Nutritional status, dietary diversity, and food security of adolescent girls in rural Bangladesh

AbstractBackground: Childhood malnutrition is widespread in South Asia like many other underdeveloped and developing countries and it continues throughout adolescent age. Poor nutrition of adolescents could lead to various complications later in life. Objective: The objectives of this study are to assess the nutritional status, dietary diversity, and food security of adolescent girls in rural Bangladesh, as well as to assess the factors that influence them.Methods: A cross-sectional study among 422 participants was conducted in two selective areas in the Narayanganj district of Bangladesh. BMI (Body Mass Index)-for-age (z-score) and Height-for-age (z-score) were considered in evaluating the nutritional status of the study participants. Food and Agricultural Organization guidelines 2011 were used to calculate Individual Dietary Diversity Score. Food insecurity was assessed by using the Household Food Insecurity Access Scale version 3.Results: The findings revealed that the prevalence of underweight and stunting were 9.5% and 12.1% respectively. In addition, 13.2% and 4.3% of the respondents were found to be overweight and obese. The height-for-age (z score) was associated with the age of adolescents (p=0.037). Mother’s (p=0.005) education were also correlated with their nutritional status. Outcomes of the Individual Dietary Diversity Score showed that 25.6%, 42.9%, and 31.5% of the adolescents had low, medium, and higher dietary diversity scores respectively, while 7.3% had different degrees of food insecurity.Conclusion: Compared to underweight, overweight and obesity were shown to be more prevalent. However, a small percentage of the individuals reported various levels of food insecurity in this study. To attain an optimal level of nutrition, it is essential to ensure expanded food availability for the rural community. Proper nutrition education at primary and secondary education levels will enable teens to have diversified foods as well as assists in gaining healthy weight. [Ethiop. J. Health Dev. 2021; 35(3):194-199]Keywords: Nutritional status, Dietary diversity, Food security, Adolescents, Rural Banglades

Menstrual hygiene practices among adolescent schoolgirls in the rural area of Bangladesh

Adolescence is a time of tremendous opportunity. However, inadequate menstrual hygiene habits are related to lower academic achievement and enrollment at school, with possible effects on longer-term socio-economic status and impaired overall quality of life. Therefore, this cross-sectional study was conducted among 422 adolescent schoolgirls in Bangladesh between July 2019 and February 2020 with the aim of examining menstrual hygiene practices. Data indicated that the mean age of menarche in 422 adolescents was 12.71±0.97. According to the data, 47% had well and 53% had poor hygiene practices. In multivariable logistic regression analysis, the educational status of respondents’ mothers at the secondary level [AOR=2.023, 95% CI: 1.159-3.532], fathers at the graduate and above level [AOR=3.150, 95% CI: 0.883-11.238], high level of household income [AOR=2.580, 95% CI: 1.480-4.495], and knowledge about the complication of poor hygiene practice among girls [AOR=2.286, 95% CI: 1.160-4.504] were significantly associated with the level of hygiene practices. Poor menstrual hygiene practice was found among more than half of girls. Attitude toward safe menstrual materials should initiate to improve good hygiene practices. Awareness campaigns for parents and teachers to assist their children would be a vital strategy to ensure good hygiene practice