Undernutrition and Associated Factors Among Children Aged 6–23 Months in Dessie Town, Northeastern Ethiopia, 2021: A Community Based Cross-Sectional Study

Sewenet, Tesfamaryam; W/Selassie, Mulugeta; Zenebe, Yosef; Yimam, Wondwossen; Woretaw, Lebasie

doi:10.3389/fped.2022.916726

Cited by 11 publications

(11 citation statements)

References 10 publications

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“…In this study, the prevalence of wasting was higher among under-5 children, as shown in Figure 1 . This finding is consistent with previous research conducted in Ethiopia, where the prevalence rates were reported to be 7.3% and 11.5% 22 , 34 ; India, 10.5% 35 ; Tanzania, 24.7% 30 ; and China, 4.0%. 33 However, the current prevalence of wasting was lower than the 28.5% reported in other studies conducted in India.…”

Section: Discussionsupporting

confidence: 93%

“…The differences observed in the results could be attributed to variations in sample size, study design, and a range of cultural, environmental, and social factors, including dietary habits. 21 The prevalence of stunting was higher among children under-5 (as shown in Figure 1 ), which is consistent with findings from Dessie town, northeast Ethiopia, where the prevalence was 36.8%, 22 in Lesotho, 33.3%, 23 in Botswana, 38.7%, 24 in India, 35.5%, 25 and in Nepal, 36%. 26 However, this result was higher than that reported in China, 4.4%.…”

Section: Discussionsupporting

confidence: 87%

“…However, the present outcome exceeds that of a study conducted in China (3.9%) 33 and earlier studies in Ethiopia (27.6%). 22 The possible explanation for the variation in the prevalence of underweight could be differences in economic development and child feeding status. 28 …”

Section: Discussionmentioning

confidence: 99%

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Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

Melese,

Esubalew,

Malede

et al. 2024

Environ�Health�Insights

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Background: In Ethiopia, undernutrition remains a significant public health concern throughout the year due to persistent household food insecurit. The intensifying conflict in the Dabat district, involving the Ethiopian government and the Tigray Liberation Front, has increased the threat of undernutrition among under-5 children. The cessation of humanitarian aid has worsened food insecurity, increasing the vulnerability of the children in the region. However,there was no data showing the prevalence and environmental pridictors of undernutrition in the Dabat district, northwestern Ethiopia. Therefore, the objective of this study was to determine the prevalence of undernutrition and identify environmental pridictors in this study setting. Methods: This institutional-based cross-sectional study was conducted from January to March 2023. A total of 400 under-5 children were included in this study using systematic random sampling techniques with a 100% response rate. The study included all under-5 children who visited healthcare facilities during the data collection period. However, it excluded children under-5 who had physical deformities, were critically ill, or had congenital abnormalities or known chronic diseases such as HIV/AIDS, tuberculosis, or chronic heart diseases. Binary logistic regression was used to determine environmental predictors of undernutrition, with statistical significance at a P-value of ⩽.05. Results: The overall prevalence of undernutrition was found to be 12% (95% CI: 8.72-21.5). Among those affected, 32.8% (95% CI: 21.5-39.8) were stunted, 37.9% (95% CI: 28.8-47.50) were underweight, and 29.3% (95% CI: 21.3-29.7) were wasted. The environmental predictors of undernutrition were latrine use, recent diarrhea episodes, mothers’ occupation and place of residence, water treatment before consumption, water sources and storage, water extraction methods, and mothers’ handwashing habits. Conclusions and recommendations: The study found a higher prevalence of undernutrition among under-5 children compared to the 2019 Ethiopia Mini Demographic and Health Survey. This study recommended raising awareness about establishing private toilets, promoting water treatment, proper latrine use, and handwashing practices. Training on personal hygiene and economic support for households should also be provided. Healthcare providers should offer quality health services for under-5 children. Further research is needed to explore specific nutrient deficiencies using laboratory methods.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 87%

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Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

Melese,

Esubalew,

Malede

et al. 2024

Environ�Health�Insights

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“…The mother's handwashing habit with soap before hand feeding their toddler did not show a statistically significant effect on stunting. Although it has different findings [33], [46], [47], but it is currently consistent with a study by Saaka et al [48] in 2021 which showed an opposite relationship between stunting and handwashing with soap. Many behaviors of handwashing mothers were reported in open water storage instead in flowing water.…”

Section: The Effect Of Sanitation Performance On Stunting Severitysupporting

confidence: 81%

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

Berawi¹,

Puspaningrum²,

Bakri³

et al. 2023

ujph

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Severity of stunting is frequently associated as a result of the effects of environmental factors, such as ecological differences, poor quality sanitation, and potential effects on parental livelihood. Knowledge about the effect of sanitation and parental livelihood at three ecological zones on stunting severity at South Lampung Regency is unknown. The aim of this study is to determine the effect of ecological zones, sanitation performance, and parental livelihood on stunting severity in toddlers aged 0-59 months at South Lampung Regency, Indonesia. The cross-sectional study was conducted in a sample of 182 households that were spread over the hilly zone, 82 lowland zones, and 49 coastal zones at South Lampung Regency, Indonesia. Data were collected using a structured questionnaire that captured the sanitation performance and parental livelihood. Toddler's heights were measured using a standard procedure and categorized manually according to national references. The ordinal logistic regression model was used to claim the effect. The higher probability of toddlers to be stunting was found significant on lowland zone, coastal zone, and clean water from drilled wells source, while lower probability significant on gallon drinking water, standard latrines, wastewater sewerage construction materials from cement and pipes, managed solid waste, ventilation not all rooms, bright lighting in rooms, and father's livelihood as a civil servant and entrepreneur. Stunting severity at South Lampung Regency is affected by ecological zones, sanitation performance, and father's livelihood. The results of our study are expected to assist the government in developing appropriate stunting reduction policy programs, especially comprehensive intervention by adjusting the ecological zone.

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“…Undernutrition is unacceptably high in Ethiopia, especially among young children 10,16,48,50 . When undernutrition occurs in the first 1000 days of life (0-23 months) it continues to the age of five and has long-term effects including physically, psychologically, culturally and socioeconomically 60 .…”

Section: Discussionmentioning

confidence: 99%

Determinants of undernutrition among young children in Ethiopia

Sahiledengle

Mwanri

Petrucka

et al. 2022

Sci Rep

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Ethiopia is one of the countries in sub-Saharan Africa with the highest burden of childhood undernutrition. Despite the high burden of this scourge, little is known about the magnitude and contributing determinants to anthropometric failure among children aged 0–23 months, a period regarded as the best window of opportunity for interventions against undernutrition. This study examined factors associated with undernutrition (stunting, wasting, and underweight) among Ethiopian children aged 0–23 months. This study used a total weighted sample of 2146 children aged 0–23 months from the 2019 Ethiopian Mini Demographic and Health Survey. The data were cleaned and weighted using STATA version 14.0. Height-for-age (HFA), weight-for-height (WFH), and weight-for-age (WFA) z-scores < − 2 SD were calculated and classified as stunted, wasting, and underweight, respectively. Multilevel mixed-effects logistic regression models adjusted for cluster and survey weights were used. Adjusted odds ratio (AOR) and 95% confidence interval (CI) were estimated. Statistical significance was declared at p < 0.05. The overall weighted prevalence of stunting, wasting, and underweight respectively were 27.21% [95% CI (25.32–29.18)], 7.80% [95% CI (6.71–9.03)], and 16.44% [95% CI (14.90–18.09)] among children aged 0–23 months in Ethiopia. Female children were less likely to be associated with stunting [AOR: 0.68, 95% CI (0.54–0.86)], wasting [AOR: 0.70, 95% CI (0.51, 0.98)], and underweight [AOR: 0.64, 95% CI (0.49, 0.83)] than their male counterparts. Conversely, older children aged 12–17 months [AOR: 2.22, 95% CI (1.52, 3.23)] and 18–23 months [AOR: 4.16, 95% CI (2.75, 6.27)] were significantly at an increased odds of becoming stunted. Similarly, the likelihood of being underweight was higher in older age groups: 6–11 months [AOR: 1.74, 95% CI (1.15, 2.63)], 12–17 months [AOR: 2.13, 95% CI (1.40, 3.24)], and 18–23 months [AOR: 4.08, 95% CI (2.58, 6.44)] compared with the children younger than 6 months. Lower wealth quintile was one of the other significant determinants of stunting and underweight. The study’s findings indicated that the most consistent significant risk factors for undernutrition among children aged 0–23 months are: male sex, older age groups and lower wealth quintile. These findings emphasize the importance of strengthening nutrition-specific and sensitive interventions that address the immediate and underlying drivers of childhood undernutrition in early life, as well as targeting low-income households with male children, in order for Ethiopia to meet the Sustainable Development Goals (SDGs) 1,2 and 3 by 2030.

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Undernutrition and Associated Factors Among Children Aged 6–23 Months in Dessie Town, Northeastern Ethiopia, 2021: A Community Based Cross-Sectional Study

Cited by 11 publications

References 10 publications

Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

Environmental Predictors of Undernutrition Among Under-5 Children at Dabat District Health Facilities, Northwest Ethiopia, 2023

The Effect of Sanitation Performance and Parental Livelihood on Stunting Severity: Study at 3 Ecological Zones at South Lampung Regency, Indonesia

Determinants of undernutrition among young children in Ethiopia

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