Magnitude of Undernutrition and Associated Factors among Infants and Young Children aged 6-23 Months in Sinan district, Northwest Ethiopia  Amhara regional state: A crossectional study

Abstract

Background: Childhood undernutrition continues to be the most serious public health problem in the developing world particularly in the rural area. Determining the nutritional status among children less than two years is needed to plan a good nutrition intervention and to provide nutrition education to the community. Despite this, there is limited research conducted in the study area.Objective: To assess undernutrition and associated factors among infants and young children aged 6-23 months in Sinan District, Northwest Ethiopia, 2019.Methods: A Community -based cross-sectional study was conducted among 431 child-mother pairs from March 10, 2019-April 20, 2019 in Sinan District. WHO Anthro software (version 3.2.2) was used to generate the Z-scores. Data were entered using Epi-Data version 4.2 and analysis was done using SPSS version 25. Bivariable and multivariable binary Logistic Regression were fitted. In the multivariable analysis, p-values less than 0.05 were considered as statistically significant factors. Results: The magnitude of stunting, underweight and wasting were 48.7%, 21.7%, and 8% respectively. Less than two times the daily intake of food (AOR = 3.7, 95% CI: 1.5, 9.3). Being older child (12-23 months) (AOR=0.46, 95% CI, 0.22, 0.96) and low dietary diversity score (AOR=0.53, 95% CI, (0.30, 0.92) were significantly associated with undernutrition. Additionally, not having a hand washing facility in the toilet was a significant predictor for both wasting and underweight. Conclusion: The prevalence of undernutrition among infants and young children was higher compared with the previous studies. Low dietary diversity score, lower meal frequency, being an older child, and absence of hand washing facility in the toilet were factors related to the nutritional status. Hence, interventions targeting community management of undernutrition might be appropriate to manage the problem. Efforts should also be intensified to reduce by focusing on identified determinants and the provision of nutrition education to mothers focusing on appropriate feeding practices to improve children’s nutritional status in the study area.

Pooled prevalence and its determinants of stunting among children during their critical period in Ethiopia: A systematic review and meta-analysis

“…The prevalence of stunting among the eligible studies varied from 15.7% [32] to 71.8% [4]. From included studies,12 of them were conducted in cross-sectional study [4,21,22,[28][29][30][31][32][33][34][35][36] while two were employed case control study design [42,43]. Regarding the study region, three studies from Amhara region [31,33,36], three from Oromia region [28,32,34] and other three studies from SNNPRS [4,22,29], one from Addis Ababa [35], three from other regions of the country [30,42,43] and one national study in Ethiopia [21] were included (Table 1).…”

“…A total of six studies [28,30,33,34,42,43] were used to estimate the pooled effects of stunting and dietary diversity score of the child. From random effects model, the pooled estimates…”

“…In Ethiopia various studies [4,21,22,[28][29][30][31][32][33][34][35][36] showed that the prevalence of stunting under 24 months have great inconsistence thought the nation ranging from 15.7% [32] in Oromia region to 71.8% [4] in South Nation and Nationalities and Peoples Regional States(SNNPRS). This inconsistence initiates nationally pooled evidence about the prevalence of stunting among children age less than 24 months /critical period.…”

Predictors of Stunting among 6–35 Months Old Children in Assosa Zone, Northwest Ethiopia: Unmatched Case–Control Study

“…The third is that, to the best of our knowledge, there is a lack of timely and reliable data on the risk factors Sample size determination was estimated by using significant variables from previous research. The used variables are exclusive breastfeeding [31], dietary diversity [32], and minimum meal frequency [33] (Table 1).…”