Malnutrition Determinants in Young Children from Burkina Faso

Beiersmann, Claudia; Lorenzo, Justo Bermejo; Bountogo, Mamadou; Tiendrebéogo, Justin; Gabrysch, Sabine; Yé, Maurice; Jahn, Albrecht; Müller, Olaf

doi:10.1093/tropej/fmt037

Cited by 22 publications

(17 citation statements)

References 18 publications

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“…A possible reason could be that Malaysia has reasonably good quality of water and sanitation, thus no association was observed. This is consistent with previous studies in some developing countries [35, 47–50]. …”

Section: Discussionsupporting

confidence: 94%

Risk factors of malnutrition among preschool children in Terengganu, Malaysia: a case control study

2014

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BackgroundChildhood malnutrition is a multi-dimensional problem. An increase in household income is not sufficient to reduce childhood malnutrition if children are deprived of food security, education, access to water, sanitation and health services. The aim of this study is to identify the characteristics of malnourished children below five years of age and to ascertain the risk factors of childhood malnutrition in a state in Malaysia.MethodsA case control study was conducted in the maternal and child health clinics in five districts of Terengganu, Malaysia from April to August 2012. Case was a child with moderate to severe malnutrition with z-scores < −2SD from the median of WHO reference. Control was a child without malnutrition with z-scores between -2SD and +2SD and the age matched with case’s. Face to face interviews with the respective child’s mother and measurements of the respective child’s weight and height were carried out. Information on socio-economic characteristics, household food security status, child’s dietary intake, caregivers’ practices and resources were enquired. Univariate and multivariate logistic regression analyses were conducted. Crude odds ratio and adjusted odds ratio with 95% confidence interval were calculated.ResultsA total of 274 children with 137 cases and 137 controls were recruited. All respondents were Malays. Among the cases, a larger proportion of them was female and originated from low income families. After adjusting all confounders, childhood malnutrition was significantly associated with number of children (aOR: 5.86, 95% CI: 1.96, 17.55), child hunger (aOR: 16.38, 95% CI: 1.34,199.72), dietary energy intake (aOR: 0.99, 95% CI: 0.98, 0.99), protein intake (aOR: 1.06, 95% CI: 1.01, 1.12), vitamin A intake (aOR: 0.999, 95% CI: 0.997, 1.00), low birth weight (aOR: 6.83, 95% CI: 1.62, 28.89), frequent illness (aOR: 2.79, 95% CI: 1.06, 7.31), and history of worm infection (aOR: 3.48, 95% CI: 1.25, 9.70).ConclusionsLower socio-economic status, household food insecurity, and poor child caring practices were associated with childhood malnutrition. Besides implementation of programmes focusing on poverty reduction, community based nutrition and hygiene education with extensive family planning and de-worming programmes should be intensified to improve both mother and children’s nutritional status.

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Section: Discussionsupporting

confidence: 94%

Risk factors of malnutrition among preschool children in Terengganu, Malaysia: a case control study

2014

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“…Our findings suggest possibly more pronounced association among boys than girls. This could in part be related to the higher level of child undernutrition among boys than girls in our setting [57]. Given the relatively small study sample, we cannot conclude a difference, but the point estimates were larger in boys than girls.…”

Section: Discussionmentioning

confidence: 89%

Household cereal crop harvest and children’s nutritional status in rural Burkina Faso

et al. 2017

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BackgroundReduction of child undernutrition is one of the Sustainable Development Goals for 2030. Achievement of this goal may be made more difficult in some settings by climate change through adverse impact on agricultural productivity. However, there is only limited quantitative evidence on the link between household crop harvests and child nutrition. We examined this link in a largely subsistence farming population in rural Burkina Faso.MethodsData on the middle-upper arm circumference (MUAC) of 975 children ≤5 years of age, household crop yields, and other parameters were obtained from the Nouna Health and Demographic Surveillance System. Multilevel modelling was used to assess the relationship between MUAC and the household crop harvest in the year 2009 estimated in terms of kilocalories per adult equivalent per day (kcal/ae/d).ResultsFourteen percent of children had a MUAC <125 mm (a value indicative of acute undernutrition). The relationship between MUAC and annual household food energy production adjusted for age, sex, month of MUAC measurement, household wealth, whether a household member had a non-agricultural occupation, garden produce, village infrastructure and market presence, suggested a decline in MUAC below around 3000 kcal/ae/d. The mean MUAC was 2.49 (95% CI 0.45, 4.52) mm less at 1000 than at 3000 kcal/ae/d.ConclusionsLow per capita household crop production is associated with poorer nutritional status of children in a rural farming population in Burkina Faso. This and similar populations may thus be vulnerable to the adverse effects of weather on agricultural harvest, especially in the context of climate change.Electronic supplementary materialThe online version of this article (doi:10.1186/s12940-017-0258-9) contains supplementary material, which is available to authorized users.

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“…In spite of the worldwide improvement in nutritional status of children [1][2][3] especially in developing countries [4,5], malnutrition in childhood is still a major health challenge in low income countries [6] and also in the world at large [1,7]. Child under nutrition is a factor in more than three million preventable childhood deaths.…”

Section: Introductionmentioning

confidence: 99%

What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries

Yaya

Odusina

Uthman

et al. 2020

glob health res policy

103

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Background: The reduction of childhood malnutrition has been identified as a priority for health and development in sub Saharan African countries. The association between women's empowerment and children's nutritional status is of policy interest due to its effect on human development, labour supply, productivity, economic growth and development. This study aimed to determine the association between women's empowerment and childhood nutritional status in sub Saharan African countries. Methods: The study utilized secondary datasets of women in their child bearing age (15-49 years) from the latest Demographic and Health Survey (DHS) conducted in 2011-2017 across 30 sub Saharan Africa countries. The outcome variable of the study was childhood nutritional status while the exposure variable was women's empowerment indicators such as decision making and attitude towards violence. Analyses were performed at bivariate level with the use of chi square to determine association between outcome and exposure variables and at multivariate level with the use of regression models to examine the effect of women's empowerment on childhood nutritional status. Results: Women's socio-demographic and other selected characteristics were statistically significantly associated with childhood nutritional status (stunted and underweight) at p < 0.001. These characteristics were also statistically significantly associated with empowerment status of women (Decision-making, Violence attitudes and Experience of violence) at p < 0.001 except for child age and sex. The association between childhood nutritional statuses and women's empowerment (all three empowerment measures) was significant after controlling for other covariates that could also influence childhood nutrition statuses at p < 001. Two of the empowerment measures (attitudes towards violence and experience of violence) showed positive association with childhood nutritional statuses while the third (decision-making) showed negative association. Conclusion: There is an independent relationship between childhood nutrition status and women's empowerment in sub Saharan African countries. Women's empowerment was found to be related to childhood nutritional status. Policies and programmes aiming at reducing childhood malnutrition should include interventions designed to empower women in Sub-Saharan Africa.

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Malnutrition Determinants in Young Children from Burkina Faso

Cited by 22 publications

References 18 publications

Risk factors of malnutrition among preschool children in Terengganu, Malaysia: a case control study

Risk factors of malnutrition among preschool children in Terengganu, Malaysia: a case control study

Household cereal crop harvest and children’s nutritional status in rural Burkina Faso

What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries

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