The study found the prevalence of wasting, stunting, and underweight was 16.2% (95% CI: 13.818.8%), 43.1% (95% CI: 39.846.5%), and 24.8% (95% CI: 21.927.8%), respectively. The questionnaire was translated in to the local language, Afaraff, for data collection. Significant at p < 0.05; COR=crude odd ratio; AOR=adjusted odd ratio; CI=confidence interval. Popat C., Chaudhari A., Mazumdar V., Patel S. A cross sectional study to measure the prevalence of malnutrition and factors associated with malnutrition among under five children of an urban slum of Vadodara city. Accessibility Determinants of undernutrition among young children in The https:// ensures that you are connecting to the Other earlier studies from other specific regions and localities of the country also indicated the prevalence of wasting in the range 11%24%, stunting 3549%, and underweight 2148% [7, 2327]. ISSN: 0034-6659 Article publication date: 31 August 2022 Permissions Issue publication date: 28 February 2023 Downloads 69 Abstract Purpose This study aims to examine the differences within individuals and clusters in nutritional status and identify socioeconomic factors in the nutritional status of under-five children in Ethiopia. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. the contents by NLM or the National Institutes of Health. Abstract To examine the prevalence of and factors associated with different forms of household-level double burden of malnutrition (DBM) in Ethiopia. In the bivariate logistic regression model, sex and age of child, prelacteal feeding, child immunization status, timely complementary feeding, diarrhoea in the last two weeks, and presence of latrine were associated with stunting. Careers, Unable to load your collection due to an error. The nutritional status of school-aged children: why should we care? The pooled prevalence was calculated to estimate the prevalence of good academic performance. A comprehensive search of studies from HINARY, MEDLINE (via PubMed), EMBASE, Cochrane Library, SCOPUS, Google Scholar, and Google was conducted. In this study, the prevalence of wasting (16.2%) was similar with the regional figure, 19.5% [22] and Hidabu Abote district, Ethiopia, 16.7% [12]. To allow the menu buttons to display, add whiteestate.org to IE's trusted sites. 1 It consists of both under and over-nutrition. Adequate nutrition is vital for healthy growth and development during childhood [1]. Khan G. N., Turab A., Khan M. I., et al. The district has two public health centers, ten health posts, and two private clinics providing health services. Design: We defined DBM using anthropometric measures for adult overweight (BMI 25 kg/m2), child stunting (height-for-age Z-score <-2 sd) and overweight (weight-for-height Z-score 2 sd). The possible explanation for this difference in prevalence could be due to a difference in the socioeconomic, agricultural productivity, food insecurity at household level, and nomadic nature of the population. Disagreement between investigators was solved by discussion and consensus. A due emphasis should also be given to strengthen the health extension program to improve and provide participatory nutrition education to create awareness and to develop behavior change communication for better child feeding and caring practices in the pastoral community. But all of these variables were not the sources of heterogeneity (p>0.05). Role of iodine, selenium and other micronutrients in thyroid function and disorders, Role of thyroid hormone during early brain development, The role of iodine in human growth and development. Download: English | German. A total of 10 studies were included in this study. Maternal and child undernutrition: global and regional exposures and health consequences. It includes the latest World Health Organisation (WHO) guidelines and recommendations, and 51 An additional explanation could also be due to the fact that the Ethiopian health extension program has included underweight as indicator for child growth monitoring and promotion at the community level. , Demander un appui pour la coordination de la nutrition, la gestion de l'information et la nutrition dans les situations d'urgence, Buscar apoyo para la coordinacin de la nutricin, la gestin de la informacin y la nutricin en situaciones de emergencia, Solicite apoio para coordenao em nutrio, gesto de informao e nutrio em emergncias. An informed consent was obtained from the participants' parent before being enrolled in the study. The source of drinking water for 410 (48.8%) of households was protected source (Table 3). 3 Three investigators (AAZ, FYA, and SZA) independently performed the quality assessment using the JBI criteria. Maternal and environmental health characteristics of respondents in Dubti district, Afar Regional State, Northeast Ethiopia, May 2017 (n=840). The vision of the GNC is to safeguard and improve the nutritional status of emergency affected populations by ensuring an appropriate response that is predictable, timely, effective and at scale. Therefore, the current study aimed to assess the prevalence and associated factors with malnutrition (wasting, stunting, and underweight) among under-five children in Dubti district, one of the pastoralist communities of Afar Regional State, Northeast Ethiopia. But, it was much higher than other studies done in Ethiopia like Somali region, 22.9% [31], Dollo Ado district, 34.4% [26], Gumbrit district, 24.0% [42], and other countries including Kenya, 28.9% [43], Sudan, 24.9% [44], and Mongolia [45]. 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 extracted data were exported to STATA version 14.0 for the meta-analysis. This study aimed to assess the spatial variation and factors associated with stunting among under-five children in Ethiopia.Methods: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). Although iodine deficiency at early age poses irreversible damage, studies conducted among school-age children showed that iodine supplementation can still improve cognitive abilities.66,67 So, iodine fortification should be strengthened to improve the academic performance of primary school children in Ethiopia. 2 Undernutrition includes wasting, stunting, underweight, and micronutrient deficiencies. Children with HAZ, WAZ, and WHZ below 2 SD of the median of reference population were considered as stunted, underweight and wasted, respectively. Children who had diarrhoeal disease in the past two weeks prior to the study were 4.6 times more likely to be wasted than those children without diarrhoeal disease. Prevalence of malnutrition and associated factors among under A multistage cluster sampling method was used to select the study participants. Wasting and stunting reflect acute and chronic exposures for nutritional deficiency, respectively. Height of children was measured using a portable stadiometer with no shoes; the shoulders, buttocks, and the heels touched the vertical stand with the head in Frankfurt's position to the nearest 0.1cm. Regarding the associated factors of malnutrition, analysis of this study indicated family size, prelacteal feeding practice and diarrhoeal morbidity in the past two weeks were significantly associated with wasting. Inclusion in an NLM database does not imply endorsement of, or agreement with, MUAC was measured by marking midway between shoulder tip and the elbow tip on the vertical axis of the upper arm with the arm bent at right angle and between the lateral and medial surface of the left arm [30, 31]. This study showed that wasting and underweight among children who received prelacteal feeding at the time of birth were 3.8 and 3.2 times, respectively, higher than children who did not receive prelacteal feeding at the time of birth. Moreover, 720 (85.7%) of respondents were washed their hand before preparing food, followed by 280 (33.3%) after latrine use. Sample size was determined based on a single proportion population formula using z2pq/d2 considering the following assumptions: 95% confidence level, estimated proportion (P) of wasting (19.5%), stunting (50.2%), and underweight (40.2%) taken from the previous EDHS report for Afar Regional State [22] and margin of error of 5%. WebFeb-18 Feb-19 49 49 50,233 children admitted with SAM in Jan Feb 2019 , out of whom 4,527were admitted to inpatient care (9 %of total SAM admissions) 85% reporting rate Dennis M., Anzelimo M., Isaac K., et al. Received 2019 Jan 27; Accepted 2019 Apr 24. critical appraisal tool was used to assess the quality of each paper. It is made available under a CC-BY-NC 4.0 International Addis Ababa Contact information: Federal Ministry of Health Post Office Box 1234 Sudan Street Addis Ababa Ethiopia Telephone: +25115517011 Fax: +251 115519366 Email: nutriexpert12@gmail.com or moh@ethionet.et Training course on the management of acute malnutrition CLINICAL INSTRCTOR GIDE 2019 2 Wuneh M. T., Guracho Y. D. Nutritional status and feeding practice of children 659 months old, Metekele zone of Benishangul-Gumuz region, Northwest Ethiopia. WebThis National Guideline for the Management of Acute Malnutrition in Ethiopia replaces the previous two guidelines. BCG vaccination was checked by observing scar on right (also left) arm. The other possible reason also might be that malnourished children would have more diarrhoeal episodes and a child with diarrhoea losses weight and can quickly become malnourished. Fekadu Y., Mesfin A., Haile D., Stoecker B. J. Moderate underweight (3WAZ score<2). Ethiopia Family size (AOR=2.72, 95% CI: 1.624.55), prelacteal feeding (AOR=3.81, 95% CI: 1.795.42), and diarrhoea in the past two weeks (AOR=4.57, 95% CI: 2.568.16) were associated with wasting. Although the prevalence of child malnutrition is relatively well documented among agrarian communities and urban dwellers of Ethiopia, evidence on the nature, prevalence, and factors affecting for child malnutrition in pastoralist communities is limited. About 352 (41.9%) of children received prelacteal feeding; animal milk was the most predominant prelacteal food given, which accounts for 262 children (74.4%) followed by butter, 69 (19.6%) (Table 2). in malnutrition after 6 months was also documented in the 2016 Ethiopia Demographic and Health survey (EDHS), 13 and may be associated with household food insecurity, poor infant and It is made available under a CC-BY-NC 4.0 International license . Hence, poor academic achievement has been the main concern for teachers, parents, and students. 15 44 And, national estimates are also usually not a reflection of the local estimate of child malnutrition. malnutrition Minimum dietary diversity was fulfilled if a child had received food from four or more food groups from the seven WHO food groups in the last 24hours preceding the survey [34]. Zemenu Y. K., Tsigereda B., Alemu M., Mesfine T., Sintayehu Y. Malnutrition and associated factors among under five children (659 months) at Shashemene referral hospital, West Arsi zone, Oromia, Ethiopia. Quality of the articles was assessed using the Joanna Briggs Institute critical appraisal tool. 3 Malnutrition in any of its forms is a significant public health problem. Most of the pastoral community's income depends on animal breeding. A community-based cross-sectional study was conducted from March 0125, 2017 in the district to assess the prevalence and associated factors with malnutrition among under-five children in Dubti district, Afar Regional State, Northeast Ethiopia, through door-to-door visits. And, the risk of developing underweight among children who had illiterate mothers was 4.1 times higher than children whose mothers were literate which showed that as mother's educational level increased, child nutritional well-being also increases. 591 (70.5%) the households had more than five family size, whereas half of the households, 424 (50.5%), had at least two under-five children. Demilew Y. M., Abie D. D. Under nutrition and associated factors among 2436-month-old children in slum areas of Bahir Dar city, Ethiopia. National Library of Medicine and transmitted securely. Bethesda, MD 20894, Web Policies 32 Body weight was measured using a weighing scale in light clothing with no jackets or coats, shoes, and additional clothing to the nearest 0.1kg on a new calibrated portable scale. Design: We defined 1 Further research is recommended on the effect of iron deficiency/iron deficiency anemia on the academic performance of school children in Ethiopia. Moreover, 51% of under-five children's deaths are associated with malnutrition where its causes are multifaceted [21, 22]. This finding is in agreement with a policy-brief report of Ethiopia. This SRMA was registered in PROSPERO with a registration number CRD42021242269. The site is secure. Wasting, stunting, and underweight are among those anthropometric indicators commonly used to measure under nutrition in a population of under-five children [3]. Assessment of factors associated with malnutrition among under-five years age children at Machakel Woreda, Northwest Ethiopia: a case control study. 66. This SRMA aimed to generate pooled evidence on the impact of different forms of malnutrition on the academic performance of elementary school children in Ethiopia. To ensure data quality, the English version questionnaire was translated into the local language Afaraff and then back to English to maintain its consistency. Despite Male child, increasing age of child, and not fully immunized child were positive predictors for increasing stunting. Demographic and socioeconomic characteristics of respondents in Dubti district, Afar Regional State, Northeast Ethiopia, May, 2017 (n=840). The .gov means its official. The possible explanation for the improvement in weight for age could be due to current efforts of the health sector to improve health intervention through health extension workers at the community level. Stunting (OR=0.48; 95% CI: 0.30, 0.79), underweight (OR=0.38; 95% CI: 0.27, 0.53), and iodine deficiency (OR=0.49; 95% CI: 0.31, 0.78) had significant negative association with good academic performance. 59 In Afar Regional State, the prevalence of wasting, stunting, and underweight among under-five children were 19.5%, 50.2%, and 40.2%, respectively, which is the highest as compared to the national average and across other regions [22]. Systematic review and meta-analysis (SRMA) study design was applied for this study. This study, which used data from the 2019 mini DHS, was to look at the determinants of under-five malnutrition, policy implications, and significant changes in Overall prevalence of malnutrition among under-five children in Dubti district, Afar Regional State, Northeast Ethiopia, 2017 (n=840). This National Guideline for the Management of Acute Malnutrition in Ethiopia replaces the previous The recent mini Ethiopian Demographic and Health Survey (EDHS, 2019) which was conducted from March 21, 2019, to June 28, 2019, was This indicted that investigating the problem and identifying its causative factors within this context is an important step to design appropriate strategies to mitigate the problem. The HosmerLemeshow test was performed for model fitness in the final model, and p value>0.05 was considered a good fit. The case of West Gojam Zone. It is also aligned to the National Nutrition Programme (NNP) II 2016- Though the problem of under nutrition has decreased in the country, it still continues to be one of the countries with the highest burden of malnutrition among under-five children in the world causing a significant obstacle to achieving better child health outcomes [22]. In addition, participants were assured about the aim, possible risk if any, and confidentiality of the study using their own local language (Afaraff). A total of 5626 students participated in the study with a minimum of 273 National Guideline for Management of Acute Malnutrition May 2019 Version.pdf, GNC-Technical Alliance Consultant Rosters. Author contributions: All authors contributed to data analysis, drafting, and revising the article, gave final approval of the version to be published, and agreed to be responsible for all aspects of the work. The prevalence of severe malnutrition practice among under five years children in Ethiopia was 14.89% (95%CI: 13.93%, 15.91%), and ranges from 4.58% in Addis Ababa to 25.81% in the Afar region. 33 Children with HAZ, WAZ, and WHZ below 3 SD were also considered as severely stunted, wasted, and underweight, respectively. Systematic reviews and meta-analysis. This includes personalizing your content. Food security status of the households was determined based on nine standard Household Food Insecurity Access Scale (HFIAS) questions that were developed for this purpose by Food and Nutrition Technical Assistance (FANTA). Bivariate and multivariable logistic regression analysis was used to identify the factors associated with child malnutrition. Poor nutrition for under-five children from poor households in Ethiopia: Evidence from 2016 Demographic and Health Survey Habtamu Kebebe Kasaye, Firew Tekle Bobo, Mekdes Tigistu Yilma, Mirkuzie Woldie x Published: December 20, 2019 https://doi.org/10.1371/journal.pone.0225996 Article Authors Metrics Media Coverage Abstract Since most researchers focus on the effect of stunting on the academic performance, there is no adequate review to compare and set conclusion about underweight. A qualitative study reported that teachers have complained about their students poor academic performance in school. Egata G., Berhane Y., Worku A. Predictors of acute undernutrition among children aged 6 to 36 months in east rural Ethiopia: a community based nested casecontrol study. Accessibility Olack B., Burke H., Cosmas L., et al. Fourth, almost all of the included studies were cross-sectional, which may not show the causeeffect relationships. Ethiopia is 'on course' to meet one of the global nutrition targets for which there was sufficient data to assess progress. The bivariate logistic regression analysis showed that mother's education, mother's occupation, family monthly income, sex of index child, initiation of breastfeeding; prelacteal feeding and child immunization status were associated with underweight. PMCID: PMC7448125 DOI: 10.1155/2020/6249524 Abstract Background: Globally, nearly a third of the population suffers from at least one form of malnutrition. However, if you're using Microsoft's Internet Explorer and have your security settings set to High, the javascript menu buttons will not display, preventing you from navigating the menu buttons. Accordingly, the calculated sample size for prevalence of stunting was relatively largest (n=384) and was taken as the sample size for this study. If you think there should be more material, feel free to help us develop more! PRISMA flow diagram of included studies in systematic review and meta-analysis of the impact of malnutrition on academic performance of primary school children in Ethiopia from 2013 to 2021. Characteristics and caring practices of under-five children in Dubti district, Afar Regional State, Northeast Ethiopia, May 2017 (n=840). In this review, students from rural residences had a lower academic performance than those from urban areas. It is the most important risk factor for the burden of disease causing about 300,000 deaths per year directly or indirectly responsible for more than half of the all deaths in children [8]. Malnutrition refers a pathological state resulting from relative or absolute deficiency or excess of one or more essential nutrients [2]. The highest frequency was reported from Lalibela, Amhara region 85% (95% CI: 82%, 88%) and the lowest was from Meskan, SNNP region 32% (95% CI: 27%, 37%; Figure 2).