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Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions

One in three Cambodian children under 5 years of age are stunted. This study adopted a multidimensional approach to understand the influence of a series of contextual factors on the nutritional status of Cambodian children. In this study, we use a multidimensional poverty framework to identify a com...

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Autores principales: Karpati, Julia, de Neubourg, Chris, Laillou, Arnaud, Poirot, Etienne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591312/
https://www.ncbi.nlm.nih.gov/pubmed/32621576
http://dx.doi.org/10.1111/mcn.12731
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author Karpati, Julia
de Neubourg, Chris
Laillou, Arnaud
Poirot, Etienne
author_facet Karpati, Julia
de Neubourg, Chris
Laillou, Arnaud
Poirot, Etienne
author_sort Karpati, Julia
collection PubMed
description One in three Cambodian children under 5 years of age are stunted. This study adopted a multidimensional approach to understand the influence of a series of contextual factors on the nutritional status of Cambodian children. In this study, we use a multidimensional poverty framework to identify a combination of interventions likely to achieve reductions in child stunting, in Cambodia. We used the UNICEF Multiple Overlapping Deprivation Analysis tool and data from the Cambodia Demographic and Health Survey 2014 to assess children's multidimensional poverty across nutrition, health, early childhood development, water, sanitation, and housing dimensions. We found that 80% of children under age five were deprived in at least two poverty dimensions. Multivariate logistic regression analysis revealed that reducing the likelihood of being deprived in three or more poverty dimensions was associated with a significant reduction of the probability of being stunted, after controlling for potential confounders. The combined probability of nondeprivation in nutrition, sanitation, and health dimensions had the largest effect on reducing the probability of stunting. The results of this study highlight the multiple, intersecting needs of children and their associated explanatory factors. Targeted and integrated cross‐sectoral policies that reinforce comprehensive early childhood interventions are needed for improving nutritional status as part of a wider set of child poverty reduction measures in Cambodia.
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spelling pubmed-75913122020-10-30 Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions Karpati, Julia de Neubourg, Chris Laillou, Arnaud Poirot, Etienne Matern Child Nutr Supplement Article One in three Cambodian children under 5 years of age are stunted. This study adopted a multidimensional approach to understand the influence of a series of contextual factors on the nutritional status of Cambodian children. In this study, we use a multidimensional poverty framework to identify a combination of interventions likely to achieve reductions in child stunting, in Cambodia. We used the UNICEF Multiple Overlapping Deprivation Analysis tool and data from the Cambodia Demographic and Health Survey 2014 to assess children's multidimensional poverty across nutrition, health, early childhood development, water, sanitation, and housing dimensions. We found that 80% of children under age five were deprived in at least two poverty dimensions. Multivariate logistic regression analysis revealed that reducing the likelihood of being deprived in three or more poverty dimensions was associated with a significant reduction of the probability of being stunted, after controlling for potential confounders. The combined probability of nondeprivation in nutrition, sanitation, and health dimensions had the largest effect on reducing the probability of stunting. The results of this study highlight the multiple, intersecting needs of children and their associated explanatory factors. Targeted and integrated cross‐sectoral policies that reinforce comprehensive early childhood interventions are needed for improving nutritional status as part of a wider set of child poverty reduction measures in Cambodia. John Wiley and Sons Inc. 2020-07-04 /pmc/articles/PMC7591312/ /pubmed/32621576 http://dx.doi.org/10.1111/mcn.12731 Text en © 2020 The Authors. Maternal and Child Nutrition Published by John Wiley & Sons, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Supplement Article
Karpati, Julia
de Neubourg, Chris
Laillou, Arnaud
Poirot, Etienne
Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title_full Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title_fullStr Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title_full_unstemmed Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title_short Improving children's nutritional status in Cambodia: Multidimensional poverty and early integrated interventions
title_sort improving children's nutritional status in cambodia: multidimensional poverty and early integrated interventions
topic Supplement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591312/
https://www.ncbi.nlm.nih.gov/pubmed/32621576
http://dx.doi.org/10.1111/mcn.12731
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