Undernutrition status and associated factors in under-5 children, in Tigray, Northern Ethiopia
Mussie Alemayehu1, Fitiwi Tinsae2, Kiday Haileslassie1
1Department of Public Health, Mekelle University, Mekelle, Ethiopia.
Insights
High rates of stunting, underweight, and wasting were found in children under five in Ethiopia. Factors like maternal education, household food priorities, and water source significantly impact child nutrition.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood undernutrition remains a critical public health issue in many developing regions.
- Assessing nutritional status and identifying associated factors are crucial for targeted interventions.
Purpose of the Study:
- To evaluate the nutritional status of children under five years old in Ethiopia's Medebay Zana District.
- To identify key factors associated with undernutrition in this vulnerable population.
Main Methods:
- A community-based cross-sectional study was conducted with 605 children under five.
- Data were collected using a two-stage cluster-sampling technique.
- Descriptive, binary, and multiple logistic regression analyses were performed to identify predictors.
Main Results:
- Prevalence rates were high: 56.6% stunting, 45.3% underweight, and 34.6% wasting.
- Maternal education, household food allocation favoring fathers, and unprotected water sources predicted stunting.
- Early breastfeeding initiation, maternal financial decision-making power, and duration of breastfeeding were associated with wasting.
- Child's sex, delayed breastfeeding initiation, and maternal financial autonomy influenced underweight status.
Conclusions:
- Undernutrition is highly prevalent among children under five in the study area.
- Key influencing factors include child's age, breastfeeding practices, sex, water source, parental education, complementary feeding, and maternal financial autonomy.
Objective:
The aim of this study was to assess the nutritional status and associated factors in children <5 y in the Medebay Zana District, northern Ethiopia.
Methods:
A community-based cross-sectional study was conducted in the Medebay Zana District from September 8 to 29, 2013. A two-stage cluster-sampling technique was used to select 605 children age <5 y. Descriptive, binary, and multiple logistic regression analyses were performed.
Results:
The results of this study demonstrated that the level of stunting was 56.6%, underweight 45.3%, and wasting 34.6%. Stunting was predicted by having mothers who attended high school (adjusted odds ratio [AOR], 0.75; 95% confidence interval [CI], 0.09-0.85), living in a household where providing priority food was given to the father (AOR, 4.32; 95% CI, 2.10-9.05), and water was taken from unprotected sources (AOR, 2.13; 95% CI, 1.09-4.14). In all children, initiation of breast-feeding within 1 to 3 h after birth (AOR, 4.06; 95% CI, 1.77-9.33), having mothers who could make financial decisions (AOR, 0.09; 95% CI, 0.02-0.51), and being breast-fed for 12 to 23 mo (AOR, 0.07; 95% CI, 0.01-0.40) were predictors of wasting. Moreover, in girls (AOR, 1.84; 95% CI, 1.25, 2.69), initiation of breast-feeding 6 h after birth (AOR, 12.94; 95% CI, 4.04-41.49) and having mothers who could make financial decisions (AOR, 0.33; 95% CI, 0.15-0.74) were predictors of being underweight.
Conclusion:
The undernutrition status among children <5 y was high. Children's age group, time initiation of breast-feeding, child's sex, source of water, parents' educational status, type of food used for starting of complementary feeding, and mothers' financial decision-making ability could have an influence in undernutrition of children in this age group.
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