Childhood Malnutrition and Its Determinants among Under-Five Children in Ghana
Justice Moses K Aheto1, Thomas J Keegan1, Benjamin M Taylor1
1Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Insights
Childhood malnutrition in Ghana is prevalent, with factors like age, breastfeeding, and household conditions influencing outcomes. Addressing identified risks is crucial for improving child health and well-being.
Area of Science:
- Public Health
- Pediatrics
- Nutritional Epidemiology
Background:
- Childhood malnutrition poses significant short- and long-term health and economic challenges globally.
- In Ghana, malnutrition contributes to approximately 40% of under-five mortality.
- Limited research exists on the specific determinants of malnutrition in Ghanaian children.
Purpose of the Study:
- To investigate the prevalence of malnutrition among children under five years old in Ghana.
- To identify key determinants associated with childhood malnutrition.
- To inform policymakers and stakeholders on effective interventions for child health and nutrition.
Main Methods:
- Utilized data from the 2008 Ghana Demographic and Health Survey (GDHS).
- Employed multilevel regression analysis on 2083 children under five and 1641 households.
- Calculated probabilities of malnutrition using multilevel model results.
Main Results:
- Prevalence rates: 28% moderately stunted, 13% moderately underweight, 8% moderately wasted.
- Risk factors for malnutrition include older age, shorter breastfeeding, multiple births, diarrhea, small birth size, lack of toilet facilities, poverty, and lack of health insurance.
- Protective factors include increased maternal education and maternal body mass index.
Conclusions:
- Identified risk factors must be addressed in policies and interventions to improve child nutrition.
- Further research is needed to explore unexplained household-level variations in nutritional outcomes.
- Comprehensive strategies are essential for enhancing childhood nutrition and health in Ghana.
Background:
Childhood malnutrition adversely affects short- and long-term health and economic well-being of children. Malnutrition is a global challenge and accounts for around 40% of under-five mortality in Ghana. Limited studies are available indicating determinants of malnutrition among children. This study investigates prevalence and determinants of malnutrition among children under-five with the aim of providing advice to policymakers and other stakeholders responsible for the health and nutrition of children.
Methods:
The study used data from the 2008 Ghana Demographic and Health Survey (GDHS). Analyses were conducted on 2083 children under 5 years old nested within 1641 households with eligible anthropometric measurements, using multilevel regression analysis. Results from the multilevel models were used to compute probabilities of malnutrition.
Results:
This study observed that 588 (28%), 276 (13%), and 176 (8%) of the children were moderately 'stunted', moderately 'underweight', and moderately 'wasted' respectively. Older ages are associated with increased risk of stunting and underweight. Longer breast-feeding duration, multiple births, experience of diarrhoeal episodes, small size at birth, absence of toilet facilities in households, poor households, and mothers who are not covered by national health insurance are associated with increased risk of malnutrition. Increase in mother's years of education and body mass index are associated with decreased malnutrition. Strong residual household-level variations in childhood nutritional outcomes were found.
Conclusion:
Policies and intervention strategies aimed at improving childhood nutrition and health should address the risk factors identified and the need to search for additional risk factors that might account for the unexplained household-level variations.
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