Determinants of underweight among children aged 0-23 months in Tanzania
Cypriana Cyprian Moshi1, Penina Joseph Sebastian1, Devotha Gabriel Mushumbusi1
1Department of Food Science and Nutrition Tanzania Food and Nutrition Center Dar es Salaam Tanzania.
Insights
Underweight in Tanzanian children is influenced by gender, age, birth weight, and maternal factors. Interventions like growth monitoring and nutrition education are crucial for healthy child development.
Area of Science:
- Child Health and Nutrition
- Public Health
- Pediatrics
Background:
- Underweight is a critical indicator of child growth, with Tanzania facing high rates in East Africa.
- 1.27 million Tanzanian children under five are affected by underweight.
- This study addresses factors influencing underweight in children aged 0-23 months in Tanzania.
Purpose of the Study:
- To identify key factors contributing to underweight in Tanzanian children aged 0-23 months.
- To analyze the relationship between child underweight and various demographic, maternal, and household characteristics.
- To inform targeted interventions for child malnutrition in Tanzania.
Main Methods:
- Secondary data analysis of the Tanzania Demographic and Health Survey (TDHS) 2015-2016.
- Sample included 4,327 children aged 0-23 months.
- Descriptive and inferential statistics, including multivariate logistic regression (SPSS v25), were used with a significance level of p < 0.05.
Main Results:
- Key risk factors for underweight included male gender, low birth weight, low maternal Body Mass Index (BMI), and lower maternal education levels.
- Female children had a significantly lower risk of being underweight (AOR=0.62).
- Low birth weight (AOR=2.92), low maternal BMI (AOR=2.48), and low maternal education (AOR=1.78) significantly increased underweight risk.
Conclusions:
- Child gender, birth weight, maternal BMI, maternal education, and household toilet facilities are significant determinants of underweight.
- Targeted nutrition interventions, including growth monitoring and education, are essential for improving child weight gain.
- Addressing these factors can help reduce the prevalence of underweight children in Tanzania.
Abstract:
Underweight is the most dependable growth indicator for overall child growth. Tanzania has the highest rate of underweight children in East Africa, with 1.27 million children under the age of five suffering from the condition. This study aimed to determine factors that influence underweight in Tanzanian children aged 0-23 months. We used data from the Tanzania Demographic and Health Survey (TDHS) 2015-2016 to conduct secondary analysis on a sample of 4,327 children aged 0-23 months. Descriptive and inferential statistics such as frequency, chi-square, binary, and multivariate logistic regression were performed using the Statistical Package of Social Science (SPSS version 25). Statistical significance was defined as a p-value of less than 0.05. Multivariate analysis found risk factors for underweight children were as follows: child's gender, age, birth weight, mothers' BMI, level of education, and type of toilet facility used by the households. Females had a significantly lower risk of being underweight (AOR = 0.62, 95% CI = 0.48-0.81, p < .05) compared with male children. The odds of being underweight increase with low birth weight (AOR = 2.92, 95% CI = 1.92-4.43, p < .05), low mother's BMI (AOR = 2.48, 95% CI = 1.34-4.58, p < .05), and low educational level (AOR = 1.78, 95% CI = 1.23-2.58, p < .05). Nutrition interventions such as growth monitoring, nutrition counseling, and nutrition education for parents/caregivers are critical to ensuring proper weight gain for all children under 2 years of age.
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