Prevalence and Determinants of Stunting Among Preschool Children and Its Urban–Rural Disparities in Bangladesh

Akram, Raisul; Sultana, Marufa; Ali, Nizar Bel Hadj; Sheikh, Nurnabi; Sarker, Abdur Razzaque

doi:10.1177/0379572118794770

Cited by 57 publications

(93 citation statements)

References 36 publications

(68 reference statements)

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“…This result is in line with the results of research in several countries which found that people who live in urban areas tend to have better health status. The tendency for better health status in this urban area is found in South Africa [13], India [14], Bangladesh [15][16], and Iran [17].…”

Section: Discussionmentioning

confidence: 92%

Regional Disparities of Stunted Toddler in Indonesia

Laksono¹,

Kusrini²

2019

Preprint

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Background/Objective: Although there has been a decline in the prevalence of stunting in Indonesia in the past decade, the figure is still the highest among countries in Southeast Asia. This figure varies in 34 provinces. The purpose of the study was to analyze the regional disparity of stunted toddlers in Indonesia. Materials and Methods: The analysis in this study uses data from the 2017 Indonesian Nutritional Status Monitoring (PSG 2017). Multi-stage cluster random sampling was used in the PSG 2017. The sample used in this study was 149,571 toddlers aged 0-59 months. Data were analyzed using the Binary Logistic Regression test. Results: Toddlers in the Sumatra region have the possibility of 0.921 times stunted compared to toddlers in the Papua region (OR 0.921; 95% CI 0.880-0.963). The Java-Bali region was 0.805 times more likely than toddlers in the Papua region to be stunted (OR 0.805; 95% CI 0.763-0.843). The Nusa Tenggara Region was 1.394 times more likely than toddlers in the Papua region to be stunted (OR 1.394; 95% CI 1.315-1.478). Kalimantan Region has 1.161 times more likely than toddlers in the Papua region to be stunted (OR 1.161; 95% CI 1.103-1.223). The Sulawesi region has 1.184 times the possibility of toddlers in the Papua region being stunted (OR 1.184; 95% CI 1.128-1.243). Maluku region has a probability of 0.884 times that of toddlers in the Papua region to be stunted (OR 0.884; 95% CI 0.824-0.949). Conclusion: There was a regional disparity of stunted toddler in Indonesia.

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Section: Discussionmentioning

confidence: 92%

Regional Disparities of Stunted Toddler in Indonesia

Laksono¹,

Kusrini²

2019

Preprint

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“…We found that unmet fertility desire is higher among mothers living in the Sylhet division than their counterparts. Based on evidence from existing literature, we found that most health indicators (e.g., education, contraceptive use, maternal care, and undernutrition) remain poor in the Sylhet region, which is often known as a poor-performing region in the country [35,39,40]. Furthermore, Sylhet is also recognized as a hard-to-reach area since it consists of hilly and floodprone areas.…”

Section: Discussionmentioning

confidence: 98%

Factors associated with unmet fertility desire and perceptions of ideal family size among women in Bangladesh: Insights from a nationwide Demographic and Health Survey

Akram¹,

Sarker²,

Sheikh³

et al. 2020

PLoS ONE

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Introduction Along with the developing world, Bangladesh has made a tremendous improvement in declining total fertility rate, however, this declining trend is not uniform to all the socio-demographic stratum. Incongruities exist between the numbers of children that women bearing and what they actually desired which refers to unmet fertility desire. This study aims to elicit women's perception of ideal number of children and predictors of unmet fertility desire in Bangladesh. Method This study analyzed nationally representative cross-sectional Bangladesh Demographic and Health Survey 2014 data. A two-stage stratified random sampling technique was used while a total of 17,863 ever-married women were interviewed between June and November 2014. A total of 10,912 eligible women were included in the analysis. Poisson regression analysis and logistic regression models were used to measure women's perception of the ideal number of children and to determine the influencing factors of unmet fertility desires. Result The mean value of the perceived ideal number of children was 2.22 (SD ± 0.73) and the majority of women (71.2%) expect to have two children in their lifetime. Approximately 46% of mothers reported bearing more children than they desired. The perceived ideal number of children was significantly higher among women who were living in rural areas, from Sylhet division, Muslim, unemployed, and experienced child death and those who justified beating. Findings revealed that several factors such as place of residence, geographic location, religion, wealth index, maternal age and education, partners' education, experiencing child

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“…Indeed, interventions promoting behavior change could be an effective strategy for tackling inequality in childhood undernutrition by targeting poorer households and uneducated mothers . Similarly, mass‐media exposure is an important source of knowledge for avoiding childhood undernutrition and has an important role to inform mothers better about adverse child health outcomes . Therefore, the in‐depth attention of policy makers is needed to increase the accessibility of mass medias and to design and roll out nutrition education programs to increase nutritional knowledge and awareness among unprivileged mothers in the community.…”

Section: Discussionmentioning

confidence: 99%

“…53 Similarly, mass-media exposure is an important source of knowledge for avoiding childhood undernutrition and has an important role to inform mothers better about adverse child health outcomes. 48,54 Therefore, the in-depth attention of policy makers is needed to increase the accessibility of mass medias and to design and roll out nutrition education programs to increase nutritional knowledge and awareness among unprivileged mothers in the community. The latest Bangladesh National Nutrition Policy emphasizes improving health equity for the poor and geographically marginalized populations through identifying its various underlying causes.…”

Section: Discussionmentioning

confidence: 99%

Inequality of childhood undernutrition in Bangladesh: A decomposition approach

Sarker

Sultana

Sheikh

et al. 2019

Health Planning & Management

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Summary Background Undernutrition is one of the major public health concerns in Bangladesh. This study examined the trends and patterns of childhood undernutrition, inequality, and its socioeconomic contributors in Bangladesh. Methods Data were extracted from the last four rounds of the Bangladesh Demographic Health Survey (BDHS). A regression‐based decomposition method was applied to assess the socioeconomic contributors of inequality. Results Although the prevalence of childhood undernutrition has declined during the period 2004 to 2014, the rate of undernutrition is higher among the children of mothers who had lower education, live in rural areas, and are from the poorest wealth quintile. Socioeconomic status accounted for almost half of the total inequality in the prevalence of both stunting and underweight among children, whereas maternal education was ranked second among the contributors. Conclusions Findings of the study indicate that undernutrition inequalities in terms of socioeconomic aspects appear to have widened over time. Improving economic activity and maternal education will improve the nutritional status of children and as a consequence reduce inequality. Therefore, investments in education, creation of working opportunities, and empowerment of vulnerable and disadvantaged people along with nutrition‐specific interventions will be important measures to eliminate this inequality at the population level.

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Prevalence and Determinants of Stunting Among Preschool Children and Its Urban–Rural Disparities in Bangladesh

Abstract: Disparities exist among urban and rural areas regarding stunting among the children younger than 5 in Bangladesh, which need to be reduced. Public health policies and interventions need to consider the risk factors in urban and rural areas separately.

Cited by 57 publications

References 36 publications

Regional Disparities of Stunted Toddler in Indonesia

Regional Disparities of Stunted Toddler in Indonesia

Factors associated with unmet fertility desire and perceptions of ideal family size among women in Bangladesh: Insights from a nationwide Demographic and Health Survey

Inequality of childhood undernutrition in Bangladesh: A decomposition approach

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