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Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia

Mandefro Asfaw, Mekitie Wondafrash Kibebew UGent, Mohammed Teha and Lamessa Dube (2015) BMC PUBLIC HEALTH. 15.
abstract
Background: More than one-third of deaths during the first five years of life are attributed to undernutrition, which are mostly preventable through economic development and public health measures. To alleviate this problem, it is necessary to determine the nature, magnitude and determinants of undernutrition. However, there is lack of evidence in agro-pastoralist communities like Bule Hora district. Therefore, this study assessed magnitude and factors associated with undernutrition in children who are 6-59 months of age in agro-pastoral community of Bule Hora District, South Ethiopia. Methods: A community based cross-sectional study design was used to assess the magnitude and factors associated with undernutrition in children between 6-59 months. A structured questionnaire was used to collect data from 796 children paired with their mothers. Anthropometric measurements and determinant factors were collected. SPSS version 16.0 statistical software was used for analysis. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated to nutritional status of the children Statistical association was declared significant if p-value was less than 0.05. Results: Among study participants, 47.6%, 29.2% and 13.4% of them were stunted, underweight, and wasted respectively. Presence of diarrhea in the past two weeks, male sex, uneducated fathers and > 4 children ever born to a mother were significantly associated with being underweight. Presence of diarrhea in the past two weeks, male sex and pre-lacteal feeding were significantly associated with stunting. Similarly, presence of diarrhea in the past two weeks, age at complementary feed was started and not using family planning methods were associated to wasting. Conclusion: Undernutrition is very common in under-five children of Bule Hora district. Factors associated to nutritional status of children in agro-pastoralist are similar to the agrarian community. Diarrheal morbidity was associated with all forms of Protein energy malnutrition. Family planning utilization decreases the risk of stunting and underweight. Feeding practices (pre-lacteal feeding and complementary feeding practice) were also related to undernutrition. Thus, nutritional intervention program in Bule Hora district in Ethiopia should focus on these factors.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
MALNUTRITION, NUTRITIONAL-STATUS, PREDICTORS, CONSEQUENCES, BANGLADESH, NAIROBI, MOTHERS, KENYA, Stunting, Wasting and underweight, Children, Undernutrition
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
15
article number
41
pages
9 pages
Web of Science type
Article
Web of Science id
000349418800006
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.209 (2015)
JCR rank
58/172 (2015)
JCR quartile
2 (2015)
ISSN
1471-2458
DOI
10.1186/s12889-015-1370-9
language
English
UGent publication?
no
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
5950982
handle
http://hdl.handle.net/1854/LU-5950982
date created
2015-05-07 00:14:42
date last changed
2016-12-21 15:42:38
@article{5950982,
  abstract     = {Background: More than one-third of deaths during the first five years of life are attributed to undernutrition, which are mostly preventable through economic development and public health measures. To alleviate this problem, it is necessary to determine the nature, magnitude and determinants of undernutrition. However, there is lack of evidence in agro-pastoralist communities like Bule Hora district. Therefore, this study assessed magnitude and factors associated with undernutrition in children who are 6-59 months of age in agro-pastoral community of Bule Hora District, South Ethiopia. 
Methods: A community based cross-sectional study design was used to assess the magnitude and factors associated with undernutrition in children between 6-59 months. A structured questionnaire was used to collect data from 796 children paired with their mothers. Anthropometric measurements and determinant factors were collected. SPSS version 16.0 statistical software was used for analysis. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated to nutritional status of the children Statistical association was declared significant if p-value was less than 0.05. 
Results: Among study participants, 47.6\%, 29.2\% and 13.4\% of them were stunted, underweight, and wasted respectively. Presence of diarrhea in the past two weeks, male sex, uneducated fathers and {\textrangle} 4 children ever born to a mother were significantly associated with being underweight. Presence of diarrhea in the past two weeks, male sex and pre-lacteal feeding were significantly associated with stunting. Similarly, presence of diarrhea in the past two weeks, age at complementary feed was started and not using family planning methods were associated to wasting. 
Conclusion: Undernutrition is very common in under-five children of Bule Hora district. Factors associated to nutritional status of children in agro-pastoralist are similar to the agrarian community. Diarrheal morbidity was associated with all forms of Protein energy malnutrition. Family planning utilization decreases the risk of stunting and underweight. Feeding practices (pre-lacteal feeding and complementary feeding practice) were also related to undernutrition. Thus, nutritional intervention program in Bule Hora district in Ethiopia should focus on these factors.},
  articleno    = {41},
  author       = {Asfaw, Mandefro and Wondafrash Kibebew, Mekitie and Teha, Mohammed and Dube, Lamessa},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {MALNUTRITION,NUTRITIONAL-STATUS,PREDICTORS,CONSEQUENCES,BANGLADESH,NAIROBI,MOTHERS,KENYA,Stunting,Wasting and underweight,Children,Undernutrition},
  language     = {eng},
  pages        = {9},
  title        = {Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia},
  url          = {http://dx.doi.org/10.1186/s12889-015-1370-9},
  volume       = {15},
  year         = {2015},
}

Chicago
Asfaw, Mandefro, Mekitie Wondafrash Kibebew, Mohammed Teha, and Lamessa Dube. 2015. “Prevalence of Undernutrition and Associated Factors Among Children Aged Between Six to Fifty Nine Months in Bule Hora District, South Ethiopia.” Bmc Public Health 15.
APA
Asfaw, M., Wondafrash Kibebew, M., Teha, M., & Dube, L. (2015). Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia. BMC PUBLIC HEALTH, 15.
Vancouver
1.
Asfaw M, Wondafrash Kibebew M, Teha 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.
MLA
Asfaw, Mandefro, Mekitie Wondafrash Kibebew, Mohammed Teha, et al. “Prevalence of Undernutrition and Associated Factors Among Children Aged Between Six to Fifty Nine Months in Bule Hora District, South Ethiopia.” BMC PUBLIC HEALTH 15 (2015): n. pag. Print.