


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

In the public imagination, the home of the malnourished child is sub-Saharan Africa. But the league tables clearly show that the worst-affected region is not Africa but South Asia.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Just over 30% of Africa's children are underweight, but the corresponding figure for South Asia is over 50%.And in Bangladesh and India, the proportion of children malnutrished is very significantly higher than in even the poorest countries of the sub-Sahara.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Measured by absolute numbers, it is to be expected that problems of poverty will be concentrated in South Asia, simply because of the sheer size of its populations (India alone has 50% more people than 47 countries of sub-Saharan Africa put together).


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

But when the proportion affected is also far higher, as is the case with child malnutrition, then the centre of gravity of the problem shifts still further.

  • That is why half of the world's malnourished children are to be found in just three countries - Bangladesh, India, and Pakistan.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Over 8 million of the 13 million under-five deaths in the world each year can be put down to diarrhea, pneumonia and malaria.


Malnutrition around the world

Malnutrition around the world


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Birth weight is an obvious place to begin the search. In all countries and cultures, low birth weight is the best single predictor of malnutrition.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Birth weights below 2,500 grams have been found to be very closely associated with poor growth not just in infancy but throughout childhood.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The purpose of this work is to find out the health deviation of children in Armenia, because of malnutrition malnutrition and organize corresponding social-medical help.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

We assessed children in Yerevan in 4 secondary schools (No. 32, No. 38. No. 19, No. 8) of childrens anthropometrics indexes (about 4000 children) and data of 2000 newborns.We found each childs family social economic status, parents health condition and possible harmful factors possible negative influence on a child.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Obtained datas analysis shows that the physical development indexes are lower than the standards, in the families where the malnutrition is organized badly or its connected with the low standards of living.We want to present you the following dates obtained in 2 different regions in Yerevan about seven-year-olds schoolchildren height and weight.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

We compared the schoolchildren of No. 38 (Shengavit region), No. 8 (Central region) in 1986-1988 period Shengavit region childrens height and weight was higher than now.Analyze dates show, that first form boys average height decreased 2.64cm (dignity index t=3.6), girls is 2.21cm (dignity index t=3.07).


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Yerevan deferent regions seven-years-old childrens height and weight in 80s.Low height boys number increased in 7.8% and girls - in 10.9%.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Besides it there is a decrease in number of children with good physical development correspondingly mothers with high education in 15.23%, mothers with secondary education in 7.16%.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The boys body mass decreased in 1.22cm (t=3.2). In the same school among 140 examined childrens hemoglobin average level is m=112.3+0.37, which is certainly lower than the norms.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Despite the No. 38 school childrens indexes, No. 8 Pushkin school 1994-1996 first form schoolchildrens physical development indexes average level is higher. Its known, that the people attend this school are from well-provided families. The parents mostly have high education and have jobs.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

So the presented material first gives us right to speak about childrens malnutrition. In Armenia during the last 10 years many families rations contains mostly cheap hydrocarbon origin food. While protein containing food such as meat, dairy, egg is necessary for the drawing body of young children.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

Thus 79gr protein from which 47gr must have animal origin, fats 79gr (16gr animal origin), hydrocarbon 315gr, calcium 1100mg, phosphor 1650mg, iron 18mg, vitamin B1 1.4mg, vitamin B2 1.6mg, vitamin C 60mg, vitamin A 0.7mg is one day food physiological standard and the food total calorie is 2300kcal.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

So it is necessary 47gr animal origin protein for the normal growth of body. Its necessary to mention, that 1 egg contains 6.25gr complete protein, 100gr meat contains 16-20gr proteins and 100ml milk contains 3.3ml.Schoolchilds breakfast must contain 1/3-1/4 of the ration.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The most part of the families, which have been studied by us, are in bad financial condition and the expenses of each family per day is less than 1 USD.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

The main part of ration in these families contains hydrocarbon potato, pasta, bread and the usage of food providing protein (egg, meat, dairy) is very low.


Bronchitis in yerevan primary morbidity of children 1988 1998

Bronchitis in Yerevan(primary morbidity of children)1988-1998


The number of newborn with low weight per

The number of newborn with low weight per %


The number of sick newborn per in charentsavan r armenia

The number of sick newborn per % in Charentsavan (R.Armenia)


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

CONCLUSION

Within the transition period to the new social relations, and correspondingly to the new public health care system the efforts are to be done in public health management sphere.


The problems of malnutrition in armenia luiza gharibyan phd associate professor yerevan state medical university

First of all, we must revise the worn out approaches in order to put the health care activities in correspondence with the new realities. Meanwhile we must give due attention to the existing experience in this sphere in the countries with the developed health care system.


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