scholarly journals Social, economic, health and environmental determinants of child nutritional status in three Central Asian Republics

2009 ◽  
Vol 12 (10) ◽  
pp. 1871-1877 ◽  
Author(s):  
Nolunkcwe J Bomela
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Social Economic ◽  
Statistical Significance ◽  
Household Wealth ◽  
Binary Logistic Regression Analysis ◽  
Demographic And Health Surveys ◽  
Unexpected Finding ◽  
Economic Health ◽  
Child Nutritional Status

AbstractObjectiveTo investigate the comparative effect of social, economic, health and environmental characteristics on the nutritional status of children aged <3 years in Central Asia.DesignCross-sectional analysis using data from Demographic and Health Surveys.SettingUzbekistan, Kyrgyzstan and Kazakhstan.SubjectsInformation on demographic health was gathered by Macro International Inc., Uzbekistan, Kyrgyzstan and Kazakhstan governments from a random sample of 14 067 households in the three countries. Anthropometric measurements were performed using standardized procedures on all children <3 years of age (n 2358). Only children with plausible Z-scores (n 1989) were selected for subsequent analyses.ResultsThe main results indicated that country of residence, number of people in household, household wealth, birth weight, age of child, knowledge of oral rehydration therapy, maternal education, number of children <5 years of age and source of drinking water were strong predictors of child nutritional status in these countries. Furthermore, chronic malnutrition was most prevalent in all three countries but at varied levels. An unexpected finding was that fully vaccinated children were more likely to be malnourished than children who were partially vaccinated. A further unexpected finding was that breast-feeding especially in children >6 months old had a strong negative association with stunting and underweight.ConclusionsIn summary, the results from both the descriptive and binary logistic regression analysis are similar in terms of the explanatory variables and the statistical significance in the models.

scholarly journals Trends in stunting and overweight in Peruvian pre-schoolers from 1991 to 2011: findings from the Demographic and Health Surveys

2014 ◽  
Vol 17 (11) ◽  
pp. 2407-2418 ◽  
Author(s):  
Helga Bjørnøy Urke ◽  
Maurice B Mittelmark ◽  
Martín Valdivia
Keyword(s):  
Urban Areas ◽  
Health Surveys ◽  
Maternal Education ◽  
Wealth Quintile ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Growth Standards ◽  
Low Educated

AbstractObjectiveTo examine trends in stunting and overweight in Peruvian children, using 2006 WHO Multicentre Growth Reference Study criteria.DesignTrend analyses using nationally representative cross-sectional surveys from Demographic and Health Surveys (1991–2011). We performed logistic regression analyses of stunting and overweight trends in sociodemographic groups (sex, age, urban–rural residence, region, maternal education and household wealth), adjusted for sampling design effects (strata, clusters and sampling weights).SettingPeru.SubjectsChildren aged 0–59 months surveyed in 1991–92 (n 7999), 1996 (n 14 877), 2000 (n 11 754), 2007–08 (n 8232) and 2011 (n 8186).ResultsChild stunting declined (F(1, 5149) = 174·8, P ≤ 0·00) and child overweight was stable in the period 1991–2011 (F(1, 5147) = 0·4, P ≤ 0·54). Over the study period, levels of stunting were highest in rural compared with urban areas, the Andean and Amazon regions compared with the Coast, among children of low-educated mothers and among children living in households in the poorest wealth quintile. The trend in overweight rose among males in coastal areas (F(1, 2250) = 4·779, P ≤ 0·029) and among males in the richest wealth quintile (F(1, 1730) = 5·458, P ≤ 0·020).ConclusionsThe 2011 levels of stunting and overweight were eight times and three and a half times higher, respectively, than the expected levels from the 2006 WHO growth standards. The trend over the study period in stunting declined in most sociodemographic subgroups. The trend in overweight was stable in most sociodemographic subgroups.

scholarly journals The trend of full vaccination coverage in infants and inequalities by wealth quintile and maternal education: Analysis from four recent Demographic and Health Surveys in Nepal

2019 ◽  
Author(s):  
Kiran Acharya ◽  
Yuba Raj Paudel ◽  
Dinesh Dharel
Keyword(s):  
Vaccination Coverage ◽  
Maternal Education ◽  
Immunization Coverage ◽  
Wealth Quintile ◽  
Educational Status ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Relative Index ◽  
Index Of Inequality ◽  
Over Time

Abstract Background Despite policy intention to reach disadvantaged populations, inequalities in child health care use and health outcomes persist in Nepal. The current study aimed to investigate the trend of full vaccination coverage among infants and its equity gaps between Nepal Demographic and Health Surveys (NDHS) 2001 and 2016.Methods Using data from NDHS conducted in 2001, 2006, 2011 and 2016, we investigated the trend of coverage of six antigens:Bacille Calmette Guerin (BCG), Diptheria, Pertussis, Tetanus (DPT), Polio, and Measles during their infancy among children aged 12-23 months. We presented trends and correlates of vaccination coverage by different socio-demographic factors. We measured inequalities in full vaccination coverage by wealth quintile and maternal education using absolute measure (slope index of inequality) and relative measures (Relative index of inequality, concentration index) of inequalities.Results Full immunization coverage among infants steadily increased from 65.6% in 2001 to 87.0% in 2011; however, it decreased to 77.8% in 2016. Province 2 had a significantly lower full vaccination coverage compared to Province1.Although decreasing over time, there were significant inequalities by household wealth quintiles and maternal educational status. The slope index of inequality (SII) for wealth quintiles decreased from -32.3 [-45.5,-19.1] in 2001 to an SII of-8.4 [-18.6,-1.7] in 2016. Similarly, the SII for education decreased from -61.8 [-73.5,-50.1] in 2001 to an SII of -30.5 [-40.7,-20.2] in 2016. Similarly, the relative index of inequality (RII) also showed an improvement over time, indicating the narrowing equity gap. Additionally, concentration index on full immunization coverage by wealth quintiles dropped from 0.21 (0.12-0.28) in 2001 to 0.054 (-0.01-0.12) in 2016. Absolute and relative inequalities were persistently larger by maternal educational status compared to household wealth quintiles throughout the study period.Conclusion Full vaccination coverage in Nepal increased from 2001 until 2011 but saw a significant decrement away from the national target after 2011. However, the equity gap by household wealth quintile and maternal education status has narrowed over time. National Immunization programs need to give higher emphasis to infants born to mothers with less education, those born in the poorer wealth quintile households, and those living in Province 2.

Path Analysis on the Determinants of Complementary Feeding Practice

2020 ◽  
Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Path Analysis ◽  
Maternal Education ◽  
Family Income ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Child Nutritional Status

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103

scholarly journals Trends and determinants of undernutrition among young Kenyan children: Kenya Demographic and Health Survey; 1993, 1998, 2003 and 2008–2009

2012 ◽  
Vol 15 (9) ◽  
pp. 1715-1727 ◽  
Author(s):  
Peninah K Masibo ◽  
Donald Makoka
Keyword(s):  
Health Survey ◽  
Urban Areas ◽  
Child Nutrition ◽  
Maternal Education ◽  
Sampling Technique ◽  
Household Wealth ◽  
Demographic And Health Survey ◽  
Demographic And Health Surveys ◽  
Double Burden ◽  
Percentage Points

AbstractObjectiveTo report on the trends and determinants of undernutrition among children <5 years old in Kenya.DesignData from four nationwide Kenya Demographic and Health Surveys, conducted in 1993, 1998, 2003 and 2008–2009, were analysed. The Demographic and Health Survey utilizes a multistage stratified sampling technique.SettingNationwide covering rural and urban areas in Kenya.SubjectsThe analysis included 4757, 4433, 4892 and 4958 Kenyan children aged <5 years in 1993, 1998, 2003 and 2009–2009, respectively.ResultsThe prevalence of stunting decreased by 4·6 percentage points from 39·9 % in 1993 to 35·3 % in 2008–2009, while underweight decreased by 2·7 percentage points from 18·7 % in 1993 to 16·0 % in 2008–2009. The effects of household wealth, maternal education and current maternal nutritional status on child nutrition outcomes have changed dynamically in more recent years in Kenya. Inadequate hygiene facilities increased the likelihood of chronic undernutrition in at least three of the surveys. Small size of the child at birth, childhood diarrhoea and male gender increased the likelihood of undernutrition in at least three of the surveys. Childhood undernutrition occurred concurrently with maternal overnutrition in some households.ConclusionsThe analysis reveals a slow decline of undernutrition among young children in Kenya over the last three decades. However, stunting and underweight still remain of public health significance. There is evidence of an emerging trend of a malnutrition double burden demonstrated by stunted and underweight children whose mothers are overweight.

scholarly journals Using National Survey Data From Nigeria to Assess Maternal-Child Dietary Concordance and Inform Nutrition Program Strategy

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 389-389
Author(s):  
Nadia Akseer ◽  
Rebecca A Heidkamp ◽  
Andrew Thorne-Lyman
Keyword(s):  
Maternal Education ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Maternal Diet ◽  
Food Group ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Food Groups ◽  
Diet Diversity ◽  
Maternal Child

Abstract Objectives Improving child diet diversity is a policy priority in many settings. Multiple factors influence complementary feeding practices in low-income countries including household food access, caregiver-level factors and cultural practices. Child's dietary data is often available in national surveys (i.e., Demographic and Health Surveys, DHS), but they typically lack diet data from adults. The 2018 Nigeria DHS was among the first to measure food group intake in both young children and women. We describe the relationship between child and maternal diet diversity in Nigeria and highlight implications for design of infant and young child feeding (IYCF) programs. Methods Using the Nigeria DHS 2018 dataset, we estimated consumption of individual food groups in the previous 24 hours as well as minimum dietary diversity for children 6–23 months (MDD-C) and their mothers, women 15–49 years (MDD-W) using WHO-UNICEF definitions. We compare rates of concordance and discordance between n = 8975 mother-child pairs for individual food groups and MDD using McNemar's tests. Probit regression was used to identify drivers of MDD-C. Results Nationally, 22% of children achieve MDD-C; 51% of mothers achieve MDD-W. For both populations, the most commonly consumed group is grains, roots and tubers (&gt;80%) Dairy and eggs are the least consumed. Maternal-child (age 12–23 months) discordance is highest for consumption of legumes and nuts (36%), vitamin A rich fruits and vegetables (39%) and other fruits and vegetables (57%); mothers consume these more frequently. Children are more likely than mothers to consume dairy (19% vs 8%) and eggs (8% vs 4%). Maternal-child food group discordance is consistently higher for children 6–11months than children 12–23 months. Results vary at state level and by maternal age group. Children's MDD probability is increased by MDD-W (27%, P &lt; 0.001), higher maternal education (8%, P &lt; 0.01) and household wealth (7%, P &lt; 0.01). Conclusions Maternal and child diet diversity is suboptimal in Nigeria. Maternal diet is a primary driver of child diet in Nigeria. Legumes and nuts and fruits and vegetables are available but not consistently fed to children; an important finding for IYCF program design. The forthcoming DHS-8 core questionnaire will provide child and maternal diet data for more than 90 countries. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Two decades of regional trends in vaccination completion and coverage among children aged 12-23 months: an analysis of the Uganda Demographic Health Survey data from 1995 to 2016

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Gerald Okello ◽  
Jonathan Izudi ◽  
Immaculate Ampeire ◽  
Frehd Nghania ◽  
Carine Dochez ◽  
...  
Keyword(s):  
Child Health ◽  
Health Survey ◽  
Maternal Education ◽  
Statistical Significance ◽  
Public Health Intervention ◽  
Household Wealth ◽  
Childhood Vaccination ◽  
Demographic Health Survey ◽  
Health Card ◽  
Vaccination Completion

Abstract Background Childhood vaccination is an important public health intervention but there is limited information on coverage, trends, and determinants of vaccination completion in Uganda at the regional level. We examined trends in regional vaccination coverage and established the determinants of vaccination completion among children aged 12-23 months in Uganda. Methods We analyzed data from the women’s questionnaire for the 1995-2016 Uganda Demographic Health Survey (UDHS). Vaccine completion was defined as having received a dose of Bacillus-Calmette Guerin (BCG) vaccine; three doses of diphtheria, pertussis, and tetanus (DPT) vaccine; three doses of oral polio vaccine (OPV) (excluding OPV given at birth); and one dose of measles vaccine. We performed Chi-square tests to compare vaccination completion by socio-demographic factors stratified by 10 sub-regions: Eastern, East Central, Central 1, Central 2, Kampala, Karamoja, North, Western, West Nile, and Southwest. We performed logistic regression analysis for each of the regions to identify factors associated with vaccination completion at 5% level of statistical significance. Results Overall vaccination completion was 48.6% (95%CI, 47.2, 50.1) and ranged from 17.3% in Central 1 to 65.9% in Southwest. Vaccination completion rates declined significantly by 10.4% (95% confidence interval (CI), − 16.1, − 4.6) between 1995 and 2000, and increased significantly by 10.0% (95% CI, 4.6, 15.4) between 2000 and 2006, and by 5.4% (95% CI, 0.2, 10.6) between 2006 and 2011. Maternal education (secondary or higher level), receipt of tetanus toxoid (TT) during pregnancy, and possession of a child health card were associated with vaccination completion across all the sub-regions. Other factors like place of residence, religious affiliation, household wealth, maternal age, childbirth order, size of child at birth, and place of delivery were associated with vaccination completion but differed between the 10 sub-regions. Conclusion Besides considerable regional variations, the vaccination completion rate among children aged 12-23 months in Uganda remains suboptimal despite the availability of vaccines. Maternal education, receipt of TT, and possession of a child health card are associated with a higher likelihood of vaccination completion among children aged 12-23 months in all the regions of Uganda. Interventions to improve the utilization of vaccination services in Uganda should consider these factors.

Maternal education and child nutritional status: evidence from Uganda

2014 ◽  
Vol 5 (1) ◽  
pp. 52-74 ◽  
Author(s):  
Edward Bbaale
Keyword(s):  
Nutritional Status ◽  
Child Nutrition ◽  
Maternal Education ◽  
Geographical Area ◽  
Secondary Level ◽  
Economic Conditions ◽  
Nutrition Status ◽  
Content Type ◽  
The Government ◽  
Child Nutritional Status

Purpose – The debate concerning the relationship between maternal education and child nutritional status is not a foregone conclusion. This paper aims to contribute to the existing debate by examining this relationship for the case of Uganda. Design/methodology/approach – Theoretically, the study was based on household models of optimization, just like in the standard consumer theory, to gain insights into household demand for the health good. Empirically, the paper employed maximum-likelihood probit models and computed marginal effects in order to obtain logically interpretable results. Findings – The paper finds that once the socio-economic factors are controlled for, the significance of maternal education, especially primary and secondary levels, in influencing child nutrition status decays but post-secondary education persists. Therefore, if mothers are exposed to the same socio-economic conditions, it is education of the mother beyond secondary level that generates a difference in the child nutrition outcomes. Practical implications – These findings suggest that efforts to improve the child health outcomes in the future need to target measures that aim to educate women beyond secondary level. The government program to extend free education at the secondary level is a good start and should be strengthened. Originality/value – Literature presents no consensus on the effect of maternal education and child nutritional status. It is often argued that maternal education is simply a proxy for the socio-economic conditions and geographical area of residence such its significance decays once these are controlled for. Yet others argue that maternal education is a single most important factor influencing child nutritional outcomes. The debate is still very hot and this study sought to contribute to this debate for the case of Uganda.

scholarly journals Childhood mortality and Child nutritional status of Bangladesh: A review on Demographic and Health Survey

2015 ◽  
Vol 2 (2) ◽  
pp. 42-46 ◽  
Author(s):  
Akkur Chandra Das
Keyword(s):  
Comparative Analysis ◽  
Nutritional Status ◽  
Health Surveys ◽  
Mortality Rates ◽  
Childhood Mortality ◽  
Demographic And Health Surveys ◽  
Under Five ◽  
The Past ◽  
The World ◽  
Child Nutritional Status

Background: Childhood mortality and child nutritional status of the developing countries are very much concerning issues of the world. Objective: The objective of this study was to evaluate the situation of childhood mortality and child nutritional status of Bangladesh with the comparative analysis and progress of childhood mortality and child nutritional status from 1993 to 2014. Methodology: In this regard this paper reviews the Bangladesh Demographic and Health Surveys (BDHS) conducted in 1993-94, 1996-97, 1999-2000, 2004, 2007, 2011 and 2014, which were analyzed on infant, child, under-five mortality and child nutritional status in detail. Result: The evidences reflected in BDHSs show that infant, child and under-five mortality in Bangladesh have declined steadily at least over the past years. However, differentials in trends and patterns of childhood mortality and even child nutritional status by the demographic determinants have not been explained elaborately. According to the 1993-1994 and the 2014 surveys found infant mortality two times, child mortality sex times and under-five mortality rates three times declined in 2014 than those were in 1993-94. On the contrary, stunning, wasting and underweight are also declined in 2014 comparatively than the last two decades but it is noted that wasting situation is not gradually declined. Conclusion: Bangladesh successfully declined the total number of childhood mortalities and nutrition related mortalities and complexities. Many non-government and government funded organizations should run some effective programs to overcome the situation completely in Bangladesh.Journal of Current and Advance Medical Research, 2015;2(2):42-46

Effect of Family Development Session Family Hope Program on The Visit to Posyandu and Nutritional Status of Children Under Five

2020 ◽  
Author(s):  
Nisaus Zakiyah ◽  
◽  
Endang Sutisna Sulaeman ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  
Keyword(s):  
Social Support ◽  
Nutritional Status ◽  
Maternal Education ◽  
Family Income ◽  
Complementary Feeding ◽  
Health Post ◽  
Maternal Knowledge ◽  
Family Development ◽  
Integrated Health ◽  
Child Nutritional Status

ABSTRACT Background: The Family Hope Program through the Family Development Session (FDS) provides social services on maternal and child health. Social cognitive theory (SCT) may explain how family development session family hope program affects to the integrated health post (posyandu) visit) and child nutrional status. This study aimed to analyze the effect of the FDS Family Hope Program on the child nutritional status. Subjects and Method: This was an analytic observational study with cohort retrospective design. The study was conducted at the integrated health posts, in January 2020. The dependent variable was child nutritional status. The independent variables were family development session, maternal education, family income, social support, maternal knowledge, self-efficacy, complementary feeding, and integrated health post visit. The data were collected by questionnaire and analyzed by a multiple linier regression. Results: Child nutritional status was positively associated with FDS participation (b= 1.12; 95% CI= 1.31 to 7.15; p= 0.010), high maternal education (b= 0.92; 95% CI= 1.09 to 5.83; p= 0.031), high family income (b= 0.96; 95% CI= 1.14 to 6.00; p= 0.023), strong social support (b= 1.24; 95% CI= 1.34 to 7.85; p= 0.009), high maternal knowledge (b= 1.24; 95% CI= 1.50 to 7.96; p= 0.004), high self efficacy (b= 0.92; 95% CI= 1.09 to 5.76; p= 0.030), appropriate complementary feeding (b= 0.96; 95% CI= 1.15 to 6.02; p= 0.023), and active integrated health post visit (b= 1.03; 95% CI= 1.15 to 6.90; p= 0.024). Conclusion: Child nutritional status is positively associated with FDS participation, high maternal education, high family income, strong social support, high maternal knowledge, high self efficacy, appropriate complementary feeding, and integrated health post visit. Keywords: child nutritional status, family development session, integrated health post visit Correspondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285235948995. DOI: https://doi.org/10.26911/the7thicph.03.106

scholarly journals Impact of Orphanhood on Underweight Prevalence in Sub-Saharan Africa

2008 ◽  
Vol 29 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Jonathan Rivers ◽  
John Mason ◽  
Eva Silvestre ◽  
Stuart Gillespie ◽  
Mary Mahy ◽  
...  
Keyword(s):  
Household Wealth ◽  
Household Structure ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Wealth Status ◽  
Orphan Status ◽  
Confounding Variables ◽  
Multiple Indicator ◽  
Sub Saharan ◽  
Child Nutritional Status

Background In Africa, approximately 25 million people live with HIV/AIDS and 12 million children are orphaned. Although evidence indicates that orphans risk losing opportunities for adequate education, health care, and future employment, the immediate effects of orphanhood on child nutritional status remain poorly understood. Objective This paper assesses the nutritional impact of orphanhood, with particular emphasis on taking account of various factors potentially confounding or masking these impacts. Methods Child anthropometry and orphan status were examined in 23 Multiple Indicator Cluster Surveys and Demographic and Health Surveys throughout sub-Saharan Africa, which were subsequently merged into larger, region-specific datasets (East, West, and Southern Africa). To compare orphans and nonorphans, linear regression and probit models were developed, taking account of orphan status and type, presence of a surviving parent in the household, household structure, child age and sex, urban versus rural residence, and current wealth status. Results Few differences emerged between orphans and nonorphans in controlled and uncontrolled comparisons, regardless of orphan type, presence of surviving parent, or household structure. Age differentials did confound nutritional comparisons, although in the counterintuitive direction, with orphans (who were 8 months older on average) becoming less malnourished when age differences were taken into account. Wealth did appear to be associated with orphanhood status, although it did not significantly confound nutritional comparisons. Conclusions Orphans were not consistently more malnourished than nonorphans, even when potential confounding variables were examined. Since household wealth status is likely to change after becoming affected by HIV, ruling out wealth as a potential confounder would require more detailed, prospective studies.

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