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Stunting and its determinant factors among children aged 6-59 months in Ethiopia
Amare Tariku1, Gashaw Andargie Biks2, Terefe Derso3
1Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Insights
Childhood stunting remains a critical public health issue in rural Ethiopia, affecting 64.5% of children. Key factors include maternal occupation, vitamin A supplementation, household wealth, and food sourcing.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Childhood stunting persists as a significant public health challenge in Ethiopia despite various nutritional interventions.
- Limited literature exists on stunting and its determinants in rural Ethiopian populations.
Purpose of the Study:
- To investigate the prevalence and determinants of stunting among children aged 6-59 months in northwest Ethiopia.
- To identify key factors contributing to severe stunting in a predominantly rural setting.
Main Methods:
- A community-based cross-sectional study was conducted from May to June 2015.
- 1295 mother-child pairs were analyzed using ordinal multivariable logistic regression.
- Statistical significance was determined using a P-value of <0.05.
Main Results:
- The overall prevalence of stunting was 64.5% (37.7% moderate, 26.8% severe).
- Determinants of severe stunting included maternal farming occupation, lack of postnatal vitamin A supplementation, poorer household wealth, and family food sourcing from farms.
- Adjusted Odds Ratios (AOR) indicated significant associations for these factors.
Conclusions:
- Stunting is a critical public health concern in the studied district.
- Interventions should focus on improving maternal postnatal vitamin A supplementation and educating farmer mothers and poorer households on appropriate child feeding practices.
Background:
Though Ethiopia has implemented different nutritional interventions, childhood stunting on which literature is limited continues as a severe public health problem. Thus, this study aimed to investigate stunting and its determinants among children aged 6-59 months in the predominantly rural northwest Ethiopia.
Methods:
A community based cross-sectional study was conducted from May to June 2015 at Dabat Health and Demographic Surveillance System (HDSS) site. A total of 1295 mother-child pairs were included for analysis. An ordinal multivariable logistic regression analysis was carried out to identify the determinants of severe stunting. To show the strength of associations, both Crude Odds Ratio (COR) and Adjusted Odds Ratios (AOR) with a 95% Confidence Interval (CI) were estimated. Also, a P-value of <0.05 was used to declare statistical significance in the final model.
Results:
The overall prevalence of stunting among children aged 6-59 months was 64.5%, of which about 37.7% and 26.8% were moderately and severely stunted, respectively. Farming occupation of mother [AOR = 1.45; 95% CI: 1.08, 1.93], lack of postnatal vitamin-A supplementation [AOR = 1.54; 95%: 1.19, 2.00], poorer household wealth status [AOR = 2.07; CI: 1.56, 2.75] and accessing family food from farms [AOR = 1.44; 95% CI: 1.09, 1.89] were identified as the key determinants of severe stunting.
Conclusion:
In the district, the magnitude of stunting was a critical public health concern. Therefore, emphasis should be given to improving mothers' postnatal vitamin A supplementation coverage and building knowledge about appropriate child feeding practices among farmer mothers and poorer households.
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