Urban-rural differentials in child undernutrition in Ethiopia

Tadesse, Sebsibe; Alemu, Yinges

doi:10.5897/ijnam2014.0171

Cited by 12 publications

(4 citation statements)

References 14 publications

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“…Children born from parents with at least primary level of education had little chance of experiencing multiple nutritional deficiencies compared to those born from non-educated parents. The finding is consistent with earlier studies conducted in different parts of Ethiopia [39][40][41][42]. Recent studies in other parts of the world reached similar conclusion [43,44].…”

Section: Discussionsupporting

confidence: 93%

Multiple anthropometric and nutritional deficiencies in young children in Ethiopia: a multi-level analysis based on a nationally representative data

et al. 2021

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Background In Ethiopia, child undernutrition and anemia are major public health concerns, resulting in increased childhood morbidity and mortality. Despite progress made to reduce the prevalence of malnutrition (especially stunting) from 50% in 2000 to 38% in 2016, little is known about the magnitude and risk factors for concurrent nutritional deficiencies in Ethiopia. Methods Analysis for this study was based on a total sample of 9218 children aged 6–59 months drawn from the Ethiopian Demographic and Health Survey (EDHS) conducted in the year 2016. The study used two outcome variables: Multiple nutrition deficit index formed by combining stunting, underweight, wasting and anemia status; and a concurrent stunting and anemia (CAS) index. Two mixed effect regression models, Poisson and Logistic, were used to identify the key risk factors of the two outcome variables, respectively. Results The proportion of children with stunting (length-for-age), underweight (weight-for-age) and wasting children (weight-for-length) was 38%, 25.2% and 9.4%, respectively. About 58% of the children had anemia. The prevalence of children with concurrent stunting and anemia children was 24.8%. Our results showed that the risks of multiple nutritional problems were determined by a range of individual, household and behavioral factors including: sex of the child, age of the child, birth order, parity, parental education, religion, household wealth index and type of family structure. The proximate variables (hygiene and sanitation score, feeding practice, and child health service utilization score) were also found to exert a strong influence on the risk of multiple nutritional deficiencies. The likelihood of co-occurrence of stunting and anemia was determined by certain individual and household factors, including sex of the child, age of the child, maternal education, household asset based wealth, religion and household hygiene and sanitation. Conclusions This study underscores the importance of improving parental education, household wealth, hygiene and sanitation conditions, promoting feeding practice and child health service utilization. Also, any nutrition sensitive and specific intervention should consider a child’s characteristics such as his/her age, gender and birth order.

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Section: Discussionsupporting

confidence: 93%

Multiple anthropometric and nutritional deficiencies in young children in Ethiopia: a multi-level analysis based on a nationally representative data

et al. 2021

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“…This study also indicated that there is association between region of residence and nutritional status. Earlier survey has also shown a very low prevalence of malnutrition in these regions [ 22 ]. The watched distinction may reflect natural imperatives, more awful broad living conditions, harmful sociocultural practices, unequal intrahousehold food distribution, seasonal food insecurity, poor public facilities, and other related factors [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia

Endris

Asefa

Dube

2017

BioMed Research International

135

120

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Background Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0–59 months in rural Ethiopia. Methods Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. Result The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. Conclusion The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished.

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“…This study revealed that the majority of malnourished children were related to rural residents with low or very low social standards and these results may be due to the fact that undernutrition is strongly related to the low income and social standard and also, it is related with the rural conditions. Different authors documented that severe acute malnutrition is associated with the poor standard of living and living in rural regions [14][15][16]. The association of a higher percentage of breastfeeding with malnutrition in our study (66.7%) suggests that breastfeeding in these cases was insufficient for their normal growth which may be due to prolonged breastfeeding, breastfeeding without optimal supplementation or if the mother is weak, underweight and malnourished related to their poor socioeconomic standards and this was in agreement with Berkley et al, 2005 [17].…”

Section: Discussionmentioning

confidence: 99%

Assessment of left ventricular systolic and diastolic functions in severely malnourished children

Bebars

Askalany

2019

Egypt Pediatric Association Gaz

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Background: Malnourished children endure many changes in body composition and lose heart and skeletal muscle mass. Diastolic dysfunction is one of the major causes of heart failure with preserved ejection fraction. Aim: To assess left ventricular systolic and diastolic functions in children with severe acute malnutrition using tissue Doppler imaging technique and to evaluate the effect of nutritional rehabilitation. Patients and Methods: A follow-up case-control study conducted on 60 severely malnourished children (WHZ <-3SD) and 120 age and sex-matched healthy children as a control group. Tissue Doppler imaging (TDI) was done for all included malnourished children at admission and for control to measure left ventricular systolic and diastolic functions. Nutritional rehabilitation was done according to WHO protocol and tissue doppler was repeated after rehabilitation when (WHZ >-2SD) to detect any changes in systolic or diastolic functions. Results: Systolic function was normal in malnourished children and control. Grade I diastolic dysfunction was detected in 40% and grade II in 30% of severely malnourished children in comparison to 100% normal diastolic function in control group. No correlations between diastolic dysfunction and either anthropometric measurements, electrolyte disturbances or Hb% in malnourished children before nutritional rehabilitation. Mortality from sepsis with associated ventricular dysfunction grade II documented in 3.3% of malnourished children. After nutritional rehabilitation diastolic function improved significantly as 65.6% of children attained normal diastolic function, 31% grade1 and 3.4% grade II. Positive correlations between diastolic function and WAZ, HAZ, WHZ and MUAC after rehabilitation. Conclusion: Severe acute malnutrition affects diastolic function in children which is reversible in most of these cases with rehabilitation. TDI is an easy and practical method for detection and follow-up of ventricular function in malnourished children.

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Urban-rural differentials in child undernutrition in Ethiopia

Cited by 12 publications

References 14 publications

Multiple anthropometric and nutritional deficiencies in young children in Ethiopia: a multi-level analysis based on a nationally representative data

Multiple anthropometric and nutritional deficiencies in young children in Ethiopia: a multi-level analysis based on a nationally representative data

Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia

Assessment of left ventricular systolic and diastolic functions in severely malnourished children

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