Undernutrition among Institutionalized School-age Orphans in Harari Regional State, Eastern Ethiopia: A
Fozi Mohammed1, Ibsa Musa2, Sagni Girma Fage3
1Hararghe Catholic Secretariat, Dire Dawa, Ethiopia.
Insights
Undernutrition affects 1 in 6 institutionalized orphans in Ethiopia, with younger children and those recently ill being most vulnerable. Further research is needed to understand the causes of malnutrition in these settings.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Orphans face heightened risks of undernutrition.
- Limited studies focus on undernutrition among institutionalized orphans.
- This study addresses this gap in Harari Regional State, Ethiopia.
Purpose of the Study:
- To determine the prevalence of undernutrition (stunting, wasting, underweight) among institutionalized school-age orphans.
- To identify factors associated with undernutrition in this population.
Main Methods:
- An institution-based cross-sectional study was conducted.
- Data collected via questionnaires and anthropometric measurements.
- Logistic regression analysis identified factors associated with undernutrition.
Main Results:
- Prevalence rates: 15.8% stunting, 10.9% wasting, 8.7% underweight.
- Factors associated with stunting included longer stays in centers, recent illness, and older age.
- Recent illness and younger age were linked to wasting; recent illness to underweight.
Conclusions:
- Significant proportions of institutionalized orphans are stunted, wasted, and underweight.
- Younger age and recent illness are key risk factors for undernutrition.
- Further investigation into the root causes of undernutrition in orphan care centers is recommended.
Background:
Although orphans are at increased risk of undernutrition, studies assessing prevalence of undernutrition are limited to orphans residing with their relatives or on street. This study was conducted to assess magnitude of undernutrition and its associated factors among institutionalized school-age orphans in Harari Regional State, eastern Ethiopia.
Methods:
An institution based cross-sectional study was conducted among all school-age (6-12 years) orphans living in all orphan centers in Harari Regional State, eastern Ethiopia. Data were collected by using a structured pretested questionnaire supplemented with anthropometric measurements. Data were entered using EpiData 3.1 and analyzed using SPSS 22. Logistic regression models were fitted to identify factors associated with undernutrition. Statistical significance was declared at P-value <.05.
Results:
A total of 265 orphans residing in all orphan centers in the region were included. The prevalence of stunting, wasting, and underweight were 15.8% (95% CI: 11.9, 20.7), 10.9% (95% CI: 7.7, 15.3), and 8.7% (95% CI: 4.3, 10.5), respectively. Staying in orphan center for 6 to 10 years (AOR = 6.2; 95% CI: 2.6, 15.10), having recent illness (AOR = 3.9; 95% CI: 1.4, 10.4), and being aged 10 to 12 years (AOR = 11.2; 95% CI: 3.5, 35.4) were significantly associated with stunting whereas having recent illness (AOR = 4.3; 95% CI: 1.4, 7.3) and being aged 6 to 7 years (AOR: 10.4; 95% CI: 3.2, 33.6) were significantly associated with wasting. Underweight was more likely (AOR: 8.9; 95% CI: 2.7, 29.5) among children with recent illness.
Conclusions:
Almost 1 in 6, 1 in 9, and 1 in 11 institutionalized school-age orphans in Harari Regional State were stunted, wasted, and underweight respectively. Younger children and those with recent illness were more likely to be undernourished. Underlying reasons for undernutrition among orphans being cared in orphan centers should be further explored.
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