Determinants of undernutrition among young children in Ethiopia

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Dec. 5, 2022

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

Language: Английский

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Determinants of coexistence of undernutrition and anemia among under-five children in Rwanda; evidence from 2019/20 demographic health survey: Application of bivariate binary logistic regression model

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(4), P. e0290111 - e0290111

Published: April 5, 2024

Background Undernutrition and anemia are significant public health issues among under-5 children, with potential long-term consequences for growth, development, overall health. Thus, this study aims to conduct a bivariate binary logistic regression model by accounting the possible dependency of childhood undernutrition anemia. Methods The data came from DHS program’s measurement. A total 3,206 under-five children were involved in study. single composite index measure was calculated stunting, wasting, underweight using principal component analysis. is used assess association between given effect other predictors. Results Among considered study, 1482 (46.2%) 658 (20.5%) agonized undernutrition, respectively. In model; Urban [AOR = 0.751, 96% CI: 0.573–0.984; AOR 0.663, 95% 0.456–0.995] anemic mothers 1.160, 1.104–1.218; 1.663, 1.242–2.225] significantly associated both Improved water sources 0.681, 0.446–0.996], average-sized 0.567, 0.462–0.696], diarrhea 1.134, 1.120–2.792] Large-sized 0.882, 0.791–0.853] those fever 1.152, 1.312–2.981] children’s undernutrition. Conclusion prevalence under-five-year-old high Rwanda. following determinants statistically anemia: place residence; source drinking water; maternal anemia; being twin; birth size children; diarrhea; fever; child age. Anemia nutritional deficiencies must be treated concurrently under one program, evidence-based policies aimed at vulnerable populations.

Language: Английский

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Magnitude of Short Birth Interval and Associated Factors among Reproductive age Women at Rural Kebeles of Gidan Woreda, North Wollo, Amhara, Ethiopia: a Cross Sectional study, 2023

Heliyon, Journal Year: 2025, Volume and Issue: 11(3), P. e42151 - e42151

Published: Jan. 23, 2025

Short birth intervals are associated with negative health outcomes for neonates, infants, and mothers. However, prior studies have not explored the extent of this issue its factors, including family composition, antenatal care visits, menstrual resumption. This study aimed to assess magnitude short identify contributing factors among reproductive-age women in region. A community-based cross-sectional was conducted 610 from April 15 May 10, 2023. Participants were selected through multi-stage sampling interviewed using a structured questionnaire. Senior experts evaluated internal validity tool, pretest 5 % participants. The reliability questionnaire assessed Cronbach's alpha, which found be 0.73, indicating acceptable consistency. analyzed associations between outcome predictor variables by calculating odds ratios 95 confidence intervals. p-value <0.05 considered cutoff point significance multivariable analysis. that 56.5 %. Key included absence follow-up (AOR = 2.92, CI: 1.58-5.36), having female index child 1.72, 1.20-2.48), poor knowledge about 2.52, 1.74-3.68). Additional predictors limited postpartum contraception 1.79, 1.23-2.57), lack use before last 1.52, 1.03-2.24), one 2.49, 1.39-4.51) or two children 3.98, 1.07-7.97). Despite public interventions tried, remain major Ethiopia due like care, spacing, low contraceptive use. To address this, improving access raising awareness on planning crucial.

Language: Английский

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Spatiotemporal distribution and bivariate binary analysis of antenatal and delivery care utilizations in Ethiopia: EDHS 2000–2016

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: March 15, 2023

Antenatal care (ANC) is a maternal health service given by skilled professionals to pregnant women. Women may give birth at home or in institutions. Home delivery (DC) increases the likelihood of mortality mother and newborn. Globally, each year nearly 303,000 deaths occurred from complications pregnancy childbirth. Ethiopia alone accounted for 13,000 deaths, which disproportionately affects women living different places country. Thus, this study aimed assess spatiotemporal patterns associated factors antenatal utilization Ethiopia.This used 2000 2016 EDHS (Ethiopian Demographic Health Survey) data as source. A total weighted sample 30,762 (7966 2000, 7297 2005, 7908 2011, 7591 2016) was used. The separate bivariate logistic regression analyses with without spatial effect were modeled using SAS version 9.4 ArcGIS 10.8.The distribution ANC DC non-random Ethiopia. overall odds ratio 2.09. In 2016, 31.8% 33.2% had respectively. estimated following among mothers middle rich households 1.346 1.679 times poor who attained higher education 1.56 2.03 more likely have respectively compared no formal education.Despite government's report that now better access care, sizable proportion continue going advised appointment. husbands low education, having non-working partners, religion, regions dwelling, residing rural, lower order, interval, unable mass media, wealth status, earlier survey years significant predictors hinder simultaneously Whereas variable significantly being mobile phones lead care. We recommend policymakers, planners, researchers consider these variables reduce Besides, it recommended further studies use latest data.

Language: Английский

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Multilevel bivariate analysis of the association between high-risk fertility behaviors of birth and stunting with associated risk factors in Ethiopia

Frontiers in Nutrition, Journal Year: 2024, Volume and Issue: 11

Published: May 31, 2024

Introduction Currently, the linkage between high-risk fertility behavior of birth and occurrence stunting among children under age 5 continues to be a significant public health problem in developing countries, including Ethiopia. This issue poses threat overall wellbeing under-five children. Thus, main objective this study was examine association status associated factors. Methods The data used for were extracted from recent Ethiopian Mini Demographic Health Survey 2019. A total weighted sample 4,969 included study, relevant those samples. multilevel bivariate analysis assess Results It found that, out 4,997 children, 24% experienced as result birth. Our also revealed an intra-class correlation 0.2, indicating that 20% variability both behaviors can attributed differences communities. Furthermore, there statistically years [AOR = 8.5, 95% CI: (5.58, 18.70)]. Similarly, boys 1.36 times greater than estimated odds girls 1.36, (1.19, 1.55)]. Conclusion statistical Specifically, born mothers 18 households with high parity identified risk factors child stunting. health-related education, improved access maternal healthcare, training interventions during suggests regular assessments early infants reproductive characteristics are crucial reducing impact age.

Language: Английский

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Potential mediators of the link between wealth index and anthropometric indices of under-five children in Ethiopia

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Oct. 13, 2022

Background Malnutrition of under-five children has adverse effects on child's health and development, such as growth failure muscle wasting. The household wealth index a direct contribution to child malnutrition despite little attention being given its indirect effect through other factors. This study aimed identify the potential mediators link between malnutrition. Methods In this study, cross-sectional design was implemented based data obtained from 2019 Ethiopia Mini Demographic Health Survey (EMDHS), which consists total 3,918 children. Mediation analysis structural equation (SEM) determine estimate Results Among involved in 51.4% were male 20.2% urban areas. place delivery majority mothers (56.1%) at home, poorest (36.4%). estimated height-for-age female higher (1.31:95% CI = 0.45, 0.200), indicating that had lower likelihood stunting than males. As compared an area, rural areas more likely be stunted (−0.269; 95%CI −0.388, −0.135). underweight 0.69 (95% 0.045, 0.094) 0.036 0.013, 0.054), respectively, significant ( p -value &lt;0.05). Conclusion Environmental, maternal, biological, behavioral factors anthropometric indices. Besides, stunting, underweight, wasting with low economic status malnourished.

Language: Английский

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Multilevel multivariate modeling on the association between undernutrition indices of under-five children in East Africa countries: evidence from recent demographic health survey (DHS) data

BMC Nutrition, Journal Year: 2023, Volume and Issue: 9(1)

Published: July 7, 2023

Abstract Background Malnutrition is the main cause of illness and death in children under age five. It affects millions worldwide, putting their health future jeopardy. Therefore, this study aimed to identify estimate effects important determinants anthropometric indicators by taking into account association cluster effects. Method The was carried out 10 countries East Africa: Burundi, Ethiopia, Comoros, Uganda, Rwanda, Tanzania, Zimbabwe, Kenya, Zambia, Malawi. A weighted total sample 53,322 five included. Given impact other predictors such as maternal, child, socioeconomic variables, a multilevel multivariate binary logistic regression model employed analyze relationship between stunting, wasting, underweight. Result included children, 34.7%, 14.8%, 5.1% were stunted, underweight, wasted, respectively. Almost half (49.8%) female, 22.0% lived urban areas. estimated odds from secondary higher education mothers being stunted wasted 0.987; 95% CI: 0.979 – 0.994 0.999; 0.995 0.999, respectively, times no mothers. Children middle-class families less likely be underweight than poorer families. Conclusion prevalence stunting sub-Saharan Africa region, but wasting lower. According study's findings, undernourishment among young continues significant public issue African region. Governmental non-governmental organizations should therefore plan participation focusing on paternal poorest households order improve undernutrition status Additionally, improving delivery healthcare at facilities, places residence, children's education, drinking water sources are essential for lowering child indicators.

Language: Английский

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Gender-specific disaggregated analysis of childhood undernutrition in Ethiopia: evidence from 2000–2016 nationwide survey

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: Oct. 19, 2023

Childhood undernutrition has been investigated extensively in previous literature but gender inequality detailing the burden of not adequately addressed scientific papers, especially Ethiopia, where is known to be a public health problem high significance, necessitating increased efforts address it and reduce this inequality. This study was carried out to: (1) explore differences prevalence stunting, wasting, underweight, (2) compare factors associated with childhood between boys girls Ethiopia.The used dataset more than 33,564 children aged under 5 years (boys: 17,078 girls: 16,486) who were included nationally representative Ethiopia Demographic Health Survey (EDHS) from 2000 2016. The outcome variables anthropometric indices: stunting (height-for-age < -2 standard deviations), wasting (weight-for-height underweight (weight-for-age deviations). Gender-specific multilevel analyses examine child undernutrition.The overall (49.1% for vs 45.3% girls, p 0.001), (11.9% 9.9% (33.1% 29.8% 0.001) higher among compared girls. Boys significantly had odds (aOR: 1.31, 95%CI: 1.21-1.42), 1.35, 1.23-1.48), 1.38, 1.26-1.50) common male female child's age, perceived size at birth, breastfeeding status, maternal stature, education, toilet facility, wealth index, place residence. by their mothers average sized birth born uneducated likelihood experiencing contrast Among boys, order (firstborn), household (1-4), residence (urban) lower being underweight. living cities stunted. While no education worked agriculture odd stunted.Our revealed that likely malnourished regardless age category, there variations determining significant alarming, positioning questioned whether will meet set Sustainable Development Goals (SDGs), including SDG 2 zero hunger 2030. These findings call effort malnutrition as issue urgently recognise need enhanced interventions gap undernutrition.

Language: Английский

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Determinants of aggregate anthropometric failure among children under-five years in Ethiopia: Application of multilevel mixed-effects negative binomial regression modeling

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(6), P. e0003305 - e0003305

Published: June 4, 2024

Undernutrition significantly contributes to failure thrive in children under five, with those experiencing multiple forms of malnutrition facing the highest risks morbidity and mortality. Conventional markers such as stunting, wasting, underweight have received much attention but are insufficient identify types malnutrition, prompting development Composite Index Anthropometric Failure (CIAF) Severe (CISAF) an aggregate indicators. This study aimed factors associated CIAF CISAF among Ethiopian aged 0–59 months using data from 2019 Ethiopia Mini Demographic Health Survey. The included a weighted sample 5,259 used multilevel mixed-effects negative binomial regression modeling determinants CISAF. result showed higher incidence-rate ratio (IRR) male (adjusted IRR = 1.27; 95% CI 1.13–1.42), 12–24 (aIRR 2.01, 95%CI: 1.63–2.48), 24–59 2.36, 1.91–2.92), households under-five 1.16, 1.01–1.33), poorer 1.48; 1.02–2.15), who lived houses earthen floor 1.37, 1.03–1.82). Similarly, positively were 1.47, 1.21–1.79), age group 6–11 2.30, 1.40–3.78), 3.76, 2.40–5.88), 25–59 4.23, 2.79–6.39), living two more 1.27, 95%CI:1.01–1.59), 1.93, 1.02–3.67). Children likely suffer anthropometric failures if they were: 6–23 months, sex, children, poor environments. These findings underscore need employ wide range strategies effectively intervene children.

Language: Английский

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INDIVIDUAL AND CONTEXTUAL FACTORS OF MALNUTRITION IN MOROCCAN CHILDREN UNDER FIVE

Bangladesh Journal of Multidisciplinary Scientific Research, Journal Year: 2024, Volume and Issue: unknown, P. 19 - 29

Published: July 7, 2024

This study investigates the multifaceted determinants of malnutrition among Moroccan children under five, focusing on individual, household, and community influences. Utilizing data from 2018 Population Family Health Survey, analyzes 5,983 aged 0–59 months. employs a multilevel modelling methodology to consider data's hierarchical structure. The results reveal that 18% suffer undernutrition, while 10% experience overnutrition. Factors influencing include child sex, age, birth weight, parental education, breastfeeding practices, household size, poverty. Male those with low weight are also at increased risk, ORs 1.49 1.93, respectively. Parental especially maternal protects against undernutrition (OR = 1.45). Breastfeeding practices impact nutrition, not breastfed having higher odds 2.03). Children poorer households more likely 2.40). Conversely, wealthier risk overnutrition 1.78). Community-level factors, such as poverty regional disparities, influence outcomes, notable differences in regions like Beni Mellal-Khenifra 6.15). living rural areas than their urban counterparts 1.87). findings this conclude addressing Morocco requires multi-level interventions, promotion, support for low-birth-weight infants, targeted strategies socio-economic geographic disparities.

Language: Английский

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