scholarly journals Gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe

2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza
Keyword(s):  
Large Scale ◽  
Household Head ◽  
Policy Implications ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Female Headed Households ◽  
The Impact ◽  
Hiv Aids

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security outcomes such as stunting in children under 5. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. Given self-selection bias associated with household HIV/AIDS status, the study employs Propensity Score Matching (PSM) approach to investigate the impact of HIV/AIDS on stunting in children under five years.Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.

scholarly journals Gender Dimensions of the Impact of HIV/AIDS on Stunting in Children Under Five Years in Zimbabwe

2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza
Keyword(s):  
Household Head ◽  
Policy Implications ◽  
Outcome Variable ◽  
Hiv Positive ◽  
Children Under Five ◽  
Test Hypothesis ◽  
Under Five ◽  
Female Headed Households ◽  
The Impact ◽  
Hiv Aids

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security, an example includes stunting in children. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years from HIV/AIDS affected households in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.

scholarly journals Gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe

2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza
Keyword(s):  
Household Head ◽  
Policy Implications ◽  
Outcome Variable ◽  
Hiv Positive ◽  
Children Under Five ◽  
Test Hypothesis ◽  
Under Five ◽  
Female Headed Households ◽  
The Impact ◽  
Hiv Aids

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security, an example includes stunting in children. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years from HIV/AIDS affected households in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.

scholarly journals Gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza
Keyword(s):  
Large Scale ◽  
Household Head ◽  
Policy Implications ◽  
Outcome Variable ◽  
Hiv Positive ◽  
Test Hypothesis ◽  
Female Headed Households ◽  
The Impact ◽  
Children Under 5 ◽  
Hiv Aids

Abstract Background HIV/AIDS can have a disastrous effect on household food and nutrition security outcomes such as stunting in children under 5. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under 5 years in Zimbabwe. Methods The study uses a large scale nationally representative cross-sectional dataset of 13,854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self-selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under 5 years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under 5 years compared to male headed households under similar circumstances. Conclusion Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under 5 years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under 5 years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.

The impact of food fortification on stunting in Zimbabwe: Does gender of the household head matter? 

2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka
Keyword(s):  
Large Scale ◽  
Household Head ◽  
Food Fortification ◽  
Policy Makers ◽  
Children Under Five ◽  
Under Five ◽  
Weak Evidence ◽  
Gender Based ◽  
Female Headed Households ◽  
The Impact

Abstract Background: High prevalence of stunting in children under five years poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to children under five years. Food fortification is amongst the interventions focused at reducing the incidence of stunting in children under five years. Methods : Using a large-scale household data from Zimbabwe, we investigated the gender-based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. Results: We offer three major findings. Firstly, we find statistically weak evidence that female headed households are more likely to adopt food fortification than their male counterparts. Secondly, food fortification reduces the proportion of stunted children in the household. Finally, in comparison to non-adopters, female headed households that adopt food fortification are more able to reduce the proportion of stunted children in their households than their male counterparts.Conclusion: The results highlight the need for policy makers to actively promote food fortification, as such interventions are likely to contribute to the reduction of stunting and to involve men in fortification interventions to improve on their knowledge and appreciation of fortified foods and the associated benefits.

scholarly journals The impact of food fortification on stunting in Zimbabwe: Does gender of the household head matter?

2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka
Keyword(s):  
Large Scale ◽  
Household Head ◽  
Food Fortification ◽  
Fortified Foods ◽  
Policy Makers ◽  
Major Threat ◽  
High Prevalence ◽  
Gender Based ◽  
Female Headed Households ◽  
The Impact

Abstract High prevalence of stunting in under 5 children poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to under 5 children. Food fortification is amongst the interventions focused at reducing the incidence of stunting in under 5 children. Using a large scale household data from Zimbabwe, we investigated the gender based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. We offer three major findings. Firstly we find little evidence for gender differences in the adoption of fortified foods. Secondly, household adoption food fortification reduces the proportion of stunted children in the household. Finally, vis-à-vis non adopters, female headed households that adopt food fortification reduce a larger proportion of stunted children in their households than their male counterparts who adopt food fortification. These results highlight the need for policy makers to actively promote food fortification programmes to involve men in fortification programmes to improve their knowledge and appreciation of fortified foods and the associated benefits.

scholarly journals Dampak pola asuh dan usia penyapihan terhadap status gizi balita indeks BB/U

2019 ◽  
Vol 4 (2) ◽  
pp. 111
Author(s):  
Masyudi Masyudi ◽  
Mulyana Mulyana ◽  
T. M Rafsanjani
Keyword(s):  
Nutritional Status ◽  
Cross Sectional Study ◽  
Z Score ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Weaning Age ◽  
The Impact

Nutritional status with WFA provides an description of acute nutritional problems, due to fluctuating changes in body weight. Breastfeeding is not until two years is a factor causing weight not to rise, so weaning toddlers very well even at 2 years. Mothers with poor parenting such as breastfeeding, complementary feeding and health services also affect the condition of the nutritional status of children under five acutely. The aim of study was to determine the impact of parenting and weaning age on the nutritional status of toddler. The research was cross-sectional study design, with 65 toddlers in Muara Batu District, North Aceh Regency. Samples are taken randomly. Parenting and weaning data were collected through interviews, while nutritional status data used a WFA z-score index. Analysis using Chi-square test. The results show the relationship between parenting (p= 0,021; OR= 3,6) and weaning age (p= 0,042; OR= 3,5) with the nutritional status of toddlers. In conclusion, poor parenting and the fast age of weaning have an impact on the high number of cases of malnutrition in children under five in Muara Batu District, North Aceh. Suggestions, it is necessary to support health promotion such as counseling related to parenting and weaning, and it is hoped that positive follow-up by relevant stakeholders in improving the nutritional status of toddlers.Status gizi BB/U memberikan gambaran masalah gizi akut, karena perubahan berat badan yang fluktuatif. Pemberian ASI tidak sampai dua tahun merupakan faktor penyebab berat badan tidak naik, sehingga menyapih balita sangat baik genap pada 2 tahun. Ibu dengan pola asuh tidak baik seperti pemberian ASI, MP-ASI dan pelayanan kesehatan berdampak juga terhadap kondisi status gizi balita secara akut. Tujuan penelitian untuk mengetahui dampak pola asuh dan usia penyapihan terhadap status gizi balita. Penelitian berdesain Cross-sectional study, pada balita sebanyak 65 balita di Kecamatan   Muara Batu, Kabupaten Aceh Utara. Sampel diambil secara acak. Data pola asuh dan penyapihan dikumpulkan melalui wawancara, sedangkan data status gizi menggunakan z-score indeks BB/U. Analisis menggunakan uji Chi-square. Hasil menunjukkan hubungan antara pola asuh (p= 0,021; OR= 3,6) dan usia penyapihan (p= 0,042; OR= 3,5) dengan status gizi balita. Kesimpulan, pola asuh yang kurang baik serta cepatnya usia penyapihan berdampak terhadap tingginya kasus gizi kurang pada balita di Kecamatan Muara Batu, Aceh Utara. Saran, perlu dukungan promosi kesehatan seperti penyuluhan terkait pola asuh pada balita dan penyapihan, serta diharapkan tindak lanjut positif oleh stakeholder terkait dalam meningkatkan status gizi balita.

scholarly journals Unhygienic stool-disposal practices among mothers of children under five in Cambodia: Evidence from a demographic and health survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0249006
Author(s):  
Pisey Vong ◽  
Pannee Banchonhattakit ◽  
Samphors Sim ◽  
Chamroen Pall ◽  
Rebecca S. Dewey
Keyword(s):  
Health Survey ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Number Of Children ◽  
The Impact

Background Unhygienic disposal of children’s stools affects children’s health in terms of their susceptibility to many diseases. However, there are no existing studies into the impact of unhygienic stool disposal in Cambodia. Therefore, this study aimed to identify factors associated with the unhygienic disposal of children’s stools among children under the age of five in Cambodia. Methods An analytical cross-sectional study was conducted using data from the Cambodia Demographic and Health Survey (CDHS) 2014. A multivariable binary logistic regression was conducted using Stata to analyze factors associated with the unhygienic disposal of children’s stools. Results Overall, the prevalence of practicing unhygienic disposal of children’s stools was 29.27% (95%CI: 27.51%- 31.09%). Factors statistically associated with this practice were: living in the Central Plain, Plateau and Mountains, Coastal and Sea regions (AOR = 1.65; 95% CI: 1.33–2.04), (AOR = 2.53; 95% CI: 1.98–3.24) and (AOR = 4.16; 95% CI: 3.15–5.48) respectively, poor household wealth (AOR = 1.58; 95% CI: 1.31–1.91), the mother having no education (AOR = 1.45; 95% CI: 1.14–1.85), a high number of children aged under five (AOR = 1.11; 95% CI: 1.03–1.20), being in the “other” religious category (AOR = 1.77; 95% CI: 1.25–2.51), living in a household with unimproved toilet facilities (AOR = 1.22; 95% CI: 1.11–1.34), living in a household with inadequate hygiene (AOR = 1.33; 95% CI: 1.12–1.59), and the household not being visited by a family planning worker in the last year (AOR = 1.45; 95% CI: 1.19–1.77). However, an increase in the child’s age by even a month had significant negative associations with unhygienic practice (AOR = 0.65; 95% CI: 0.60–0.70), even when controlling for other covariates. Conclusion Almost one third of the mothers do not practice hygienic disposal of children’s stools in Cambodia. Unhygienic practices were more prevalent in certain regions, and were also associated with low wealth, lack of education, an increase in the number of children under five in the household, religion, lack of sanitation and access to healthcare professionals. Conversely, the child’s age was found to be positively associated with the hygienic disposal of children’s stools.

Determinants of Screen Time Among Children Under Five Years: A Cross Sectional Study (Preprint)

2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff
Keyword(s):  
Screen Time ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Health Clinics ◽  
Age Appropriate ◽  
Cross Sectional Design ◽  
Time Future

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

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