Introduction: Stunting is a major public health problem that affects the growth and development of children under five. Functional foods in child-friendly forms may provide an alternative nutritional approach to support linear growth and stunting prevention. Objective: This study aimed to evaluate the potential of red ginger extract gummy candy as a functional food to support linear growth and stunting prevention among children under five. Method: This quasi-experimental study used intervention and control groups. Children in the intervention group received red ginger extract gummy candy, while those in the control group received a placebo for one month. Changes in height and weight were assessed before and after the intervention. Result: The Shapiro–Wilk test showed that the anthropometric data were not normally distributed (p<0.05). In the intervention group, height increased significantly after the intervention (p=0.005), whereas the change in body weight was not statistically significant (p=0.161). In the control group, neither body weight (p=0.138) nor height (p=0.059) showed statistically significant changes. However, the Mann–Whitney U test showed no statistically significant difference between the intervention and control groups in changes in body weight (p=0.970) or height (p=0.701).. Conslusion: Red ginger gummy candy was associated with a significant increase in height within the intervention group, but the change was not significantly different from the control group. Further studies with larger samples and longer interventions are needed to determine its potential in supporting linear growth.
Introduction: Appropriate complementary feeding from 6–23 months is essential for child growth and development, yet dietary diversity remains inadequate in many resource-constrained settings. Understanding contextual influences on feeding practices is important for improving child nutrition. Objective: This study examined qualitative evidence to identify dietary patterns and factors shaping complementary feeding among children aged 6–23 months in Chinyunyu, Rufunsa District, Zambia. Methods: This Framework Analysis applied Gale et al. (2013) and the WHO Infant and Young Child Feeding framework to interpret qualitative data. The study was conducted in drought-prone Chinyunyu Ward, Rufunsa District, Zambia. Participants included 24 women aged 18–49 years with a child under two years and seven mothers-in-law who participated in Photovoice and focus group discussions, alongside three husbands and four community leaders who participated in in-depth interviews. Results: Caregivers generally described awareness of recommended feeding practices; however, poverty, limited maternal decision-making power, and heavy workloads were perceived to constrain adherence. Diets cited were dominated by cereal-based porridges prepared with groundnuts, sugar, or salt. Groundnuts were reported as the main protein source, and reliance on them may have limited dietary diversity. Furthermore, increasing dependence on commercial foods was also perceived to undermine optimal complementary feeding. Conclusions: Despite awareness of recommended feeding practices, poverty, gendered resource control, and heavy workloads were reported to constrain adherence to WHO recommendations. Empowering women, improving livelihoods, and promoting affordable dietary diversity, including legumes beyond groundnuts, may strengthen complementary feeding and child nutrition.
Priscilla Funduluka, Mercy Mukuma, Regina Murphy Keith et al.
OBJECTIVE: This study aims to examine the experiences of Rohingya migrant mothers residing in the Kutupalong Refugee Camp in Bangladesh. The research focuses on understanding the challenges these mothers face during the migration process, the barriers they encounter in accessing healthcare services, their experiences related to child care, and the psychosocial stressors they are exposed to in the camp environment. Additionally, the study seeks to develop policy recommendations to enhance their living conditions. METHODS: This study was conducted using a qualitative research design with a phenomenological approach. Semi-structured, in-depth interviews were conducted with 15 Rohingya mothers residing in the Kutupalong Refugee Camp. Participants were selected through purposive sampling based on the criteria of having at least one child, having personally experienced the migration process, and having lived in the camp for at least one year. The interviews were conducted in the Rohingya language with the assistance of a local translator and focused on themes such as migration-related trauma, access to healthcare services, childcare, and psychosocial challenges. The data were analyzed using thematic analysis, and main themes and subthemes were identified. RESULTS: The study identified four main themes. Migration Process and Trauma includes the physical and psychological hardships endured by mothers during migration, as well as violence, losses, and dangerous journeys. Challenges in Accessing Healthcare Services emphasizes the inadequacy of healthcare services within the camp, barriers to accessing external healthcare services, and frequent misdiagnoses and incomplete treatments. Childcare and Nutrition covers issues such as inadequate hygiene conditions, problems with access to clean water, malnutrition, and the struggle against common illnesses in children. Psychosocial Issues and Security Concerns include trauma and psychological problems stemming from incidents such as child abductions, fires, violence, and economic difficulties within the camp. Mothers have significant concerns about ensuring the safety of their children and meeting their basic needs. CONCLUSION: This study highlights the significant challenges faced by Rohingya mothers in refugee camps. Barriers to accessing healthcare services, inadequate childcare and nutrition conditions, psychosocial stressors, and security concerns clearly illustrate the extent of the humanitarian crisis experienced by Rohingya refugees. The research emphasizes the need for comprehensive policies to improve living conditions in refugee camps for both the international community and local governments. Enhancing healthcare services, improving hygiene and nutrition conditions, providing psychosocial support services, and addressing security concerns are essential for enhancing the well-being of Rohingya refugees. This study makes a valuable contribution to the literature on refugee experiences and provides a foundation for future research.
Musa Özsavran, Tülay Kuzlu Ayyıldız, SUMAYA SIDDIQUE AHMED et al.
Stunting is a chronic nutritional problem characterized by impaired linear growth and influenced by multiple factors, including inadequate energy intake. This study aimed to determine the association between average energy intake and stunting severity among children aged 6–24 months in the working area of Bagu Public Health Center, Central Lombok Regency, in 2025. An analytic observational study with a cross-sectional design was conducted among 43 mothers of stunted children selected using total sampling. Stunting status was obtained from Maternal and Child Health (KIA) handbooks, while energy intake was assessed using a 24-hour food recall and categorized according to intake adequacy. Fisher’s Exact Test was used for bivariate analysis because the data did not meet the assumptions of the Chi-square test. Of the 43 children, 40 (93.0%) had deficient energy intake and 3 (7.0%) had adequate intake. A total of 27 children (62.8%) were classified as stunted and 16 (37.2%) as severely stunted. The mean energy intake was 592.8 kcal/day. Fisher’s Exact Test showed no significant association between energy intake and stunting severity (p = 0.385). Although no significant association was observed, inadequate energy intake remains an important nutritional concern among children aged 6–24 months.
This study evaluates the impact of Village Fund allocation for health on stunting reduction as an investment in human capital in Lamongan Regency. Using village-level data for 2023–2024, the study applies Propensity Score Matching (PSM) and Ordinary Least Squares (OLS) to examine supporting factors. The PSM results indicate that villages receiving the intervention experienced a statistically significant reduction in stunting prevalence of approximately 1.2 percentage points compared with non-treated villages. The OLS results show that the Village Fund intervention has a negative but marginally significant association with stunting prevalence, while posyandu activity, supplementary feeding, child immunization, and basic-service access are statistically insignificant. These findings highlight the importance of targeted and integrated village-level interventions.
Background Nigeria ranks second globally in the burden of stunted children, with 40% of children under five affected and poor infant and young child feeding (IYCF) practices as a primary contributor. This study assessed mothers' knowledge, attitudes, and feeding practices related to IYCF in Plateau State, Nigeria, comparing beneficiaries and non-beneficiaries of the Accelerating Nutrition Results in Nigeria (ANRiN) project, and identifying sociodemographic predictors associated with these outcomes. Methods A mixed-methods cross-sectional design was employed. A total of 503 mothers of children aged 6–23 months completed structured questionnaires for quantitative analysis, while 8 focus group discussions and 12 key informant interviews provided qualitative data. Knowledge, attitude, and practice scores were computed with categorization (adequate/inadequate, positive/negative, good/poor). Data were analyzed using chi-square tests, independent t -tests, and multivariable logistic regression stratified by beneficiary status. Results The overall prevalence of adequate knowledge was 21.1%, positive attitudes 91.4%, and good feeding practices 55.7%. Beneficiaries demonstrated significantly better practice scores than non-beneficiaries (mean 6.95 ± 1.42 vs. 6.34 ± 1.57, p < 0.001), while non-beneficiaries showed slightly higher attitude scores (3.68 ± 0.64 vs. 3.52 ± 0.77, p = 0.012). No significant difference in knowledge scores was observed. Maternal tertiary education was significantly associated with adequate knowledge in both groups ( p < 0.01), while healthcare provider information was the strongest predictor of knowledge and attitudes among beneficiaries ( p < 0.001 and p = 0.019, respectively). Qualitative findings identified poverty, food insecurity, and cultural norms as barriers to applying knowledge, while hands-on food demonstrations improved practical skills. Conclusion The study highlights a persistent knowledge-practice gap and demonstrates that ANRiN participation is associated with improved feeding practices. The distinct predictors between beneficiaries and non-beneficiaries suggest that tailored interventions accounting for these differential factors could strengthen IYCF program effectiveness in Nigeria.
Demilade Osoteku, Abdulateef Salisu, Muyi Aina et al.
The interconnections among food systems, poverty, and malnutrition remain central to Bangladesh’s development trajectory. Despite substantial agricultural growth and notable reductions in poverty over the past two decades, structural challenges continue to constrain equitable access to food and nutrition. This study analyzes agricultural production trends, food system drivers, and consumption behaviors, situating Bangladesh in a comparative South Asian context. Using national survey data and secondary statistics, it further examines poverty dynamics, both income-based and multidimensional and their implications for food insecurity and nutrition outcomes. The empirical evidence highlights persistent disparities in dietary diversity, caloric intake, and affordability of healthy diets across rural–urban and socio-economic groups. Moreover, the prevalence of child undernutrition and the double burden of malnutrition underscore the fragility of current nutrition gains. The findings suggest that external shocks, including climate variability, market volatility, and global food price fluctuations, exacerbate systemic vulnerabilities. Policy analysis indicates that while government interventions in agriculture, poverty alleviation, and nutrition have achieved incremental success, gaps remain in coordination, targeting, and long-term sustainability. The paper argues for integrated, multisectoral strategies that enhance agricultural productivity, strengthen social protection mechanisms, and promote resilient, nutrition-sensitive food systems. Such approaches are essential to achieving the Sustainable Development Goals (SDGs) on zero hunger, poverty reduction, and improved health outcomes in Bangladesh.
Introduction Disseminated Bacillus Calmette–Guérin (BCG) disease is a rare but life-threatening complication in children with primary immunodeficiency (PID). Linezolid (LZD) is effective but limited by myelosuppression. Contezolid (CZD), a novel oxazolidinone, has shown better hematological safety in adults, but pediatric data are scarce. This retrospective case series aims to provide real-world experience on CZD use in this challenging population. Case description We report three children (aged 3–9.5 months) with PID (Wiskott–Aldrich syndrome, X-linked severe combined immunodeficiency, and IL-12 receptor β1 deficiency) who developed clinically presumed or confirmed disseminated BCG disease after routine vaccination. All received CZD-containing regimens (12–20 mg/kg/dose, q12 h) alongside other antimycobacterial agents and hematopoietic stem cell transplantation (HSCT). Outcomes Over 11–12 months of CZD-containing multidrug therapy followed by 1 year of post-treatment telephone follow-up, all patients achieved satisfactory clinical resolution of infectious lesions and no clinical relapse was observed. No CZD-attributable hematological, hepatic, renal, or neurological adverse events occurred. However, because all patients received concurrent HSCT and multiple antimycobacterial agents, the independent contribution of CZD cannot be determined. Conclusion CZD-containing regimens were well tolerated and associated with clinical improvement in these complex cases. CZD may serve as a valuable alternative when LZD is poorly tolerated. However, definitive attribution of efficacy to CZD alone is precluded by concurrent HSCT and multi-drug therapy.
Digital technologies and artificial intelligence (AI) have been increasingly incorporated into neonatal care, particularly in respiratory assessment. However, structured evidence regarding their clinical applications, performance, and limitations remains limited. This scoping review analyzed 35 studies published between 2019 and 2026 to map the use of digital technologies and AI in neonatal respiratory assessment. The findings showed that these approaches are mainly applied to predictive models, medical image analysis, and continuous physiological monitoring. Overall, the studies demonstrated potential for early diagnosis, prediction of respiratory outcomes, and clinical decision support. Nevertheless, the available evidence remains limited by methodological heterogeneity, lack of robust external validation, small sample sizes, and absence of protocol standardization. These findings suggest that, although promising, AI-based technologies are not yet ready for widespread clinical implementation, requiring prospective, multicenter, and standardized studies to validate their effectiveness and safety in neonatal care. IMPACT: This review synthesizes the use of digital technologies and artificial intelligence in neonatal respiratory assessment, highlighting their expanding role in neonatal respiratory research and clinical decision support. AI-based predictive models demonstrate potential for early identification of critical respiratory outcomes, including bronchopulmonary dysplasia and the need for mechanical ventilation. Imaging-based approaches, such as chest radiography and lung ultrasound combined with deep learning, may improve diagnostic accuracy and reduce interobserver variability. Digital monitoring technologies enable continuous, noninvasive, and real-time assessment of neonatal respiratory parameters. The lack of external validation, methodological standardization, and evidence of clinical impact limits their application, reinforcing the need for multicenter studies and structured integration of these technologies into clinical workflows.
Simone Nascimento Santos Ribeiro, Maria Eduarda Ribeiro Rocha Vargas, Raquel de Carvalho Velame et al.
Child mortality is often framed narrowly as a health issue, yet it reflects deeper structural inequalities, institutional deficiencies, and societal factors. This qualitative study investigates the representations of child deaths in Turkey by analyzing media discourse and the professional experiences of those working with children. Utilizing content analysis of 278 news articles from Cumhuriyet newspaper (2000–2024) alongside in-depth interviews with 25 professionals from social work, psychology, law, midwifery, and education, the research reveals divergent narratives: media portrayals tend to individualize and dramatize incidents, whereas professionals emphasize systemic causes such as social determinants, policy gaps, and institutional failures. The findings underscore the critical role of media visibility in shaping public awareness and highlight the need for interdisciplinary, rights-based approaches to prevention. Ultimately, the study calls for integrated policy frameworks that address child mortality through social justice, legal accountability, and cross-sector collaboration, moving beyond health-centric paradigms to safeguard children’s rights and well-being.
