NIBEDITA SAHU-final Thesis
NIBEDITA SAHU-final Thesis
NIBEDITA SAHU-final Thesis
A
Dissertation submitted In Partial fulfilment
Of the requirements
For the Degree of
MASTER OF ARTS
IN
SOCIOLOGY
Sambalpur University
University
Jyoti Vihar, Burla
Orissa – 768019
CERTIFICATE
This is to certify that NIBEDITA SAHU has done this dissertation work
entitled “NUTRITIONAL INTAKE AND ITS IMPACT ON HEALTH OF RURAL
WOMEN: A STUDY IN CHAURPUR VILLAGE OF DHANKAUDA BLOCK,
SAMBALPUR DISTRICT”. I further certify that this thesis is the record of
the original works conducted by her and that to the best of my
knowledge. No part of the content has been submitted to any other
institution/university before for award of any degree or diploma
2
DECLARATION
Nibedita Sahu
Roll No. -16/SOC/013
P.G.Department of Sociology,
Sambalpur University, Jyoti Vihar Burla
3
This thesis is dedicated
To my
Loving parents
And
Respected Guide
4
ACKNOWLEDGEMENT
I am also thankful to our PhD scholars Kiran Jamdalia, Sujita Sethy and
Madhusmita Barwa, of the Department of Sociology, for their co-
operation during my field work.
I further thank to Anganwadi Karmi, Asha Karmi, staff of PHC and all
the respondents who gave me their valuable information for the
completion of this thesis.
Nibedita Sahu
5
PREFACE
Poor women’s nutrition has negative consequences on her health and
that of the entire family. However, despite the central role that a woman
plays in the health and well-being of members of her household, little
attention has been paid to her nutrition needs as other development
challenges have been viewed as more important. Available evidence from
Demographic and Health Surveys suggest deteriorating nutritional status.
The result showed that factors such as: employment status, marital
status, education level, age of the women, types of family, height, weight,
toilet facility, food consumption pattern and socioeconomic status are
significant to under nutrition in Chaurpur Village.
6
CONTENTS
Certificate
Declaration
Acknowledgement
Preface
Chapter-I Introduction
1.1: Introduction
1.5: Objectives
1.6: Hypotheses
2.1 Introduction
2.2 India Map
2.3 Map of Odisha
2.4 Map of Sambalpur District
2.5 Social map of Chaurpur villag
2.6 History of the village
2.7 Households data
7
2.8 Total male and female population data
2.9 Children population data (0-6years)
2.10Infrastructure facilities
2.11 Health care facilities
3.2 Religion
3.3Age
3.4Education
3.5Types of family
3.6Marital status
3.7Occupation
3.8Annual income
8
5.1 Cultivable, homestead and un-cultivable
land
9
6.16Impact of food on health
References
Photography
10
Food consumption pattern
Source and types of drinking water facility
Toilet facility
Accessibility of Health care facility
CHAPTER I
1.1 INTRODUCTION:
Nutrition level is one of the main determinants of an individual health. Health
depends in part to nutrition. Thus in improving health, societies strive to
eliminate malnutrition that is a condition that results either from eating a diet
in which certain nutrients are lacking or is in excess.
Woman nutrition has important implications for her health as well as the
health of her children. The importance of health care of women is of vital
importance as they have to hold the responsibility of motherhood. They
represent poor pre-pregnancy status and constitute the vulnerable group
because of poor intake of food and heavy work at home and at farm. Rural
women mostly suffer from chronic energy deficiency and their body weight
always maintained at 40-45 kg. Motherhood for the majority of poor Indian
women has always been a period of fraught with difficulties, given the low
nutrition and harsh living conditions.
Thus the present study indicates that the rural women would not have
optimum nutrition; therefore the findings of the study reveal that there is an
11
urgent need to initiate nutrition supplementary intervention measures as well
as nutrition education programs to improve the health and nutrition of women
from deprived community.
12
A study conducted by Verma et al. (2003), on 320 females representing rural
populations of selected areas of district Shimla of Himachal Pradesh found that
wheat and maize were the main cereals consumed by the respondants. Among
pulses, black gram, and dal was below and protein intake was above the
recommended levels but this different was not statistically significant. The iron
consumption was below the recommended levels. The intake of calcium
vitamin C and vitamin A was lower when compared with recommended level.
The BMI calculation suggested that majority of were normal nutritional status.
Marinda (2006), his study conducted in rural Kenya indicated that at equal
levels of income household in which women have greater control over their
income are well nourished as they are likely to spend their earnings on health
and nutrition.
Pongou et al. (2006), he noted that unclean water may affect nutritional status
through diarrheal diseases.
Singh (2006), he conducted a study in Haryana, it revealed that milk intake was
so poor that only 18% reported taking milk daily, once in a week 43% and
majority had never taken during the lactation.
Girma (2007), she found that environmental factors like assess to modern
toilet and clean water is highly significant in the nutritional status of both
children and women.
A study on knowledge and adoption of selected health and nutritional
practices by rural women in Belgaum district, Karnatak Vani (2007) found that
31.33% of the respondants had high, 49.34% had medium and the remaining
19.33% had low knowledge level regarding health and nutritional practices.
Ajieroh (2009), he has noted that unhygienic environment due to inadequate
water and sanitation can increase chances of infection diseases thus indirectly
cause certain types of malnutrition.
In West Africa, Ajieroh (2010) noted that malnutrition is higher among rural
households rather than urban.
Betew and Telake (2010), they examined under nutrition among rural women
was 1.5 times higher than women in urban areas.
13
K. Mallikharjuna Rao, N. Bakakrishna, N. Arlappa, A. Laxmaiah and
GN.V.Brahmam (2010), they conducted a study on diet and nutritional status
of tribal and rural population respectively in nine states of India. The intake of
all the foods except for other vegetables and roots and tubers was lower than
the suggested level among rural as well as tribal women. The study revealed
inadequate dietary intake, especially micronutrient deficiency during
pregnancy and lactation. Tribal women were particularly vulnerable to under
nutrition compared to women in rural areas.
L.H. Madhavi, H.K.G. Singh (2011), they were conducted a cross-sectional
community based study in pregnant women in the field practice area of
RCHTC, Hebbal. Result behind the study was majority of women had
inadequate protein & calorie consumption during pregnancy. Anemia was
found to be more common whose age at 1 st pregnancy was <20years.
Government hospital services were utilized by 78.63% but only 58.97%
received iron and folic acid tablets and 70.94% had taken injection Tetanus
Toxic (TT).
A study in Kenya, Steyn et al. (2011), found that malnutrition was significantly
more likely for unmarried women.
A study in Bangladesh, Hossain B (2013), conducted that malnutrition among
the rural Bangladeshi women reproductive age is still very high.
Agugo UA, Onuador L, Okere TO, Uchegbulem ANP, Iheme GO (2017), they
were conducted a study in 2016 to determine the influence of work load and
food consumption pattern on the nutritional status of rural women farmers in
Ukwuube in Nkwere, LGA Imo state, Nigeria. It was observed that majority of
the respondents regularly skip breakfast meals while hurrying to get to the
farm. About 48% rarely consume three meals in a day.
Mahfuza Khanom Sheema, Md. Redwanur Rahman, Zakia Yasmin, Md.
Shahidur Rahman Choudhary, Md. Yeamin Ali, Md. Fozla Rabbi, Akib Jved
(2017), they conducted a study on food habit and dietary nutritional status of
rural women in Bangledesh. Result showed that rice is the staple food where
38.6% respondents took rice 3 times per day. Around 64% too fruits daily 80%
14
have chicken on weekly basis. 2% women drink milk daily and 50.3% on daily
basis.
Nihar Ranjan Rout (2017), he was conducted a study on food consumption
pattern and nutritional status of rural and urban women in Orissa. 33% of
urban women and 48% of rural women were found to be in the low BMI group.
As far as food consumption was concerned, urban women enjoyed a better
position in all the food items rather than rural women.
Vatsala L, Prakash J, Prabhavati SN (2017), they were conducted a study
regarding the nutritional and food security status of women selected from a
village in Maysuru district situated in South India. Result showed that majority
of respondents belonged to low income group and availed facilities under
different welfare schemes. Cereals and pulses were major agricultural product.
Most of it was sold and a small portion retained for household use. An overall
assessment of food security indicated that the diets needed qualitative
improvement and despite being engaged in agriculture, protective foods were
missing from diet.
GAPS IN LITERATURE:
From the review of literature there is a gap in the studies of different researcher in
different places. The main gap of their studies is that, they only determined the
nutritional intake and its impact on health of women but not on men.
15
• Women represent half of the world populations and contribute greatly to the
functioning of society. Their poor nutrition presents adverse health and
socioeconomic consequences in society. The potential consequences include
poor reproductive health outcomes such maternal death during or after child
birth (Gemeda et al. 2013).
• Women nutrition does not only affect them but the family at large especially
the children. For example the nutrition of babies and infants is closely linked to
the health of their mother before, during and after pregnancy (Smith and
Haddad, 2000).
• However ,little attention has been put to address the cause of women mal
nutrition as other development challenges have been viewed as more
important thus given priority (Loaiza, 1997).
16
It represents togetherness with one another and communication. Food itself could
symbolize something greater than what it is. In America, fast food could represent the
busy family that needs a quick dinner to some. So it determines their health and
nutritional status.
FEMINIST THEORY:
• Nutrition intake of women is also determined from the feminist theory. For
instance, women are not treated equal to men in many ways in particular to
health. They are not allowed to own property, they had no freedom to choose
their work or job, they intake lees amount of protein food rather than men and
so on. In this way they are discriminated and suffering from their health and
nutrition.
• But in day to day the constitutional makers and national leaders strongly
demand equal social position of women with men. Today we have seen
women occupied the respectable position in all work of the field and they lead
to a good health and nutrition.
17
1.6 HYPOTHESES:
1.7 METHODOLOGY:
Research is expert, systematic and accurate investigation. An expert researcher
gathers data through systematic planning and correct execution of his plans. As such
methodology is one of the main procedures to be adopted by the researcher.
50 sample sizes were taken of women from the household. The age of sample ranges
from 20 to 80 years. The sample was selected by stratified random sampling
techniques from the exhaustive source lists supplied by the caste association in the
respective regions. The stratification was done based on the economic levels of the
population. As there were more number of people who belong to lower income group
rather than middle and upper, proportionate sample was selected from each strata.
The primary data was collected from the field work and the secondary data from the
Anganwadi center, block office, PHC, and experienced people from that village.
Before finalizing the schedule, wherever the questions were not suited and ambiguous
so, more questions were added to include the aspects not covered by the tentative
schedule. Thus the schedule was brought up into a final format.
Collection of data:
The investigator’s main function is to collect data in an accurate manner without
committing errors. Impartial collection of data with an open mind and presentation of
the facts, are also important in the research surveys. Before administrating the
schedule, rapport was established by making a few visits to the field area, where he
18
explained the purpose of study and aims and objectives, and the researcher gathered
information from the people in general about various aspects concerning the topic.
The investigator separately met the key person of the people and explained the aim of
collecting the data and sought their fullest co-operation in conducting the research
work.
The interviews were conducted personally by going from door to door. As the
questions were simple and easy, it became very easy for the collection of data. The
work was completed in a quick manner.
19
1.8 Difficulties encountered during the fieldwork:
As the study was a unique one for the respondents most of them were
showing great enthusiasm in giving information besides questioning the
researcher a number of times on various things. In certain places interviews
were held for more than two hours.
In the case of getting annual income particulars most of the people have not
revealed their correct income. However cross questions were put to them and
elicited the maximum information.
20
CHAPTER II
In Chaunrpur village population of children with age 0-6 is 85. The male children are
44 which make up 51.76% while female children are 41 which make up 48.23% of total
population. Literacy rate of Chaunrpur village is 69.30%. Male literacy rates are at
78.30% while female literacy rate is 59.67%
In chaurpur village the infrastructure facilities including Health care center, Anganwadi
Kendra, U.P School, High school, telecom network and water tank are Avalable.
COMMUNICATION:
Post office, land line, mobile coverage and private courier facilities are
available in this village. There is no internet center in less than 5 km.
TRANSPORTATION:
21
Autos, bike, tractor and man pulled bicycles are available in this village. There
is no public bus and railway station in less than 5 km.
DRINKING WATER AND SANITATION:
Tap water supply, well and tube well are available in this village.
No drainage system available in this village. There is no system to collect
garbage on street.
COMMERCE:
There is no ATM, commercial and cooperative bank in less than 10 km.
22
2.4SAMBALPUR DISTRICT MAP:
23
2.6 History of Chaurpur village:
Every village has its own history, with the passage of the time the history becomes
vast and it becomes a story for everyone. And the history of the village passes
through generation to generation. In course of time this history becomes a story.
The village chaurpur has its own history.
Chaurpur village is located at 4k.m. distance from Sambalpur district. It has a large
historical significance in developing the western culture of Odisha, with the course of
time its identity has been lost. The emergence of western culture can be known by
deeply examine the history of this village.
In the traditional period, whole Sambalpur district came under the Balangir king. After
death of the king the the king divided the region into two parts made border as Anga
24
river. The Sambalpur part given to Balaram Deo, who became the king of Sambalpur
and the Balangir region given to Narasingha Deo who was became the king of
Balangir.
One day Balaram Deo came to the village Jhankar pali on the hunting purpose with his
soldiers. During that time they felt hungry and try to collect the rice from the villagers.
It was very difficult for them to collect the rice because as the less number of people
were living at that time. In this situation suddenly an old woman came in front of the
king and asked him, what amount of rice have you required and gave him one hand
full amount of rice to feed and it is unbelievable for king that, this handful rice made
satisfy the king and the soldiers also. Thus the village name in such incident called as
Chaulpur village (chaul-rice) and became modified to Chaunrpur.
There was another incident shocked by the king that, when he was coming to the
village suddenly a rabbit came across to him and immediately he tried to returning the
Sambalpur. In same day at night he saw a dream that about the Devi Samlei told him,
she has came across by changing her look as rabbit. And message to the king that she
is in Chaurpur. Then the king was starting worship to her by coming everyday from
Sambalpur. At the rainy season with the increasing the level of water of river, he did
not come to the village in order to worship the Goddess. In that case he remembered
the goddess and the goddess again dream to him and told that, “ if you cannot reach
to me, I will reach near to you”. So goddess Samleswari was 1 st event in Chaunrpur
village then shifted to Sambalpur.
25
Table 2.7 shows that the household data of Chaunrpur village. Therefore the
total households are 273. SC households are 188 which make up 68.86%, ST
are 45 which make up 16.48%, OBC are 35 which make up 12.82% and General
are 5 which make up 1.83%.
200
180
160
140
120
100
80
60
40
20
0
SC ST OBC General
26
350
300
250
200
male
Series 3
150
100
50
0
SC ST OBC General
27
30
25
20
15
male
Series 3
10
0 Series 3
SC
ST male
OBC
General
Sl. Infrastructure No
No
1 Primary school 01
2 M.E School 01
3 High School 01
4 Anganwadi Kendra 01
5 Post office 01
6 PHC 01
7 Temple 06
8 Club 02
9 ANM centre 01
10 Telecom Network 01
11 Tube-well 09
12 Well 06
13 Tap 12
Source: Field survey
14 Shops 05
conducted in Chaurpur
village of Sambalpur district-2018.
In chaurpur village the infrastructure facilities including Health care center,
Anganwadi Kendra, U.P School, High school, telecom network, shops, temple, post
office, club and water tank are available.
CHAPTERIII
Socioeconomic status of the respondents
Table3.1: Distribution of women on the basis of their social
category:
Sl.No Social category N=50 Percentage (%)
29
1 General 2 4%
2 OBC 4 8%
3 ST 0 0%
4 SC 44 88%
Total 50 100%
While in general SC and ST households spend substantially less than OBC and upper
castes ones.SC households are most likely to be engaged in causal labor in rural areas.
SC and ST households are among India’s poorest, and both the occupational profile
and consumption patterns should be seen as a function of poverty.
Table-3.1 shows that distribution of women according to their social categories, 4% of
women are belonging to General category, 8% of women are belonging to OBC, 88%
of women are belonging to Scheduled Caste and there have no Scheduled Tribe
respondent.
30
A Pie chart of distribution of women according to social
category:
4%
8%
General
OBC
SC
ST
88%
31
Religion of the respondent:
2%
Hindu
Christian
4th Qtr
98%
1 20-25 3 6%
2 26-30 7 14%
3 31-35 3 6%
4 36-40 2 4%
5 41-45 4 8%
6 46-50 5 10%
7 51-55 6 12%
8 56-60 6 12%
9 61-65 4 8%
10 66-70 3 6%
11 71-75 4 8%
12 76-80 3 6%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
Age is one of the important characteristics of human beings. It not only indicates the
physical and psychical maturity of people but it also indicates their knowledge,
wisdom and experiences.
Table 3.3 shows that distribution of women according to their age group. Therefore
6% of women are belonging to 20-25, 31-35, 66-70 and 46-50 age, 14% are belonging
to 26-30 age, 4% are belonging from 36-40 age, 8% are belonging to 61-65, 41-45, 10%
are belonging from 46-50 and 12% are belonging from 51-55 and 56-60 age.
32
Age of the respondent:
8% 6% 6% 14%
6% 20-25 26-30
31-35 36-40
8% 6% 41-45 46-50
51-55 56-60
61-65 66-70
4% 71-75 76-80
12% 12% 8%
10%
1 Illiterate 7 14%
5 Intermediate 6 12%
6 Graduate 2 4%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
Education is the consciously controlled process whereby changes in behavior are
produced in the person and through the person within the group. The level of literacy
33
is also one of the significant indicators of social appraisal. It provides equal
opportunities to the individuals for their economic and social development. It also
provides the efficient human resources needed for development in various fields.
4%
14%
12%
Illiterate
primary education
upper primary
secondary
28% 32% intermediate
graduate
10%
34
A nuclear family or elementary family is a family group consisting of parents and their
children.
Table-3.5 reveal that distribution of women on the basis of their types of family, 38%
of women are belonging to nuclear family and 62% of women are belonging to joint
family.
types of Family
Nuclear family
38%
Joint family
62%
1 Married 35 70%
2 Un-married 3 6%
3 Divorce 3 6%
4 Widow 9 18%
35
Table 3.6 shows that 70% of women are married, 6% are unmarried and another 6%
are divorce and 18% are widows.
Marital status
18%
married
6% un-married
divorce
6% widow
70%
1 Farming 4 8%
3 labor 16 32%
4 Service 2 4%
36
occupation
8%
14% farming
domestic business
42% labour
service
house wife
32%
4%
Table number 3.8 shows that, 42% of women have no income, 6% of women are
Earning Rs.15,001-20,000, 8% of women 20,001-25,000, 4% of women 25,001-30,000,
10% of women 30,001-35,000, 6% of women 35,001-40,000, 4% of women 40,001-
45,000 and 20% of women are Earning 45,001-50,000 annually.
37
CHAPTER IV
Living condition
Living condition constitutes one of the most universal forms of material culture
in human society. It also an important element in all capital formation,
whether for the individual or for the nation. Here is an also a social aspect.
Housing plays a major part in ensuring the continuity of community life. It is
the house which gives the family its organization, stability and continuity
(Kuppuswamy).
House condition not only provides shelter but also provides security against
natural hazards and also serves the psychological, economic and status needs
in society. The standard of living, style of life, attitudes and values and degree
of tolerance are greatly affected by the nature of housing have considered
housing as an essential part of man’s life. Here in the analysis the researcher
has included questions pertaining to the housing condition. The following is
the analysis concerning the housing condition.
1 2 10 20%
2 3 18 36%
3 4 12 24%
38
4 5 8 16%
5 6 2 4%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
On the living condition of the respondents of table 4.1 shows that 20% women have 2
rooms, 36% of women have 3 rooms, 245 have 4 rooms 16% have 5 rooms and 4%
have 6 rooms.
Number of rooms
4%
20%
16%
2
3
4
5
6
24%
36%
Total 50 100%
39
Material of the wall
1 Mud 29 58%
2 Cement 21 42%
Total 50 100%
Material of floor
mud
42% cement
58%
40
SL.NO. Cattle shed N=50 Percentage (%)
1 yes 3 6%
2 no 47 94%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
Table 4.4 shows that 94% of the respondents have not cattle shed and only 6% have
cattle shed.
on the basis of cattle shed
cattle shed
6%
no cattle
shed
94%
41
Cooking fuel
9%
10%
Gas
electriicity
purchased wood
colected wood
23% 59%
kerosene
4%
electricity
96%
42
Source of drinking water
river
6% tube well
32%
ph.D water
62%
12%
latrine system
26% open field
river side
62%
CHAPTER V
Land ownership status
43
Table 5.1: Distribution of women on the basis of their land
types:
SL.NO. Types of land Land in acres N=50 %
9-11acres 3 6%
12-14 acres 2 2%
1 acre 3 6%
2 acres 3 6%
3 acres 1 2%
44
purchase it with money, trade it for other property, win it in a bet, receive it as gift,
inherit it, find it or homestead it.
25
20
15
10
CHAPTER VI
DATA ANALYSIS
Table 6.1: Height of the respondents:
Sl.No Height N=50 %
1 4’5”-5’ 6 12%
2 5’1”-5’5” 42 84%
3 5’6”-6’ 2 4%
Total 50 100%
45
The development of human height can serve as an indicator of two key welfare
components, namely nutritional quality and health. In regions of poverty,
environmental factors like malnutrition during childhood or adolescence may result in
delayed growth.
Table 6.1 shows that 4% of the respondents are 5’6”-6’, 12% have 4’5”-5’ and 84%
have 5’1”-5’5” on the basis of their height.
height
4'5
4% 12%
;
84%
1 35-40kg 2 4%
2 41-45kg 5 10%
3 46-50kg 23 46%
4 51-55kg 17 34%
56-60kg 3 6%
Total 50 100%
46
25
20
15
10
0
35-40kg 41-45kg 46-50kg 51-55kg 56-60kg
50
45
40
35
30
25
20
15
10
0
tea chapati(roti) chakuli idli suji upma chuda upma
48
3 Mix curry 50 100%
4 Green leafy vegetable 50 100%
5 Sam bar 40 80%
6 Soya beans 30 60%
7 Salad 3 6%
8 Fish, meat and egg 47 94%
Source: Field survey conducted in Chaurpur village of Sambalpur district, Odisha-
2018.
Table 6.4 reveals that, 100% of women are taking rice, pulses, mix curry and green
leafy Vegetables, 80% are taking sambar, 60% are taking soya beans, 94% are taking
fish, meat and egg and only 6% are taking salad in their lunch.
60
50
40
30
20
10
0
rice pulses mix curry green leafy sambar soya beans
vegetables
1 Tea 49 98%
2 Puffed rice 44 88%
3 Mixture 7 14%
4 Biscuits 2 4%
5 Chaowmin 3 6%
6 Oily food 50 100%
49
7 Ground nut 1 2%
Table 6.5 reveals that, 98% of women are taking tea, 88% are taking foft rice, 14% are
taking Mixture, 4% are taking biscuits, 6% are taking chawmin, 100% are taking oily
food and only 2% are taking ground nut in their snacks.
50
45
40
35
30
25
20
15
10
0
tea foft rice mixture biscuits chawmin oily food
50
60
50
40
30
20
10
0
rice roti mix curry soya beans brinjal fry potato fry
51
6 Meat and fish 80-100gm 25 50%
101-120gm 5 10%
121-140gm 17 34%
7 Egg 1piece 47 94%
52
How many times to eat per day
9%
10%
4 times
more than 4 times
3 times
2 times
23% 59%
53
prevent stress and depression, increase quality of sleep, improve mental health,
maintain steady digestion and regulate the fertility health.
Apart from the health advantages, these benefits may include different social rewards
for staying active while enjoying the environment of one’s culture.
Proper nutrition is important to health as exercise. When exercising, it becomes even
more important to have a good diet to ensure that body has the correct ratio of
macronutrients.
Active recovery is recommended after participating in physical exercise because it
removes lactate from the blood more quickly than inactive recovery.
Table 6.10 shows that 96% of women never do exercise and 4% of women do exercise
1 time per day, motivation behind that, they want to get physical fitness.
Do exercise per day
1 time
4%
never
96%
1 Yes 8 16%
2 No 42 84%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district, Odisha-
2018.
Tobacco use has predominantly negative effects on human health. It leads most
commonly to diseases affecting the heart, liver and lungs.
54
Table 6.11 reveals that 16% of the respondents are using tobacco and 84% are not
using tobacco.
using tobacco
yes
16%
no
84%
1 Yes 43 86%
2 No 7 14%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district, Odisha-
2018.
Table 5.12 show that, 86% of women take food from outside and 14% do not
Take food from outside.
do not take food
from out side
14%
55
Table 6.13 reveals that 98% of the respondents are taking normal water and only 2%
are taking boiled water for drinking.
normal water
98%
1 2 times 2 4%
2 4 times 15 30%
3 More than 4 times 30 60%
4 Never 3 6%
Total 50 100%
56
Those who fast without liquids increase their risk of a number of health problems.
Symptoms of dehydration include headache, dry mouth, nausea fever etc.
Table 6.14 shows that 4% of the respondents are doing 2 times, 30% are doing 4
times, 60% are doing more than 4 times and only 6% never do fasting in a year.
30
25
20
15
10
0
2 times 4 times more than 4 times never
satisfy
with
food
do not consu
satisfy mptio
with n
food patter
consu n
mptio 32%
n
patter
n
68%
57
Table 6.16: Impact on health through the intake of food:
SL.NO. Impact on health through the intake of food N=50 %
1 Anemia 3 6%
2 Acidity 14 28%
3 Diarrhea 5 10%
4 Malnutrition 3 6%
5 None 25 50%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
Malnutrition:
Malnutrition frequently causes abnormal growth, development and body
weight. Inadequate food intake or under nutrition can lead to stunned
growth and mental development.
Diarrhea:
Diarrhea is defined by the World Health Organization as having three or
more loose or liquid stools per day, or as having more stools than is
normal for that person.
Acute diarrhea is defined as an abnormally frequent discharge of
semisolid or fluid fecal matter from the bowel, lasting less than 14 days,
by World Gastroenterology Organization.
Contraction of diarrhea disease as a result of poor sanitation and hygiene.
Open defecation is a leading cause of infectious diarrhea leading to death.
Poverty is a good indicator of the rate of infectious diarrhea in a
population. This association does not steam from poverty itself, but
rather from the conditions under which improvised people live. The
absence of certain resources compromises the ability of the poor to
defend themselves against infectious diarrhea.
58
Poverty is associated with poor housing, crowding, dirt floors, lack of
access to clean water, co habitation with domestic animals that may carry
human pathogens and a lack of refrigerated storage of food, all of which
increase the frequency of diarrhea.
Poverty also restricts the ability to provide nutritionally balanced diets or
to modify diets when diarrhea develops so as to mitigate and repair
nutrient losses.
Proper nutrition is important for health and functioning, including the
prevention of infectious diarrhea.
Acidity in the stomach is the result of excess gastric acid production that
may cause heartburn and other problems. The purpose of the acid
secreted in moderate quantities in the stomach is to aid in the digestion
of proteins that are consumed.
Junk food, deep fried foods, foods rich in oil and butter remain in the
stomach for a long time and more acid production.
Table 6.16 reveals that 6% of the respondents are suffering from anemia
disease, 28% are suffering from acidity, 10% are suffering from diarrhea,
another 6% are malnourished and 50% are not suffered from any diseases
through their food consumption pattern.
Impact on health
anemia
6% acidity
28%
none
50%
59
diarrhoea
malnutrition 10%
6%
Table 6.17: Benefit through government scheme:
SL.NO. Benefit through government scheme N=50 %
1 Chhatua and egg from Anganwadi 10 20%
2 Rice and wheat 25 50%
3 Iron tablets 5 10%
4 None 10 20%
Total 50 100%
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
Table 6.17 reveals that 20% are getting chhatua and egg, 50% are getting rice
and wheat, 10% are getting iron tablets and another 20% are not getting any
benefit through the government scheme.
iron tabelets
10%
60
10 Medical store Every day open(9am-2pm)
Source: Field survey conducted in Chaurpur village of Sambalpur district,
Odisha-2018.
CHAPTERVII
61
• Higher classes tend to eat much smaller meals but regularly. Their
foods tend to be of high quality and freshly prepared. They are less
likely to snack on junk foods and mostly avoid food from outside.
• An inverse relation between education and health has suggested
the importance of examining the health status through food
consumption pattern. Lower educational level is associated with
unhappiness, poor social relationships and poor-self assessed
health. They consume fewer vegetables and meat products. They
have a lower contribution of proteins and lipids to their energy
intake as well as a lower vitamin intake. Thus the educational level
of people has a strong influence on their quality of life, nutrient and
food consumption.
• Lower education and lower occupation solely contributes to
determining differences in dietary habits and that the effect of the
two indicators is cumulative. The lower socioeconomic position of
women consume less amount of non-veg product and green
vegetables. Lower intake of iron, calcium, vitamin A, and vitamin D
present among lower socio-economic groups.
• The major finding from the socioeconomic profile is that, majority
of women are using Gas as the main fuel for cooking. They have got
gas from the Ujala scheme and properly utilize that.
• Another finding is that, 88% of households have no toilet facility.
They are going to toilet in open field and face various types of
infection.
• I also found that, out of 50 respondents one respondent is taking
boiled water and milk regularly and maintained her health in a
proper way.
62
• 48% are eating food at proper time and 52% are not eating at
proper time, because of this they mostly wait their family members
to take food and late to eat but some are earlier to eating.
• 12% of women are avoiding food from outside, because they do
not want to take unhygienic and spicy food from outside, they only
want their local areas of producing vegetables.
• 16% of women are taking tobacco. They mostly try to leave it, but it
leads to a habit for them. Therefore some time they suffer from
head ache.
• One major finding is that all are depending open the hospital, when
they feel serious condition they immediately go to the hospital and
some of them go weekly for their health checkup.
• One another major finding Is that, 52% of women are not satisfy
with their food consumption pattern, because they belong to a
poor family, so they do not get all varieties of food due to their
lower socio-economic status. But 48% are mostly satisfied because
they belong to a middle class or rich family and also a nuclear
family. So they always take their own choice of all varieties.
• Based on the health status I found that, 6% of the women are
suffering from anemia, 28% are facing acidity problem, 10% are
suffering Diarrhea disease and 6% are malnourished women.
CONCLUSION:
63
community or society should be healthy. So it is required to
conduct the educational programs on health and nutritional
aspects. But the society heavily depends on women for its
economic support and family health care.
SUGGESTIONS:
Based on study finding, a set of suggestions or policy
recommendations to improve women nutritional status as well as
household socioeconomic status can be drawn.
• The study findings show that rural women are more likely to be
underweight than those in urban areas which can be attributed to
lack of education. Though the government is already implementing
free primary and secondary education, it is important to come up
with ways to strengthen and ensure sustainability of the programs.
• Another variable affecting the nutritional status of women is
poverty. There is need for the government to put in place measures
to support the very poor areas and for long-term solution, fast
truck the development agenda under rural areas so as to bring
rapid economic growth at the national level.
• Women’s employment alongside marriage is found to be important
determinants of under nutrition. Therefore, strategies must be
64
developed to empower women so that they can increase their
incomes without compromising their own health and nutritional
status. The government has put in place policy that ensures 30% of
its contract is given to women and youth. Aggressive sensitization
program to the women to enable them take up these opportunities
should be considered. This can be done with the help of non-
governmental organizations. Awareness creation on the
importance of nutrition education among women needs to be
undertaken.
• National development policies need to incorporate food, nutrition
and lifestyles issues, with program that empower women to make
healthy dietary decisions, including the consumption of local foods
and vegetables.
• Women should be encouraged to physical activity/exercise to help
increase body fat/energy conversion.
• Education policy makers also need to incorporate dietary and
healthy living topics in schools. This should also include primary
schools to inculcate healthy life styles right from childhood.
• Aggressive family planning campaigns by both government and
non-governmental organizations and programs aimed at preventing
early marriages among girls should be undertaken to help reduce
dependents in households.
• Every person has a right to clean safe water in adequate quantities
reasonable standards of sanitation. To actualize this right and
improve household socioeconomic status, both government and
non-governmental agencies should provide piped water to all
65
households and undertake health campaigns on the importance of
use of improved toilet facilities.
• It should be noted that a combination of these policies would help
reduce malnutrition among women and also improve household
socioeconomic status. This therefore requires efforts across
government and non-government actors for realization of optimal
results.
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INTERVIEW SCHEDULE
Nutritional Intake and its Impact on Health of rural women: A Study in
Chaurpur village of Dhankouda Block, Sambalpur district, Odisha
Miss. Nibedita Sahu
Sambalpur University
1.2. Name of the District Sambalpur 1.6 Name of the Block Dhankouda
1 2 3 4 5 6 7 8 9 10 11
Comp Co Pri Sec
leted nti ma ond
nu ry ary
e
72
2
3
4
5
No.
2 What is the material of the roof of the house? 1-thatch, 2-tile, 3-Khapar,4-iron sheet, 5-asbesto
6-concrete, 7-Other(Specify)
3 What is the material of the wall of the house? 1-mud/mud brick, 2-wood/bamboo, 3-burnt
bricks/stone with mud, 4-burnt bricks/stone wit
73
cement plaster, 5-other (specify
4 What is material of the floor of the house? 1-mud, 2-cement, 3-other (specify)
7 What is the main fuel used for cooking? 1-animal waste, 2-crop residue, 3-collected woo
4-purchesed wood, 5-wood charcoal, 6-kerosen
gas, 8-electricity, 9-other(specify)
8 What is the main fuel for lighting? 1-kerosene, 2-candel, 3-firewood, 4-ectricity, 5-
other(specify)
9 What is the main source for drinking water? 1-tubewell, 2-open well, 3-pond/stream/, 4-pipe
water, 5-other (specify)
04 Total land
1 Milk/curd
2 Pulses/Beans
4 Other vegetables
5 Fruits
6 Egg, meat/fish
7 Rice
74
9 Chapati (Roti)
10 Any other
Rice Meat
Pulses Fish
Wheat Egg
Green leafy Milk
Green vegetables Curd
a. yes b. No
3. How many times a week do you eat meals and snacks away from home?
75
6. How many times do you exercise per day?
a. yes b. No
a. yes b. No
14. What you do, when you face any kind of health problems?
a. yes b. No
76
17. If yes, which type of facility do you get?
a. Chhatua and egg from Anganwadi b. rice and wheat from Panchayat c. iron
tablets d.non of these
18. Are you getting health education by health personnel’s in your village?
a. yes b. No
01 AnganWadi center
02 ASHA(Accredited Social
Health Activist)
03 ANM
04 CHC/PHC
05 District Hospital
06 Private Clinic
77
Comments of the respondent:
Date:
78