Stunting among children under 3 years of age in Côte d’Ivoire: spatial and temporal variations between 1994 and 2011

Barankanira, Emmanuel; Molinari, Nicolas; Msellati, Philippe; Laurent, Christian; Bork, Kirsten

doi:10.1017/s1368980017000544

Cited by 10 publications

(22 citation statements)

References 34 publications

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“…Similar studies showed a slower decline of childhood stunting in Kenya and Côte d’Ivoire, where the prevalence of stunting decreased by 4·6 and 2·9 percentage points in the past two decades, respectively ( 6 , 27 ) . It is not clear whether transition from the NCHS/CDC reference to the WHO standards partially explains the minimal decreases in stunting in these countries.…”

Section: Discussionmentioning

confidence: 59%

“…According to our study, it appears that interventions implemented in the 1990s rather than 2000s may be responsible for most of the observed decease in stunting. Whether the stunting reduction mask related to transitioning between the NCHS/CDC reference and WHO growth standards observed in our study explains the minimal change in prevalence in stunting reported in other studies needs further investigation (27,33) .…”

Section: Discussionmentioning

confidence: 64%

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Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys

Yang

Kaddu

Ngendahimana

et al. 2018

Public Health Nutr.

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ObjectiveTo describe trends of childhood stunting among under-5s in Uganda and to assess the impact of maternal education, wealth and residence on stunting.DesignSerial and pooled cross-sectional analyses of data from Uganda Demographic and Health Surveys (UDHS) of 1995, 2001, 2006 and 2011. Prevalence of stunting and mean height-for-age Z-score were computed by maternal education, wealth index, region and other sociodemographic characteristics. Multivariable logistic and linear regression models were fitted to survey-specific and pooled data to estimate independent associations between covariates and stunting or Z-score. Sampling weights were applied in all analyses.SettingUganda.SubjectsChildren aged <5 years.ResultsWeighted sample size was 14 747 children. Stunting prevalence decreased from 44·8% in 1995 to 33·2% in 2011. UDHS reported stunting as 38% in 1995, underestimating the decline because of transitioning from National Center for Health Statistics/Centers for Disease Control and Prevention standards to WHO standards. Nevertheless, one in three Ugandan children was still stunted by 2011. South Western, Mid Western, Kampala and East Central regions had highest odds of stunting. Being born in a poor or middle-income household, of a teen mother, without secondary education were associated with stunting. Other persistent stunting predictors included small birth size, male gender and age 2–3 years.ConclusionsSustained decrease in stunting suggests that child nutrition interventions have been successful; however, current prevalence does not meet Millennium Development Goals. Stunting remains a public health concern and must be addressed. Customizing established measures such as female education and wealth creation while targeting the most vulnerable groups may further reduce childhood stunting.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 64%

Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys

Yang

Kaddu

Ngendahimana

et al. 2018

Public Health Nutr.

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“…7 Similarly, a study in Ivory Coast found that having an educated mother was protective against stunting in 3-year-old children. 55 In Bangladesh, Raihan et al 56 found that low SES (assets, maternal and household income and maternal education) increased the risk of wasting in children younger than 5 years of age. They also found that water sanitation and hygiene characteristics (e.g., use of soap, use of hygienic latrine and safe drinking water), often used as a composite of HWI and/or as a risk factor of infectious disease, mediated the association between SES factors and wasting.…”

Section: Socio-economic Factors and Infant Undernutrition Between Birmentioning

confidence: 99%

“…The UNICEF causal framework 3 has established that several immediate, underlying and basic causes play a role in infant undernutrition. Various combinations of causal factors were taken into account across the articles reviewed here, including infant gender, 55,60 infant feeding practices, 54,57 maternal age, 55 maternal anthropometry, 53 maternal morbidity (urinary tract infection, hypertensive disorders, malaria, human immunodeficiency virus, infection, gestational diabetes, pre-eclampsia, pregnancy induced hypertension, antepartum haemorrhage, pre-labour rupture of membranes, placental bleeding), 46 maternal obstetrical history (parity, previous PTB, gestation number), 46,48,67 access and usage of antenatal care services, household food insecurity, 55,60 household size and level of urbanisation. 54,60 Limitations This review has some limitations.…”

Section: Maternal and Household Ses Factors During The First 1000 Daysmentioning

confidence: 99%

The association between household socio-economic status, maternal socio-demographic characteristics and adverse birth and infant growth outcomes in sub-Saharan Africa: a systematic review

Ng’andu

Momberg

Magan

et al. 2019

J Dev Orig Health Dis

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AbstractAdverse birth outcomes and infant undernutrition remain the leading causes of morbidity and mortality in sub-Saharan Africa (SSA). Impaired infant growth and development, which often begins during foetal development, may persist during the first 2 years of life and has been associated with higher risks of cardiometabolic diseases. This systematic review assessed the associations between maternal demographic characteristics and household socio-economic status (SES), and preterm birth (PTB), small for gestational age, low birth weight (LBW), stunting, wasting and underweight in children under 2 years of age in SSA countries. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, we searched for publications in three electronic databases (PubMed, Scopus and ScienceDirect). Eleven studies on children under 2 years of age, in four SSA regions, published in English between 1990 and 2018, were included. All the studies were observational in design (cross-sectional or cohort studies). Maternal education was the most commonly explored exposure. Most studies (63.3%) focused on undernutrition during the first 2 years of life: LBW, PTB and stunting. Lower maternal education, maternal unemployment and lower household wealth index were the SES factors most commonly associated with adverse birth outcomes and infant undernutrition. Maternal marital status was not associated with any infant outcomes. The definitions of the SES varied, which may explain discrepancies between studies. Nutrition intervention programs in SSA need to promote education and poverty alleviation in women at reproductive age, starting from pre-pregnancy, to optimise infant growth and development and prevent the increase in the prevalence of cardiometabolic diseases.

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“…Stunted growth has become the primary index for measuring malnutrition in children (UNICEF, 2009). Stunting is considered one of the optimal measures of long-term nutritional deficiencies and chronic malnutrition and is an indicator of poor socioeconomic environment for both mother and child (Barankanira et al, 2017). Stunted growth results from poor nutritional status and illness in a vital period for growth and development.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Stunting in Syrian Refugee Children With Cleft Lip and/or Cleft Palate in Time of Crisis: A Call for Intervention

Chaya

Chalhoub

Jaafar

et al. 2020

The Cleft Palate-Craniofacial Journal

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Objective: Our study aims to compare the prevalence of stunted growth in Syrian refugee children with cleft lip and/or palate (CL±CP) to other children with CL±CP of similar socioeconomic status. Design: A retrospective medical chart review. Setting: Center for Cleft and Craniofacial Surgery at a tertiary care hospital in Lebanon in the period between January 2013 and May 2019. Patients, Participants: One hundred three Syrian refugee children and 70 Lebanese children <18 years of low socioeconomic status who have CL, CP, or both. Interventions: These patients underwent cleft repair surgeries at our center. Main Outcome Measure(s): Stunted growth measured by calculating the height-for-age z-score (HAZ). Results: Using a confidence interval of 95%, the prevalence of stunting is significantly higher among Syrian refugees ( P < .003). The prevalence of stunting and age of presentation were positively correlated ( P < .02). There was no difference in stunting between patients with CP and CL ( P < .746). There was no difference in stunting between genders. Conclusions: The majority of Syrian refugee patients with CL±CP fall on the malnourished side of the nutritional spectrum as reflected by the high percentage of stunting as well as a mean of −1 for the HAZ.

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Stunting among children under 3 years of age in Côte d’Ivoire: spatial and temporal variations between 1994 and 2011

Abstract: In Côte d'Ivoire, significant changes in stunting prevalence were observed at the sub-national level between 1994 and 2011.

Cited by 10 publications

References 34 publications

Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys

Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys

The association between household socio-economic status, maternal socio-demographic characteristics and adverse birth and infant growth outcomes in sub-Saharan Africa: a systematic review

Prevalence of Stunting in Syrian Refugee Children With Cleft Lip and/or Cleft Palate in Time of Crisis: A Call for Intervention

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