What are the correlates of childhood undernutrition? An analysis of DHS data from Africa South of the Sahara

2021 ◽  
Author(s):  
Beliyou Haile ◽  
Yating Ru ◽  
Hee Eun Ahn
Keyword(s):  
Childhood Undernutrition

Association of childhood undernutrition with water supply, sanitation and hygiene interventions in Kersa and Omo Nada districts of Jimma Zone, Ethiopia: A case-control study

2020 ◽  
Author(s):  
Negasa Eshete Soboksa ◽  
Sirak Robele Gari ◽  
Abebe Beyene Hailu ◽  
Bezatu Mengistie Alemu
Keyword(s):  
Nutritional Status ◽  
Water Supply ◽  
Case Control Study ◽  
Case Control ◽  
Sanitation And Hygiene ◽  
Jimma Zone ◽  
Childhood Undernutrition ◽  
Nutritional Status Of Children ◽  
Control Study ◽  
Critical Times

Abstract Objective: This study aimed to describe the association of childhood undernutrition with water supply, sanitation, and hygiene interventions in Kersa and Omo Nada districts of the Jimma Zone, Ethiopia.Design: A case-control study design was undertaken from December 2018 to January 2019.Setting: Kersa and Omo Nada districts of the Jimma Zone, Ethiopia.Subjects: 128 cases and 256 controls were randomly selected from malnourished and well-nourished children, respectively.Outcome measures: Bodyweight, length/height, mid-upper arm circumference and presence of edema of the children were measured according to the WHO references. Then, the nutritional status of children was identified as case or control using cutoff points recommended by the WHO based on the Z-score, edema, and MUAC values recorded.Results: A total of 378 children were included in this study, with a response rate of 98.44%. Undernutrition was significantly increased among children who delayed breastfeeding initiation (AOR=2.60; 95% CI: 1.02-6.65), diarrhea (AOR=9.50; 95% CI: 5.19-17.36), living with households indexed as the poorest (AOR=2.57; 95% CI: 1.09-6.07) and defecated in a pit latrine without slab/open pit (AOR=2.49; 95% CI: 1.17-5.30), and sometimes practiced hand washing at the critical times (AOR=2.52; 95% CI: 1.10-5.75) compared with their counterparts. However, lactating during the survey (AOR=0.35; 95% CI: 0.18-0.71) and collection and disposal of under-five children feces elsewhere (AOR = 0.08; 95% CI: 0.01-0.75) significantly reduced the likelihood of undernutrition.Conclusions: Early initiation of exclusive breastfeeding, diarrhea prevention, the use of improved latrine, and always handwashing practices at critical times could be important variables to improve the nutritional status of children.

scholarly journals Sulfur amino acid metabolism in children with severe childhood undernutrition: methionine kinetics

2006 ◽  
Vol 84 (6) ◽  
pp. 1400-1405 ◽  
Author(s):  
Farook Jahoor ◽  
Asha Badaloo ◽  
Marvin Reid ◽  
Terrence Forrester
Keyword(s):  
Amino Acid ◽  
Amino Acid Metabolism ◽  
Acid Metabolism ◽  
Sulfur Amino Acid ◽  
Childhood Undernutrition

scholarly journals Individual-, Household-, and Community-Level Determinants of Childhood Undernutrition in Bangladesh

2019 ◽  
Vol 6 ◽  
pp. 233339281987655 ◽  
Author(s):  
Moriam Khanam ◽  
Shafiun N. Shimul ◽  
Abdur Razzaque Sarker
Keyword(s):  
Public Health ◽  
Nutritional Status ◽  
Diarrheal Disease ◽  
Public Health Problem ◽  
Community Level ◽  
Public Health Issue ◽  
Wealth Status ◽  
Cross Sectional ◽  
Individual Household ◽  
Childhood Undernutrition

Introduction: Childhood undernutrition is a crucial public health problem globally. The objective of this study is to measure the prevalence of childhood undernutrition and assess the distinct role of various factors on childhood undernutrition in Bangladesh. Methods: This study utilized the latest cross-sectional data from Bangladesh Demographic and Health Survey 2014. A total of 7256 data on children younger than 5 years old were analyzed. The undernutrition status of children was assessed by stunting (height-for-age), wasting (weight-for-height), and underweight (weight-for-age), while bivariate and multivariate analyses were performed to identify various individual-, household-, and community-level factors of childhood undernutrition. Results: The prevalence of stunting, wasting, and underweight were 36.5%, 14.6%, and 32.5%, respectively. Along with various individual- and household-level factors (eg, age, recent diarrheal disease, fever, number of under-5 children in the household, mother’s education and nutritional status, and wealth status), community index, particularly regional and geographic variation of community, had significant role for childhood undernutrition in Bangladesh. Conclusion: Childhood undernutrition is an overwhelming public health issue in Bangladesh. In order to improve the nutritional status of under-5 children, interventions should take into account the various predictors discussed in this study. Indeed, a joint effort by the government, nongovernmental organizations, and the community is necessary to improve the childhood nutritional status in Bangladesh.

scholarly journals Childhood Undernutrition and Its Predictors in a Rural Health and Demographic Surveillance System Site in South Africa

2019 ◽  
Vol 16 (17) ◽  
pp. 3021 ◽  
Author(s):  
Perpetua Modjadji ◽  
Sphiwe Madiba
Keyword(s):  
South Africa ◽  
Short Stature ◽  
Surveillance System ◽  
Overweight And Obesity ◽  
Demographic Surveillance System ◽  
World Health ◽  
Rural Site ◽  
Access To Water ◽  
Childhood Undernutrition ◽  
Maternal Overweight

Background: Overweight and obesity are increasing at an alarming rate in South Africa, while childhood undernutrition remains persistently high. This study determined the magnitude and predictors of stunting and underweight among schoolchildren in the Dikgale and Health Demographic Surveillance System Site, a rural site in South Africa. Methods: A cross sectional study using multistage sampling was conducted among 508 schoolchildren and their mothers. Anthropometric measurements were taken from children and their mothers, while sociodemographic information was obtained from mothers using a questionnaire. The World Health Organization Anthro Plus was used to generate height-for-age and weight-for-age z-scores to indicate stunting and underweight, respectively, among the children. Maternal overweight and obesity were assessed using body mass index. Bivariate and multivariate logistic regression analyses were used to evaluate the predictors of stunting and underweight among schoolchildren. Results: Twenty-two percent (22%) of children were stunted and 27% were underweight, while 27.4% of the mothers were overweight and 42.3% were obese. The odds of being stunted were lower in younger children, whereas having a mother who was overweight/obese and had a short stature increased the odds of stunting. Access to water, having a refrigerator, and having a young mother were protective against being underweight. Having a mother who was overweight/obese increased the odds of being underweight. Conclusions: The study showed a high prevalence of stunting and underweight among children, and overweight and obesity among mothers, indicating a household double burden of malnutrition. The age of the child and maternal overweight/obesity and short stature were predictors of stunting and underweight, while having a younger mother and access to water and a refrigerator were protective against being underweight. The need for an evidence-based and feasible nutrition program for schoolchildren, especially those in rural schools, cannot be over-emphasized.

scholarly journals Planning of births and childhood undernutrition in Nepal: evidence from a 2016 national survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ishwar Tiwari ◽  
Kiran Acharya ◽  
Yuba Raj Paudel ◽  
Bhim Prasad Sapkota ◽  
Ramesh Babu Kafle
Keyword(s):  
Logistic Regression ◽  
Mass Media ◽  
Birth Order ◽  
Statistical Significance ◽  
Household Survey ◽  
Wealth Quintile ◽  
Public Health Issue ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Childhood Undernutrition

Abstract Background Childhood undernutrition is a significant public health issue in low-and middle-income countries, including Nepal. However, there is limited evidence showing the association between the planning of birth (PoB) and childhood undernutrition (stunting and underweight). We aimed to investigate the relationship between PoB and childhood undernutrition in the current study. Methods We used the Nepal Demographic and Health Survey (NDHS) 2016 data, a nationally representative cross-sectional household survey. We used two anthropometric indicators of childhood undernutrition as the outcome of this study. PoB is the main predictor. We used binary logistic regression with sampling weights to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to examine the association between the PoB and childhood undernutrition. Unless stated, the significant association between the variables is calculated with p < 0.001. Results The overall prevalence of stunting was 35.8%, and underweight was 27.1% in children under 5 years of age in Nepal. We found a higher rate of stunting (52.7%) and underweight (41.1%) in children with birth order > 3 and < 2 years of the interval between birth and subsequent birth (IBBSB). The association between the children’s birth order and the prevalence of undernutrition had strong statistical significance. Mother’s age at marriage (p = 0.001), underweight mother, mother’s education, father’s education, wealth quintile, no exposure to mass media, children’s age, and place of residence(p = 0.001) were significantly associated with childhood undernutrition. The result of the multiple logistic regression showed that children with birth order one and 12–24 months of the interval between marriage and first birth (IBMFB) had significantly decreased odds of stunting than those children with birth order one and < 12 months of IBMFB (OR 0.6, 95% CI 0.4–0.9). Conclusion The findings of the study demonstrate that PoB has a protective effect on childhood undernutrition. Delaying of childbirth until 12–24 months after marriage was found to be associated with reduced childhood stunting odds. To mitigate childhood undernutrition, Nepal’s government needs to promote delayed childbearing after marriage while focusing on uplifting the household economics status and wide coverage of and utilization of mass media.

scholarly journals Effect of economic inequality on chronic childhood undernutrition in Ghana

2007 ◽  
Vol 10 (4) ◽  
pp. 371-378 ◽  
Author(s):  
Rathavuth Hong
Keyword(s):  
Economic Status ◽  
Economic Inequality ◽  
Geographic Region ◽  
Feeding Duration ◽  
Household Economic Status ◽  
Childhood Undernutrition ◽  
Nationally Representative ◽  
Mother’S Age ◽  
Nutritional Status Of Children ◽  
Chronic Childhood

AbstractObjectiveFood insecurity and undernutrition remain particularly severe in developing countries where improvements in economic conditions have tended to benefit the advantaged groups and resulted in widespread inequalities in health. This study examined how economic inequality is associated with chronic childhood undernutrition.DesignA child was defined as chronically undernourished (stunted) if his or her height-for-age index was more than two standard deviations below the reference median. Household economic status was measured by an index based on household ownership of durable assets. Bivariate and multivariate analyses were used to estimate the effects of household economic status on stunting.SettingA nationally representative sample of 6251 household interviews in Ghana.SubjectsA total of 3077 children aged 0–59 months included in the 2003 Ghana Demographic and Health Survey.ResultsChildren in the poorest 20% of households are more than twice as likely to suffer from stunting as children in the richest 20% of households independent of the child's age, sex, birth order, breast-feeding duration, birth weight; mother's age at childbirth, body mass index, education; and household access to safe drinking water, hygienic toilet facilities, residence and geographic region (odds ratio = 2.3; 95% confidence interval 1.4–3.7). Also children in the next poorest and in the middle quintiles are significant more likely to be chronically undernourished than children in the richest 20% of households.ConclusionThis study concludes that economic inequality is strongly associated with chronic childhood undernutrition; and reducing economic inequalities and making services more accessible to the poor will be key to improving the health and nutritional status of children in Ghana.

Sign in / Sign up

Export Citation Format

Share Document