Predictors of Stunting in Children Aged 6 to 59 Months: A Case–Control Study in Southwest Uganda

Bukusuba, John; Kaaya, Archileo N.; Atukwase, Abel

doi:10.1177/0379572117731666

Cited by 39 publications

(40 citation statements)

References 24 publications

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“…Unlike many other study findings, this study documented that the odds of being stunted was higher for females as compared to males. This finding is different from other study findings from Ethiopia, Nigeria, Tanzania and Uganda where males have higher risk of being stunted [14,[17][18][19]. On the other hand, in favor of our finding a study from Eastern Ethiopia reported that females had higher chance of being stunted [20].…”

Section: Discussioncontrasting

confidence: 99%

“…We have found that pre-lacteal feeding was a predictor of stunting. This is consistent with a study from Southern and Northern Ethiopia [19,39,40]. The plausible reason may be stunted children are less likely to be introduced to complementary feeding at appropriate age [18].…”

Section: Discussionsupporting

confidence: 91%

“…In consistence with studies from Nigeria, South and Northwest Ethiopia, children with diarrheal morbidity 2 weeks prior to the study had a higher chance of being stunted [14,19,38,39]. Diarrhea results in poor appetite, digestion problem and malabsorption and malnutrition children on the other hand have severe episodes of diarrhea.…”

Section: Discussionmentioning

confidence: 75%

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Predictors of stunting among children 6–59 months of age in Sodo Zuria District, South Ethiopia: a community based cross-sectional study

et al. 2019

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Background: Despite the decline in the rate of stunting in Ethiopia, the prevalence is still high and needs immense efforts to achieve the target set to reduce the prevalence. It varies between localities due to individual level factors and dominant livelihood practice in the community. Thus, the aim of this study was to determine the prevalence of stunting and identify factors associated with it in Sodo Zuria district in South Ethiopia. Methods: A community based cross sectional study was conducted among 342 children aged 6-59 months paired with mothers/caretakers. Households were selected using systematic sampling. Structured questionnaire was used and mothers/caregivers were interviewed face to face. Standardized anthropometric measurements were used to measure length, and weight and height of a child. Data were entered into Epi Info software version 3.5.1 and exported to SPSS version 20 for analysis. Height for age Z score data were analyzed using WHO Anthro software. Multivariate logistic regression analysis was conducted to identify predictor variables. Statistical significance was considered at p < 0.05. Results: The prevalence of stunting in this study was 24.9% with 7.9% being severely stunted. Being female (AOR = 2.8; 95% CI: 1.5, 5.3), children aged 12-23 months (AOR = 7.1; 95% CI: 2.3, 21.9), mother's who do not use family planning (AOR = 2.5; 95% CI: 1.1,5.7), children with diarrheal morbidity (AOR = 2.5; 95% CI: 1.2,5.3), income of 750-1500 ETB and > 1500, and children who received pre-lacteal feeding (AOR = 3.8; 95% CI: 1.2-12.2) became predictors for stunting. Conclusion: Significant proportion of stunting was found where one third of them were severely stunted. Being female, children aged 12-23 months, using family planning, children with diarrheal morbidity, income and pre-lacteal feeding became predictors for stunting. So Gender-based policies should be enacted in child feeding practice, interventions should focus on the utilization of family planning and appropriate child caring and feeding practices. Water, sanitation and hygiene interventions need to be strengthened.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 91%

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Predictors of stunting among children 6–59 months of age in Sodo Zuria District, South Ethiopia: a community based cross-sectional study

et al. 2019

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“…Several factors influence stunting, including the socioeconomic status of the household, parents' education, anemia, soil-transmitted helminths (STH) infections, diarrheal infections, dietary intake and complementary feeding [11][12][13][14][15][16][17][18][19][20][21][22]. Short overall duration of breastfeeding, as well as the late introduction of appropriate solid foods, have both been associated with stunting in many studies [18,[23][24][25][26] Birth outcomes such as low birth weight and birth length are also important factors that are associated with higher prevalence of stunting [24,27,28].…”

Section: Introductionmentioning

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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“…A 2017 report noted that approximately, 11 percent of all children were underweight and 2 percent severely underweight with children in rural areas slightly more likely than those in urban areas to be underweight (11 percent and 8 percent, respectively)(9). The western region of Uganda has persistently registered the highest levels of childhood malnutrition especially stunting, yet, this is the region with plentiful food production and is sometimes referred to as "the food basket" of the country (10,11). In the Ankole region of southwest Uganda, children under 5 years 29.3% were stunted, similar to a national average of 29.0% but Buhweju district had stunting levels of 51%-55.6% (9,12).…”

Section: Introductionmentioning

confidence: 99%

Healthcare providers and Caregivers’ perspectives on factors underlying the persistent malnutrition of Children aged 0-59 months in Buhweju district, southwestern Uganda

Abaasa

Rukundo

Ayesiga

et al. 2020

Preprint

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Background The nutritional well-being of infants and young children is influenced by economic, environmental and maternal factors that range from food intake, health, sanitation and care. All regions of Uganda have registered unacceptably high levels of childhood malnutrition over the years, although with an uneven distribution across regions. This study assessed health provider and caregiver perspectives on factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district.Methods In this phenomenological qualitative study, we conducted six Focus group discussions with Village Health Team members and care takers of children aged 0-59 months in Engaju and Nyakishana sub-counties and two key informant interviews with two members of the district health team to explore their perceptives on the factors responsible for persistent malnutrition in Buhweju District in May 2018. Data were thematically analyzed manually and using Atals Ti 7.5Results Historical and geographical challenges, poverty and economic occupation, parental alcoholism and domestic violence as well as inadequate childcare services were identified as factors responsible for persistent malnutrition among children aged 0-59 months in Engaju and Nyakishana sub counties in Buhweju district Conclusion Persistent malnutrition in children aged 0-59 months in Buhweju district is mainly due to historical and geographical challenges and its associated factors that include poverty and economic occupation, parental alcoholism and domestic violence and inadequate childcare services . Addressing these factors from the grassroots up through, multisectoral collaboration between infrastructure, Agriculture, Education and health, engaging communities and effective policy changes and implementation has the potential to improve the nutrition status of children in Buhweju district

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Predictors of Stunting in Children Aged 6 to 59 Months: A Case–Control Study in Southwest Uganda

Abstract: Low access to appropriate complementary diets, sex of child, food insecurity, poor socioeconomic status, and low knowledge about stunting were the main predictors of childhood stunting in the study population.

Cited by 39 publications

References 24 publications

Predictors of stunting among children 6–59 months of age in Sodo Zuria District, South Ethiopia: a community based cross-sectional study

Predictors of stunting among children 6–59 months of age in Sodo Zuria District, South Ethiopia: a community based cross-sectional study

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

Healthcare providers and Caregivers’ perspectives on factors underlying the persistent malnutrition of Children aged 0-59 months in Buhweju district, southwestern Uganda

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