Determinants of under-five malnutrition, significant changes, and policy implications in the Ethiopian Demographic Health Survey, 2019

Wondimu, Habtamu; Dejene, Kassahun

doi:10.1007/s43621-022-00087-6

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…The results also show that the richer the household, the less likely the children from such a home will be poorly nourished compared with their counterparts from the poorest household. This finding agrees with other studies [ 31 – 34 , 36 – 40 , 42 – 46 , 48 , 50 – 54 ], and contrary finding with [ 55 ].…”

Section: Discussionsupporting

confidence: 93%

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Obasohan,

Walters,

Jacques

et al. 2024

BMC Nutr

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Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 2025. This study seeks to evaluate the prevalence, the individual and contextual predictors of malnutrition among children aged 6–59 months across Nigeria and its states. Two separates, independently collected, nationally representative cross-sectional surveys, the National Human Development Report (NHDR 2018) and the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were linked for this study. Spatial map was used to describe the prevalence of malnutrition, a 3-level multivariate multilevel logistic regression models were fitted where children/individuals (at level 1) were nested in communities/clusters (at level 2) and nested in states (at level 3). A weighted sample of 7,770 children 6–59 months were considered in this study. The results showed that an estimated 43.6% of children aged 6–59 months are poorly nourished in Nigeria. The proportions of poorly nourished children were generally highest in the Northern Nigeria. Child’s gender, age, birth size, preceding birth order, anaemia status, maternal education, work status, body weight, household wealth status, number of bedrooms were among individual/household predictors of malnutrition. On the community level, being from community with high wealth index, distance to nearest health facilities is no big problem. Regional variations and gender inequality index were the state level predictors of malnutrition among children in Nigeria. This study has shown that two-third of children aged 6–59 months in Nigeria were poorly nourished, an indication of a growing concern of double burden of malnutrition in Nigeria.

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Section: Discussionsupporting

confidence: 93%

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Obasohan,

Walters,

Jacques

et al. 2024

BMC Nutr

View full text Add to dashboard Cite

show abstract

“…The results also show that the richer the household, the less likely the children from such a home will be poorly nourished compared with their counterparts from the poorest household. This nding agrees with other studies [31-34, 36-40, 42-46, 48, 50-54], and contrary nding with [55].…”

Section: Discussionsupporting

confidence: 93%

The Socio-economic, Demographic, and Contextual Predictors of Malnutrition among Children aged 6-59 months in Nigeria

Obasohan

Walters

Jacques

et al. 2023

Preprint

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Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 2025. With barely three years to the end of target date, there is so much yet undone to meet the target especially in developing countries. In fact, there can be no effective interventions without a strong evidence base. This study seeks to evaluate the prevalence of malnutrition among children aged 6–59 months across Nigeria and its states, as well as its individual and contextual factors. Two separates, independently collected, nationally representative cross-sectional surveys, the National Human Development Report (NHDR 2018) and the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were linked for the study. Spatial map was used to describe the prevalence of malnutrition, a 3-level multivariate multilevel logistic regression models were fitted where children/individuals (at level 1) were nested in communities/clusters (at level 2) and nested in states (at level 3). The results showed that an estimated 43.6% of children aged 6–59 months are poorly nourished in Nigeria. The proportions of poorly nourished children were generally highest in the Northern Nigeria. Child’s gender, age, birth size, preceding birth order, anaemia status, maternal education, work status, body weight, household wealth status, number of bedrooms were among individual/household predictors of malnutrition. On the community level, being from community with high wealth index, distance to nearest health facilities is no big problem. Regional variations and gender inequality index were state level predictors of malnutrition among children in Nigeria. This study has shown that two-third of children aged 6–59 months in Nigeria were poorly nourished. The high rates of constant insecurities that have distorted farming activities in the northern part of the country should be addressed urgently.

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“… 26 However, this result was higher than that reported in China, 4.4%. 27 This could be attributed to China being one of the most developed countries globally, leading to better nutritional behaviors compared to Ethiopia. 28 Another possible explanation for this difference may be due to economic disparities.…”

Section: Discussionmentioning

confidence: 99%

Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

Melese,

Esubalew,

Malede

et al. 2024

Environ�Health�Insights

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Background: In Ethiopia, undernutrition remains a significant public health concern throughout the year due to persistent household food insecurit. The intensifying conflict in the Dabat district, involving the Ethiopian government and the Tigray Liberation Front, has increased the threat of undernutrition among under-5 children. The cessation of humanitarian aid has worsened food insecurity, increasing the vulnerability of the children in the region. However,there was no data showing the prevalence and environmental pridictors of undernutrition in the Dabat district, northwestern Ethiopia. Therefore, the objective of this study was to determine the prevalence of undernutrition and identify environmental pridictors in this study setting. Methods: This institutional-based cross-sectional study was conducted from January to March 2023. A total of 400 under-5 children were included in this study using systematic random sampling techniques with a 100% response rate. The study included all under-5 children who visited healthcare facilities during the data collection period. However, it excluded children under-5 who had physical deformities, were critically ill, or had congenital abnormalities or known chronic diseases such as HIV/AIDS, tuberculosis, or chronic heart diseases. Binary logistic regression was used to determine environmental predictors of undernutrition, with statistical significance at a P-value of ⩽.05. Results: The overall prevalence of undernutrition was found to be 12% (95% CI: 8.72-21.5). Among those affected, 32.8% (95% CI: 21.5-39.8) were stunted, 37.9% (95% CI: 28.8-47.50) were underweight, and 29.3% (95% CI: 21.3-29.7) were wasted. The environmental predictors of undernutrition were latrine use, recent diarrhea episodes, mothers’ occupation and place of residence, water treatment before consumption, water sources and storage, water extraction methods, and mothers’ handwashing habits. Conclusions and recommendations: The study found a higher prevalence of undernutrition among under-5 children compared to the 2019 Ethiopia Mini Demographic and Health Survey. This study recommended raising awareness about establishing private toilets, promoting water treatment, proper latrine use, and handwashing practices. Training on personal hygiene and economic support for households should also be provided. Healthcare providers should offer quality health services for under-5 children. Further research is needed to explore specific nutrient deficiencies using laboratory methods.

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Determinants of under-five malnutrition, significant changes, and policy implications in the Ethiopian Demographic Health Survey, 2019

Cited by 6 publications

References 16 publications

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

The Socio-economic, Demographic, and Contextual Predictors of Malnutrition among Children aged 6-59 months in Nigeria

Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

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