Prevalence of malnutrition and its associated factors among under five children at debretabor town north-west ethiopia

Main Article Content

Hwot Yisak*
Amien Ewunetei

Abstract



Background: An estimated of 230 million under-five children are believed to be chronically malnourished in developing countries Similarly, about 54% of deaths among children of this age group are believed to be associated with malnutrition in developing countries. In Sub-Saharan Africa, 41% of under-five children are malnourished and deaths from malnutrition are increasing on daily basis in the region. Malnutrition continues to be a major public health problem in developing countries. It is the most important risk factor for the burden of disease causing about 300, 000 deaths per year directly and indirectly responsible for more than half of all deaths in children. So to minimize these direct or indirect causes of death additional investigation is needed since there is shortage of evidences.


Objective: To assess prevalence of malnutrition among children of age 6-59 months in Debre Tabor town, North-West Ethiopia in December 2019 .


Methods: A community based cross sectional study was conducted. The study area is Debre Tabour Town which is located North-West of Ethiopia, and is 97Km away from Bahir Dar. The sample size of the study was 277. Data were collected using structured questionnaire and anthropometric measurements. After the completion of data collection; editing, coding and cleaning was carried out. The data was analyzed manually. Different frequency tables, graphs and descriptive summaries were used to describe the study variables. Chi-square test and 95% CI were computed to measure the presence of the association between the outcome and the explanatory variables. P-value <0.05 was considered as a statistical significant.


Result: The prevalence of stunting, underweight and wasting was 23.2%, 11.9%, 7.6% respectively. About 1.8% of the children had acute malnutrition.


Variables like family size, income, maternal and paternal educational status, diarrhea, health status during pregnancy, ANC visit were highly significant (associated) with chronic malnutrition (stunting) at P-value <0.005.


Conclusion and recommendation: Based on the findings of this study we can conclude that; child malnutrition is still high in the study area even though it is lower than the national and regional EDHS 2016 national report. I recommend that nutritional education should be given by health extension workers to improve feeding and hygiene practice at HH level. There should be safe and adequate water supply, Immunization to overcome malnutrition in long term.



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Article Details

Yisak, H., & Ewunetei, A. (2020). Prevalence of malnutrition and its associated factors among under five children at debretabor town north-west ethiopia. Archives of Community Medicine and Public Health, 6(2), 213–222. https://doi.org/10.17352/2455-5479.000109
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Copyright (c) 2020 Yisak H, et al.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Olaf M, Michael K (2005) Malnutrition and health in developing countries; Canadian medical Association Journal A 173. Link: https://bit.ly/3ia2ZlB

WHO (2005) Nutrition for health and development, protection of the human environment. Geneva. Link: https://bit.ly/36qtIbx

de Onis M, Blössner M, Borghi E, Frongillo EA, Morris R (2004) Estimates of Global Prevalence of Childhood Underweight in 1990 and 2015. 291: 2600-2606. Link: https://bit.ly/3jcy5dz

Alemu M, Nicola J, Belele T (2005) Tackling child malnutrition in Ethiopia; Young lives project working paper No 19; Save the children UK. Link: https://bit.ly/338qK9c

World Bank (2005) A Country Status Report on Health and Poverty.

EDHS, CSA (2016) Review of the status of malnutrition and trends in Ethiopia. 15: 30-32.

Pan American health organization;138th section of the executive committee; Regional strategy on nutrition in health and development 2006-2015. Link: https://bit.ly/2G5C7pT

Samson T (1996) Effect of seasonal variation of nutritional status on the physical work capacity of Ethiopian rural adults and the implication for productivity. Proceedings of the African regional conference on genetic Resources and rural Centered Development for African survival. Institute for Sustainable Development. Addis Ababa.

Smith LC, Lawrence H (2000) Cross country analysis of child malnutrition in developing countries.

Yimer G (2000) Malnutrition among children in Southern Ethiopia: Levels and risk factors. 14. Link: https://bit.ly/2FXiUH2

Rayhan I, Khan SH (2006) Factors Causing Malnutrition among under Five Children in Bangladesh. Pakistan Journal of Nutrition 5: 558-562. Link: https://bit.ly/3ibgodd

Md.Rayhan I, Hayat Khan MS (2006) Factors Causing Malnutrition among under Five Children in Bangladesh. Pakistan Journal of Nutrition 5: 558-562. Link: https://bit.ly/2FWQMUp

World Bank policy Research working paper 3489 (2005) Environmental factors and Children’s malnutrition in Ethiopia. Link: https://bit.ly/2GkJcT5

de Onis M, Frongillo EA, Blössner M (2000) Is malnutrition declining?, Analysis of change in levels of child malnutrition since 1980; Bulletin of the WHO 78. Link: https://bit.ly/3kZxfS9

Sununtar S (2005) Child malnutrition as poverty indicator, an evaluation in the context of different development interventions in Indonesia. Link: https://bit.ly/3j9kmo1

Richard D, Martin W (2001) Nutrition and Health in developing countries; RA 645,2001(Book).

Young Lives Research Project: Childhood Poverty in Ethiopia, Project Number: 102447.

Smith LC, Haddad L (2000) Overcoming Child Malnutrition in developing Countries: Past Achievements and Future Choices. Link: https://bit.ly/3cEOqVP

de Onis M, Blössner M (2003) WHO Global Database on Child Growth and Malnutrition: Methodology and applications; International Journal of Epidemiology 32: 518-526. Link: https://bit.ly/3i5s80B

Ethiopian DHS (2011) Central Statistical Agency, Addis Ababa, Ethiopia. Link: https://bit.ly/3jb6aLc

Christiaensen L, Alderman H (2001) Africa region working paper series. Child malnutrition in Ethiopia; Can maternal knowledge augment the role of income?.

Smith LC, Ruel MT, Ndiaye A (2005) Why is child malnutrition lower in urban than in rural areas? Evidence from 36 developing countries. World development 33. Link: https://bit.ly/30dSkQG

Chevassus-Agnès S (1999) Anthropometric, health and demographic indicators in assessing nutritional status and food consumption; FAO Food and Nutrition Division.

Woldemariam G,Timotiows G (2002) Determinants of nutritional status of Women and children in Ethiopia; EHNRI Addis Ababa, Ethiopia. Link: https://bit.ly/3n0ENpe

Stephensen CB Human Nutrition Research Center, UC Davis Department of Nutrition, University of California, Davis, CA.