The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon
Abstract Background Malnutrition remains a major cause of morbidity and mortality amongst children in displaced settings. Nutrition at this stage is crucial for the growth and development of the child. It is estimated that 41 million children under 5 years are obese/overweight, 159 million are stunt...
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BMC
2023-03-01
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Series: | Conflict and Health |
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Online Access: | https://doi.org/10.1186/s13031-023-00511-2 |
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author | Ayuk Betrand Tambe Mbah Larissa Akeh Nicholas Tendongfor Thembekile Dhlamini Given Chipili Xikombiso Mbhenyane |
author_facet | Ayuk Betrand Tambe Mbah Larissa Akeh Nicholas Tendongfor Thembekile Dhlamini Given Chipili Xikombiso Mbhenyane |
author_sort | Ayuk Betrand Tambe |
collection | DOAJ |
description | Abstract Background Malnutrition remains a major cause of morbidity and mortality amongst children in displaced settings. Nutrition at this stage is crucial for the growth and development of the child. It is estimated that 41 million children under 5 years are obese/overweight, 159 million are stunted and 50 million are wasted worldwide. This study aimed to determine the prevalence and predictors of food insecurity and dietary diversity among internally displaced persons’ children from 6 to 59 months. Methodology A cross sectional community-based study was conducted on 395 children aged 6–59 months from May 2021-June 2021. A multistage cluster sampling method was used to select the study participants. A validated structured questionnaire was used to collect data on sociodemographic characteristics, food security and dietary diversity. Predictors of food insecurity and dietary diversity were identified using logistic regression. The outputs were presented using adjusted odd ratio (AOR) with 95% confidence interval (CI). Results The study results revealed that the level of household food insecurity was 91.6%, at risk of experiencing hunger (3.3%) and food secure (5.5%). Participants had mean dietary diversity score of 3.6 food groups, 51.6% had a low or inadequate dietary diversity and 48.4% had adequate dietary diversity. Children who were from households with monthly income of $101- $200 US dollars and had been displaced just once were 79% (AOR: 0.21, 95%CI: 0.07–0.60) and 84% (AOR: 0.16, 95%CI: 0.05–0.50) less likely to be food insecure compared to their counterparts respectively. While households with participants who Walked ≥ 10 min to fetch drinking water (AOR: 11.61 95%CI: 2.39–52.08) were more likely food insecure. In addition, household monthly income of ≥ $100 US dollars (AOR: 0.20, 95%CI: 0.07–0.56) had a reduced chance of providing low diversified food. Households that had received social grants (AOR: 2.15, 95%CI: 1.38–3.49) and walked ≥ 10 min to fetch drinking water (AOR: 2.43, 95%CI: 1.48–3.98) had a higher chance of providing low diversified food. Conclusion Dietary diversity and household food insecurity was unacceptably low and high respectively among internally displaced children. Policymakers should prioritize strengthening both nutrition sensitive and specific activities that contribute to reduction of food insecurity and consumption of unbalance diet. |
first_indexed | 2024-04-24T16:18:09Z |
format | Article |
id | doaj.art-e4e10ca06065495ebcbed2b7b3814e10 |
institution | Directory Open Access Journal |
issn | 1752-1505 |
language | English |
last_indexed | 2024-04-24T16:18:09Z |
publishDate | 2023-03-01 |
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spelling | doaj.art-e4e10ca06065495ebcbed2b7b3814e102024-03-31T11:22:24ZengBMCConflict and Health1752-15052023-03-0117111110.1186/s13031-023-00511-2The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, CameroonAyuk Betrand Tambe0Mbah Larissa Akeh1Nicholas Tendongfor2Thembekile Dhlamini3Given Chipili4Xikombiso Mbhenyane5Department of Public Health and Hygiene, Faculty of Health Sciences, University of BueaDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of BueaDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of BueaDivision of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch UniversityDepartment of Nutritional Science, School of Applied Science and Technology, Mukuba UniversityDivision of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch UniversityAbstract Background Malnutrition remains a major cause of morbidity and mortality amongst children in displaced settings. Nutrition at this stage is crucial for the growth and development of the child. It is estimated that 41 million children under 5 years are obese/overweight, 159 million are stunted and 50 million are wasted worldwide. This study aimed to determine the prevalence and predictors of food insecurity and dietary diversity among internally displaced persons’ children from 6 to 59 months. Methodology A cross sectional community-based study was conducted on 395 children aged 6–59 months from May 2021-June 2021. A multistage cluster sampling method was used to select the study participants. A validated structured questionnaire was used to collect data on sociodemographic characteristics, food security and dietary diversity. Predictors of food insecurity and dietary diversity were identified using logistic regression. The outputs were presented using adjusted odd ratio (AOR) with 95% confidence interval (CI). Results The study results revealed that the level of household food insecurity was 91.6%, at risk of experiencing hunger (3.3%) and food secure (5.5%). Participants had mean dietary diversity score of 3.6 food groups, 51.6% had a low or inadequate dietary diversity and 48.4% had adequate dietary diversity. Children who were from households with monthly income of $101- $200 US dollars and had been displaced just once were 79% (AOR: 0.21, 95%CI: 0.07–0.60) and 84% (AOR: 0.16, 95%CI: 0.05–0.50) less likely to be food insecure compared to their counterparts respectively. While households with participants who Walked ≥ 10 min to fetch drinking water (AOR: 11.61 95%CI: 2.39–52.08) were more likely food insecure. In addition, household monthly income of ≥ $100 US dollars (AOR: 0.20, 95%CI: 0.07–0.56) had a reduced chance of providing low diversified food. Households that had received social grants (AOR: 2.15, 95%CI: 1.38–3.49) and walked ≥ 10 min to fetch drinking water (AOR: 2.43, 95%CI: 1.48–3.98) had a higher chance of providing low diversified food. Conclusion Dietary diversity and household food insecurity was unacceptably low and high respectively among internally displaced children. Policymakers should prioritize strengthening both nutrition sensitive and specific activities that contribute to reduction of food insecurity and consumption of unbalance diet.https://doi.org/10.1186/s13031-023-00511-2Food insecurityDietary diversityAssociated factorsInternally displaced persons |
spellingShingle | Ayuk Betrand Tambe Mbah Larissa Akeh Nicholas Tendongfor Thembekile Dhlamini Given Chipili Xikombiso Mbhenyane The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon Conflict and Health Food insecurity Dietary diversity Associated factors Internally displaced persons |
title | The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon |
title_full | The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon |
title_fullStr | The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon |
title_full_unstemmed | The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon |
title_short | The predictors of food security and dietary diversity among internally displaced persons’ children (6–59 months) in Bamenda health district, Cameroon |
title_sort | predictors of food security and dietary diversity among internally displaced persons children 6 59 months in bamenda health district cameroon |
topic | Food insecurity Dietary diversity Associated factors Internally displaced persons |
url | https://doi.org/10.1186/s13031-023-00511-2 |
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