Morbidity due to Infections in Preschool Children from Urban Low Income Households


  • Nutrition Foundation of India, C-13, Qutab Institutional Area, New Delhi, 110 016, India
  • Avinshilingam Institute for Home Science and Higher Education for Women, Department of Food Science and Nutrition, Coimbatore, Tamil Nadu, 641 043, India


Respiratory infection, diarrhea and fever are three common infections in underfive children; there are substantial differences in the reported prevalence and ranking of these three morbidities between studies and surveys. Seasonal and year to year variation in prevalence of morbidity and impact of health care on the duration and severity of infection has not been explored. A large scale mixed longitudinal study of under-five children from urban low income households was carried out to document year to year and seasonal variations in the prevalence and type of morbidity and utilization of health care for morbidity and their impact on duration and severity of morbidity. Between January 2012 and Dec 2015 a total of 3888 pre-school children were investigated and 74636 observations were made; prevalence of morbidity was 10.3% (range 7.2%-11.6%). Prevalence of morbidity was higher between July and October. Respiratory infection was the most common and diarrhea was the least common illness in children. Over years there was a rise in the respiratory illness because of increase in construction activity in the study area. There was a fall in diarrhoeal diseases after construction of water supply and drainage system. Majority of the households accessed health care; as a result duration of illness was short and severe morbidity was rare. Improvement in environmental hygiene can result in reduction in morbidity. Access to health care reduces duration and severity of infection.


Pre-school children, morbidity, seasonal changes, health care, environmental hygiene

Full Text:


Islam, F., Sarma, R., Debroy, A., Kar, S. and Pai, R. Profiling acute respiratory tract infections in children from Assam, India. J. Glob. Infect. Dis., 2013, 5, 8-14.

Prajapati, B., Talsania, N. and Sonaliya, K.N. A study on prevalence of acute respiratory tract infections (ARI) in under five children in urban and rural communities of Ahmedabad district, Gujarat. Natl. J. Comm. Med., 2011, 2, 255-259.

Kadirvelu, U., Sharma, N., Velu, M. and Kohli, C. Epidemiology of childhood diseases in an urban resettlement colony in Delhi. Clin. Epidemiol. Glob. Heal., 2016, 4, 176-180.

Shinde, M., Shinde, A. and Shrivastava, A. Prevalence of anemia among adolescent girls in urban area of Central Madhya Pradesh. J. Evol. Med. Dental. Sci (JEMDS)., 2015, 4, 97509754.

Khalid, M., Kumari, R., Mohan, U., Manar, K.M. and Singh, V.K. Morbidity profile of preschool children from below poverty line families of Lucknow district, North India. Int. J. Adv. Res., 2014, 2, 627-634.

Sarkar, R., Sivarathinaswamy, P., Thangaraj, B., et al. Burden of childhood diseases and malnutrition in a semi-urban slum in southern India. BMC Public Health, 2013, 13, 87.

Ukey, U.U. and Chitre, D.S. Morbidity profile of pre-school children in an urban slum area. Ind. Med. Gazet., 2012, 300-304.

Ishore, K., Bhattacherjee, S. and Das, D.K. Morbidity among tribal under-five children of tea garden areas in a block of Darjeeling district, West Bengal: A cross-sectional study.J. Clin. Diag. Res., (JCDR), 2015, 9, LC01.

Singh, B., Ghosh, A. and Singh, A. Health problems in children and associated remedial measures in Punjab, India. Int. J. Med. Sci. Pub. Health, 2015, 4, 173-178.

Narkhede, V., Sinha, U., Bhardwaj, S.D. and Pitale, S. Morbidity profile in under five children in urban slum area of Nagpur. Nat. J. Comm. Med., 2012, 3, 442-446.

Kumar, S.G., Majumdar, A., Kumar, V., Naik, B. N., Selvaraj, K. and Balajee, K. Prevalence of acute respiratory infection among under-five children in urban and rural areas of Puducherry, India. J. Natur. Sci. Biol. Med., 2015, 6, 3.

Srivastava, D.K., Tripathi, D., Gour, N., et al. Morbidity profile of the under five children in urban slums of Etawah District. Ind. J. Comm. Health, 2012, 24, 153-157.

Grover, V.L., Chhabra, P., Malik, S. and Kannan, A.T. Pattern of morbidity and mortality amongst under-fives in an urban resettlement colony of East Delhi. Ind. J. Preven. Soc. Med., 2004, 35, 22-26.

Singh, H.N., Devi, H.S., Singh, Y.M., Leikai, T.L., Gate, N.F. and Lamphel, I. Study on morbidity among under-five children of a rural area of manipur, thanga: A cross-sectional study. J. Evolu. Med. Dent. Sci., 2013, 16, 43-47.

Jyothi, L.A., Begum, K., Saraswathi, G. and Prakash, J. Influence of nutrition and environment on morbidity profile of Indian preschool children. Malay. J. Nutr., 2005, 11, 121-132.

Kumar, S., Nagesh, S. and Premarajan, K.C. Pattern of morbidity and changes in nutritional status among under five children in a slum of South Delhi, India. J. The Nepal Med. Associa., 2004, 43.

Giri, V.C., Dhage, V.R., Zodpey, S.P., Ughade, S.N. and Biranjan, J.R. Prevalence and pattern of childhood morbidity in a tribal area of Maharashtra. Ind. J. Pub. Health, 2008, 52, 207-209.

Mane, V., Nack, T.B., Mallappa, O. and Ambure, O. Morbidity pattern and its associated factors among preschool children: a cross-sectional study. Int. J. Preven. Pub. Health Sci., 2016, 1, 13-15.

IIPS National Family Health Survey (NFHS-1). Available at: india1.html, accessed on 18.8.2018.

IIPS. National Family Health Survey (NFHS-2). Available at: india2.html, accessed on 18.8.2018.

IIPS. National Family Health Survey (NFHS-3). http//www. nfhs3.shtmlaccessed on 18.8.2018.

IIPS. National Family Health Survey (NFHS-4). Fact sheets Available at: http//www. on 18.8.2018.


  • There are currently no refbacks.