Mapping stunted children in Ethiopia using two decades of data between 2000 and 2019. A geospatial analysis through the Bayesian approach

Atalell, Kendalem Asmare; Techane, Masresha Asmare; Terefe, Bewuketu; Tamir, Tadesse Tarik

doi:10.1186/s41043-023-00412-3

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…Mapping is crucial for understanding a problem and facilitating the search for a solution. It is also useful for understanding the specific geographic distribution of stunting, which is vital for planning and implementing public health interventions targeted at heavily burdened areas (Ahmed et al, 2021;Atalell et al, 2023).…”

Section: Data Regarding Key Development Indicators To Formulate Polic...mentioning

confidence: 99%

Implementation of Stunting Reduction Regulations and Policies in East Lombok Regency, Indonesia

Taofik,

Samudra,

Satispi

2024

J. of Law and Sust. Develop.

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Objective: This research aims to develop a theoretical model for implementing stunting management policies applicable in East Lombok Regency, Indonesia, and other districts with high stunting prevalence across Indonesia through the enactment of statutory regulations. The study focuses on community engagement, cross-sector collaboration, and capacity building. Theoretical framework: Drawing upon the Network Policy Model concept and supported by the Social-Ecological Model from USAID. Methodology: Employing a qualitative approach, the research utilizes a phenomenological study of stunting incidents, complemented by focus group discussions and interviews. Field observations are integrated to validate the data. Research is conducted in 11 intervention and 10 non-intervention sub-districts. Results: The 2023 intervention exhibited a significant decrease in stunting prevalence from 17.46% (2022) to 14.22% and wasting rate from 5.93% (2022) to 5.07%. Four aspects of success emerged: mapping of stunting areas, improved regulations, community involvement, and collaborative education programs. Conclusion: Successful stunting and wasting management in 11 sub-districts in East Lombok Regency began with intervention mapping. Government collaboration with SEAMEO RECFON, UNICEF, and universities was pivotal. Regulatory improvements included strengthening marriage regulations and school regulations. Community involvement and collaborative education programs were vital, ensuring comprehensive program implementation. Recommendation: The five recommendations from this research are strengthening community involvement by encouraging active participation, improving the governance structure, enhancing capacity building by continuing and expanding training initiatives for the organization's regional representatives, and fostering cross-sector collaboration by strengthening partnerships between regional organizations, NGOs, academic institutions, and international organizations; collaborative efforts can leverage diverse expertise, resources, and networks to accelerate efforts to reduce stunting and prevent wasting; promoting nutrition education and outreach: implement comprehensive nutrition education programs targeting schools, communities, and families. Emphasize the importance of a balanced diet, breastfeeding practices, and proper nutrition during critical periods of growth and development. Research Implications: The findings inform policymakers, program managers, and stakeholders involved in stunting reduction efforts in East Lombok Regency, facilitating evidence-based decision-making and program design for more effective and sustainable interventions. Originality/Value: This research contributes to the existing literature on stunting reduction by providing empirical evidence and insights using the Network Policy Model concept and the Social-Ecological Model. The study's contextual specificity, methodological rigor, stakeholder engagement, and multiple perspectives enrich the understanding of stunting management initiatives.

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Section: Data Regarding Key Development Indicators To Formulate Polic...mentioning

confidence: 99%

Implementation of Stunting Reduction Regulations and Policies in East Lombok Regency, Indonesia

Taofik,

Samudra,

Satispi

2024

J. of Law and Sust. Develop.

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Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study

Haryanti,

Hartini,

Akhmadi

et al. 2024

Belitung Nurs J

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Background: Childhood stunting poses serious long-term risks to cognitive development, education, and adult productivity. While research has explored stunting’s causes and effects, there is a lack of focus on maternal knowledge of nutrition-focused nurturing care for stunted children. This gap limits the ability to design effective interventions that target improved caregiving practices. Objective: This study aimed to assess maternal knowledge of nutrition-focused nurturing care and explore associated factors, including child gender, maternal age, education, income, and prior exposure to nurturing care information, among mothers of stunted children aged 6-23 months in Indonesia. Methods: A cross-sectional study was conducted with 73 mothers in Kulon Progo, Yogyakarta. Data were collected from February to March 2024 using a validated self-assessment questionnaire covering four domains: responsive caregiving, early learning opportunities, safety and security, and supportive caregiver well-being. Statistical analyses, including t-tests and one-way ANOVA, were performed. Results: Overall maternal knowledge of nurturing care was high, with a mean score of 25.15 (SD = 4.72). Factors significantly associated with higher knowledge included having male children (p = 0.017), being aged 30-34 years (p = 0.035), possessing higher education levels (p = 0.002), and prior exposure to nurturing care information (p <0.001). Family income significantly influenced knowledge in the domain of early learning opportunities (p = 0.006), though not in other areas. Conclusion: Maternal knowledge of nutrition-focused nurturing care was influenced by child gender, maternal age, education, income, and prior exposure to nurturing care information. These findings emphasize the importance of focused educational interventions in nursing practice to enhance maternal knowledge. Addressing these factors can help align nursing strategies better to support the healthy growth and development of children.

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The Effect of Rainfall and Temperature Patterns on Childhood Linear Growth in the Tropics: Systematic Review and Meta-Analysis

Desta,

Teferra,

Gebremedhin

2024

IJERPH

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Despite existing research on child undernutrition in the tropics, a comprehensive understanding of how weather patterns impact childhood growth remains limited. This study summarizes and estimates the effect of rainfall and temperature patterns on childhood linear growth among under-fives in the tropics. A total of 41 out of 829 studies were considered based on preset inclusion criteria. Standardized regression coefficients (β) were used to estimate effect sizes, which were subsequently pooled, and forest plots were generated to visually represent the effect size estimates along with their 95% confidence intervals. Of the total reports, 28 and 13 research articles were included in the narrative synthesis and meta-analysis, respectively. The studies establish that patterns in rainfall and temperature either increase or decrease childhood linear growth and the risk of stunting. An increase in every one standard deviation of rainfall results in a 0.049 standard deviation increase in linear growth (β = 0.049, 95% CI: 0.024 to 0.073). This positive association is likely mediated by various factors. In countries where agriculture is heavily dependent on rainfall, increased precipitation can lead to higher crop yields which could in turn result in improved food security. The improved food security positively impacts childhood nutrition and growth. However, the extent to which these benefits are realized can vary depending on moderating factors such as location and socio-economic status. Temperature pattern showed a negative correlation with linear growth, where each standard deviation increase resulted in a decrease in linear growth by 0.039 standard deviations, with specific impacts varying by regional climates (β = −0.039, 95% CI: −0.065 to −0.013). Additionally, our meta-analysis shows a small but positive relationship of childhood stunting with temperature pattern in western Africa (β = 0.064, 95% CI: 0.035, 0.093). This association is likely due to temperature patterns’ indirect effects on food security and increased disease burden. Thus, the intricate interaction between weather patterns and childhood linear growth requires further research to distinguish the relationship considering other factors in the global tropics. While our findings provide valuable insights, they are primarily based on observational studies from sub-Saharan Africa and may not be generalizable to other tropical regions.

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Mapping stunted children in Ethiopia using two decades of data between 2000 and 2019. A geospatial analysis through the Bayesian approach

Cited by 3 publications

References 38 publications

Implementation of Stunting Reduction Regulations and Policies in East Lombok Regency, Indonesia

Implementation of Stunting Reduction Regulations and Policies in East Lombok Regency, Indonesia

Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study

The Effect of Rainfall and Temperature Patterns on Childhood Linear Growth in the Tropics: Systematic Review and Meta-Analysis

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