Undernutrition among children under five in the Bandja village of Cameroon, Africa

Nzefa, Léonie Dapi; Monebenimp, Francisca; Äng, Christofer

doi:10.1080/16070658.2018.1448503

Cited by 23 publications

(26 citation statements)

References 12 publications

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“…Age has a positive association with the underweight of under five children and children in higher age groups had higher odds of underweight. Which is consistent with the finding of [ 8 – 10 ]. This finding shows that later age within under 5 years’ age carry a higher risk of underweight.…”

Section: Discussionsupporting

confidence: 94%

Modeling non-Gaussian data analysis on determinants of underweight among under five children in rural Ethiopia: Ethiopian demographic and health survey 2016 evidences

Bekele

Fetene

2021

PLoS ONE

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Background Childhood under-nutrition is a major global health problem. Although the rate of under-nutrition in Ethiopia has declined in the last decade, but it still remains being the major causes of morbidity and mortality of children under-five years. The problem is even worse in rural areas. The prevalence of underweight among rural children was 25% compared with 13% among urban children. To alleviate this problem, it is necessary to determine the magnitude and determinants of underweight. The study models non-Gaussian data analysis to identify risk factors associated with underweight among under-five children in rural Ethiopia. Methodology The data source for this study was secondary data, which was retrieved from EDHS 2016 database. It was analyzed using two model families; one with marginal models (GEE and ALR) in which responses are modeled and marginalized overall other responses, and the other is random effects model (GLMM) which is useful when the interest of the analyst lies in the individual’s response profiles as well as to evaluate within and between regional variations of underweight. Result From fitting non-Gaussian data analysis to identify risk factors associated with underweight among under five children in rural Ethiopia, the independent variable which have significant effect on underweight were:—Age of child, birth interval, mothers education, fathers education, wealth index, diarrhea in last two weeks, fever in last two weeks are significant and also father’s work status shows that difference in significance among the category. Conclusion Child age, preceding birth interval, mother’s education, household’s wealth index, fever, diarrhea, father’s education and father’s work status were associated with child underweight. Furthermore, there is both within and between regional heterogeneity of underweight among children in rural Ethiopia. Therefore, rigorous community-based interventions (such as uplifting mother’s education by providing formal education and preventing infectious diseases that cause diarrhea and fever) should be developed and executed throughout the country to improve this grave situation of underweight prevalence in rural areas of Ethiopia.

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Section: Discussionsupporting

confidence: 94%

Modeling non-Gaussian data analysis on determinants of underweight among under five children in rural Ethiopia: Ethiopian demographic and health survey 2016 evidences

Bekele

Fetene

2021

PLoS ONE

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“…Birth interval was found significantly associated with SAM in bivariate analysis of our study but upon adjusting confounders in multivariate analysis, it was not significantly associated with SAM. In accordance with our study, a study done in Africa has also found birth interval to be insignificantly associated with SAM [40]. Other driving factors like poor economic condition of the household might have impacted more on the occurrence of SAM, therefore, birth interval was found to be insignificant with SAM.…”

Section: Discussionsupporting

confidence: 90%

Determinants of severe acute malnutrition among under 5 children in Satar community of Jhapa, Nepal

et al. 2021

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Background Severe acute malnutrition (SAM) is the most extreme and visible form of undernutrition plagued by chronic poverty, household food insecurity, lack of education. One of the indigenous and marginalized community of Nepal, Satar/Santhal has often been neglected and is devoid of good education and are economically deprived. This predisposes under 5 children of Satar into malnutrition. The study aims to assess determinants of SAM among children under 5 years of age in Satar community of Jhapa district, Nepal. Material & methods A community based matched case control study was carried from September 2019 to February 2020 among under five children of Satar community residing in Jhapa district. Multistage random sampling technique was used to select 50 cases and 100 controls in the ratio of 1:2. Information was collected through personal interview with the parents and anthropometric measurement of the children was measured. Bivariate and multivariate conditional logistic regression analysis was used to explore the determinants of severe acute malnutrition. Results A total of 664 children between the age group of 6–59 months were screened for SAM. The prevalence of SAM was found 7.53%. Factors like, low economic status, birth interval less than 2 years, frequency of breast feeding <8 times/day and household food insecurity were found to be significant determinants of SAM. Multivariate logistic regression documented low economic status (AOR: 11.14, 95% CI 1.42 to 87.46); and frequency of breast feeding <8 times/day (AOR: 2.09, 95% CI 1.00 to 4.37) as determinants of SAM. Conclusion Low economic status and frequency of breast feeding less than 8times/day were major determinants of SAM among children under 5yrs of age. Ending malnutrition will require greater efforts and integrated approaches to eradicate extreme poverty. Multi-sector approaches have been conducting for SAM in Nepal but there are no specific approaches for marginalized community.

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“…Other risk factors also include poor maternal nutrition and low birth weight. However, magnitude of these risk factors varies from one locality to another [ 9 , 12 ]. Using an unmatched case-control study, we aimed to determine the risk factors associated with undernutrition among children under-five years of age living in Ngorongoro district.…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with under nutrition among children aged 6-59 months in Ngorongoro, Arusha region, Tanzania: a case-control study, 2017

et al. 2020

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Introduction childhood undernutrition is one of the leading causes of morbidity and mortality in children below five years of age especially in developing countries like Tanzania, particularly in rural area. Inappropriate child caring and feeding practices have been strongly associated with it. Many actions have been taken to reduce prevalence of undernutrition in children in Ngorongoro district, however, the problem persist. This study identified risk factors associated with undernutrition in children under-five years of age in Ngorongoro district, Arusha region. Methods a health facility-based unmatched case-control study was conducted with 400 (100 cases and 300 controls) children aged 6-59 months. Cases included children with undernutrition according to the WHO anthropometric indicators. Controls were children within the normal range of these indicators. Both cases and controls, were obtained from children attending the Reproductive and Child Health (RCH) for assessment of growth and development or admitted in pediatric ward. A questionnaire was used to collect demographic characteristics, child health and caring practices and environmental factors. Height, weight and Mid Upper Arm Circumference (MUAC) were measured using standard approaches. We employed logistic regression analysis to identify significant risk factors for undernutrition. Results undernutrition was associated with young age of mothers/caregivers (adjusted Odds Ratio (aOR)=38.8, 95% CI: 15.38-59.03.); early age of initiation complementary foods (aOR=13.6, 95%CI: 3.15-59.06); a child having diarrhoea in past one month (aOR=4.0; 95%CI: 1.76-12.85); large family size (aOR=6.1, 95% CI: 2.16-16.90); low frequency of feeding (aOR=3.9, 95%CI: 1.59-9.58); low birth weight (aOR:=7.3, 95%: CI: 1.15-46.70); and source of drinking water; well (aOR=16.3, 95%: CI: 1.81-147.05) and surface water (aOR=16.18, 95%CI: 1.85-141.71). Conclusion household and individual characteristics of the children and mother/caregiver are important predictors of undernutrition in this community. Tailored interventions, instead of blanket approaches, should be designed to mitigate and eliminate childhood undernutrition in Ngorongoro.

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Undernutrition among children under five in the Bandja village of Cameroon, Africa

Cited by 23 publications

References 12 publications

Modeling non-Gaussian data analysis on determinants of underweight among under five children in rural Ethiopia: Ethiopian demographic and health survey 2016 evidences

Modeling non-Gaussian data analysis on determinants of underweight among under five children in rural Ethiopia: Ethiopian demographic and health survey 2016 evidences

Determinants of severe acute malnutrition among under 5 children in Satar community of Jhapa, Nepal

Risk factors associated with under nutrition among children aged 6-59 months in Ngorongoro, Arusha region, Tanzania: a case-control study, 2017

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