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Ethiopia's high childhood undernutrition explained: analysis of the prevalence and key correlates based on recent
Tafere Gebreegziabher1, Nigatu Regassa2
11Food Science and Nutrition,Department of Health Sciences,Central Washington University,400 E University Way,Ellensburg,WA98926,USA.
Insights
Childhood undernutrition in Ethiopia is influenced by child, maternal, and household factors. Interventions focusing on maternal education and health services during the first 1000 days are crucial for prevention.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood undernutrition, encompassing stunting, wasting, and underweight, remains a significant public health challenge in Ethiopia.
- Identifying key contributing factors is essential for developing effective interventions.
Purpose of the Study:
- To investigate the roles of child, maternal, and household characteristics in childhood undernutrition among children under five years in Ethiopia.
- To differentiate influencing factors between younger (0-24 months) and older (25-59 months) age groups.
Main Methods:
- A quantitative, cross-sectional study design utilizing nationally representative data from urban and rural Ethiopia.
- Analysis included a total of 9696 children, divided into younger (n=4199) and older (n=5497) age cohorts.
Main Results:
- Prevalence of stunting, wasting, and underweight varied by age group, with higher stunting rates in older children.
- Factors associated with reduced undernutrition included female sex, micronutrient intake, piped water, high maternal BMI, wealth, and education.
- Risk factors for undernutrition included anemia, low birth weight, bottle feeding, and mothers who were stunted, wasted, or working. Child factors were more influential in younger children.
Conclusions:
- Childhood undernutrition in Ethiopia is multifactorial, influenced by a complex interplay of child, maternal, and household determinants.
- Effective interventions should target the critical first 1000 days, emphasizing maternal education, enhanced maternal and child health services, improved maternal nutrition, and equitable intra-household food distribution.
Objective:
To examine the contribution of child, maternal and household factors in stunting, wasting and underweight among children under 5 years in Ethiopia.
Design:
Quantitative cross-sectional design based on nationally representative data.
Setting:
Urban and rural areas of Ethiopia.ParticipantsYounger (0-24 months; n 4199) and older age groups (25-59 months; n 5497), giving a total of 9696 children.
Results:
Among the younger age group, 29 % were stunted, 14 % were wasted and 19 % were underweight; and among the older age group, the prevalence of stunting, wasting and underweight was 47, 8 and 28 %, respectively. Being female, intake of multiple micronutrients, household having a piped source of drinking-water, high maternal BMI, higher household wealth and higher maternal education were associated with decreased odds of at least one form of undernutrition in both groups. On the other hand, children who were anaemic, had low birth weight, drank from a bottle, and children of stunted or wasted or working mothers were more likely to be stunted, wasted or underweight in both groups (P<0·05). While most predictors and/or risk factors followed a similar pattern across the two age groups, child factors had higher leverage in the younger than the older group across the three forms of undernutrition.
Conclusions:
Multiple set of factors predicted childhood undernutrition in Ethiopia. The study underscores the importance of intervening in the first 1000 days through promoting maternal education, maternal-child health services, mother's nutrition and improving intrahousehold food distribution.
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