Determinants of Stunting and Recovery from Stunting in Northwest Uganda

Vella, Venanzio; Tomkins, Andrew; Borghesi, A.; Migliori, Giovanni Battista; Oryem, Vincent Yooman

doi:10.1093/ije/23.4.782

Cited by 41 publications

(34 citation statements)

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“…The trend was similar to findings on children in the general population from previous studies [9,31,32,33]. One of the studies showed that the prevalence of moderate and severe forms of malnutrition was high in children aged 13 to 36 months [31].…”

Section: Age and Gender Of The Childsupporting

confidence: 88%

“…Prevalence of malnutrition significantly reduced with increase in SES. Earlier studies in Uganda and other countries showed that households with higher SES, have a lower prevalence of stunted children [9,32,33,36]. The burden of orphans (defined in this study as children who had lost both parents) and being widowed especially for female headed households jeopardizes the health and nutritional well-being of children [37].…”

Section: Socio-economic Factorsmentioning

confidence: 91%

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Nutritional status of children (6-59 months) among HIV-positive mothers/caregivers living in an urban setting of Uganda.

Bukusuba¹,

Kikafunda²,

Rg³

2009

African Journal of Food, Agriculture, Nutrition and Development

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Few studies have attempted to establish the burden of childhood malnutrition and the associated factors among households of HIV-positive mothers/caregivers particularly in urban settings. There is also no satisfactory evidence of health and nutritional benefits of food aid in this particular group where options to attain a balanced diet are generally minimal. A cross-sectional survey was therefore organized to assess the prevalence of malnutrition and establish the contributory factors that would be vital in design of interventions. The target group was children under five years of age (6-59 months) of HIV-positive mothers/caregivers residing in an urban setting of Uganda. Interviews were conducted with a random sample of 144 households of HIV-positive mothers/caregivers of children under the age of five years in Jinja municipality in Eastern Uganda. Nutritional status was determined on every randomly selected index child from sampled households. Epi-Info 2002 was used for calculation of z-scores and Nutrisurvey for SMART (2005) for drawing anthropometric charts. SPSS version 12 was then used for descriptive statistics, bivariate and multivariate analyses. For all the statistical tests, P≤0.05 was considered significant. The proportion of stunted children (23%) among study households was nearly 12 times higher, underweight (11%) more than five times higher and wasting (3.5%) about two times higher than the level expected in a healthy, well-nourished population. Malnutrition among children under five years of age in households of mothers/caregivers living with HIV/AIDS in Ugandan urban settings is therefore of public health concern. The identified causative factors include high malaria and fever episodes, high dependency ratio, low food access, low Socio-Economic Status (SES) and low education level of mother/caregiver. Interventions to address malnutrition in this vulnerable group should therefore aim at addressing the identified contributory factors. Use of insecticide-treated mosquito nets (ITNs) and campaigns to ensure their proper use, income generating activities, and kitchen gardening are some of the targeted interventions that could contribute to alleviation of the problem. Food aid to supplement the diet contributes to daily energy requirements.

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Section: Age and Gender Of The Childsupporting

confidence: 88%

Section: Socio-economic Factorsmentioning

confidence: 91%

Nutritional status of children (6-59 months) among HIV-positive mothers/caregivers living in an urban setting of Uganda.

Bukusuba¹,

Kikafunda²,

Rg³

2009

African Journal of Food, Agriculture, Nutrition and Development

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“…Our previous work in a rural setting in Central Uganda (5) with younger children (<30 months) found a significant and positive association between the level of education of the mother and the health and nutritional status of the children. Other researchers from Uganda (13,18) and Ghana (19) have also noted an important association between the mothers' education on the child's nutrition status.…”

Section: Discussionmentioning

confidence: 93%

Diet and socio-economic factors and their association with the nutritional status of pre-school children in a low income suburb of Kampala city, Uganda

Kikafunda¹,

Tumwine²

2007

E Af Med Jrnl

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Objective: To establish dietary and socio-economic factors and their association with the nutritional status of pre-school children in a poor suburb of Kampala city, Uganda. Design: A cross-sectional study. Setting: Three nursery schools in a low income suburb of Kampala city, Uganda. Subjects: A sub-sample of forty one randomly selected pre-school children (three to six years of age) from a larger intervention study, participated in the present investigation. Results:The results reveal high levels of chronic malnutrition (stunting and underweight) among the children. Almost half (46.3%) and one third (29.3%) of the children had height-for-age and weight-for-age centiles, respectively, below the 20 th centile. The father's educational status was significantly (p = 0.017) associated with the children's nutritional status with all the children whose fathers had tertiary education and above having better weight-for-age centiles (above the 50 th ). Economic status too was significantly (p = 0.026) associated with the nutritional status of the children with children from the upper and mid-upper socio-economic classes having better weight-for-age centiles than children from the lower socio-economic status. Analysis of the diet showed a significant association between the nutrition status of the children and some of the foods consumed. Children who were above the 50 th weight-for-age centiles consumed significantly more bread (p = 0.008) and light-green-leafy vegetables (p = 0.020) than those who had lower weight-for-age centiles. Children who were above their 50 th height-for-age centiles consumed significantly (p = 0.049) more soybeans than children who had lower height-for-age centiles. Conclusion: Socio-economic as well as dietary factors were found to be inextricably linked and have been shown to be significantly associated with the nutritional status in this group of suburban pre-school children in Kampala city, Uganda.

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“…This Table 2 Estimated regression coefficients of binary logistic regression model (BlogM) for child malnutrition status defined as heightfor-age Z-score less than −2.00, the corresponding odds ratios (ORs), and adjusted predicted proportion (APP) of malnourished children from nominal-scale multiple classification analysis (NS-MCA) model, BDHS 2011 (Continued) Note: η i and β i indicates priority indices before and after the adjustment of other predictors respectively study also found that mothers with adequate nutrition status are less likely to have stunted children. Household factors are strong predictors of children nutritional status [42,43]. Usually, children in households having higher income have better nutritional status than that of lower income households.…”

Section: Discussionmentioning

confidence: 99%

On exploring and ranking risk factors of child malnutrition in Bangladesh using multiple classification analysis

Bhowmik

Das

2017

BMC Nutr

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Background: Logistic regression analysis is widely used to explore the determinants of child malnutrition status mainly for nominal response variable and non-linear relationship of interval-scale anthropometric measure with nominal-scale predictors. Multiple classification analysis relaxes the linearity assumption and additionally prioritizes the predictors. Main objective of the study is to show how does multiple classification analysis perform like linear and logistic regression analyses for exploring and ranking the determinants of child malnutrition. Methods: Anthropometric data of under-5 children are extracted from the 2011 Bangladesh Demographic and Health Survey. The analysis is carried out considering several socio-economic, demographic and environmental explanatory variables. The Height-for-age Z-score is used as the anthropometric measure from which malnutrition status (stunting: below −2.0 Z-score) is identified.

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Determinants of Stunting and Recovery from Stunting in Northwest Uganda

Cited by 41 publications

References 0 publications

Nutritional status of children (6-59 months) among HIV-positive mothers/caregivers living in an urban setting of Uganda.

Nutritional status of children (6-59 months) among HIV-positive mothers/caregivers living in an urban setting of Uganda.

Diet and socio-economic factors and their association with the nutritional status of pre-school children in a low income suburb of Kampala city, Uganda

On exploring and ranking risk factors of child malnutrition in Bangladesh using multiple classification analysis

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