Joint modelling of anaemia and stunting in children less than five years of age in Lesotho: a cross-sectional case study

Gaston, Rugiranka Tony; Habyarimana, Faustin; Ramroop, Shaun

doi:10.1186/s12889-022-12690-3

Cited by 23 publications

(43 citation statements)

References 42 publications

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“…Our findings do not show a statistically significant effect of the variable group characteristic of house floors on stunting severity in toddlers aged 0-59 months. These findings differ from the findings of other researcher [39], this consistency may be shown by the research of Gaston at al [40]. It is important to note that the observed characteristics are limited to floor material only, as for example, frequency of dust and dirt or floor cleaning routines were not considered in our study.…”

Section: The Effect Of Sanitation Performance On Stunting Severitycontrasting

confidence: 86%

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

Berawi¹,

Puspaningrum²,

Bakri³

et al. 2023

ujph

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Severity of stunting is frequently associated as a result of the effects of environmental factors, such as ecological differences, poor quality sanitation, and potential effects on parental livelihood. Knowledge about the effect of sanitation and parental livelihood at three ecological zones on stunting severity at South Lampung Regency is unknown. The aim of this study is to determine the effect of ecological zones, sanitation performance, and parental livelihood on stunting severity in toddlers aged 0-59 months at South Lampung Regency, Indonesia. The cross-sectional study was conducted in a sample of 182 households that were spread over the hilly zone, 82 lowland zones, and 49 coastal zones at South Lampung Regency, Indonesia. Data were collected using a structured questionnaire that captured the sanitation performance and parental livelihood. Toddler's heights were measured using a standard procedure and categorized manually according to national references. The ordinal logistic regression model was used to claim the effect. The higher probability of toddlers to be stunting was found significant on lowland zone, coastal zone, and clean water from drilled wells source, while lower probability significant on gallon drinking water, standard latrines, wastewater sewerage construction materials from cement and pipes, managed solid waste, ventilation not all rooms, bright lighting in rooms, and father's livelihood as a civil servant and entrepreneur. Stunting severity at South Lampung Regency is affected by ecological zones, sanitation performance, and father's livelihood. The results of our study are expected to assist the government in developing appropriate stunting reduction policy programs, especially comprehensive intervention by adjusting the ecological zone.

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Section: The Effect Of Sanitation Performance On Stunting Severitycontrasting

confidence: 86%

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

Berawi¹,

Puspaningrum²,

Bakri³

et al. 2023

ujph

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“…Undernutrition causes both anemia and stunting as infection exacerbates both conditions [ 2 , 68 ]. Age and sex [ 66 , 69 , 70 ], low dietary diversity [ 70 , 71 , 72 ], not achieving minimum meal frequency [ 45 ], multiple micronutrient deficiencies [ 73 ], rural residence, and low household wealth (living in poorer households) [ 66 , 67 , 69 ], infection [ 66 , 69 ], drinking unsafe water [ 70 , 71 ], and household food insecurity [ 70 , 72 , 74 ] are important determinants of both stunting and anemia. Anemia and stunting are strongly associated with each other [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community Trial

Omer

Kassa

Whiting

2023

IJERPH

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Cereal-based diets contribute to anemia in Ethiopian children. Eggs have nutrients to boost hemoglobin levels as well as counter concurrent anemia and stunting (CAS) and morbidity status. A community trial, targeting 6–18 months old children, was conducted in Halaba. Two clusters were randomly selected and allocated to intervention (N = 122) and control (N = 121) arms. Intervention group (IG) children received egg-laying hens with caging in a cultural ceremony declaring child ownership of the chickens. Parents promised to feed eggs to the child. Health and agriculture extension workers promoted egg feeding, poultry husbandry, and sanitation to IG families. Control group (CG) had standard health and agriculture education. At baseline, groups were not different by hemoglobin, anemia, CAS, and morbidity status. Mean hemoglobin was 11.0 mg/dl and anemia prevalence was 41.6%. About 11.9% of children had CAS and 52.3% were sick. Using generalized estimating equations, the intervention increased hemoglobin by 0.53 g/dl (ß:0.53; p < 0.001; 95%CI: 0.28–0.79). IG children were 64% (p < 0.001; odds ratio [OR]:0.36; 95%CI: 0.24–0.54) and 57% (p = 0.007; OR: 0.43; 95%CI: 0.21–0.73) less likely to be anemic and have CAS, respectively, than CG, with no difference in morbidity. Child-owned poultry intervention is recommended in settings where anemia is high and animal-source food intake is low.

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“…Yet, we did not see any association between any type of malnutrition among the children and child anemia in this study. In particular, stunting and child anemia were not associated unlike in studies that were performed in the same age group in other settings [ 61 , 62 ].…”

Section: Discussionmentioning

confidence: 69%

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

et al. 2023

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Globally, the prevalence of anemia among children during the period of complementary feeding is high. A cross-sectional, mixed-methods study was conducted to examine the main determinants of anemia among Syrian refugee children aged 6 to 23 months (n = 215) and to illuminate the knowledge, attitudes and perceptions of their mothers and Lebanese healthcare staff on its causes and available treatment options. 42% of the children and 20% of their mothers were anemic. Determinants of child anemia were the mother having anemia or not knowing that fish/seafood is a source of iron; the child having been acutely ill the last two weeks or receiving cow’s milk, but not consuming iron-rich infant formula, added fats/oils, or fruits in the previous 24 hours. Several Syrian mothers knew some causes of anemia and named dizziness as a leading symptom but did not mention flesh foods as a key source of heme iron. They reported financial constraints in accessing iron-rich foods and supplements. Lebanese doctors largely gave appropriate dietary advice and prescribed iron supplements as treatment. Multisectoral interventions are needed that combine medical and financial support with nutrition counseling for mothers to reduce the high burden of anemia among young children living in a multiple crises situation.

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Joint modelling of anaemia and stunting in children less than five years of age in Lesotho: a cross-sectional case study

Cited by 23 publications

References 42 publications

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community Trial

Anemia among Syrian Refugee Children Aged 6 to 23 Months Living in Greater Beirut, Lebanon, including the Voices of Mothers’ and Local Healthcare Staff: A Mixed-Methods Study

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