Risk factors of chronic childhood malnutrition: an analysis of the Bangladesh demographic and health survey 2014 data

Rahman, Md. Ashfikur; Salim, Shakur; Rahman, Md. Ashfikur; Ashikuzzaman, Md.; Husna, Asma Ul; Khan, Bayezid

doi:10.1007/s10389-020-01281-4

Cited by 20 publications

(33 citation statements)

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“…In low resource countries like Bangladesh, poverty and childhood malnutrition continue to be major public health concerns. Although Bangladesh has attained excellent progress over the past few decades in different areas of health, particularly in health-related Millennium Development Goals, and has made few nutritional achievements [ 1 , 24 ]. Nevertheless, the high prevalence of childhood malnutrition still exists in Bangladesh, and it cannot be denied [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Worldwide, childhood malnutrition is a significant public health concern as it contributes to impaired mental and physical growth and is a significant cause of child morbidity and mortality [ 1 – 3 ]. Around 3.5 million children die every year from malnutrition, and low- and middle-income countries (LMICs) are more prevalent, advancing the global burden of diseases by 11% [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…As the effects of childhood malnutrition are intergenerational, public policies and poverty reduction strategies have targeted multi-faceted approaches in developing countries [ 7 , 9 ]. Bangladesh has already initiated several of these approaches despite accounting for their effectiveness, such as nutritional programs (i.e., food for education and nutrition), education for poverty reduction [ 1 , 2 , 7 , 9 ]. Moreover, the Poverty Reduction Strategy Paper (PRSP) of Bangladesh designed various plans to achieve strategic and employment growth, implementing macroeconomic structure in public and private sectors.…”

Section: Introductionmentioning

confidence: 99%

“…However, apart from economic factors, many non-economic factors (such as place of residence, geographical locations, access to water and sanitation, maternal and child-related biological characteristics, etc.) are also regarded as important determinants of childhood malnutrition at the household level [ 1 – 3 , 7 , 17 , 18 ]. To promote health equity and equitable gains, policymakers and development professionals strongly emphasize reducing this economic gap to have a more significant impact on childhood malnutrition [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Poverty and childhood malnutrition: Evidence-based on a nationally representative survey of Bangladesh

et al. 2021

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Background Malnutrition contributes to children’s morbidity and mortality, and the situation undermines the economic growth and development of Bangladesh. Malnutrition is associated with lower levels of education that decrease economic productivity and leads to poverty. The global burden of malnutrition continues to be unacceptably high amid social and economic growth, including in Bangladesh. Therefore, identifying the factors associated with childhood malnutrition and poverty is necessary to stop the vicious cycle of malnutrition leaded poverty. Methods The study utilized the 2017–18 Bangladesh Demographic and Health Survey (BDHS), accumulating 7,738 mother-child pairs. Associations between potential risk factors and nutritional status were determined using chi-square tests, and multivariate logistic regression models were utilized on significant risk factors to measure their odds ratio (OR) with their 95% confidence intervals (CI). Results The prevalence of moderate and severe wasting was 7.0% and 1.8%, respectively, whereas the prevalence of moderate and severe stunting was 19.2% and 8.0%, while 16.4% and 3.6% of children were moderately and severely underweight. Children from the poorest and poor households were suffering from at least one form of malnutrition. Adjusted ORs were estimated by controlling socio-economic and demographic risk factors, such as poor maternal body mass index, parents’ lower education level, use of unhygienic toilet, child age in months, and recent experience of diarrhea and fever. The pattern was almost similar for each malnutrition status (i.e., stunting, underweight, and wasting) in the poorest and poor households. Conclusion Bangladesh achieved the Millennium Development Goals, focusing primarily on health-related indicators and working to achieve the Sustainable Development Goals. Even considering this success, the prevalence of malnutrition and poverty in same household remains relatively high compared to other developing countries. Therefore, the study recommends the implementation of nationwide systematic measures to prevent poverty and malnutrition.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Poverty and childhood malnutrition: Evidence-based on a nationally representative survey of Bangladesh

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“…Moreover, the BDHS-2014 data reveals that the frequency of stunted and underweight children is one per every three children; on the other hand, one in every seven children is wasted. While male children and children of age 12-59 months are at high risk to be stunted (Rahman and Sultana, 2019).…”

Section: Introductionmentioning

confidence: 99%

Gender differences in child nutrition status of Bangladesh: a multinomial modeling approach

Haq

Hossain

Parvin

et al. 2021

JHASS

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Purpose Malnutrition is one of the serious public health problems especially for children and pregnant women in developing countries such as Bangladesh. This study aims to identify the risk factors associated with child nutrition for both male and female children in Bangladesh. Design/methodology/approach This study was conducted among 23,099 mothers or caretakers of children under five years of age from a nationally representative survey named Bangladesh Multiple Indicator Cluster Survey, 2019. This study used chi-square test statistic for bivariate analysis and multinomial logistic regression was used to evaluate the adjusted effects of those covariates on child nutritional status. Findings The prevalence of severely malnourished, nourishment was higher for males than females (5.3% vs 5.1%, 77.4% vs 76.8%) while moderately malnourished were higher for females (18.1% vs 17.4%). The findings from the multinomial model insinuated that the mother’s education level, wealth index, region, early child development, mother’s functional difficulties, child disability, reading children's books and diarrhea had a highly significant effect on moderate and severe malnutrition for male children. For the female children model, factors such as mother’s education level, wealth index, fever, child disability, rural, diarrhea, early child development and reading less than three books were significant for moderate and severe malnutrition. Originality/value There is a solution to any kind of problem and malnutrition is not an exceptional health problem. So, to overcome this problem, policymakers should take effective measures to improve maternal education level, wealth status, child health.

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Determinants of coexisting forms of undernutrition among under‐five children: Evidence from the Bangladesh demographic and health surveys

Sumon

Salan

Kabir

et al. 2023

Food Science & Nutrition

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In many underdeveloped and developing countries, epidemiological and nutritional transitions are leading to an increase in malnutrition, resulting in pediatric diseases and eventually deaths. Therefore, this study intents to determine the important factors of the presence of coexisting forms of malnutrition (CFM), i.e., pediatric undernutrition. This study used the latest Bangladesh Demographic and Health Survey (BDHS)‐2017/18 dataset consisting of 7127 under‐five children. The logistic regression model has been utilized to gain explicit and in‐depth knowledge of the relationship between the presence of pediatric undernutrition with socioeconomic and demographic factors. Findings revealed that about 31%, 22%, and 8% suffered from stunted, underweight, and wasted, respectively. The prevalence of stunted, underweighted, wasted, and CFM among children in the Sylhet division is higher than in any other region. A child of a secondary‐level completed mother is 27.6% (OR: 0.724, 95% CI: 0.58–0.90) less likely to suffer from undernutrition than a child of an uneducated mother. The rate of undernutrition of children was less among children of highly educated parents. Age, birth order of the child, twin status, mother's age, body mass index (BMI), working status, parental educational qualification, cooking fuel, toilet facility, region, residence, and wealth index are important for determining the nutritional status of a child. The authors believe that the study findings will be helpful to the policymakers to take proper actions for achieving the sustainable development goal (SDGs) by reducing pediatric undernutrition in Bangladesh by 2030.

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Risk factors of chronic childhood malnutrition: an analysis of the Bangladesh demographic and health survey 2014 data

Cited by 20 publications

References 24 publications

Poverty and childhood malnutrition: Evidence-based on a nationally representative survey of Bangladesh

Poverty and childhood malnutrition: Evidence-based on a nationally representative survey of Bangladesh

Gender differences in child nutrition status of Bangladesh: a multinomial modeling approach

Determinants of coexisting forms of undernutrition among under‐five children: Evidence from the Bangladesh demographic and health surveys

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