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Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon

Received: 9 May 2022    Accepted: 2 June 2022    Published: 14 June 2022
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Abstract

Background: Human immunodeficiency virus (HIV) infection and undernutrition are still two major health issues in sub-Saharan Africa. Our study assessed the prevalence and associated factors of undernutrition among under-five children born to HIV-positive mothers. Methods: A hospital-based cross-sectional study was carried out in two HIV treatment centers in Ngaoundere (Regional and Protestant Hospitals), Cameroon. A structured questionnaire was used to collect data on socio-demographics of mothers infected with HIV and their children as well as clinical characteristics. Anthropometric measurements were collected from randomly selected 251 under-five HIV-exposed children. The data was analyzed in SPSS version 26. The prevalence of wasting, stunting and underweight were estimated and factors associated determined using a logistic regression analysis. The prevalence of undernutrition among under-five HIV-exposed children was 38% with 83 (33.4%) stunted, 35 (14. 3%) underweight and 30 (12.1%) wasted. Wasting (15%) and underweight (11.6%) were high among girls compared to boys who had a high prevalence of stunting (35%). The odds of children from mothers with no education level developing undernutrition was 3.42 times higher (AOR 3.42; 95% CI: 1.21-10. 27; p=0.032) than in those with secondary school level. The odds of children from Muslim (AOR= 0.12; 95% CI: 0.03-0.49; p=0.004) and Christians caregivers (AOR 0.12; 95% CI: 0.04-0.65; p=0.012) developing undernutrition were less compared to those from other religions. The odds of a child in the Protestant Hospital (AOR=0.33; 95% CI: 0.21-0.66; P=0.001) developing undernutrition were less compared to those in the Regional hospital of Ngaoundere. Conclusion: The prevalence of undernutrition was high among under-five HIV-exposed children in the two HIV treatment centers with wasting and underweight being more prevalent in females and stunting in males. Religion, education and health facility were independently associated with undernutrition among HIV-exposed children. This study highlight the need to take integrated actions in growth monitoring and feeding practices of under-five HIV-exposed children.

Published in International Journal of Nutrition and Food Sciences (Volume 11, Issue 3)
DOI 10.11648/j.ijnfs.20221103.17
Page(s) 88-95
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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.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Undernutrition, Prevalence, Associated Factors, HIV-Exposed Children, Ngaoundere, Cameroon

References
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    Hidayatou Mohamadou, Tendongfor Nicholas, Kibu Odette Dzemo, Yenshu Emmanuel Vubo. (2022). Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon. International Journal of Nutrition and Food Sciences, 11(3), 88-95. https://doi.org/10.11648/j.ijnfs.20221103.17

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    Hidayatou Mohamadou; Tendongfor Nicholas; Kibu Odette Dzemo; Yenshu Emmanuel Vubo. Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon. Int. J. Nutr. Food Sci. 2022, 11(3), 88-95. doi: 10.11648/j.ijnfs.20221103.17

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    AMA Style

    Hidayatou Mohamadou, Tendongfor Nicholas, Kibu Odette Dzemo, Yenshu Emmanuel Vubo. Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon. Int J Nutr Food Sci. 2022;11(3):88-95. doi: 10.11648/j.ijnfs.20221103.17

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  • @article{10.11648/j.ijnfs.20221103.17,
      author = {Hidayatou Mohamadou and Tendongfor Nicholas and Kibu Odette Dzemo and Yenshu Emmanuel Vubo},
      title = {Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon},
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {11},
      number = {3},
      pages = {88-95},
      doi = {10.11648/j.ijnfs.20221103.17},
      url = {https://doi.org/10.11648/j.ijnfs.20221103.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20221103.17},
      abstract = {Background: Human immunodeficiency virus (HIV) infection and undernutrition are still two major health issues in sub-Saharan Africa. Our study assessed the prevalence and associated factors of undernutrition among under-five children born to HIV-positive mothers. Methods: A hospital-based cross-sectional study was carried out in two HIV treatment centers in Ngaoundere (Regional and Protestant Hospitals), Cameroon. A structured questionnaire was used to collect data on socio-demographics of mothers infected with HIV and their children as well as clinical characteristics. Anthropometric measurements were collected from randomly selected 251 under-five HIV-exposed children. The data was analyzed in SPSS version 26. The prevalence of wasting, stunting and underweight were estimated and factors associated determined using a logistic regression analysis. The prevalence of undernutrition among under-five HIV-exposed children was 38% with 83 (33.4%) stunted, 35 (14. 3%) underweight and 30 (12.1%) wasted. Wasting (15%) and underweight (11.6%) were high among girls compared to boys who had a high prevalence of stunting (35%). The odds of children from mothers with no education level developing undernutrition was 3.42 times higher (AOR 3.42; 95% CI: 1.21-10. 27; p=0.032) than in those with secondary school level. The odds of children from Muslim (AOR= 0.12; 95% CI: 0.03-0.49; p=0.004) and Christians caregivers (AOR 0.12; 95% CI: 0.04-0.65; p=0.012) developing undernutrition were less compared to those from other religions. The odds of a child in the Protestant Hospital (AOR=0.33; 95% CI: 0.21-0.66; P=0.001) developing undernutrition were less compared to those in the Regional hospital of Ngaoundere. Conclusion: The prevalence of undernutrition was high among under-five HIV-exposed children in the two HIV treatment centers with wasting and underweight being more prevalent in females and stunting in males. Religion, education and health facility were independently associated with undernutrition among HIV-exposed children. This study highlight the need to take integrated actions in growth monitoring and feeding practices of under-five HIV-exposed children.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Factors Associated with Undernutrition Among HIV-Exposed Under Five Children in Two HIV Treatment Centers in Ngaoundere, Cameroon
    AU  - Hidayatou Mohamadou
    AU  - Tendongfor Nicholas
    AU  - Kibu Odette Dzemo
    AU  - Yenshu Emmanuel Vubo
    Y1  - 2022/06/14
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijnfs.20221103.17
    DO  - 10.11648/j.ijnfs.20221103.17
    T2  - International Journal of Nutrition and Food Sciences
    JF  - International Journal of Nutrition and Food Sciences
    JO  - International Journal of Nutrition and Food Sciences
    SP  - 88
    EP  - 95
    PB  - Science Publishing Group
    SN  - 2327-2716
    UR  - https://doi.org/10.11648/j.ijnfs.20221103.17
    AB  - Background: Human immunodeficiency virus (HIV) infection and undernutrition are still two major health issues in sub-Saharan Africa. Our study assessed the prevalence and associated factors of undernutrition among under-five children born to HIV-positive mothers. Methods: A hospital-based cross-sectional study was carried out in two HIV treatment centers in Ngaoundere (Regional and Protestant Hospitals), Cameroon. A structured questionnaire was used to collect data on socio-demographics of mothers infected with HIV and their children as well as clinical characteristics. Anthropometric measurements were collected from randomly selected 251 under-five HIV-exposed children. The data was analyzed in SPSS version 26. The prevalence of wasting, stunting and underweight were estimated and factors associated determined using a logistic regression analysis. The prevalence of undernutrition among under-five HIV-exposed children was 38% with 83 (33.4%) stunted, 35 (14. 3%) underweight and 30 (12.1%) wasted. Wasting (15%) and underweight (11.6%) were high among girls compared to boys who had a high prevalence of stunting (35%). The odds of children from mothers with no education level developing undernutrition was 3.42 times higher (AOR 3.42; 95% CI: 1.21-10. 27; p=0.032) than in those with secondary school level. The odds of children from Muslim (AOR= 0.12; 95% CI: 0.03-0.49; p=0.004) and Christians caregivers (AOR 0.12; 95% CI: 0.04-0.65; p=0.012) developing undernutrition were less compared to those from other religions. The odds of a child in the Protestant Hospital (AOR=0.33; 95% CI: 0.21-0.66; P=0.001) developing undernutrition were less compared to those in the Regional hospital of Ngaoundere. Conclusion: The prevalence of undernutrition was high among under-five HIV-exposed children in the two HIV treatment centers with wasting and underweight being more prevalent in females and stunting in males. Religion, education and health facility were independently associated with undernutrition among HIV-exposed children. This study highlight the need to take integrated actions in growth monitoring and feeding practices of under-five HIV-exposed children.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Faculty of Social and Management Sciences, University of Buea, Buea, Cameroon

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