Risk factors for stunted growth among children aged 6–59 months in rural Uganda

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

doi:10.14302/issn.2379-7835.ijn-16-1408

Cited by 13 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We developed and used a structured household questionnaire and we ran focus group discussions and interviews with key informants. The study was conducted alongside a survey of nutrition and stunting [22]. Both studies were carried out in 32 randomly selected villages in Buhweju district.…”

Section: Study Design and Data Collection Methodsmentioning

confidence: 99%

“…The probability proportional to size (PPS) method was used to randomly select the study villages from the 216 villages in Buhweju district. Systematic random sampling was then used to select eight households for the nutrition and stunting survey (which included assessment of ANC and EPI coverage) from each of the villages [22]. All selected households with children aged 0-23 months were included in the study of IYCF practices.…”

Section: Study Design and Data Collection Methodsmentioning

confidence: 99%

“…The district was chosen because it is one of the districts in south western region where previous localized nutrition surveys have reported a high prevalence of stunting in a region deemed to be food secure [22,23]. The district consists of one county (Buhweju) and eight sub-counties (Bihanga, Burere, Karungu, Rwengwe, Bitsya, Nsiika Town Council, Engaju and Nyakishana).…”

Section: Study Sitementioning

confidence: 99%

“…The sample size calculation for the larger study that assessed the prevalence of stunting and its risk factors has been published elsewhere [22]. The sample size for the study of IYCF practices among children under 2 years was determined using the Infant and Child Feeding Index (ICFI) approach.…”

Section: Sample Size Calculationmentioning

confidence: 99%

“…The variables included in these analyses were: early initiation of breastfeeding within 1 h, use of pre-lacteals, exclusive breastfeeding, appropriate introduction of solid, semi-solid or soft foods, continued breastfeeding to 2 years of age, minimum dietary diversity (MDD), minimum meal frequency, minimum acceptable diet (MAD), EPI, vitamin A supplementation, deworming, antenatal care and skilled attendant during childbirth. We used the results of stunting prevalence obtained from the survey of nutrition and stunting [22] to model in LiST the impact of stunting reduction between 2017 and 2040 on child mortality.…”

Section: Data Management and Analysismentioning

confidence: 99%

See 4 more Smart Citations

Modelling the impact of stunting on child survival in a rural Ugandan setting

2018

Self Cite

View full text Add to dashboard Cite

Background: Uganda ranks among the top 10 countries in the world for newborn and child mortality rates and among the top 34 for burden of stunting. This study was conducted to model the impact of stunting on child mortality in the southwest region of Uganda where the prevalence of stunting and child mortality are of great public health concern. Methods: The study was conducted in Buhweju district in the southwest region of Uganda. The study was cross-sectional involving use of a structured household questionnaire, focus group discussions and interviews with key informants in order to gather relevant information on infant and young child feeding (IYCF) and coverage of antenatal care (ANC) and vaccination programs. The survey of stunting, vaccination and ANC services covered 221 children aged 6-59 months while the assessment of IYCF practices covered 83 children aged 0-23. The Lives Saved Tool (LiST) was used to estimate the impact of stunting on child mortality and cases of stunting averted. Results: The study findings indicated that only 33% of the mothers had knowledge of optimal IYCF and 39% of the sampled children were exclusively breastfed. The majority of the mothers (57%) breastfed their children for less than 2 years and only 31% of the mothers practiced appropriate introduction of complementary foods at 6 months. Only 17% of the 0-23-month-olds received a good standard of IYCF. Only 37% of the mothers reportedly attended ANC 4 times or more during pregnancy and among children aged 6-59 months, only 28% were fully vaccinated. The high impact LiST model estimated that 1297 children under 5 years would be saved and 24,850 cases of stunting averted in the study district. Conclusions: The study concludes that IYCF practices and coverage of expanded programme on immunization (EPI) and ANC in the study population are sub-optimal thus the high prevalence of stunting and child mortality in the region. LiST demonstrated that prevention of stunting would reduce child mortality in rural Uganda. Therefore, increased investment in cost-effective child survival interventions targeting rural areas of Uganda would have a significant impact on stunting and child mortality.

show abstract

Section: Study Design and Data Collection Methodsmentioning

confidence: 99%

Section: Study Design and Data Collection Methodsmentioning

confidence: 99%

Section: Study Sitementioning

confidence: 99%

Section: Sample Size Calculationmentioning

confidence: 99%

Section: Data Management and Analysismentioning

confidence: 99%

See 3 more Smart Citations

Modelling the impact of stunting on child survival in a rural Ugandan setting

2018

Self Cite

View full text Add to dashboard Cite

show abstract

The role of complementary feeding in India’s high child malnutrition rates: findings from a comprehensive analysis of NFHS IV (2015–2016) data

Petríková

2021

Food Sec.

View full text Add to dashboard Cite

Relative to its economic growth and poverty levels, Indian children suffer from higher levels of malnutrition than children in many other low- and middle-income countries. Research presented in this article examined the links between infant and young child feeding practices among Indian children and their rates of stunting, underweight, wasting, and anaemia, with a particular focus on the types of semisolid complementary food consumed. It did so through a comprehensive analysis of data on more than 57,000 6-to-23-month-old children obtained from the nationally representative National Family Health Survey IV (2015–2016). One of the key findings was that especially feeding children animal-sourced and vitamin-A-rich food was associated with lower malnutrition rates. The study further interrogated whether livestock ownership and participation in the Integrated Child Development Services programme could be supportive of better complementary child feeding and concluded that daily food receipts from the programme and poultry ownership were indeed linked with significantly higher rates of children following the recommended feeding practices as well as with somewhat lower children’s malnutrition rates.

show abstract