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Published on: February 2, 2017
Nutritional status of under-five children in Bangladesh: a multilevel analysis
Jahangir Alom1, Md Abdul Quddus, Mohammad Amirul Islam
1Department of Agricultural Statistics, Bangladesh Agricultural University, Mymensingh-2202, Bangladesh.
Insights
Child malnutrition in Bangladesh is linked to factors like age, parental education, and wealth. Addressing these determinants is crucial for improving nutritional status in children under five.
Area of Science:
- Public Health
- Pediatrics
- Demography
Background:
- Child nutritional status is a key indicator of national health and economic well-being.
- Malnutrition in children under five poses significant long-term health risks.
- Understanding determinants of malnutrition is vital for targeted interventions.
Purpose of the Study:
- To investigate demographic, socioeconomic, environmental, and health-related factors influencing under-five children's nutritional status in Bangladesh.
- To identify key determinants of stunting, wasting, and underweight in young children.
Main Methods:
- Utilized data from the Bangladesh Demographic and Health Survey 2007.
- Employed two-level random intercept binary logistic regression models.
- Analyzed factors affecting severe and moderate stunting, wasting, and underweight.
Main Results:
- Prevalence rates: 16% severely stunted, 25% moderately stunted; 3% severely wasted, 14% moderately wasted; 11% severely underweight, 28% moderately underweight.
- Key determinants identified: child's age, mother's and father's education, father's occupation, family wealth index, breastfeeding status, place of delivery, and geographic division.
- Significant variations in malnutrition were observed at the community level.
Conclusions:
- Child's age, parental education, socioeconomic status, and breastfeeding are significant predictors of nutritional status.
- Community-level factors play a role in under-five malnutrition.
- Interventions should consider a multi-faceted approach addressing individual and community determinants.
Abstract:
The nutritional status of under-five children is a sensitive sign of a country's health status as well as economic condition. This study investigated the differential impact of some demographic, socioeconomic, environmental and health-related factors on the nutritional status among under-five children in Bangladesh using Bangladesh Demographic and Health Survey 2007 data. Two-level random intercept binary logistic regression models were used to identify the determinants of under-five malnutrition. The analyses revealed that 16% of the children were severely stunted and 25% were moderately stunted. Among the children under five years of age 3% were severely wasted and 14% were moderately wasted. Furthermore, 11% of the children were severely underweight and 28% were moderately underweight. The main contributing factors for under-five malnutrition were found to be child's age, mother's education, father's education, father's occupation, family wealth index, currently breast-feeding, place of delivery and division. Significant community-level variations were found in the analyses.
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