Examining the Effect of Geographic Region of Residence on Childhood Malnutrition in Uganda

Amegbor, Prince M.; Yankey, Ortis; Sabel, Clive E.

doi:10.1093/tropej/fmaa019

Cited by 9 publications

(10 citation statements)

References 34 publications

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“…Similarly, children of working-class mothers are more likely to be poorly nourished than children whose mothers do not work. This agrees with another study [ 47 ]. The possible reason for this is that working class mothers do not breast feed their children much longer compared to mothers who do not work.…”

Section: Discussionsupporting

confidence: 94%

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Obasohan,

Walters,

Jacques

et al. 2024

BMC Nutr

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Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 2025. This study seeks to evaluate the prevalence, the individual and contextual predictors of malnutrition among children aged 6–59 months across Nigeria and its states. Two separates, independently collected, nationally representative cross-sectional surveys, the National Human Development Report (NHDR 2018) and the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were linked for this study. Spatial map was used to describe the prevalence of malnutrition, a 3-level multivariate multilevel logistic regression models were fitted where children/individuals (at level 1) were nested in communities/clusters (at level 2) and nested in states (at level 3). A weighted sample of 7,770 children 6–59 months were considered in this study. The results showed that an estimated 43.6% of children aged 6–59 months are poorly nourished in Nigeria. The proportions of poorly nourished children were generally highest in the Northern Nigeria. Child’s gender, age, birth size, preceding birth order, anaemia status, maternal education, work status, body weight, household wealth status, number of bedrooms were among individual/household predictors of malnutrition. On the community level, being from community with high wealth index, distance to nearest health facilities is no big problem. Regional variations and gender inequality index were the state level predictors of malnutrition among children in Nigeria. This study has shown that two-third of children aged 6–59 months in Nigeria were poorly nourished, an indication of a growing concern of double burden of malnutrition in Nigeria.

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Section: Discussionsupporting

confidence: 94%

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Obasohan,

Walters,

Jacques

et al. 2024

BMC Nutr

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“…e 89.3% prevalence of stunting found in this study is high compared to the national and regional prevalence of 29% and 34.9%, respectively [4,5].…”

Section: Discussionmentioning

confidence: 70%

“…In Uganda, data from the 2016 Uganda Demographic and Health Survey indicate that 3 in 10 children under the age of 5 are stunted [4]. e proportion of stunted children is highest in Western Uganda with a prevalence of 34.9% [5].…”

Section: Introductionmentioning

confidence: 99%

High-Prevalence Stunting in Preschool Children (1–5 Years) Attending Selected Health Centers in a Food Rich Area-Bushenyi District Southwestern Uganda

Mugarura

Ninsiima

Kinyi

et al. 2021

Journal of Nutrition and Metabolism

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The prevalence of stunting among children in Uganda and Sub-Saharan Africa is still high, and if Uganda is to achieve the food-related Sustainable Development Goals (SDGs), it must urgently invest in improving nutrition and sanitation. In a food rich area like Bushenyi, chronic undernutrition could be due to several other factors than mere scarcity of food. The Objective(s). This study was carried out to determine the prevalence and socioclinical factors responsible for chronic undernutrition (stunting) among preschool children aged 1–5 years in selected Health facilities in Bushenyi district. Methodology. This was a cross-sectional study assessing the prevalence of stunting and its associated factors among children aged 1–5 years attending selected health centers in Bushenyi District. Data was collected using a pretested questionnaire, taking anthropometric measurements (height/length), and stool analysis for eggs of soil-transmitted helminthes. Prevalence of stunting was presented as percentages. Logistic regression with adjusted prevalence ratio was performed to test the association between the sociodemographic and clinical factors and stunting at bivariate levels of analysis. Results. Most of the children were female, with a median age of 2.1 years and resided in semiurban areas of Bushenyi with their parents. Prevalence of stunting was 89.3%. Only 10.7% of the children were infested with soil-transmitted helminthes. Children likely to be stunted were those who drank unboiled water and were exclusively breastfed. Conclusion. There is a high prevalence of chronic malnutrition in Bushenyi district associated with parents’/care takers’ low level of knowledge.

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“…Lactation duration was an important non-genetic maternal determinant of HMO profiles in Ugandan mothers. The fact that concentrations of the same HMOs decreased, increased, or remained unchanged with increasing lactation duration beyond 52 weeks in Ugandan mothers probably highlights their importance in the survival and development of breastfeeding infants and young children especially in resource-poor rural and urban Uganda where infant morbidity, mortality and malnutrition remains disproportionately high (23, 24, 25). In this study population, two HMOs, 2’FL and LNFPI, are associated with protection against malaria in breastfeeding children (Mwangi et al under review).…”

Section: Discussionmentioning

confidence: 99%

The effect of non-genetic determinants of human milk oligosaccharide profiles in milk of Ugandan mothers

Owalla,

Mwangi,

Moukarzel

et al. 2024

Preprint

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Background: Human milk oligosaccharides (HMOs) protect against infection and promote growth and cognitive development in breastfeeding children. Non-genetic factors which influence HMO composition in breastfeeding mothers in rural Africa have not been investigated. Objective: We undertook a cross-sectional study to determine the association between HMO profiles and non-genetic maternal factors and childrens sex in Ugandan mother-children pairs. Method: Human milk was collected from 127 breastfeeding mothers by manual expression. HMO analysis was by high performance liquid chromatography. The proportion of each HMO per total HMO concentration was calculated. Spearmans correlation and Mann-Whitney U test were used to assess the relationship between individual HMOs and maternal factors and infant sex. Result: Nineteen HMOs were assayed. The prevalence of secretor and non-secretor status, based on the proportion of mothers with high milk concentrations of 2FL and LNFP 1, was 80.3 % and 19.7 %, respectively. In secretor mothers, 2FL, DFLac and LNFP I constituted > 57 % while in non-secretor mothers LNT and LNFPII constituted 46.9 % of the measured total HMOs. The median 3SL concentration in milk of all mothers of male children was significantly higher than that in all mothers of female children. The median DFLac concentration in all mothers was significantly higher in multiparous mothers compared to primiparous mothers. Higher FDSLNH and lower LNH concentrations were observed in overweight secretor and non-secretor mothers, respectively. Median concentrations of LNFP I and DSLNT were significantly higher in all mothers < 18 years old compared to all mothers > 18 years old. Concentrations of specific HMOs increased, decreased, or remained unchanged with increasing lactation duration in secretor and non-secretor mothers. Conclusions: Specific HMOs were associated with infant sex and maternal age, parity and post-partum BMI in Ugandan mothers but were different from those reported in other populations.

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Examining the Effect of Geographic Region of Residence on Childhood Malnutrition in Uganda

Cited by 9 publications

References 34 publications

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

High-Prevalence Stunting in Preschool Children (1–5 Years) Attending Selected Health Centers in a Food Rich Area-Bushenyi District Southwestern Uganda

The effect of non-genetic determinants of human milk oligosaccharide profiles in milk of Ugandan mothers

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