Nutritional status of under five children in Ethiopia: a systematic review and meta-analysis

Abdulahi, Ahmed; Shab‐Bidar, Sakineh; Rezaei, Shahabeddin; Djafarian, Kurosh

doi:10.4314/ejhs.v27i2.10

Cited by 111 publications

(149 citation statements)

References 32 publications

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“…Effect size was pooled from all eligible studies using the DerSimonian-Laird Random effects model (REM) for the meta-analysis 11 . This model is preferred because it is based on the assumption that a distribution of effects exists, resulting in heterogeneity among study results 12 . The results were presented in a table as forest plots; additionally prevalence rates, ORs, and 95% CIs were obtained for each study inserted into the model and for the overall estimate.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of and risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries: systematic review and meta-analysis

Jimma

Ghazisaeedi

Shahmoradi

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Tuberculosis, in particular drug-resistant tuberculosis, is of global concern due to the high mortality and morbidity associated with it annually. The aim of this study was to determine the prevalence of and the risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries. Four databases (PubMed, BioMed Central, EMBASE, and Web of Science) were searched using key terms. Nineteen eligible articles were identified, of which 12 and seven were used for quantitative and qualitative analysis, respectively. The overall pooled estimate of the prevalence of multidrug-resistant tuberculosis, including both new and previously treated tuberculosis cases, in Iran, Iraq, Turkey and Pakistan was 16% (95% confidence interval [CI] 11-20). The patients with a previous tuberculosis treatment history (odds ratio [OR] = 6.45; 95% CI 5.12-7.79), those aged <45 years (OR = 1.57; 95% CI 1.12-2.03), and those who were males (OR = 1.83; 95% CI 1.19-2.48) had an increased pool risk of developing multidrug-resistant tuberculosis. The forest plot revealed that the pooled odds for the development of multidrug- resistant tuberculosis were 2.01 (95% CI 1.65-2.36). Poor adherence to treatment was one of the predictors of unsuccessful treatment outcomes. Multidrug-resistant tuberculosis is a great concern for public health programs in many countries globally, including those included in this review. The risk factors for the development of multidrug-resistant tuberculosis, specifically a previous tuberculosis treatment history, should be targeted through the implementation of specialized interventions.

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Section: Resultsmentioning

confidence: 99%

Prevalence of and risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries: systematic review and meta-analysis

Jimma

Ghazisaeedi

Shahmoradi

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…Additionally, one article was found by hand searching of the reference lists of the included studies. Thus, a total of 9 studies [4,[22][23][24][25][26][27][28][29] were included in the current umbrella review. The study selection and screening process is shown in Fig.…”

Section: Literature Search Findingsmentioning

confidence: 99%

“…The specific malnutrition conditions assessed by the SRM studies were stunting, wasting, and underweight. Two meta-analyses were done on the prevalence and the determinants of stunting, underweight, and wasting [4,25]. The specific IYCF practice indicators assessed were exclusive breastfeeding, early initiation of breastfeeding, timely initiation of complementary feeding, dietary diversity, meal frequency, and minimum acceptable diet.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Dietary/Feeding [4,25] Poor breastfeeding and complementary feeding Food insecurity Health [4,25] Lack of antenatal care Lack of postnatal care Deworming Vitamin A supplementation Immunization Counseling Infection Place of delivery Sociodemographic [4,25] Child sex Child age Maternal education status Wealth (income) Family size Media exposure Hygiene [4,25] Type water source Type of toilet facility Environmental [4,25] Place of residence IYCF practices…”

Section: Risk Factors Malnutritionmentioning

confidence: 99%

“…particularly among infants and young children, who are vulnerable to both macro and micro-nutrient deficiencies [2,3]. Though malnutrition refers to both under-and over-nutrition conditions, the main malnutrition conditions of public health concern in Ethiopia are the ones related to under-nutrition, namely anemia, stunting, wasting, and underweight, the prevalence of each condition being above global averages [1,4]. Malnutrition is of various negative consequences on the health and wellbeing of children.…”

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confidence: 99%

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The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

Mohammed

Arero

Esmaillzadeh

2019

Preprint

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Background Various systematic review and meta-analysis (SRM) studies were done on nutritional statuses of children in Ethiopia, but no summary of the findings was done on the topic. Thus, this umbrella review was done to summarize the evidence from SRM studies on the magnitude and determinants of malnutrition and poor feeding practices among under-5 children in Ethiopia.Methods PubMed, Embase, Scopus, Web of Sciences, and Google Scholar were searched for SRM studies on the magnitude and risk factors of malnutrition and child feeding practice indicators in Ethiopia. The methodological quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. The estimates of the included SRM studies on the prevalence and determinants of stunting, wasting, underweight, and poor child feeding practices were pooled and summarized with random-effects meta-analysis models.Result We included nine SRM studies, containing a total of 214,458 under-5 children from 255 observation studies. The summary estimates of prevalence of stunting, underweight, and wasting were 42% (95%CI=37-46%), 33% (95%CI=27-39%), and 15% (95%CI=12-19%). The proportion of children who met the recommendations for timely initiation of breastfeeding, exclusive breastfeeding during the first 6 months, and timely initiation of complementary feeding were 65%, 60%, and 62%, respectively. The proportion of children who met the recommendations for dietary diversity and meal frequency were 20%, and 56.0%, respectively. Only 10% of children fulfilled the minimum criteria of acceptable diet. There was a strong relationship between poor feeding practices and the state of malnutrition, and both conditions were related to various health, socio-economic, and environmental factors.Conclusion Child malnutrition and poor feeding practices are highly prevalent and of significant public health concern in Ethiopia. Only few children are getting proper complementary feeding. Multisectoral efforts are needed to improve children's feeding practices and reduce the high burden of malnutrition in the country.

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Nutrition profiles of farm households across different farming systems in Ethiopia: Unpacking the determinants and implications for nutrition‐sensitive interventions

Berhanu Desalegn,

Biazin,

Amede

et al. 2024

Food Science & Nutrition

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Tackling nutrition insecurity remains a critical challenge in developing countries. In the predominantly rain‐fed and smallholder‐based farming systems of Ethiopia, production diversity and livelihood strategies of the farm households vary across geographic areas. However, the effects of household socioeconomic characteristics, production diversity, and household incomes on nutrition profiles in distinct settings have been inadequately understood. Therefore, this study was undertaken to examine the association of farming system type, sources of income, and household wealth status with household nutrition profiles in three remote locations such as Mennisa, Welmel Tiqa, and Agam Wuha that represent root crops‐based farming, maize‐based semi‐pastoral farming, and teff‐based cereal farming systems, respectively. A combination of qualitative and quantitative data collection techniques was employed. A multistage sampling procedure was used to select a total of 265 smallholder households for the structured survey interviews. Standard statistical tests and Tobit regression analyses were performed after determining the wealth category of each household. Results revealed a diversity of income sources used by each of the farm households with average values of 9 in Mennisa, 10 in Agam Wuha, and 11 in Welmel Tiqa, with the contributions of each income source varying by household wealth category and location. As expected, expenditures on food significantly exceeded those on non‐food categories for poor households and vice versa for rich wealth households. The average total food variety score (FVS) for Welmel Tiqa was twice that for Agam Wuha, confirming the need for site‐specific nutrition profile assessments. Despite the observed differences in household nutrition profiles among wealth categories and locations, the apparent intakes of vitamin A, vitamin B12, vitamin D, and calcium were consistently below the population‐level estimated average requirements across all locations. The number of adequately consumed nutrients by farm households was negatively associated with family size, age of household heads, livestock holdings, wealth categories, and irrigation use, and positively associated with crop production diversity, income diversity, and FVS. The negative association between irrigation use and nutrition security was likely due to the focus on producing crops with a high market value on land under irrigation, coupled with ineffective allocation of generated income for enhancing household nutritional outcomes. Therefore, programs that include irrigated agriculture investments should consider adopting a more integrated nutrition‐sensitive interventions, including consideration of locally adapted nutritious crops, such as orange‐flesh sweet potato, to address critical deficiency of Vitamin A, nutrition training coupled with development of recipes and cooking demonstrations, and marketing and promotion for nutritious crops.

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Nutritional status of under five children in Ethiopia: a systematic review and meta-analysis

Cited by 111 publications

References 32 publications

Prevalence of and risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries: systematic review and meta-analysis

Prevalence of and risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries: systematic review and meta-analysis

The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

Nutrition profiles of farm households across different farming systems in Ethiopia: Unpacking the determinants and implications for nutrition‐sensitive interventions

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