Determinants of stunting and severe stunting among under-fives in Tanzania: evidence from the 2010 cross-sectional household survey

Chirande, Lulu; Charwe, Deborah Donald; Mbwana, Hadijah A.; Victor, Rose; Kimboka, Sabas; Issaka, Abukari I.; Baines, Susan; Dibley, Michael J.; Agho, Kingsley

doi:10.1186/s12887-015-0482-9

Cited by 221 publications

(302 citation statements)

References 33 publications

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“…Male children were also more likely to be stunted compared to female children. This relationship has been reported in the literature from developing countries including Ghana [14,26], Tanzania [27], Ethiopia [24], Cambodia [3] and India [28]. In spite of this widespread identification of the male susceptibility to stunting, the exact factors underlying it have yet to be well understood [14] but likely to be biological [29].…”

Section: Discussionmentioning

confidence: 94%

The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana

et al. 2017

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Background: Undernutrition among preschool children in Northern region is the highest in Ghana. However, there is scarcity of data on the factors that determine undernutrition in these children. This study investigated the effect of maternal and child factors on undernutrition among preschool children in Northern Ghana. Methods: This study was a community based analytical cross-sectional survey on a sample of 425 mother-child pairs drawn from 25 clusters. A semi-structured questionnaire was used to collect data on maternal and child socio-demographic characteristics, feeding practices and anthropometry. Anthropometric indices of Height-for-age Z-scores (HAZ), Weight-for-height Z-scores (WHZ) and Weight-for -age Z-scores (WAZ) were used to classify child stunting, wasting and underweight respectively. Bivariate and multivariate analyses were performed to determine associations between explanatory variables and undernutrition. Results: The prevalence of stunting, wasting and underweight were 28.2, 9.9 and 19.3% respectively. Multiple logistic regression analysis showed that, the odds of stunting was higher among male children [AOR = 1. Conclusion: Maternal height associated negatively with stunting but not wasting. Factors that affect low height -forage z-score (HAZ) may not necessarily be the same as stunting. Infant and child feeding practices as measured by dietary diversity score associated positively with weight-for-height Z-scores than length-for-age Z-scores of young children. Surprisingly, consumption of some specific food groups including, animal source foods, legumes, staples and eggs were associated with lower HAZ but with increased likelihood of higher WHZ among children 6-59 months.

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Section: Discussionmentioning

confidence: 94%

The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana

et al. 2017

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“…For example, studies of determinants of stunting among children under 5 years old in Tanzania found that unsafe drinking-water sources were one of the major predictors of stunted growth (22,26). Providing people with access to improved WASH facilities (i.e., safe drinking water, adequate sanitation and facilities to wash their hands with soap) would reduce incidences of diarrhea among children under five and, therefore, they would reduce mortality.…”

Section: Independent Predictors Of Stunted Growthmentioning

confidence: 99%

Risk factors for stunted growth among children aged 6–59 months in rural Uganda

Bukusuba

Kaaya

Atukwase

2017

IJN

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Despite the agreed global and national stunting reduction targets, Uganda has made very little progress. Understanding context-specific risk factors for stunted growth is therefore pertinent to designing programs to address the problem.A cross-sectional study was conducted in 32 randomly selected villages in Buhweju district, Southwest Uganda. Data entry, cleaning and analysis were carried out using Statistical Package for Social Sciences (SPSS) version 21. A regression analysis was conducted to examine the associations between potential risk factors and stunted growth.The survey covered 256 households and anthropometric measurements were taken for 221 children aged 6-59 months. The majority of the households (66%) in the district were food insecure and had a low socioeconomic status (84%). The prevalence of stunting in Buhweju district was 51%, which is significantly higher than the regional and national averages. Only 28% of the children were exclusively breastfed in the first 6 months of life, and only 10% of them received the minimum acceptable diet (MAD).The findings of this study demonstrate that reductions in stunted growth at national or regional levels has not necessarily translated into similar trends in rural areas of Uganda. The notable contributors to stunting in these areas include morbidity, sub-optimal infant and young child feeding (IYCF) practices, low consumption of animalsource foods, food insecurity, lack of access to high-quality drinking water, sanitation and hygiene (WASH) facilities and poverty. Increased investment in both nutrition specific and sensitive interventions is therefore crucial to address these risk factors.

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“…Penelitian lainnya yang dilakukan oleh McDonald et al, (2012) di Tanzania menyatakan bahwa prematuritas dan Berat Badan Lahir Rendah (BBLR) merupakan faktor penting yang dapat mempengaruhi stunting, wasting, dan underweight pada anak usia 6-24 bulan. Selain itu, pendidikan ibu, sumber air minum dan sanitasi yang tidak aman, juga memiliki hubungan yang berkaitan erat dengan kejadian stunting (Chirande et al, 2015).…”

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The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months

Rahayu

Pamungkasari

Wekadigunawan

2018

J MATERN CHILD HEALTH

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Background: Stunting and wasting are a growth disorder in children under five years of age caused by malnutrition. Stunting is generally caused by recurrent acute malnutrition, whereas wasting occurs due to short-term malnutrition. If untreated properly, stunting and wasting may cause low intelligence in adult life. This study aimed to analyze the biopsychosocial determinants of stunting and wasting in children aged 12-48 months. Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Mulya Asri, Panaragan, and Dayamurni community health centers, from January to February 2018. A sample of 150 children under-five was selected for this study by fixed disease sampling. The dependent variables were stunting and wasting. The independent variables were birthweight, maternal knowledge, maternal education, maternal nutritional status (midupper arm circumference/ MUAC), exclusive breastfeeding, upper respiratory tract infection, diarrhea, lack of clean water, poor sanitation. The data were collected by questionnaire and maternal and child health monitoring book. The data were analyzed by a logistic regression. Results: The risk of stunting increased with poor maternal knowledge (OR= 5.29; 95% CI= 1.30 to 21.54; p=0.002), low maternal education (OR=10.25; 95%CI= 2.26 to 46.79; p=0.003), poor maternal nutritional status (OR= 8.87; 95% CI= 2.14 to 36.74; p=0.003), low birthweight rendah (OR= 9.86; 95% CI= 2.60 to 37.47; p=0.001), infants receiveing no exclusive breastfeeding (OR= 5.70; 95% CI= 1.59 to 20.46; p=0.008). The risk of wasting increased with poor knowledge (OR= 10.95; 95% CI= 2.14 to 56.91; p= 0.004), low family income (OR= 7.04; 95% CI= 5.51 to 32.78; p=0.013), low birthweight (OR= 14.71; 95% CI= 2.74 to 79.06; p=0.002), URTI history (OR= 4.87; 95% CI= 1.23 to 19.38; p=0.024), diarrhea (OR= 6.09; 95% CI= 1.42 to 26.20; p=0.015), a lack of clean water (OR= 9.78; 95% CI= 2.26 to 42.36; p=0.002), and poor sanitation (OR= 7.67; 95% CI= 1.85 to 31.75; p=0.004). Conclusion: Stunting and wasting are affected by birthweight, URTI history, diarrhea, maternal nutritional status, maternal knowledge, maternal education, family income, lack of clean water, and poor sanitation.

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Determinants of stunting and severe stunting among under-fives in Tanzania: evidence from the 2010 cross-sectional household survey

Cited by 221 publications

References 33 publications

The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana

The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana

Risk factors for stunted growth among children aged 6–59 months in rural Uganda

The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months

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