Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia
Dawit Degarege1, Abraham Degarege2,3, Abebe Animut4
1Lia Foundation, 1695, Addis Ababa, Ethiopia. dawitdegarege@gmail.com.
Insights
Child undernutrition is prevalent in Addis Ababa, Ethiopia, affecting 31% of school-aged children. Key factors include male gender, large family size, and low meal frequency, highlighting the need for targeted interventions.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Child undernutrition presents diverse and dynamic challenges, necessitating ongoing research into its determinants for effective interventions.
- Assessing the current prevalence and associated factors of undernutrition in children is crucial for developing targeted public health strategies.
- The study focuses on Addis Ababa, Ethiopia, a region where understanding local nutritional challenges is paramount.
Purpose of the Study:
- To determine the prevalence of undernutrition among school-aged children in Addis Ababa, Ethiopia.
- To identify key factors associated with undernutrition in this population.
- To inform policy and intervention strategies for improving child nutrition.
Main Methods:
- A community-based cross-sectional study was conducted involving 459 school-aged children and their caregivers in Lideta sub-city, Addis Ababa.
- Participants were recruited using a multi-stage simple random sampling technique.
- Data collection involved anthropometric measurements (height and weight) of children and interviews with caregivers regarding associated factors.
Main Results:
- Overall undernutrition prevalence was 31%, with 19.6% stunted and 15.9% underweight.
- Significant associations with undernutrition included being male, higher birth order, larger family size, infrequent meals, and mud flooring.
- Underweight risk increased with age, birth order, family size, and lack of handwashing facilities; maternal age (20-30 years) was protective.
Conclusions:
- Undernutrition remains a significant public health issue among school-aged children in Addis Ababa's Lideta sub-city.
- Nutrition policies must explicitly include school-aged children.
- Implementation of screening programs and targeted interventions is recommended for this demographic.
Background:
Causes of child undernutrition are diverse and change in space and time. Investigating current determinants of undernutrition remains vital to design an effective intervention strategy. The study assessed prevalence of undernutrition and its associated factors among children living in Addis Ababa, Ethiopia.
Methods:
A community based cross-sectional study was conducted in 459 school age children and their parents or caregivers living in Lideta sub-city, Addis Ababa, Ethiopia. Participants were selected using a multi-stage simple random sampling technique. Height and weight of children was measured and their parents or care givers were interviewed for factors associated with undernutrition.
Results:
About 31% (n = 141) of the children were undernourished (19.6% stunted, 15.9% underweight). Being male, higher birth order (>2), larger family size (6-8), low meal frequency (≤3 times) in a day prior to the survey and mud floor house were significantly associated with undernutrition. Similarly, the risk of underweight increased significantly with an increase in age, birth order, family size and also the absence of hand washing facilities. The odds of undernutrition was lower in children born to 20-30 years old mothers compared to those born to mothers younger than 20 years.
Conclusions:
Undernutrition is prevalent among school age children living in Lideta sub city, Addis Ababa. Policy makers should consider school age children in their nutrition policy documents and implement screening program and intervention strategy.
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