Undernutrition before two years in Algeria: Repeated cross-sectional analyses (2012-13 to 2018-19)
Nagwa Farag Elmighrabi1,2,3, Catharine A K Fleming3,4, Kingsley E Agho3,4,5
1Faculty of Public Health, Department of Nutrition, University of Benghazi, Benghazi, Benghazi, 16063, Libya.
Insights
Childhood undernutrition in Algeria remains a concern, with stunting decreasing but wasting and underweight showing little change. Key factors like maternal BMI and education need addressing for better child nutrition outcomes.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Algeria faces persistent childhood undernutrition, with stunting affecting nearly 12% of children under five in 2022.
- Despite progress, specific undernutrition indicators require continued focus.
Purpose of the Study:
- To evaluate the prevalence of stunting, wasting, and underweight in Algerian children aged 0-23 months.
- To identify variables associated with these undernutrition indicators between 2013 and 2019.
Main Methods:
- Utilized pooled data from Multiple Indicator Cluster Surveys (MICS) for 2012-13 and 2018-19.
- Employed univariate and multiple logistic regression analyses to determine associations.
Main Results:
- Stunting prevalence decreased significantly, while wasting and underweight showed no significant reductions.
- Overall prevalence in 2019: stunting 10.1%, wasting 5.4%, underweight 3.6%.
- Associated factors included child age, birth size, household wealth, maternal BMI, maternal education, and antenatal care (ANC) visits.
Conclusions:
- A comprehensive, community-centered approach is crucial for long-term improvements in child nutrition.
- Addressing high maternal BMI, low maternal education, and infrequent ANC visits is vital.
- These interventions can help Algeria achieve the UN's malnutrition eradication goals.
Background:
Algeria has made significant progress in addressing childhood undernutrition. Despite improvements, nearly 12% of Algerian children under five years of age suffered from stunting in 2022. This study aimed to evaluate the prevalence of three indicators of undernutrition (stunting, wasting, and underweight) and their associated variables in children aged 0-23 months in Algeria between 2013 and 2019.
Methods:
Pooled data from Multiple Indicator Cluster Surveys (MICS) (2012-13 and 2018-19) covering 14,498 children were used. Univariate and multiple logistic regression analyses were performed to test the associations.
Results:
Stunting decreased significantly, but wasting and being underweight showed no significant reductions from 2013 to 2019. Stunting, wasting, and underweight decreased by 2.2%, 1.3%, and 0.3%, respectively, with an overall prevalence of 10.1%, 5.4%, and 3.6%, respectively. Factors associated with undernutrition included child age and small size at birth, whereas stunting was linked to the poorest households, male children, higher maternal body mass index (BMI), and low antenatal care (ANC) visits. Wasting was associated with younger age and paternal age, fewer maternal ANC visits, underweight male sex, low maternal education, high maternal BMI, and delayed breastfeeding initiation.
Conclusion:
Public health experts and stakeholders must adopt a comprehensive community-centered approach to achieve long-term improvements in child nutrition in Algeria. This strategy should focus on key factors including high maternal BMI, low maternal education, male children, and infrequent ANC visits. This action can help Algeria progress towards achieving the UN's goal of eradicating malnutrition.
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