Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia
Abstract Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is unacceptably slow. In addition, little is known about the magnitude and factors associated with concurrent wasting and stunting (WaSt). Therefore, this study aimed to assess the prevalence and fa...
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| Format: | Article |
| Language: | English |
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Wiley
2021-07-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13172 |
| _version_ | 1819067897888112640 |
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| author | Aklilu Abrham Roba Nega Assefa Yadeta Dessie Abebe Tolera Kedir Teji Hemler Elena Lilia Bliznashka Wafaie Fawzi |
| author_facet | Aklilu Abrham Roba Nega Assefa Yadeta Dessie Abebe Tolera Kedir Teji Hemler Elena Lilia Bliznashka Wafaie Fawzi |
| author_sort | Aklilu Abrham Roba |
| collection | DOAJ |
| description | Abstract Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is unacceptably slow. In addition, little is known about the magnitude and factors associated with concurrent wasting and stunting (WaSt). Therefore, this study aimed to assess the prevalence and factors associated with WaSt, wasting, stunting and underweight among children 6–59 months in Kersa Health and Demographic Surveillance System, Ethiopia. Data from a total of 1091 children and their parents' were analysed from a cross‐sectional study. Household questionnaires and anthropometric measurements were used for data collection. Height‐for‐age, weight‐for‐height and weight‐for‐age indices are expressed as standard deviation units from the mean for the reference group. Multivariate analyses were conducted to identify factors associated with WaSt, wasting, stunting and underweight. Statistical significance was declared at p < 0.05. The prevalence of indicators of malnutrition was WaSt (5.8%), wasting (16.8%), stunting (53.9%) and underweight (36.9%). Children aged 6–17 months had a higher odds of wasting (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.12–2.75) compared with those aged 36–59 months, whereas children aged 18–35 months (aOR 2.4, 95% CI 1.65–3.47) and 36–59 months (aOR 1.6, 95% CI 1.07–2.37) had higher odds of stunting compared with those aged 6–17 months. Similarly, children aged 18–35 months (aOR 1.6, 95% CI 1.07–2.37) and 36–59 months (aOR 2.2, 95% CI 1.52–3.10) had higher odds of underweight compared with children aged 6–17 months. Households that did not treat drinking water at point of use were at higher odds of WaSt (aOR 3.3, 95% CI 1.16–9.27) and stunting (aOR 1.9, 95% CI 1.31–2.85) compared with those who did treat drinking water. Boys were more likely to be WaSt, wasted, stunted and underweight. Cough was associated with WaSt, wasting and underweight. Furthermore, maternal education, maternal occupation and maternal age were significantly associated with wasting. Maternal body mass index (BMI) of less than 18.5 kg/m2 and maternal BMI between 18.5 and 25 kg/m2 were associated with child stunting. In Kersa, the prevalence of WaSt, wasting, stunting and underweight is very high and requires urgent public health intervention. This study highlights point‐of‐use water treatment, maternal education, hygiene and sanitation, child health service utilization and maternal BMI as important areas to improve to target child malnutrition. Furthermore, a community‐based programmatic and policy direction for early identification and management of WaSt in addition to other indicators of malnutrition is recommended. |
| first_indexed | 2024-12-21T16:25:33Z |
| format | Article |
| id | doaj.art-0ea68d19214e4adfb3cfe864fd2a5aa5 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-12-21T16:25:33Z |
| publishDate | 2021-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-0ea68d19214e4adfb3cfe864fd2a5aa52022-12-21T18:57:27ZengWileyMaternal and Child Nutrition1740-86951740-87092021-07-01173n/an/a10.1111/mcn.13172Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, EthiopiaAklilu Abrham Roba0Nega Assefa1Yadeta Dessie2Abebe Tolera3Kedir Teji4Hemler Elena5Lilia Bliznashka6Wafaie Fawzi7College of Health and Medical Sciences Haramaya University Dire Dawa EthiopiaCollege of Health and Medical Sciences Haramaya University Dire Dawa EthiopiaCollege of Health and Medical Sciences Haramaya University Dire Dawa EthiopiaCollege of Health and Medical Sciences Haramaya University Dire Dawa EthiopiaCollege of Health and Medical Sciences Haramaya University Dire Dawa EthiopiaHarvard T.H. Chan School of Public Health Harvard University Boston Massachusetts USAHarvard T.H. Chan School of Public Health Harvard University Boston Massachusetts USAHarvard T.H. Chan School of Public Health Harvard University Boston Massachusetts USAAbstract Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is unacceptably slow. In addition, little is known about the magnitude and factors associated with concurrent wasting and stunting (WaSt). Therefore, this study aimed to assess the prevalence and factors associated with WaSt, wasting, stunting and underweight among children 6–59 months in Kersa Health and Demographic Surveillance System, Ethiopia. Data from a total of 1091 children and their parents' were analysed from a cross‐sectional study. Household questionnaires and anthropometric measurements were used for data collection. Height‐for‐age, weight‐for‐height and weight‐for‐age indices are expressed as standard deviation units from the mean for the reference group. Multivariate analyses were conducted to identify factors associated with WaSt, wasting, stunting and underweight. Statistical significance was declared at p < 0.05. The prevalence of indicators of malnutrition was WaSt (5.8%), wasting (16.8%), stunting (53.9%) and underweight (36.9%). Children aged 6–17 months had a higher odds of wasting (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.12–2.75) compared with those aged 36–59 months, whereas children aged 18–35 months (aOR 2.4, 95% CI 1.65–3.47) and 36–59 months (aOR 1.6, 95% CI 1.07–2.37) had higher odds of stunting compared with those aged 6–17 months. Similarly, children aged 18–35 months (aOR 1.6, 95% CI 1.07–2.37) and 36–59 months (aOR 2.2, 95% CI 1.52–3.10) had higher odds of underweight compared with children aged 6–17 months. Households that did not treat drinking water at point of use were at higher odds of WaSt (aOR 3.3, 95% CI 1.16–9.27) and stunting (aOR 1.9, 95% CI 1.31–2.85) compared with those who did treat drinking water. Boys were more likely to be WaSt, wasted, stunted and underweight. Cough was associated with WaSt, wasting and underweight. Furthermore, maternal education, maternal occupation and maternal age were significantly associated with wasting. Maternal body mass index (BMI) of less than 18.5 kg/m2 and maternal BMI between 18.5 and 25 kg/m2 were associated with child stunting. In Kersa, the prevalence of WaSt, wasting, stunting and underweight is very high and requires urgent public health intervention. This study highlights point‐of‐use water treatment, maternal education, hygiene and sanitation, child health service utilization and maternal BMI as important areas to improve to target child malnutrition. Furthermore, a community‐based programmatic and policy direction for early identification and management of WaSt in addition to other indicators of malnutrition is recommended.https://doi.org/10.1111/mcn.13172concurrent wasting and stuntingEthiopiaKersa HDSSpoint‐of‐use water treatmentstuntingunderweight |
| spellingShingle | Aklilu Abrham Roba Nega Assefa Yadeta Dessie Abebe Tolera Kedir Teji Hemler Elena Lilia Bliznashka Wafaie Fawzi Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia Maternal and Child Nutrition concurrent wasting and stunting Ethiopia Kersa HDSS point‐of‐use water treatment stunting underweight |
| title | Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia |
| title_full | Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia |
| title_fullStr | Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia |
| title_full_unstemmed | Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia |
| title_short | Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6–59 months old in Kersa, Ethiopia |
| title_sort | prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6 59 months old in kersa ethiopia |
| topic | concurrent wasting and stunting Ethiopia Kersa HDSS point‐of‐use water treatment stunting underweight |
| url | https://doi.org/10.1111/mcn.13172 |
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