Assessment of Prevalence and Factors Associated with Malnutrition Among Under-five Children in West Shoa Zone, Oromia Region, Ethiopia
American Journal of Health Research
Volume 7, Issue 5, September 2019, Pages: 59-66
Received: Jul. 1, 2019;
Accepted: Jul. 23, 2019;
Published: Aug. 8, 2019
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Tsegaye Benti Muse, Department of Public Health, Ambo University, Ambo, Ethiopia
Meseret Ifa Wanjo, Department of Public Health, Ambo University, Ambo, Ethiopia
Elias Teferi Bala, Department of Public Health, Ambo University, Ambo, Ethiopia
Habtamu Oljira Desta, Department of Public Health, Ambo University, Ambo, Ethiopia
Malnutrition is a primary cause of child mortality and morbidity in developing countries, particularly during the first 5 years of life. Worldwide, under nutrition contributes to one third of under-five deaths which also plays a significant role as an underlying cause for growth problem in 230 million children and severe wasting in 50 million children. Hence, the aim of this study was to determine the prevalence and factors associated with malnutrition among under-five year children in West Shoa Zone, Ethiopia. Institution based cross-sectional study was conducted on 374 under-five year children. Systematic random sampling was utilized to include study subjects into the study. Data were collected by using pre-tested structured questionnaire. The data were entered into epi data and transferred into SPSS and World Health Organization Anthro software for analysis. In order to identify significant predictors of malnutrition both bivariate and multivariable logistic regression models were used. The prevalence of stunting, underweight and wasting were 40%, 24.9% and 13.8% respectively. Magnitude of wasting and underweight was higher for female children while stunting was higher for male children. In addition, malnutrition was more prevalent among rural children than urban dwellers. Antenatal care attendance was predictor of wasting whereas place of residence and growth monitoring were found to be predictors of stunting. In conclusion stunting was more prevalent among study subjects and antenatal care attendance, place of residence and growth monitoring were variables that showed significant association with malnutrition. Hence, there is a need to implement nutritional interventions in the study area giving priority to these identified factors.
Tsegaye Benti Muse,
Meseret Ifa Wanjo,
Elias Teferi Bala,
Habtamu Oljira Desta,
Assessment of Prevalence and Factors Associated with Malnutrition Among Under-five Children in West Shoa Zone, Oromia Region, Ethiopia, American Journal of Health Research.
Vol. 7, No. 5,
2019, pp. 59-66.
WHO. Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide. 2010.
You D, New J, Wardlaw T. Levels and trends in child mortality. Report 2012. Estimates developed by the UN Inter-agency Group for Child Mortality Estimation. 2012.
Eastwood MA. Principles of human nutrition: Springer; 2013.
De Onis M, Brown D, Blossner M, Borghi E. Levels and trends in child malnutrition. UNICEF-WHO-The World Bank joint child malnutrition estimates. 2012.
Nutrition I. The Achievable Imperative for Global Progress New York. NY United Nations Children’s Fund: New York, NY, USA. 2013.
Central Statistical Agency. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa, Ethiopia; 2014.
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 (1): 41.
Demissie S, Worku A. 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. 2013; 1 (4): 175-83.
Zewdie T, Abebaw D. Determinants of Child Malnutrition: Empirical Evidence from Kombolcha District of Eastern Hararghe Zone, Ethiopia. Quarterly Journal of International Agriculture. 2013; 52 (892-2016-65185): 357.
Debeko DD, Goshu AT. Nutritional status of under-five children in Hawassa Zuria District, Southern Ethiopia. Am J Health Res. 2015; 3 (5): 286-92.
Mulugeta A, Hagos F, Kruseman G, Linderhof V, Stoecker B, Abraha Z, et al. Child malnutrition in Tigray, northern Ethiopia. East Afr Med J. 2010 Jun; 87 (6): 248-54. PubMed PMID: 23057267. Epub 2010/06/01. eng.
Brhane G, Regassa N. Nutritional status of children under five years of age in Shire Indaselassie, North Ethiopia: Examining the prevalence and risk factors. Kontakt. 2014; 16 (3): e161-70.
Teshome B, Kogi-Makau W, Getahun Z, Taye G. Magnitude and determinants of stunting in children underfive years of age in food surplus region of Ethiopia: the case of west gojam zone. Ethiopian Journal of Health Development. 2009; 23 (2).
Yisak H, Gobena T, Mesfin F. Prevalence and risk factors for under nutrition among children under five at Haramaya district, Eastern Ethiopia. BMC pediatrics. 2015; 15 (1): 212.
Akorede QJ, Abiola OM. Assessment of nutritional status of under five children in Akure South Local Government, Ondo State Nigeria. Int J Res Rev Appl Sci. 2013; 14 (3): 671.
Daboné C, Delisle HF, Receveur O. Poor nutritional status of schoolchildren in urban and peri-urban areas of Ouagadougou (Burkina Faso). Nutrition journal. 2011; 10: 34. PubMed PMID: 21504619. Pubmed Central PMCID: PMC3103411. Epub 2011/04/21. eng.
Juma OA, Enumah ZO, Wheatley H, Rafiq MY, Shekalaghe S, Ali A, et al. Prevalence and assessment of malnutrition among children attending the Reproductive and Child Health clinic at Bagamoyo District Hospital, Tanzania. BMC public health. 2016; 16 (1): 1094.
Singh JP, Gupta SB, Shrotriya VP, Singh PN. Study of nutritional status among under five children attending out patient department at a primary care rural hospital, Bareilly (UP). Sch J App Med Sci. 2013; 1 (6): 769-73.
Kandala N-B, Madungu TP, Emina JB, Nzita KP, Cappuccio FP. Malnutrition among children under the age of five in the Democratic Republic of Congo (DRC): does geographic location matter? BMC public health. 2011; 11 (1): 261.
Baiphethi MN, Jacobs PT. The contribution of subsistence farming to food security in South Africa. Agrekon. 2009; 48 (4): 459-82.
Kavosi E, Hassanzadeh Rostami Z, Kavosi Z, Nasihatkon A, Moghadami M, Heidari M. Prevalence and determinants of under-nutrition among children under six: a cross-sectional survey in Fars province, Iran. International journal of health policy and management. 2014 Jul; 3 (2): 71-6. PubMed PMID: 25114945. Pubmed Central PMCID: PMC4122078. Epub 2014/08/13. eng.
Medhin G, Hanlon C, Dewey M, Alem A, Tesfaye F, Worku B, et al. Prevalence and predictors of undernutrition among infants aged six and twelve months in Butajira, Ethiopia: the P-MaMiE Birth Cohort. BMC Public Health. 2010; 10: 27. PubMed PMID: 20089144. Pubmed Central PMCID: PMC2826285. Epub 2010/01/22. eng.
Uauy R, Kain J, Mericq V, Rojas J, Corvalan C. Nutrition, child growth, and chronic disease prevention. Ann Med. 2008; 40 (1): 11-20. PubMed PMID: 18246473. Epub 2008/02/05. eng.
Sakisaka K, Wakai S, Kuroiwa C, Cuadra Flores L, Kai I, Mercedes Aragon M, et al. Nutritional status and associated factors in children aged 0-23 months in Granada, Nicaragua. Public health. 2006 May; 120 (5): 400-11. PubMed PMID: 16504227. Epub 2006/03/01. eng.
WHO. Programme of Nutrition. WHO Global Database on Child Growth and Malnutrition.
Lijalem M, Ahmed A, Mulate A, Asmare A, Bahiru K. Severity of malnutrition and treatment responses in under five children in Bahir Dar Felege Hiwot Referral Hospital, Northwest Ethiopia. J Food Nutr Sci. 2014; 2 (3): 93-8.
Siddiqi MN, Haque MN, MA G. Malnutrition of under-five children: evidence from Bangladesh Asian Journal of Medical Sciences. 2011 Sep 17; 2 (2): 113-9.