The Prevalence of Stunting and Associated Factors among Children Under Five years of age in Southern Ethiopia: Community Based Cross-Sectional Study

Mengesha, Asres; Hailu, Samrawit; Birhane, Mahlet; Belay, Moges Mareg

doi:10.5334/aogh.3432

Cited by 23 publications

(28 citation statements)

References 17 publications

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“…It was hypothesised that improved water sources could have been linked to moderate-to-severe stunting [49,50]. In this study however, we observed a negative association between unimproved sources of drinking water and lower odds of being stunted.…”

Section: Discussioncontrasting

confidence: 80%

“…According to the 2019 Ethiopian Mini Demography and Health Surveys (EDHS) report, 37% of under-fives were stunted, 21% were underweight, and 7% were wasted [7]. In Ethiopia, several primary studies have also revealed that the prevalence of stunting and wasting in children ranges from 49.2 to 58.1% [8][9][10][11][12] and 13-17% [10][11][12], respectively. A systematic review conducted in Ethiopia showed that the overall pooled prevalence estimates of stunting, underweight, and wasting were 34.42%, 33.0%, and 15.0%, respectively [6].…”

mentioning

confidence: 99%

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Association between water, sanitation and hygiene (WASH) and child undernutrition in Ethiopia: a hierarchical approach

Sahiledengle

Petrucka²,

Kumie³

et al. 2022

BMC Public Health

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Background Undernutrition is a significant public health challenge and one of the leading causes of child mortality in a wide range of developing countries, including Ethiopia. Poor access to water, sanitation, and hygiene (WASH) facilities commonly contributes to child growth failure. There is a paucity of information on the interrelationship between WASH and child undernutrition (stunting and wasting). This study aimed to assess the association between WASH and undernutrition among under-five-year-old children in Ethiopia. Methods A secondary data analysis was undertaken based on the Ethiopian Demographic and Health Surveys (EDHS) conducted from 2000 to 2016. A total of 33,763 recent live births extracted from the EDHS reports were included in the current analysis. Multilevel logistic regression models were used to investigate the association between WASH and child undernutrition. Relevant factors from EDHS data were identified after extensive literature review. Results The overall prevalences of stunting and wasting were 47.29% [95% CI: (46.75, 47.82%)] and 10.98% [95% CI: (10.65, 11.32%)], respectively. Children from households having unimproved toilet facilities [AOR: 1.20, 95% CI: (1.05,1.39)], practicing open defecation [AOR: 1.29, 95% CI: (1.11,1.51)], and living in households with dirt floors [AOR: 1.32, 95% CI: (1.12,1.57)] were associated with higher odds of being stunted. Children from households having unimproved drinking water sources were significantly less likely to be wasted [AOR: 0.85, 95% CI: (0.76,0.95)] and stunted [AOR: 0.91, 95% CI: (0.83, 0.99)]. We found no statistical differences between improved sanitation, safe disposal of a child’s stool, or improved household flooring and child wasting. Conclusion The present study confirms that the quality of access to sanitation and housing conditions affects child linear growth indicators. Besides, household sources of drinking water did not predict the occurrence of either wasting or stunting. Further longitudinal and interventional studies are needed to determine whether individual and joint access to WASH facilities was strongly associated with child stunting and wasting.

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Section: Discussioncontrasting

confidence: 80%

mentioning

confidence: 99%

Association between water, sanitation and hygiene (WASH) and child undernutrition in Ethiopia: a hierarchical approach

Sahiledengle

Petrucka²,

Kumie³

et al. 2022

BMC Public Health

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“…The finding of this study also reported that children who had an undiversified diet were more likely to be stunted than those who had high dietary diversity scores. The study result was supported by studies conducted in Ethiopia [ 14 , 18 , 36 ]. This might be due to poor dietary diversity scores may not providing all the essential nutrients required for the child's growth and mental development.…”

Section: Discussionsupporting

confidence: 76%

“…Several risk factors associated with stunting among children have also been identified, including a low wealth index [ 8 – 10 ]. Another associated risk factor of stunting was poorly diversified diets [ 11 – 14 ]. Moreover, studies conducted in Ethiopia reported that the sex of the child, age of the child, and immunization status were the major associated risk factors of stunting [ 15 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Stunting and Wasting among Children Aged 6–59 Months in Household Food Insecurity of Jima Geneti District, Western Oromia, Ethiopia: An Observational Study

Yazew

2022

Journal of Nutrition and Metabolism

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Undernutrition is the most difficult and widespread public health concern in low-income nations including Ethiopia. Therefore, this study aimed to investigate the associated risk factors of stunting and wasting among children aged 6–59 months in Jima Geneti district, Western Oromia, Ethiopia. A community-based cross-sectional study was conducted on 500 children from December 1 to 28, 2020. A multiple-stage sampling method was performed to select children from each kebele. Anthropometric measurements were taken, and the nutritional status was generated using WHO Anthro v. 3.2.1. Data analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were carried out to identify the associated risk factors of stunting and wasting among children in the study area. Statistical significance was set at p < 0.05 . The study results showed that the prevalence of stunting and wasting among children was 27% and 11.8%, respectively. The findings of this study also revealed that the prevalence of household food insecurity and poor dietary diets was 19.6% and 52.2%, respectively. Low wealth status (AOR = 2.5; 95% CI: 1.1, 5.55) and poor dietary diets (AOR = 4.7; 95% CI: 2.5, 8.83) were associated risk factors for stunting. However, child meal frequency (AOR = 3.9; 95% CI: 1.23, 12.6), and children who did feed leftover food (AOR = 2.75; 95% CI: 1.02, 7.44) were associated risk factors for wasting. Poor dietary diets (AOR = 2.65; 95% CI: 1.06, 6.66) were also associated risk factors for wasting. The findings of this study concluded that the prevalence of stunting and wasting was high in the study area. Therefore, addressing family-level risk factors which are major drivers of children’s nutritional status is crucial to ensure the nutritional status of children.

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“…To reach this target, information on ways to alleviate stunting in each country is essential. Recently, several observational studies have identified a large number of risk factors for poor childhood growth (Elhoumed et al, 2022;Mengesha et al, 2021;Mulyaningsih et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Neonatal characteristics and conditions contributed to stunting

Wulandari¹,

Sari²,

Fatmawati³

et al. 2022

ijhs

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Globally, stunting is one of the most serious and challenging public health problems in the world. It is critical to have information on how to reduce stunting. Therefore, this study aimed to identify neonatal determinants of stunting among children under five years. This meta-analysis searched for observational studies published in English from 2000 to 2022 focusing on the association between neonatal characteristics and conditions affecting the incidence of stunting in children aged 0-5 years. We searched in Google Scholar, PubMed, and other online databases. Two review authors independently selected studies for inclusion, extracted data, and assessed the risk of bias in the included studies. The pooled analysis was carried out using software review manager (RevMan) 5.3. Pooled analysis indicated that children under 5 years with anemia or whoever had diarrhea had a higher odds of becoming stunted than those who did not have anemia or not ever had diarrhea and both of these results were statistically significant. Male children had a higher odds of stunting compared to female children. Our study suggest that anemia, recently had diarrhea, and boys are risk factors of stunting.

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The Prevalence of Stunting and Associated Factors among Children Under Five years of age in Southern Ethiopia: Community Based Cross-Sectional Study

Cited by 23 publications

References 17 publications

Association between water, sanitation and hygiene (WASH) and child undernutrition in Ethiopia: a hierarchical approach

Association between water, sanitation and hygiene (WASH) and child undernutrition in Ethiopia: a hierarchical approach

Risk Factors of Stunting and Wasting among Children Aged 6–59 Months in Household Food Insecurity of Jima Geneti District, Western Oromia, Ethiopia: An Observational Study

Neonatal characteristics and conditions contributed to stunting

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