Risk factors for undernutrition among children 0–59 months of age in Myanmar

Kang, Yunhee; Kim, Jihye

doi:10.1111/mcn.12821

Cited by 35 publications

(37 citation statements)

References 36 publications

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“…Our study found that children living in rural areas have more prevalence of anthropometric failure compared to urban children. This is consistent with previous studies conducted in Bangladesh [15] and Myanmar [26], and is most likely linked to better living conditions and adequate all years-round food accessibility in urban areas. In addition, our findings show that children from poorer households are more likely to experience anthropometric failure compared with children from richer households.…”

Section: Discussionsupporting

confidence: 92%

“…This study reveals that children who were born at home have a higher prevalence of anthropometric failure than those born at a health facility. This corresponds with a cross-sectional studies in Tanzania [4] and elsewhere [26]. Health facility delivery is very important because it help to receive appropriate and timely obstetric and medical care, as well as information about childcare to parents.…”

Section: Discussionsupporting

confidence: 65%

“…According to the UNICEF conceptual framework [21], undernutrition can be caused by insufficient diet intake, infections, poor breastfeeding or inadequate complementary foods. To date, numerous studies have been conducted to examine the determinants of undernutrition in Tanzania [4,[22][23][24] and elsewhere [15,17,[25][26][27]. However, available studies in the country have used conventional indices, rather than aggregated indicator of CIAF.…”

Section: Introductionmentioning

confidence: 99%

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The burden and correlates of childhood undernutrition in Tanzania according to composite index of anthropometric failure

et al. 2020

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Background: Undernutrition is a public health problem worldwide. Tanzania has made significant achievements in the reduction of childhood undernutrition over the past two decades. However, the exact burden of undernutrition was underestimated when using conventional indices of stunting, wasting and underweight. The objective of this study was to determine the overall prevalence of undernutrition, describe the trends and examine the correlates associated with undernutrition among children under-five years using the composite index of anthropometric failure (CIAF). This study aims to understand the real burden and drivers of undernutrition to improve design, implementation and monitoring of appropriate interventions to ameliorate all form of childhood undernutrition in the country. Methods: About 37,205 mother-child pairs were retrieved and analyzed from the Tanzania Demographic and

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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The burden and correlates of childhood undernutrition in Tanzania according to composite index of anthropometric failure

et al. 2020

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“…Several maternal factors have consistently been identified as factors associated with increased risk of wasting in under-five children. Younger maternal age, height below 145 cm, low level of education and low BMI has been linked with increased risk of wasting in several studies [35,41,[58][59][60][61][62][63]. In our analysis, however, only BMI was associated with risk of wasting.…”

Section: Risk Factors For Wastingcontrasting

confidence: 64%

The Forgotten Agenda of Wasting in Southeast Asia: Burden, Determinants and Overlap with Stunting: A Review of Nationally Representative Cross-Sectional Demographic and Health Surveys in Six Countries

et al. 2020

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Childhood wasting is among the most prevalent forms of undernutrition globally. The Southeast Asia region is home to many wasted children, but wasting is not recognized as a public health problem and its epidemiology is yet to be fully examined. This analysis aimed to determine the burden of wasting, its predictors, and the level of wasting and stunting concurrence. Datasets from Demographic and Health Surveys and Multiple Indicator Cluster Surveys in six countries in the region were analyzed. The pooled weighted prevalence for wasting and concurrent wasting and stunting among children 0–59 months in the six countries was 8.9%, 95% CI (8.0–9.9) and 1.6%, 95% CI (1.5–1.8), respectively. This prevalence is approximately 12-fold higher than the 0.7% prevalence of high-income countries; and translated into an absolute number of 1,088,747 children affected by wasting and 272,563 concurrent wasting and stunting. Wasting prevalence was 50 percent higher in the 0–23-month age group. Predictors for wasting included source of drinking water, wealth index, urban residence, child’s age and history of illness and mother’s body mass index. In conclusion, our analysis showed that wasting is a serious public health problem in the region that should be addressed urgently using both preventive and curative approaches.

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“…Diarrhoea and infections are widely reported to be significantly associated with wasting and underweight among children in various countries [21,29]. In comparison to this study, various studies in different countries proved that younger children are at more risk of wasting compared to older children like in Myanmar [30] and Bangladesh [19,31].…”

Section: Discussionsupporting

confidence: 40%

Inappropriate Household Water, Sanitation and Hygiene practices are associated with Wasting for children under 5 years in Rural Tanzania: Evidence from the 2015/2016 Survey

Khamis

Ntwenya

Senkoro³

2019

Preprint

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Introduction: Wasting is a serious problem which lead to various morbidity and mortality incidences among infants and young children in developing countries. More is needed to reveal the environmental factors affecting infant and young child health in various settings particularly rural areas. Objectives: The objective of this analysis was to examine the association between Water, Sanitation and Hygiene (WASH) factors with children acute malnutrition (wasting), and investigate weather rural and urban areas being prone to poor WASH practices in Tanzania. Methods: This is a secondary data analysis of the 2015 Tanzania Demographic and Health Survey (TDHS) which is a cross-sectional study. The data was retrieved and re-analysed according to the study objective. The study involved 8,937 children aged 0 to 5 years living in Rural and Urban areas of the United Republic of Tanzania. A child was considered to be wasted if weight-for-height Z-scores were below minus two standard deviations (-2 SD) from the median of the WHO reference. Adjusted for Rural and Urban, the WASH factors were entered in the binary logistic regression model for analysis. Multivariate logistic regression was used to control for confounders. Results: Overall, this analysis reveals that rural areas have relatively poor WASH practices compared to their urban counterparts. The result showed that three WASH factors were retained in the model in rural areas. After controling for potential confounders of wasting like diarhoea and fever. The backward selection procedures of the logistic regression showed that: inappropriate disposal of stool (AOR=1.28; 1-1.59 95% CI); more than 30 minutes spent to get water (AOR=0.74; 0.54-1.01 95% CI) and unavailable place for handwashing (AOR=1.23, 0.96-1.56 95% CI) were associated with wasting in rural areas. Only one factor of inappropriate disposal of stool (AOR=2.8; 1.59-4.89, 95% CI) was found to be significantly associated with wasting in urban areas. Both rural and urban areas, there was no association between availability of handwashing facilities, type of sanitation and access to improved water sources with childhood wasting. Conclusion: This study justifies the importance of interventions for WASH targeting on promotion of nutrition and disease prevention in Tanzania especially in rural areas.

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Risk factors for undernutrition among children 0–59 months of age in Myanmar

Cited by 35 publications

References 36 publications

The burden and correlates of childhood undernutrition in Tanzania according to composite index of anthropometric failure

The burden and correlates of childhood undernutrition in Tanzania according to composite index of anthropometric failure

The Forgotten Agenda of Wasting in Southeast Asia: Burden, Determinants and Overlap with Stunting: A Review of Nationally Representative Cross-Sectional Demographic and Health Surveys in Six Countries

Inappropriate Household Water, Sanitation and Hygiene practices are associated with Wasting for children under 5 years in Rural Tanzania: Evidence from the 2015/2016 Survey

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