Nutritional Status and Associated Factors Among Pastoralist Children Aged 6-23 Months in Benna Tsemay Woreda, South Omo Zone, Southern Ethiopia
International Journal of Nutrition and Food Sciences
Volume 7, Issue 1, January 2018, Pages: 11-23
Received: May 25, 2017;
Accepted: Jun. 20, 2017;
Published: Dec. 20, 2017
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Anteneh Tadesse, Southern Agricultural Research Institute, Jinka Agricultural Research Center, Jinka, Ethiopia
Dejene Hailu, Collage of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia
Tafese Bosha, School of Nutrition, Food Science and Technology, Hawassa University, Hawassa, Ethiopia
Nutritional status of children is an important outcome measure of their health status. However, nutritional status and associated factors of pastoralist children were not well documented in Benna Tsemay Woreda, South Omo Zone, Southern Ethiopia. Therefore, this study was designed to assess nutritional status and associated factors among pastoralist children aged 6-23 months in Benna Tsemay Woreda, South Omo Zone, Southern Ethiopia. A community-based cross sectional study was conducted among 645 pastoralist children aged 6-23 months from February-March 2016. A stratified random sampling technique was used to select kebeles (smallest administrative unit) and children. Out of thirty-two kebeles, six were randomly selected. Data were collected using a structured questionnaire, 24 hour food recall and anthropometric measurements. Quantitative data were collected and analyzed using SPSS for windows version 20.0. Anthropometric indices were computed using WHO Anthro 2011 software (version 3.2.2). Bivariate and multivariable logistic regression analyses were conducted. Crude odds ratio (COR) and adjusted odds ratio (AOR) with 95% confidence interval (CI) were reported. Prevalence of stunting and underweight were higher in fewer than two children in Benna Tsemay compared to the national average. This study showed, being older child (12-23 months) (AOR=3.29, 95%CI, 2.03-5.32), being from agro-pastoralist (AOR=0.46, 95%CI, 0.24-0.88), middle wealth quantile household (AOR=0.40, 95%CI, 0.20-0.77), use of treated water (AOR=0.60, 95%CI, 0.37-0.96), being second birth order (AOR=2.17, 95%CI, 1.11-4.24), being female child (AOR=0.55, 95%CI, 0.37-0.82) and good child feeding practice of mothers (AOR=0.47, 95%CI, 0.28-0.78) were significantly associated with stunting of pastoralist children in Benna Tsemay Woreda (p<0.05). Having large family size (≥6 individuals) (AOR=30.93, 95%CI, 4.91-194.7), polygamous marriage (AOR=2.46, 95%CI, 1.07-5.61), being from agro-pastoralist (AOR=0.19, 95%CI, 0.05-0.66) and farming as maternal occupation (AOR=3.00, 95%CI, 1.36-6.62) were significantly affected with thinness of children (p<0.05). Being from pastoralist (AOR=3.18, 95%CI, 1.74-5.81) and being female child (AOR=0.35, 95%CI, 0.14-0.89) were significantly predicted underweight in children (p<0.05). In conclusion, high numbers of pastoralist children are suffering from chronic malnutrition with low dietary diversity score (DDS). Large numbers of mothers have poor infant and young child feeding (IYCF) practices. Being from pastoralist and poor family, elder and male child, and poor IYCF practices, polygamous marriage, and poor health service are factors for child under nutrition. Therefore, the authors recommend interventions targeting on community-based nutrition education on IYCF, dietary diversity, cultural food taboos, and family planning in Benna Tsemay pastoralist community.
Nutritional Status and Associated Factors Among Pastoralist Children Aged 6-23 Months in Benna Tsemay Woreda, South Omo Zone, Southern Ethiopia, International Journal of Nutrition and Food Sciences.
Vol. 7, No. 1,
2018, pp. 11-23.
Abdulrahim M, Karama M, Makokha A (2015). Prevalence of underweight and its determinant factors among children aged 0-59 months: A case of Garissa sub-county. Int J Health Sci, 5(9): 445-457.
Addis Continental Institute of Public Health (2009). Community-Based Sub-Component of Ethiopian National Nutrition Program Baseline Survey Report.
Amelia R, Masumi M and Mark M (2016). Stunting and wasting in children under two years old in a semi-nomadic pastoralist population in Kenya.
Asfaw M, Mekitie W, Mohammed T, Lemessa D (2015). Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Blue Hora district, South Ethiopia. BMC Public Health 15:41.
Babar N, Muzaffar R, Khan M, Imdad S (2010). Impact of socio economic factors on nutritional status in primary school children in Lahore. Pakistan J Ayub Abbottabad; 22 (4):15–8.
Beka T, Wambui K, Zewditu G, Girum T (2009). Magnitude and determinants of stunting in children under five years of age in food surplus region of Ethiopia: The case of West Gojam Zone. Ethiop. J. Health Development 23:98-106.
Black R, Victora C, Walker S, Zq B, Christian P, de Onis M, (2013). Maternal and child undernutrition and overweight in low-income and middle income countries. Lancet. 382:427–51.
Central Statistical Agency (CSA) [Ethiopia]. The 2007 population and Housing Census of Ethiopia. Statistical Summary Report at National Level, Addis Ababa, Ethiopia.
CSAE, International I. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: 2012. Federal Democratic Republic of Ethiopia Ministry of Health. Complimentary feeding practices for children aged 6 upto 24 months. Addis Ababa, Ethiopia, 2012.
Central Statistical Agency [Ethiopia] and ORC Macro (2014). Ethiopia Mini Demographic and Health Survey (EDHS) 2014. Addis Ababa, Ethiopia and Calverton, Maryland, USA.
David W, Lawsona L, Susan J, Esther N, Bernard N, and Monique B, (2015). No evidence that polygamous marriage is a harmful cultural practice in northern Tanzania.
Demissie S, Worku A (2013). Magnitude and Factors Associated with Malnutrition in Children 6–59 Months of Age in Pastoral Community of Dollo Ado District, Somali Region, Ethiopia. Sci J Public Health, 1(4):175–83.
Deribew A, Alemseged F, Tessema F, Sena L, Birhanu Z, Sudhakar M, et al. Biadgilign (2010): malaria and under-nutrition: a community based study among under-five children at risk of malaria, south-west Ethiopia. PLoSOne, 5(5):e10775.
Eme O, Oluwadolapo O, Adeyimika D (2014). Family and socio economic risk factors for under nutrition among children aged 6 to 23 Months in Ibadan, Nigeria. Pan African Medical Journal–ISSN: 1937-8688.
Ermias A (2015). A thesis on the prevalence of stunting and associated factors among children age 6-59 months at Mizan-Aman Town, Bench Maji Zone, SNNPR Region, Ethiopia.
Fentaw R, Bogale A, Abebaw D (2013). Prevalence of child malnutritionin agro-pastoral households in Afar Regional State of Ethiopia. Nutr Res Pract. 7 (2):122–31.
Glover-A, Isaac A, Lynda L, Frank P, Gladys G, Asamoah L and Irmgard H (2016). Nutritional status of children 0–59 months in selected intervention communities in northern Ghana from the Africa RISING project in 2012; Archives of Public Health, 74:12.
Gobotswang K (2008). Factors associated with nutritional status of the under five children Amita Pradhana. Asian journal of medical sciences.
Hien N, Hoa N (2009). Nutritional status and determinants of malnutrition in children under three years of Age in Nghean. Vietnam Pak J Nutr; 8(7):958–64.
Ingunn M, Stadskleiv E, Thorkild T, Henry W, Charles K, and James K (2008). Determinants of infant growth in Eastern Uganda: a community-based cross-sectional study: BMC Public Health, 8:418.
Kandala N, Madungu T, Emina J, Nzita K, Cappuccio F (2011). Malnutrition among children under the age of five in the Democratic Republic of Congo (DRC): does geographic location matter? BMC Public Health 11:261.
Medhin G, Hanlon C, Dewey M, Alem A, Tesfaye F, Worku B (2010). Prevalence and predictors of undernutrition among infants aged six and twelve months in Butajira, Ethiopia: the P-Ma Mi E birth cohort. BMC Public Health; 10:27.
Mekides W, Yifru B and Alemzewed C (2015). Determinants of underweight, stunting and wasting among school children BMC Public Health 15:8 DOI10.1186/s12889-014-1337-2.
Mekonnen H, Tadesse T, Kisi T (2013). Malnutrition and its Correlates among Rural Primary school children of Fogera District, North west Ethiopia. Nutr Disorders Ther. S12:002. doi:10.4172/2161-0509.S12-002.
Moges B, Feleke A, Meseret S, Doyore F (2015). Magnitude of Stunting and Associated Factors Among 6-59 Months Old Children in Hossana Town, Southern Ethiopia. J Clinic Res Bio eth 6:207.
Nakamori M, Nguyen XN, Nguyen CK, Cao TH, Nguyen AT (2010). Nutritional status, feeding practice and incidence of infectious diseases among children aged 6 to 18 months in northern mountainous Vietnam. J Med Invest 57:45-53.
Nguyen NH, Nguyen NH (2009). Nutritional Status and Determinants of Malnutrition in Children Under Three Years of Age in Nghean, Vietnam Pakistan Journal of Nutrition 8:958-964.
Olack B, Burke H, Cosmas L, Bamrah S, Dooling K, Feikin D (2011). Nutritional status of under-five children living in an informal urban settlement in Nairobi, Kenya. J Health Popul Nutr; 29(4):357–63.
Qabale D (2014). Master thesis on nutritional status of children under five years, and assocoiated factors, in mbeere south sub country, Kenya.
Raphael O, Funke I, Segun B, Foluke E (2011). Prevalence and Determinants of Malnutrition among Under-five Children of Farming Households in Kwara State, Nigeria: Canadian Center of Science and Education, Journal of Agricultural Science; 3(3).
Solomon D, Amare W (2013). Magnitude and Factors Associated with Malnutrition in Children 6-59 Months of Age in Pastoral Community of Dollo Ado District, Somali Region, Ethiopia. Science Journal of Public Health. Vol. 1, No. 4, pp. 175-183.
Teklebrhan T (2012). Predictors of Nutritional Status of Children Visiting Health Facilities in Jimma Zone, South West Ethiopia. International Journal of Advanced Nursing Science and Practice. 1-11.
Teshome B, Kogi-Makau W, Getahun Z, Taye G (2009). Magnitude and determinants of stunting in children under five years of age in food surplus region of Ethiopia: The case of west gojam zone. Ethiop J Health Dev; 23(2):99–106.
WHO (World Health Organization). Multicentre growth reference study group. WHO child growth standards: length/height-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva, Switzerland: WHO; 2006.
WHO, UICEF, UCDavis, USAID, FANTA (2007). Indicators for assessing infant and young child feeding practices, part 1 definition: conclusions of a consensus meeting held 6–8 November in Washington D. C., USA.
WHO and UNICEF (2009). Breastfeeding promotion and support in a baby friendly hospital. Geneva.
Yalew B (2014). Prevalence of Malnutrition and Associated Factors among Children Age 6-59 Months at Lalibela Town Administration, North Wollo Zone, Anrs, Northern Ethiopia. J Nutr Disorders Ther 4:132. doi:10.4172/2161-0509.1000132.
Yirgu F, Addisalem M, Demewoz H and Barbara J. S (2015). Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: across-sectional study. BMC Public Health 15:846 DOI10.1186/s12889-015-2190-7.