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Updated: Jun 11, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Factors associated with malnutrition among children in internally displaced person's camps, northern Uganda
Mary Abwola Olwedo1, Edison Mworozi, Hanifa Bachou
1Makerere University Medical School, Department of Paediatrics and Child Health, Kampala, Uganda.
Insights
Protein energy malnutrition is prevalent in Uganda's internally displaced persons (IDPs) camps. Male children and those aged 3-24 months face higher risks, highlighting the need for improved nutritional support.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Uganda has a significant population of internally displaced persons (IDPs), with protein energy malnutrition posing a major threat to child health.
- Displaced populations often face challenges in accessing adequate nutrition, increasing vulnerability among children.
Purpose of the Study:
- To determine the prevalence of protein energy malnutrition (PEM) in children under five years old.
- To identify risk factors associated with PEM in children residing in internally displaced persons (IDPs) camps in Omoro county, Gulu district.
Main Methods:
- A cross-sectional study was conducted in Omoro county, Gulu district, involving 672 children aged 3-59 months and their caretakers.
- Anthropometric measurements (height-for-age, weight-for-height) were analyzed using z-scores. Qualitative data were gathered through focus groups, interviews, and observations.
- Data were captured and analyzed using statistical software (Epi Data, EPI-INFO, SPSS).
Main Results:
- The study found a high prevalence of stunting (52.4%) and global acute malnutrition (6.0%) among children in IDP camps.
- Male children were found to be at increased risk of stunting (Adjusted OR 1.57).
- Children aged 3-24 months were at higher risk of acute malnutrition (Adjusted OR 2.78), while de-worming showed a protective effect (Adjusted OR 0.44).
Conclusions:
- High rates of protein energy malnutrition, particularly stunting, persist among children in Gulu district's IDP camps.
- Specific risk factors include male gender for stunting and younger age (3-24 months) for acute malnutrition.
- Interventions should focus on enhancing food security, infant/child feeding education, and integrated management of childhood illnesses (IMCI) within camp settings.
Introduction:
Since mid 1990s, Uganda has had an estimated 1.6 million internally displaced persons (IDPs) in the northern and eastern districts. A major cause of morbidity and mortality amongst children in displaced settings is protein energy malnutrition.
Objective:
To estimate the prevalence of and describe the risk factors for protein energy malnutrition among under five years old children living in internally displaced persons camps in Omoro county Gulu district.
Methods:
This was a cross sectional study undertaken among internally displaced people's in Omoro county, Gulu district during 13 - 23(rd) September 2006. Anthropometric measurements of 672 children aged 3 - 59 months were undertaken and all their caretakers interviewed. The anthropometric measurements were analyzed using z-scores of height-for-age (H/A) and weight-for-height (W/H) indices. Qualitative data were collected through 6 focus group discussions, key informant interviews and observation. Data were captured using Epi Data version 3.0 and analyzed using EPI-INFO version 3.3.2 and SPSS version 12.0 computer packages respectively. ResultsThe prevalence of global stunting was found to be 52.4% and of global acute malnutrition 6.0%. Male children are at risk of being stunted Adjusted OR 1.57 95% CI 1.15-2.13; p value=0.004. Children in the age group 3 - 24 months were at risk of acute malnutrition Adjusted OR 2.78 95% CI 1.26-6.15; p value=0.012 while de-worming was protective Adjusted OR 0.44 95% CI 0.22-0.88; p value=0.018. The main sources of foodstuff for IDPs include food rations distributed by WFP, cultivation and purchase.
Conclusion And Recommendations:
There is high prevalence of protein energy malnutrition (stunting) among children in the internally displaced people's camps in Gulu district. Male children are at an increased risk of stunting while children aged between 3 - 24 months are at an increased risk of suffering from acute malnutrition. Stakeholders including local government and relief organizations should intensify efforts to improve the nutritional status of IDPs especially children in the camp settings. The quantity of and access to household food supplies, health education on infant and child feeding and integrated management of childhood illnesses (IMCI) activities in the camps should be strengthened.
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