Malaria and Under-Nutrition: A Community Based Study Among Under-Five Children at Risk of Malaria, South-West Ethiopia

Deribew, Amare; Alemseged, Fessehaye; Tessema, Fasil; Sena, Lelisa; Birhanu, Zewdie; Zeynudin, Ahmed; Sudhakar, Morankar; Abdo, Nasir; Deribe, Kebede; Biadgilign, Sibhatu

doi:10.1371/journal.pone.0010775

Cited by 88 publications

(102 citation statements)

References 24 publications

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“…Similarly, only 3.5% of infected children had documented fever in another school-based study from Kenya. 22 We did not observe an association between underweight and malaria in our cross-sectional survey, similar to a recent study in Ethiopia 11 but unlike other studies from Uganda. 7,8 A among children under 5.…”

Section: Discussionsupporting

confidence: 81%

“…7,8 However, this interaction between malnutrition and malaria is complex and varies depending on the definitions and indicators used for malnutrition measurements. [9][10][11] More specifically, the literature has supported that stunting (low height-forage), the indicator of chronic malnutrition, may increase the risk of malaria. 12 Whereas wasting (low weight-forheight), the indicator of acute malnutrition, appears to be associated with a decreased risk of malaria.…”

Section: Introductionmentioning

confidence: 99%

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Elevated prevalence of malnutrition and malaria among school-aged children and adolescents in war-ravaged South Sudan

Charchuk

Houston

Hawkes

2015

Pathogens and Global Health

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Emerging as a sovereign state from decades of civil war, the Republic of South Sudan now faces poverty, a lack of health care infrastructure, a high burden of infectious diseases and a widespread food insecurity. School-aged children and youth, in particular, represent a high-risk demographic for malnutrition and infectious diseases. We screened 109 school-aged children and youth for nutritional status and malaria antigenaemia in Akuak Rak, South Sudan, and found a large proportion of underweight (77/109 = 73%) and prevalent malaria (44/109 = 40%). There was no significant association between malnutrition and malaria. This study represents one of the few published reports on child and youth nutritional status and malaria prevalence in South Sudan since its independence. The implementation of nutrition and malaria screening combined with evidence-based interventions in schools could help target this high burden vulnerable group.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Elevated prevalence of malnutrition and malaria among school-aged children and adolescents in war-ravaged South Sudan

Charchuk

Houston

Hawkes

2015

Pathogens and Global Health

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“…The HgB levels of the children were measured using HemoCue® HB 301, a U.S. Food and Drug Administration (FDA)-approved device designed for quick analysis of HgB in capillary, venous, or arterial blood [38][39][40][41]. As recommended by the WHO for STH surveys, we conducted stool tests on samples from 12-months to 6-yearold children from the Berd region [42].…”

Section: Measurementsmentioning

confidence: 99%

Prevalence and determinants of stunting in a conflict-ridden border region in Armenia - a cross-sectional study

Balalian

Simonyan²,

Hekimian

et al. 2017

BMC Nutr

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Background: Despite global efforts, stunting remains a public health problem in several developing countries. The prevalence of stunting among 0-to 5-year-old children in Armenia has increased from 17% in 2000 to 19% in 2010. A baseline study was conducted among preschool children in Berd, a region near the northeastern border of Armenia that has experienced intermittent military tension for over 20 years. Methods: We conducted a cross-sectional study including 594 children aged 6-month-6 years old and their caregivers in our analysis, to assess the prevalence and determinants of stunting. We calculated the anthropometric measurements and hemoglobin levels of children; analyzed children's stool and conducted a survey with children's caregivers. We employed the hierarchical logistic regression model to explore the predictors of stunting among 25-72 months old children and multivariable logistic regression models to investigate the predictors of stunting among 6-24 months old children. Individual and residence level variables were included in the models including anemia, minimum dietary diversity, mothers' height, the overall duration of breastfeeding, birthweight, child's history of diarrhea and mean socio-economic score. Results: The prevalence of stunting was significantly higher among the 6-24 months old children (13.3%) compared to the children aged 25-72 months old (7.8%). We did not find any differences in the prevalence of stunting by place of residence in either age group. The 6-24 months old children who consumed at least four food groups during the previous day (minimum dietary diversity) had 72% lower odds of being stunted (p < 0.05). Each kilogram increase in birthweight was associated with 76% lower odds of being stunted (OR = 0.24, p < 0.01). Mother's height significantly decreased the odds of stunting among the children 25-72-months old (OR = 0.86, p < 0.001). BMI was also a significant predictor of stunting among both age-groups. Conclusions: The study results highlight the significance of mother's height, birthweight, and adequate complementary feeding to reduce stunting. Further studies are needed to determine the possible association of anemia and stunting with the ongoing conflict in the region, as well as socioeconomic conditions and food insecurity in the region.

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“…The studies included participants, ranging from 219 (18) to 2410 (19). The largest study was carried out in Oromia region in Gilgel gibe field research center, South West Ethiopia.…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Seven numbers of studies were done with participant age less than 5 years (18)(19)(20)(21)(22)(23) and three other studies were carried out with age between 6 months and 59 months of age (24)(25)(26) years. Only one study was done with participant's age of less than 2 years of age (27).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Systematic Reviews of Prevalence and Associated Factors of Under Five Malnutrition in Ethiopia: Finding the Evidence

Birhanu¹

2015

IJNFS

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Abstract:Background: Globally, 165 million children are stunted. Currently in Ethiopia, 14 %, 9%, and 25% of children are stunted, wasted and underweight respectively. This paper is intended to provide compressive and up to date evidence on the prevalence and investigate the associated factors of Malnutrition in Ethiopia from January, 2000 to May, 2015. Methods: A quantitative epidemiological systematic literature review was conducted by searching different published articles in different data bases which is written in English including MEDLINE, PubMed, Google scholar, Cochrane and grey literatures. The search was restricted to population based studies on malnutrition in Ethiopia published between January 2000 and May 2015. All data were extracted independently by a single reviewer using a standardized protocol and data collection form. Eleven publications met the inclusion criteria. The total pooled data were eleven surveys involving over 7,959 participants. Results: The reported rate of malnutrition is varied widely; the highest rate of under nutrition, stunting and wasting was 49.2, 57.1 and 42.3 respectively and the lowest rate of under nutrition, stunting and wasting was 8.9,24, 4.1 respectively. This variation could be due to seasonal variation; differences in participants mean ages, source population and study settings. This review found a high prevalence of malnutrition both in urban and rural residents and different associated factors including age, sex, prelactal feeding, malaria, deprivation of colostrum and other 17other associated factors. Conclusion and recommendation: Under five malnutrition was considerably prevalent in Ethiopia. Further investigation is important for other vulnerable groups like lactating women, school children, people with different chronic non communicable diseases and older age groups. Primary prevention tailored to provide education on weaning practice, early initiation of breast feeding, family planning, prevention of malaria and diarrhea, health education about fruits and vegetables and malnutrition screening in primary health care context would be of immense value. Further Meta-analysis study is also recommended.

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Malaria and Under-Nutrition: A Community Based Study Among Under-Five Children at Risk of Malaria, South-West Ethiopia

Cited by 88 publications

References 24 publications

Elevated prevalence of malnutrition and malaria among school-aged children and adolescents in war-ravaged South Sudan

Elevated prevalence of malnutrition and malaria among school-aged children and adolescents in war-ravaged South Sudan

Prevalence and determinants of stunting in a conflict-ridden border region in Armenia - a cross-sectional study

Systematic Reviews of Prevalence and Associated Factors of Under Five Malnutrition in Ethiopia: Finding the Evidence

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