Background: Child undernutrition is a major public health problem in Ethiopia. Even though the highest levels of stunting are found in food insecure areas, insufficient evidence limits effective intervention to improve the situation. Therefore, this study aimed to assess undernutrition and associated factors among infants and young children aged 6–23 mo in food insecure households of Amhara and Oromia Regions, Ethiopia.
Method: A community based cross-sectional study was conducted in productive safety net targeted rural households of Amhara and Oromia Regions from April 25 to June 15, 2018.A total of 464 mother-child dyads were included in the study. Both bivariate and multivariate analyses were used to identify factors associated with stunting, wasting and underweight separately.
Results: The prevalence of stunting, wasting and underweight among children 6-23mo was 42.6%, 12.4% and 27.3% respectively. Age of the child 12-23vs 6-12mo(AOR = 4.21 95% CI: 2.52, 7.05), female (AOR = 1.84 [1.23, 2.75]), higher number of births (AOR = 1.72[1.10, 2.70]), lack of zinc supplement (AOR = 2.41[1.33, 4.38]), inadequate diet diversity (AOR=1.69[1.02, 2.81]) and lack of iodized salt in complementary food (AOR=1.55[1.03, 2.32]) were significantly associated with stunting. Similarly, age of child 12-23 mo (AOR=1.92[1.14, 3.24]), female gender (AOR = 1.88[1.22, 2.90]), higher number of births (AOR= 1.67[1.05, 2.66]), lack of zinc supplement (AOR=2.29[1.14, 4.61]), lower maternal income (AOR= 2.34[1.18, 4.65]), and inadequate diet diversity (AOR= 2.34[1.27, 4.33]) showed significant association with underweight.
Conclusion: The magnitude of child undernutrition was found to be very high in the study areas. Child nutrition intervention strategies should take into account nutrition education on appropriate child feeding and iodized salt utilization. In addition, improving zinc supplementation and economic empowerment of women are important to address the high prevalence child undernutrition in the study area.
Key words: Stunting, zinc, iodized salt, diet diversity, maternal income, food insecurity