DETERMINANTS OF MALNUTRITION AMONG UNDER FIVE AGE CHILDREN IN ETHIOPIA
DOI:
https://doi.org/10.47941/ijms.374Keywords:
Malnutrition, Stunting, Wasting, Akaike Information Criteria, Multilevel Logistic Regression ModelAbstract
Purpose: Childhood stunting is one of the most significant impediments to human development. Stunting is a major health problem in children under-five years in many low and middle income countries around the world. Wasting is sometimes referred to as acute malnutrition because it is believed that episodes of wasting have a short duration, in contrast to stunting, which is regarded as chronic malnutrition.
Methodology: The data for the study were taken from the Ethiopian Demographic Health Survey of year 2011. Three models, random intercept only model, random intercept and fixed slope model and random coefficient model compared based on the AIC value for stunting and wasting. Random coefficient model has a significant deviance chi-square and the value of AIC are less than from the random intercept with fixed slope model and random intercept only model so, the random coefficient model is a good fit.
Results: Age of children, region, place of residence, wealth index, mothers BMI, the incidence of diarrhea in the last two weeks before the survey and mother and husband/partner educational level were found to be significant predictors for stunting. For wasting age of child, region, wealth index, mothers BMI, sex, incidence of diarrhea and fever and husband/partner education are significant predictor.
Contributions to Theory, Policy and Practice: The study shows that age of children, region, place of residence, wealth index, mothers BMI, the incidence of diarrhea in the last two weeks before the survey and mother and husband/partner educational level were found to be significant predictors for stunting. For wasting age of child, region, wealth index, mothers BMI, sex, incidence of diarrhea and fever and husband/partner education are significant predictor. The study also shows that there is heterogeneity or cross-regional variation in stunting and wasting. Further, this study shows that there exist considerable differences in stunting and wasting among regions and random coefficient model is more appropriate to explain the regional variation than a model with fixed coefficients or empty model with random effects. Since there are variations in stunting and wasting across regions the concerned body should give special attention to regions like Affar and Ben-gumuz.
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References
Agresti A. (2002). Categorical data analysis. John Wiley & Sons, New York, 2nd edition.
Alemu Adeba, Sileshi Garoma, Habtamu Fekadu and Wondu Garoma 2014 Prevalence's of Wasting and its Associated Factors of Children among 6-59 Months Age in Guto Gida District, Oromia Regional State, Ethiopia
Blessing J.Akombi, Kingsley E.Agho, Dafna Merom, John J.Hall and Andre M.Renzaho published January 2017 Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria
Bloem M. Preventing stunting: why it matters, what it takes. In: Eggersdorfer M, Kraemer K, Ruel M, Biesalski HK, Bloem M et al., editors. The road to good nutrition. Basel: Karger;2013:1324(http://www.karger.com/ProdukteDB/Katalogteile/isbn3_318/_025/_49/road_04.pdf, accessed 21 October 2014).
Cabrera, A. F. (1994). Logistic regression analysis in higher education: An applied perspective. Higher Education: Handbook of Theory and Research, Vol. 10, 225-256.
Caulfield, et al. Under nutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria and measles. American Journal of Clinical Nutrition, 2004; 80:195.
Desalegne Amare, Ayenew Negesse, Baye Tsegaye, Birtukan Assefa, and Birehanu Ayenie. Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia 2016.
De Onis M. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. WHO. 2006.
Fotso JC, Kuate-Defo B. Socioeconomic inequalities in early childhood malnutrition and morbidity: modification of the household-level effects by the community SES. Health Place 2005;11: 205-25.
Fox J. (1984), Linear statistical methods and related methods with application to social research, Wiley, New York.
Genebo Timotiows and Girma Woldemariam. (2002)."Determinants of Nutritional Status of Women and Children in Ethiopia".ORC Macro, Calverton, Maryland USA. P. 1-36. (Assessed at http: //www.measuredhs. com- nutrition.pdf dated May 22nd, 2007).
Hosmer, D. W. and Lemeshow, S. (2000): Applied logistic regression, John Wiley & Sons, New York, 2nd edition.
Kabubo-Mariara, J., Ndenge, G.K., and Kirii, D.M. (2006). Determinants of Children's Nutritional Status in Kenya: Evidence from Demographic and Health Surveys. Paper Presented at the Centre for the Study of African Economies Conference, University of Oxford, March 17-21, 2006.
Loida MarÃa GarcÃa Cruz, Gloria González Azpeitia, Desiderio Reyes Súarez, Alfredo Santana RodrÃguez, Juan Francisco LoroFerrer and Lluis Serra-Majem: Factors Associated with Stunting among Children Aged 0 to 59 Months from the Central Region of Mozambique.
M. De Onis, D. Brown, M. Blossner, and E. Borghi, Levels and Trends in Child Malnutrition. UNICEF-WHO-The World Bank Joint Child Malnutrition Estimates, UNICEF, New York, NY,USA, 2012.
McCullagh P. and Nelder J. A. (1989), Generalized linear models (2nd Ed.). London: Chapman and Hall.
Mussie Alemayehu et al (2014). Nutritional status and associated factors among under-five children, Tigray, Northern Ethiopia.
Nguyen, N.H., and Kam.S. (2008).Nutritional status and the characteristics related to malnutrition in children under-five years of age in Nghean, Vietnam. Journal of preventive medicine and public health, 41(4), 232-240.
Nure, A. S., Nuruzzaman, H., Abdul, G. (2011). Mulnutrition of underfive children: Evidence from Bangladesh. Asian Journal of medical sciences 2,113-119.
Pendael Zephinia Machafuko, Geert MOLENBERGHS and Y.C. MUZANILA. Determinants of Nutritional Status Among Children Under Age 5 in Mainland Tanzania. Master Thesis, UniversiteitHasset| Maastrich University, 2013.
Salah, E.O., Malgoub, M. N., Theopi, T.B. (2006). Factors affecting prevalence of malnutrition among children under three years of age in Botswana.African Journal of food agriculture nutrition and development 6, 1.
Semali, I.A.; Tengia-Kessy, A.; Mmbaga, E.J.; Leyna, G. Prevalence and determinants of stunting in under-five children in central Tanzania: Remaining threats to achieving Millennium Development Goal 4. BMC Public Health 2015, 15, 1153.[CrossRef] [PubMed]
Shen T, Habicht JP, Chang Y. Effect of economic reforms on child growth in urban and rural areas of China. N Engl J Med. 1996;335(6):400-406
Shrimpton, R., Victoria, C.G., Onis, M.de., Lima, R.C., Blossner, M., and Clugston, G. (2001). Worldwide Timing of growth faltering: Implications for nutritional interventions. Paediatrics, 107,75-81.
The state of the world's children 2013. Children with disabilities. New York: United Nations Children's Fund; 2013 (http://www.unicef.org.uk/Documents/Publication-pdfs/sowc-2013-children-with disabilities.pdf, accessed 21 October 2014).
UNICEF, Improving Child Nutrition: The Achievable Imperative for Global Progress, United Nations Children's Fund, 2013.
UNICEF. State of the World's Children Statistical Report. 2015.
UNICEF.WHO.World Bank. Child Nutrition interactive dashboard. 2014.
Walker SP, Chang SM, Powell CA, Simonoff E, Grantham-McGregor SM. Early childhood stunting is associated with poor psychological functioning in late adolescence and effects are reduced by psychosocial stimulation. J Nutr. 2007;137: 246 4-9.
WHO (2000) Global agenda for combating malnutrition: progress report. Geneva, World Health Organization.
World Bank (2011). Repositioning Nutrition as Central to Development- A Strategy for Large Scale Action. The International Bank for Reconstruction and Development/the World Bank, Washington DC, USA.
World Health Organization (WHO) Child Growth Standards (2006): http://www.who.Int/childgrowth/en/.
World health organization. Guideline: updates on the management of severe acute malnutrition in infants and CHILDREN; World Health organization: Geneva, Switzerland, (2013).
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