Stunting, wasting and associated factors among children aged 6–24 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia

Abstract

BackgroundThough there is a marked decline in burden of undernutrition, about 44 and 10% of children under five are stunted and wasted, respectively in Ethiopia. The highest prevalence of wasting occurs in young children (6–23 months), however literature are limited in these population groups. Therefore, this study aimed to assess stunting, wasting and associated factors among children aged 6–24 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia.MethodsA community based cross-sectional study was conducted in Dabat HDSS site from May 01 to June 29, 2015. A total of 587 mother-child pairs were included in the study. A multivariate logistic regression analysis was carried out to identify factors associated with stunting and wasting, separately.ResultsThe prevalence of stunting and wasting among children aged 6–24 months were 58.1 and 17.0%, respectively. Poor wealth status [Adjusted Odds Ratio (AOR) = 2.20; 95% Confidence Interval (CI): 1.42, 3.40], unavailability of latrine [AOR = 1.76; 95% CI: 1.17, 2.66], child age: 12–24 months [AOR = 3.24; 95% CI: 2.24, 4.69], not receiving maternal postnatal vitamin-A supplementation [AOR = 1.54; 95%: 1.02, 2.33] and source of family food: own food production [AOR = 1.71; 95% CI: 1.14, 2.57] were significantly associated with higher odds of stunting. However, only history of diarrheal morbidity was significantly associated with wasting [AOR = 2.06; 95% CI: 1.29, 3.30].ConclusionsIn this community, the magnitude of stunting and wasting exists as a severe public health concern. Therefore, improving socio-economic status, latrine and maternal postnatal vitamin-supplementation coverage are essential to mitigate the high burden of stunting. Besides, reducing the childhood diarrheal morbidity as well as strengthening early diagnosis and management of the problem are crucial to curve the high prevalence of wasting.

Undernutrition and associated factors among children aged 6–59 months living in slum areas of Gondar city, northwest Ethiopia: a cross-sectional study

“…This finding is supported by the findings of a study from Dabat district in Ethiopia 41. One possible explanation may be related to the negative effects of poor wealth status on the household’s access to food, food purchasing power and sanitation facilities 42.…”

Magnitude of Stunting and its Determinants among Children Aged 06-59 Months in Semen Bench Woreda, Genja District-A Community Based Cross-Sectional Study in South West Ethiopia, 2017

“…The result of this study revealed that children who had history of recurrent diarrhea in the past two weeks had 1.8 higher odds of stunting than their counterpart (AOR=1.8, (96% CI; 1.03, 3.44). This study was coherent with a result obtained in Dabat where only history of diarrheal morbidity was significantly associated with wasting (AOR=2.06; 95% CI: 1.29, 3.30) [14]. This might be due to diarrhea which might be related with loss of appetite, decreased absorption in the intestine, reduced immunity and exposes them to infections.…”

“…This study was in line with the study conducted by Ethiopian Base line survey 2010 which was 25% [13]. However the prevalence of stunting in the study area was lower than the study conducted in Shey bench, south west Ethiopia (33.3%) [11], Dabat (58.1%) [14] and Lalibela (47.3%) [15].…”

The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months

“…Hubungan sanitasi dengan stunting dan wasting Hasil analisis menunjukan bahwa ada hubungan yang positif antara sanitasi dengan kejadian stunting dan wasting dan secara statistik signifikan. Penelitian ini menunjukan bahwa rumah tangga yang tidak memiliki akses yang sesuai kriteria akan berisiko lebih besar untuk terjadinya stunting dan wasting.Sanitasi lingkungan yang sehat secara tidak langsung mempengaruhi kesehatan anak balita yang pada akhirnya dapat mempengaruhi kondisi status gizi anak balita (Derso et al, 2017).…”