The issue of child malnutrition is decisive as its characteristics are not restricted to the boundary of childhood but rather persist into adulthood. It is also a sober public health problem in which the recent report in the country showed 25% of children were underweight, 9% wasted and 38% stunted. However, underlying variations of these nutritional indicators and determinant factors among localities are poorly understood. Therefore, the main objective of the study is to assess the prevalence of child malnutrition, their causes, and related factors. A cross-sectional study was conducted in Bahir Dar on a total of 615 preschool-age children from February to May 2018. A multistage systematic sampling method was employed to collect quantitative data using a structured questionnaire and anthropometric measurements. The information was processed using Epi-Info 3.5.4 software and exported to SPSS 20 for analysis. NCHS reference population was used to convert height and weight measurements into Z-scores. Bivariate and multivariate logistic regression analysis techniques were employed to identify associated factors with nutritional status. A P-value of less than 0.05 was considered as statistically significant. The study indicated 7% of the children were wasted, 30.9% stunted, and 18.7% underweight. The bivariate and multivariate logistic regression analysis showed that family income [AOR=.233 at 95% CI (.085-.637)], number of under-five children [AOR=2.618 at 95% CI (1.751-9.124)], source of water [AOR=2.852 at 95% CI (1.029-7.901)], paternal education [AOR=4.19 at 95% CI (1.298-13.527)], maternal education [AOR=2.740 at 95% CI (1.193-6.294)], and family head [AOR=.421 at 95% CI (.233-.762)], were positively associated with underweight. Chronic nutritional problems (stunting) and underweight were highly prevalent in Bahir Dar compared to the urban areas of neighbouring countries while the acute nutritional problem was at an intermediate level. To intervene in this problem, a community-based nutrition program should be established. Additionally, nutritional education should get a high emphasis to improve the nutritional status of children.
| Published in | Journal of Food and Nutrition Sciences (Volume 8, Issue 3) |
| DOI | 10.11648/j.jfns.20200803.11 |
| Page(s) | 43-54 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Nutritional Status, Associated Factors, Cross-sectional, Anthropometry, Bahir Dar
| [1] | Redi F. Prevalence of Malnutrition among Children Aged 6-59 in Haramaya. Journal of Biometrics & Biostatistics. 2017; 6–10. |
| [2] | UNICEF. Tracking Progress on Child and Maternal Nutrition; A survival and development priority [Internet]. New York, NY 10017, USA; 2009. 124. Available from: www.unicef.org/publications. |
| [3] | Smith LC, Haddad L. Overcoming Child Malnutrition in Developing Countries - Past Achievements and Future Choices. 2020 Vision for Food, Agriculture, and the Environment. Discussion Paper 30 (IFPRI, 2000, 73 p.): International Food Policy Research Institute. 2000; (30): 73. |
| [4] | Central Statistical Agency Ethiopia and ORC Macro. Ethiopia. Ethiopia Demographic and Health Survey 2011 Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International. 2011; 452. |
| [5] | Temesgen M. Status of Ethiopian Weaning and Complementary Foods: A Review. Open Access Scientific Reports. 2013; 2 (2): 10. |
| [6] | Mengistu K, Alemu K, Destaw B. Prevalence of Malnutrition and Associated Factors Among Children Aged 6-59 Months at Hidabu Abote District, North Shewa, Oromia Regional State. Nutritional Disorders & Therapy. 2013. |
| [7] | Central Statistics Agency [Ethiopia]. Mini DHS. Ethiopia Mini Demographic and Health Survey. 2014; (July): 1–111. |
| [8] | Asfaw M, Wondaferash M, Taha M, Dube L. Prevalence of undernutrition and associated factors among children aged between six to fifty-nine months in Bule Hora district, South Ethiopia. BMC Public Health. 2015; 15 (41): 1–9. |
| [9] | Eticha Kebede. Prevalence and Determinants of Child Malnutrition Western Ethiopia, Gimbi District, Oromia Regional State; 2009. |
| [10] | Teshome B, Kogi-makau W, Getahun Z, Taye G. 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. 2009; 23 (2): 10. |
| [11] | WHO. Learning from large-scale community-based programmes to improve breastfeeding practices. Geneva; 2008. |
| [12] | Al-Sahab B, Lanes A, Feldman M, Tamim H. Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: A national survey. BMC Pediatrics. 2010 Apr 8; 10. |
| [13] | Haddad L. Reducing Child Malnutrition: How Far Does Income Growth Take Us? The World Bank Economic Review [Internet]. Available from: https://academic.oup.com/wber/articlelookup/doi/10.1093/wber/lhg012. |
| [14] | Gillespie S, Haddad L, Mannar V, Menon P, Nisbett N. The politics of reducing malnutrition: Building commitment and accelerating progress. The Lancet. 2013; 382 (9891): 552–69. |
| [15] | Carolina N, Hill C, Street F. Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. NIH Public Access. 2013; 5 (1): 5. |
| [16] | Herrador Z, Sordo L, Gadisa E, Moreno J, Nieto J, Benito A, et al. Cross-sectional study of malnutrition and associated factors among school aged children in rural and urban settings of fogera and libo kemkem districts, Ethiopia. PLoS ONE. 2014; 9 (9): 1–11. |
| [17] | Smith LC, Ramakrishnan U, Ndiaye A, Haddad L, Martorell R. The Importance of Women’s Status for Child Nutrition in Developing Countries. 2003. |
| [18] | Christiansen LJ, Alderman H. Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income? 2001; (22). Available from: http://www.worldbank.org/afr/wps/index.html. |
| [19] | Edris M. Assessment of nutritional status of preschool children of preschool children of Gumbrit. Ethiopia J Health Dev. 2006; 21: 125–9. |
| [20] | Liaqat P, Rizvi MA, Qayyum A, Ahmed H. Association between complementary feeding practice and mother’s education status in Islamabad. Journal of Human Nutrition and Dietetics. 2007 Aug; 20 (4): 340–4. |
APA Style
Badasa Rata Jalata. (2020). Nutritional Status and Associated Factors Among Preschool Children in Bahir Dar City Administration, Northern Ethiopia: A Cross-sectional Study. Journal of Food and Nutrition Sciences, 8(3), 43-54. https://doi.org/10.11648/j.jfns.20200803.11
ACS Style
Badasa Rata Jalata. Nutritional Status and Associated Factors Among Preschool Children in Bahir Dar City Administration, Northern Ethiopia: A Cross-sectional Study. J. Food Nutr. Sci. 2020, 8(3), 43-54. doi: 10.11648/j.jfns.20200803.11
AMA Style
Badasa Rata Jalata. Nutritional Status and Associated Factors Among Preschool Children in Bahir Dar City Administration, Northern Ethiopia: A Cross-sectional Study. J Food Nutr Sci. 2020;8(3):43-54. doi: 10.11648/j.jfns.20200803.11
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Download@article{10.11648/j.jfns.20200803.11,
author = {Badasa Rata Jalata},
title = {Nutritional Status and Associated Factors Among Preschool Children in Bahir Dar City Administration, Northern Ethiopia: A Cross-sectional Study},
journal = {Journal of Food and Nutrition Sciences},
volume = {8},
number = {3},
pages = {43-54},
doi = {10.11648/j.jfns.20200803.11},
url = {https://doi.org/10.11648/j.jfns.20200803.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20200803.11},
abstract = {The issue of child malnutrition is decisive as its characteristics are not restricted to the boundary of childhood but rather persist into adulthood. It is also a sober public health problem in which the recent report in the country showed 25% of children were underweight, 9% wasted and 38% stunted. However, underlying variations of these nutritional indicators and determinant factors among localities are poorly understood. Therefore, the main objective of the study is to assess the prevalence of child malnutrition, their causes, and related factors. A cross-sectional study was conducted in Bahir Dar on a total of 615 preschool-age children from February to May 2018. A multistage systematic sampling method was employed to collect quantitative data using a structured questionnaire and anthropometric measurements. The information was processed using Epi-Info 3.5.4 software and exported to SPSS 20 for analysis. NCHS reference population was used to convert height and weight measurements into Z-scores. Bivariate and multivariate logistic regression analysis techniques were employed to identify associated factors with nutritional status. A P-value of less than 0.05 was considered as statistically significant. The study indicated 7% of the children were wasted, 30.9% stunted, and 18.7% underweight. The bivariate and multivariate logistic regression analysis showed that family income [AOR=.233 at 95% CI (.085-.637)], number of under-five children [AOR=2.618 at 95% CI (1.751-9.124)], source of water [AOR=2.852 at 95% CI (1.029-7.901)], paternal education [AOR=4.19 at 95% CI (1.298-13.527)], maternal education [AOR=2.740 at 95% CI (1.193-6.294)], and family head [AOR=.421 at 95% CI (.233-.762)], were positively associated with underweight. Chronic nutritional problems (stunting) and underweight were highly prevalent in Bahir Dar compared to the urban areas of neighbouring countries while the acute nutritional problem was at an intermediate level. To intervene in this problem, a community-based nutrition program should be established. Additionally, nutritional education should get a high emphasis to improve the nutritional status of children.},
year = {2020}
}
TY - JOUR T1 - Nutritional Status and Associated Factors Among Preschool Children in Bahir Dar City Administration, Northern Ethiopia: A Cross-sectional Study AU - Badasa Rata Jalata Y1 - 2020/06/17 PY - 2020 N1 - https://doi.org/10.11648/j.jfns.20200803.11 DO - 10.11648/j.jfns.20200803.11 T2 - Journal of Food and Nutrition Sciences JF - Journal of Food and Nutrition Sciences JO - Journal of Food and Nutrition Sciences SP - 43 EP - 54 PB - Science Publishing Group SN - 2330-7293 UR - https://doi.org/10.11648/j.jfns.20200803.11 AB - The issue of child malnutrition is decisive as its characteristics are not restricted to the boundary of childhood but rather persist into adulthood. It is also a sober public health problem in which the recent report in the country showed 25% of children were underweight, 9% wasted and 38% stunted. However, underlying variations of these nutritional indicators and determinant factors among localities are poorly understood. Therefore, the main objective of the study is to assess the prevalence of child malnutrition, their causes, and related factors. A cross-sectional study was conducted in Bahir Dar on a total of 615 preschool-age children from February to May 2018. A multistage systematic sampling method was employed to collect quantitative data using a structured questionnaire and anthropometric measurements. The information was processed using Epi-Info 3.5.4 software and exported to SPSS 20 for analysis. NCHS reference population was used to convert height and weight measurements into Z-scores. Bivariate and multivariate logistic regression analysis techniques were employed to identify associated factors with nutritional status. A P-value of less than 0.05 was considered as statistically significant. The study indicated 7% of the children were wasted, 30.9% stunted, and 18.7% underweight. The bivariate and multivariate logistic regression analysis showed that family income [AOR=.233 at 95% CI (.085-.637)], number of under-five children [AOR=2.618 at 95% CI (1.751-9.124)], source of water [AOR=2.852 at 95% CI (1.029-7.901)], paternal education [AOR=4.19 at 95% CI (1.298-13.527)], maternal education [AOR=2.740 at 95% CI (1.193-6.294)], and family head [AOR=.421 at 95% CI (.233-.762)], were positively associated with underweight. Chronic nutritional problems (stunting) and underweight were highly prevalent in Bahir Dar compared to the urban areas of neighbouring countries while the acute nutritional problem was at an intermediate level. To intervene in this problem, a community-based nutrition program should be established. Additionally, nutritional education should get a high emphasis to improve the nutritional status of children. VL - 8 IS - 3 ER -
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