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Updated: Jun 12, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Risk factors and trends in childhood stunting in a district in Western Uganda
Dax Biondi1, Walter Kipp, Gian S Jhangri
1Schulich School of Medicine & Dentistry, Medical Sciences Building, The University of Western Ontario, London, Ontario, Canada.
Insights
Childhood stunting is high in Kabarole District, Uganda, with rates increasing significantly from 1989 to 2006. Factors like poverty and poor water quality contribute to this growing public health concern.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Childhood stunting remains a significant global health issue, particularly in low-income countries.
- Understanding regional trends and contributing factors is crucial for effective intervention strategies.
Purpose of the Study:
- To determine the nutritional status of children aged 6-59 months in Kabarole District, Uganda.
- To establish the trend in childhood stunting rates within the district and compare it to national data.
Main Methods:
- A cross-sectional study utilizing multi-stage random cluster sampling of 322 children and their caregivers.
- Collection of anthropometric measurements for nutritional status assessment and caregiver interviews for contextual data.
Main Results:
- High prevalence of childhood stunting (43.0%) observed, exceeding national averages.
- Identified predictive factors for stunting: low household economic status, caregiver ill-health, distant health facilities, and contaminated water sources.
- Demonstrated an increasing trend in stunting rates from 28.0% in 1989 to 43.0% in 2006.
Conclusions:
- Urgent need for further investigation into the persistently high and increasing stunting rates in Kabarole District.
- Recommendations for enhanced nutritional interventions within the district's public health programs are essential.
Objectives:
This representative, cross-sectional study conducted in Kabarole District, Western Uganda, determined the nutritional status of children 6-59 months of age and established a trend in the childhood stunting rates.
Methods:
A multi-stage random cluster sampling was performed to select 322 children and their principal caregivers. Anthropometric measurements were taken from the children and compared with a reference population and the children's principle caregivers were interviewed.
Results:
Childhood stunting was high with 43.0% of all children having a z-score of less than or equal to -2. Predictive factors for stunting were a low economic status of the household, poor health of the child's caregiver, residence located at a long distance from a health unit and use of a contaminated water source. The comparison of our study results with an earlier nutritional study in Kabarole District revealed that there is an increasing trend of childhood stunting over the years of 28.0% [95% confidence interval (CI) 22.1-33.1%] in 1989 vs 43% (95% CI 37.6-48.8%) in 2006 and that stunting rates in Kabarole District were much higher compared to national data.
Conclusion:
The high stunting rates in children and the increasing trend in stunting needs further investigations. It should also be determined why stunting rates in children in Kabarole District are much higher than the national average. There is a need for better nutritional interventions as part of the district's public health programs.
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