Undernutrition among Kenyan children: contribution of child, maternal and household factors

Gewa, Constance; Yandell, Nanette S.

doi:10.1017/s136898001100245x

Cited by 78 publications

(88 citation statements)

References 38 publications

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“…In the final results of the multivariate model, diarrhea was not independently associated with malnutrition, differently of the observed for other studies 17,29 . However, independent associations of malnutrition with other infections (ear infection and parasite expulsion) were registered.…”

Section: Parasite Expulsioncontrasting

confidence: 77%

Associated factors of malnutrition among African children under five years old, Bom Jesus, Angola

2017

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Objective: To identify the determinants of wasting and stunting in children under five years old in the commune of Bom Jesus, Angola Methods: A population-based cross-sectional study was conducted with 742 children in 2010, and nutritional deficits were defined by World Health Organization criteria. Prevalence ratios and associated factors of wasting and stunting were estimated using Poisson regression with robust variance, using a conceptual hierarchical model Results: For both deficits, there were significant differences in the prevalence ratios according to the children's neighborhood and age. Boys and those children living in households whose water supply came from the river or lake, as well those with recent expulsion of parasites and infections were more likely to present stunting. Children of fathers with higher number of children or that which the fathers were not living at home and whose mothers were 25-34 years old were less likely to have wasting Conclusion: It was identified independent variables from different levels of determination of malnutrition, standing out the basic sanitation conditions and family structure as important predictors of the nutritional deficits. The knowledge of the associated factors of malnutrition may contribute for subside public policies in planning interventions to improve the childhood nutrition status in Bom Jesus and communes with similar characteristics in Angola.

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Section: Parasite Expulsioncontrasting

confidence: 77%

Associated factors of malnutrition among African children under five years old, Bom Jesus, Angola

2017

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“…In our study, some mothers associated breast milk volume with adequate maternal diet, and many mothers perceived they had milk insufficiency as food insecurity is common in this area [67, 68]. This potentially contributed to many mothers practicing mixed feeding [60].…”

Section: Discussionmentioning

confidence: 99%

What influences feeding decisions for HIV-exposed infants in rural Kenya?

et al. 2017

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BackgroundInfant feeding in the context of human immunodeficiency virus (HIV) poses unique challenges to mothers and healthcare workers in balancing the perceived risks of HIV transmission and nutritional requirements. We aimed to describe the decision-making processes around infant feeding at a rural HIV clinic in Kenya.MethodsWe used a qualitative study design. Between March and August 2011, we conducted in-depth interviews (n = 9) and focus group discussions (n = 10) with purposively selected hospital and community respondents at Kilifi County Hospital, Kenya. These respondents had all experienced of infant feeding in the context of HIV. These interviews were informed by prior structured observations of health care worker interactions with carers during infant feeding counselling sessions.ResultsOverall, women living with HIV found it difficult to adhere to the HIV infant feeding guidance. There were three dominant factors that influenced decision making processes: 1) Exclusive breastfeeding was not the cultural norm, therefore practising it raised questions within the family and community about a mother’s parenting capabilities and HIV status. 2) Women living with HIV lacked autonomy in decision-making on infant feeding due to socio-cultural factors. 3) Non-disclosure of HIV status to close members due to the stigma.ConclusionInfant feeding decision-making by women living with HIV in rural Kenya is constrained by a lack of autonomy, stigma and poverty. There is an urgent need to address these challenges through scaling up psycho-social and gender empowerment strategies for women, and introducing initiatives that promote the integration of HIV infant feeding strategies into other child health services.Electronic supplementary materialThe online version of this article (doi:10.1186/s13006-017-0125-x) contains supplementary material, which is available to authorized users.

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“…Evidences from India [40], Nigeria [44], Kenya [42], Cambodia [45] and Ethiopia [46, 47] indicate that economic status of the household has the potential to improve child height-for-age Z score through accessing nutritious foods at the household level (56). However, in the current study, household wealth index did not show statistical significant association with child height-for-age Z score.…”

Section: Discussionmentioning

confidence: 99%

Individual and community level factors with a significant role in determining child height-for-age Z score in East Gojjam Zone, Amhara Regional State, Ethiopia: a multilevel analysis

et al. 2017

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BackgroundIn Ethiopia, child undernutrition remains to be a major public health challenge and a contributing factor for child mortality and morbidity. To reduce the problem, it is apparent to identify determinants of child undernutrition in specific contexts to deliver appropriately, targeted, effective and sustainable interventions.MethodsAn agroecosystem linked cross-sectional survey was conducted in 3108 children aged 6–59 months. Multistage cluster sampling technique was used to select study participants. Data were collected on socio-demographic characteristics, child anthropometry and on potential immediate, underlying and basic individual and community level determinants of child undernutrition using the UNICEF conceptual framework. Analysis was done using STATA 13 after checking for basic assumptions of linear regression. Important variables were selected and individual and community level determinants of child height-for-age Z score were identified. P values less than 0.05 were considered the statistical level of significance.ResultsIn the intercept only model and full models, 3.8% (p < 0.001) and 1.4% (p < 0.001) of the variability were due to cluster level variability. From individual level factors, child age in months, child sex, number of under five children, immunization status, breast feeding initiation time, mother nutritional status, diarrheal morbidity, household level water treatment and household dietary diversity were significant determinants of child height for age Z score. Also from community level determinants, agroecosystem type, liquid waste disposal practice and latrine utilization were significantly associated with child height-for-age Z score.ConclusionIn this study, a statistical significant heterogeneity of child height-for-age Z score was observed among clusters even after controlling for potential confounders. Both individual and community level factors, including the agroecosystem characteristics had a significant role in determining child height-for-age Z score in the study area. In addition to the existing efforts at the individual levels to improve child nutritional status, agroecosystem and community WASH related interventions should get more attention to improve child nutritional status in the study area.

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Undernutrition among Kenyan children: contribution of child, maternal and household factors

Cited by 78 publications

References 38 publications

Associated factors of malnutrition among African children under five years old, Bom Jesus, Angola

Associated factors of malnutrition among African children under five years old, Bom Jesus, Angola

What influences feeding decisions for HIV-exposed infants in rural Kenya?

Individual and community level factors with a significant role in determining child height-for-age Z score in East Gojjam Zone, Amhara Regional State, Ethiopia: a multilevel analysis

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