Factors associated with malnutrition in children &lt; 5 years in western Kenya: a hospital-based unmatched case control study

Gudu, Edwin; Obonyo, Mark; Omballa, Victor; Oyugi, Elvis; Kiilu, Cecilia; Githuku, Jane; Gura, Zeinab; Ransom, James

doi:10.1186/s40795-020-00357-4

Cited by 12 publications

(15 citation statements)

References 19 publications

(18 reference statements)

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“…This nding is in agreement with the studies conducted in Ethiopia [13], in Amhara region (36) in Haramaya district [27], in Pakistan [25] and in Kilimanjaro Region, Tanzania [28], but disagreed with the study conducted in Tigray region [16]. This could be because younger children are more likely to receive more attention and feeding effort from their parents as compared to older children [2]. It could also be due to the inappropriate and late introduction of low nutritional quality supplementary food [29].…”

Section: Discussionsupporting

confidence: 79%

“…The reason might be when the children get grown-up the parent care may be reduced and the children may not get su cient and balanced meals timely. This could be because younger children are more likely to receive more attention and feeding effort from their parents as compared to older children [2]. Children who were born with small size were 2.07 times more likely to be underweight than children who were born larger.…”

Section: Discussionmentioning

confidence: 99%

“…Good nutrition and feeding practices are critical to a child's growth and development especially during the rst two years of life. Undernutrition impairs a child's immunity, which can lead to recurrent infections, and impaired physical and cognitive development [2]. prevalence of under-nutrition is high which ranges from 14.6% in Addis Ababa to 46.3% in Amhara Region for stunting, 3.5% in Addis Ababa to 22.5% in Afar region for wasting and 5% in Addis Ababa to 35.5% in Afar region for underweight [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Determinants of Under-nutrition Among Children Under Five Years of Age in Afar Region, Ethiopia: Evidence From 2016 Ethiopian Demographic and Health Survey

Kebede

2021

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BackgroundUndernutrition is one of the major public health concerns among infants and young children in the country. Childhood under-nutrition is widespread in low and middle-income countries. This study was initiated to assess the prevalence of under-nutrition and its associated factors among under-five children in Afar Region, Ethiopia. MethodsThe data for this study were extracted from the Ethiopian Demographic and Health Survey (EDHS) 2016. The information collected from 937 children born 5 years before the survey was considered in the analysis. A multivariable binary logistic regression analysis was used at a 5% level of significance to determine the individual- and community-level factors associated with childhood malnutrition.ResultsThe prevalence of stunting, underweight and wasting in Afar region were 41.1%, 36.2% and 17.7%, respectively. About 26.7% of children in Afar region were both stunting and underweight, 12.7% were both underweight and wasting, 7.6% were both stunting and wasting and only 7.0% of children had all the three under-nutrition conditions. Among the factors considered in this study, age of a child in months, anemia level, mothers’ BMI, household wealth index, size of child at birth, number of living children and place of residence were significantly associated with stunting, underweight and wasting in Afar Region. ConclusionsThe prevalence of all stunting, underweight and wasting was relatively high. Undernutrition is one of the major public health concerns among children in Afar Region. The effect of these factors should be considered to develop strategies to reduce under-nutrition in the study area. Thus, intervention should be focused on improving the under-nutrition determinants of the children to improve the child's nutritional status and reduce child morbidity and mortality.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Determinants of Under-nutrition Among Children Under Five Years of Age in Afar Region, Ethiopia: Evidence From 2016 Ethiopian Demographic and Health Survey

Kebede

2021

Preprint

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“…Then, Z-Score of weight-for-age (WAZ), height-for-age (HAZ) and weight-for-height (WHZ) indices were calculated using the Anthro software version 3.2.2 (Department of nutrition, WHO, Geneva, Switzerland) [ 4 , 13 ]. Anthro software has the ability to calculate the WAZ, HAZ, and WHZ of each child by comparing the age, weight and height of children with the World Health Organization standard.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of anthropometric indices and their relationship with maternal nutritional literacy and selected socio-economic and demographic variables among children under 5 years old

et al. 2022

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Background Considering the destructive effects of malnutrition on the growth, development, and health of children and the importance of identifying the factors affecting it, the present study aimed to investigate the status of anthropometric indices and their relationship with maternal nutritional literacy and selected socio-economic and demographic variables among children under 5 years old. Methods This cross-sectional study was conducted on 405 mothers with children under 5 years old in Urmia, Iran. The data collection tool consisted of two parts. The first part was the demographic and socio-economic information of mother and child and the second part was the Evaluation Instrument of Nutrition Literacy on Adults; EINLA. Results There was statistically significant relationship between maternal nutritional literacy with weight-for-age, height-for-age, and weight-for-height indices; between weight-for-age index with maternal education, gestational weight gain, and mean weight, as well as mean height of the mother; between weight-for-age and weight-for-height indices with child gender, type of milk consumed, status of starting complementary foods, and history of acute respiratory infection, as well as diarrhea; and finally between height-for-age with family income status. Conclusions It is suggested that mothers with low nutritional literacy, mothers whose gestational weight gain was not normal, children whose family income is low, boy child, children with a history of disease, children who consume powdered milk and children who have not started complementary foods at the right time be given priority when designing and implementing educational interventions to enhance nutritional status and anthropometric indices of children.

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“…Malnutrition is still a public health issue in western Kenya. According to the survey, 25.2 percent of children under the age of five are stunted, with 8.2 percent severely stunted [11,12]. Furthermore, sample survey reports in Kenya show that the under-five mortality rate in Marsabit County is 52 per 1000 live births, and crude mortality rates are 10.4 per 10,000 live births per day in the county [13].…”

Section: Introductionmentioning

confidence: 99%

Modeling Key Drivers of Under-Five Child Malnutrition in Marsabit County, Kenya: Application of the Logit Model

Rop

Koech

Otieno

2021

AJPAS

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Malnutrition remains one of the major problems in developing countries affecting both adults and children under 5 years. The use of binary logistic regression model was employed, and parameters of interest estimated. Results showed that 29.3 percent of the children were acutely malnourished. There was an insignificant difference between household food security and child malnutrition status Factors such as the age of caregivers, household size, the gender of the child, and the level of education of caregivers, if the child was weighed at birth, source of income, the occupation status, and the distance to the water source remained insignificant at a multivariate level. However, factors such as full-term maternal pregnancy, the child being ill for the past two weeks, and the study site were strong significant factors affecting the status of childhood malnutrition. Moreover, mothers with full-term pregnancy up to the birth were 53 percent less likely to have malnourished infants when compared to their counterparts whose pregnancy was not term. Mothers/caregivers who traveled more than half a kilometer were twice more likely to have their children malnourished than those who had traveled less than half a kilometer. It recommended that the policymakers and the entire County government of Marsabit should build more social amenities that provide pregnant women with full-term maternal checkups for both antenatal and postnatal care. County government of Marsabit should lobby and mobilize resources for food aid or cash transfers to households.

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Factors associated with malnutrition in children < 5 years in western Kenya: a hospital-based unmatched case control study

Cited by 12 publications

References 19 publications

Prevalence and Determinants of Under-nutrition Among Children Under Five Years of Age in Afar Region, Ethiopia: Evidence From 2016 Ethiopian Demographic and Health Survey

Prevalence and Determinants of Under-nutrition Among Children Under Five Years of Age in Afar Region, Ethiopia: Evidence From 2016 Ethiopian Demographic and Health Survey

Evaluation of anthropometric indices and their relationship with maternal nutritional literacy and selected socio-economic and demographic variables among children under 5 years old

Modeling Key Drivers of Under-Five Child Malnutrition in Marsabit County, Kenya: Application of the Logit Model

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