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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Anthropometric Failure and Associated Factors Among Infants Aged 6-8 Months in West Gojjam Zone, Ethiopia
Shiferaw Birhanu1, Getu Degu Alene2, Yeshalem Mulugeta Demilew3
1Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia.
Insights
Childhood undernutrition in Ethiopia affects nearly one-third of infants aged 6-8 months. Interventions should focus on shared decision-making, illness prevention, and maternal confidence in feeding practices.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Childhood undernutrition is a significant public health issue in Ethiopia.
- Conventional indicators may underestimate undernutrition in infants aged 6-8 months during the critical complementary feeding period.
- The composite index of anthropometric failure offers a more comprehensive assessment of undernutrition.
Purpose of the Study:
- To assess the prevalence of undernutrition using the composite index of anthropometric failure among infants aged 6-8 months in West Gojjam Zone, Ethiopia.
- To identify factors associated with undernutrition in this vulnerable population.
Main Methods:
- A community-based cross-sectional study was conducted with 789 mothers and their infants aged 6-8 months.
- Cluster sampling was employed for participant selection.
- Data were collected via structured questionnaires and anthropometric measurements, followed by binary logistic regression analysis.
Main Results:
- The prevalence of undernutrition, as measured by the composite index of anthropometric failure, was 29.2% among infants aged 6-8 months.
- Significant predictors included male infants, older infant age (7-8 months), acute respiratory infection, low maternal self-efficacy in complementary feeding, and male household decision-making power.
- Infants with male primary decision-makers had a 2.36 times higher odds of anthropometric failure.
Conclusions:
- A substantial burden of undernutrition exists among infants aged 6-8 months in the study area.
- Interventions should empower women in household decision-making, address nutritional risks associated with illness, and enhance maternal confidence in complementary feeding practices.
- The findings highlight the importance of a comprehensive approach to tackling infant undernutrition.
Abstract:
Childhood undernutrition in Ethiopia is a major public health concern. However, conventional indicators often miss concurrent growth failures, thereby underestimating the true burden among infants aged 6-8 months, a vulnerable group during the critical period of growth and complementary feeding. Therefore, this study aimed to assess undernutrition using the composite index of anthropometric failure and associated factors among infants aged 6-8 months in West Gojjam Zone, Northwest Ethiopia. A community-based cross-sectional study was conducted among 789 mothers with infants aged 6-8 months, selected using a cluster sampling technique in West Gojjam Zone, Northwest Ethiopia. Data were collected using a structured questionnaire, and anthropometric measurements were taken following standard procedures. Binary logistic regression analysis was performed to identify factors associated with undernutrition. Variables with a p-value of < 0.05 were considered statistically significant. Nearly one-third of infants aged 6-8 months were undernourished (29.2%; 95% CI: 26.0%, 32.5%) as measured by the composite index of anthropometric failure. In multivariable logistic regression, infants from households where the husband was the primary decision-maker on resources [AOR = 2.36, 95% CI (1.51, 3.71)], infants being male [AOR = 4.05, 95% CI (2.87, 5.71)], being aged 7 months [AOR = 1.81, 95% CI (1.21, 2.70)], or 8 months [AOR = 1.86, 95% CI (1.23, 2.81)] compared with aged 6 months, having acute respiratory infection [AOR = 1.95, 95% CI (1.13, 3.39)], and low maternal self-efficacy in complementary feeding [AOR = 1.51, 95% CI (1.05, 2.17)] were significant predictors of anthropometric failure. Therefore, interventions should promote shared household decision-making, address illness-related nutritional risks, and strengthen maternal confidence in complementary feeding. Trial Registration: Registered at ClinicalTrials.gov (NCT05871346).
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