Malnutrition in Infants Aged under 6 Months Attending Community Health Centres: A Cross Sectional Survey
Carlos S Grijalva-Eternod1,2, Emma Beaumont1, Ritu Rana3,4
1London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Insights
Malnutrition is common in infants under six months old. Over 21% of infants in Ethiopian health centers showed anthropometric failure, with many experiencing multiple deficits, highlighting the need for better nutritional assessments.
Area of Science:
- Global Health
- Pediatrics
- Nutrition Science
Background:
- Underestimation of malnutrition burden impacts care prioritization for infants under six months.
- Anthropometric deficits in infants require accurate assessment for effective intervention strategies.
Purpose of the Study:
- To estimate the prevalence of anthropometric deficits in infants under six months using the Composite Index of Anthropometric Failure (CIAF).
- To assess the overlap between different individual anthropometric indicators in this vulnerable population.
Main Methods:
- A two-week survey was conducted in 18 health centers in Ethiopia's Oromia region.
- Weight, length, and mid-upper arm circumference (MUAC) were measured in infants under six months.
- Weight-for-length (WLZ), length-for-age (LAZ), and weight-for-age (WAZ) z-scores were calculated.
Main Results:
- Overall, 21.7% of infants under six months presented with CIAF, indicating significant anthropometric failure.
- 10.7% of these infants exhibited multiple anthropometric deficits.
- Weight-for-age z-score (WAZ) showed greater overlap with other deficits (stunting, wasting, CIAF) compared to MUAC.
Conclusions:
- Anthropometric deficits, both single and multiple, are prevalent among infants attending health centers.
- The findings underscore the need for comprehensive nutritional assessments in early childhood interventions.
- WAZ is a valuable indicator for identifying infants with multiple anthropometric failures.
Abstract:
A poor understanding of malnutrition burden is a common reason for not prioritizing the care of small and nutritionally at-risk infants aged under-six months (infants u6m). We aimed to estimate the anthropometric deficit prevalence in infants u6m attending health centres, using the Composite Index of Anthropometric Failure (CIAF), and to assess the overlap of different individual indicators. We undertook a two-week survey of all infants u6m visiting 18 health centres in two zones of the Oromia region, Ethiopia. We measured weight, length, and MUAC (mid-upper arm circumference) and calculated weight-for-length (WLZ), length-for-age (LAZ), and weight-for-age z-scores (WAZ). Overall, 21.7% (95% CI: 19.2; 24.3) of infants u6m presented CIAF, and of these, 10.7% (95% CI: 8.93; 12.7) had multiple anthropometric deficits. Low MUAC overlapped with 47.5% (95% CI: 38.0; 57.3), 43.8% (95% CI: 34.9; 53.1), and 42.6% (95% CI: 36.3; 49.2) of the stunted, wasted, and CIAF prevalence, respectively. Underweight overlapped with 63.4% (95% CI: 53.6; 72.2), 52.7% (95% CI: 43.4; 61.7), and 59.6% (95% CI: 53.1; 65.9) of the stunted, wasted, and CIAF prevalence, respectively. Anthropometric deficits, single and multiple, are prevalent in infants attending health centres. WAZ overlaps more with other forms of anthropometric deficits than MUAC.
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