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Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic

OBJECTIVES: With a fourth of all under-five children affected, stunting remains one of the biggest health challenges worldwide. Even though the main underlying factors are known, the exact pathways to stunting varying in affected regions, and interventions thus need to be tailored to the local conte...

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Autores principales: Vonaesch, Pascale, Djorie, Serge Ghislain, Kandou, Kaleb Jephté Estimé, Rakotondrainipiana, Maheninasy, Schaeffer, Laura, Andriatsalama, Prisca Vega, Randriamparany, Ravaka, Gondje, Bolmbaye Privat, Nigatoloum, Synthia, Vondo, Sonia Sandrine, Etienne, Aurélie, Robinson, Annick, Hunald, Francis Allen, Raharimalala, Lisette, Giles-Vernick, Tamara, Tondeur, Laura, Randrianirina, Frédérique, Bastaraud, Alexandra, Gody, Jean-Chrysostome, Sansonetti, Philippe Jean, Randremanana, Rindra Vatosoa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448698/
https://www.ncbi.nlm.nih.gov/pubmed/34383227
http://dx.doi.org/10.1007/s10995-021-03201-8
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author Vonaesch, Pascale
Djorie, Serge Ghislain
Kandou, Kaleb Jephté Estimé
Rakotondrainipiana, Maheninasy
Schaeffer, Laura
Andriatsalama, Prisca Vega
Randriamparany, Ravaka
Gondje, Bolmbaye Privat
Nigatoloum, Synthia
Vondo, Sonia Sandrine
Etienne, Aurélie
Robinson, Annick
Hunald, Francis Allen
Raharimalala, Lisette
Giles-Vernick, Tamara
Tondeur, Laura
Randrianirina, Frédérique
Bastaraud, Alexandra
Gody, Jean-Chrysostome
Sansonetti, Philippe Jean
Randremanana, Rindra Vatosoa
author_facet Vonaesch, Pascale
Djorie, Serge Ghislain
Kandou, Kaleb Jephté Estimé
Rakotondrainipiana, Maheninasy
Schaeffer, Laura
Andriatsalama, Prisca Vega
Randriamparany, Ravaka
Gondje, Bolmbaye Privat
Nigatoloum, Synthia
Vondo, Sonia Sandrine
Etienne, Aurélie
Robinson, Annick
Hunald, Francis Allen
Raharimalala, Lisette
Giles-Vernick, Tamara
Tondeur, Laura
Randrianirina, Frédérique
Bastaraud, Alexandra
Gody, Jean-Chrysostome
Sansonetti, Philippe Jean
Randremanana, Rindra Vatosoa
author_sort Vonaesch, Pascale
collection PubMed
description OBJECTIVES: With a fourth of all under-five children affected, stunting remains one of the biggest health challenges worldwide. Even though the main underlying factors are known, the exact pathways to stunting varying in affected regions, and interventions thus need to be tailored to the local contexts. This study aimed assessing and comparing factors associated with stunting in two understudied sub-Saharan urban contexts with some of the highest stunting prevalence globally: Bangui, Central African Republic (~ 36%) and Antananarivo, Madagascar (42%). METHODS: We performed a case–control study on 175 + 194 stunted and 237 + 230 non-stunted control children aged 2–5 years and matched for age, gender and district of residency. Factors associated with stunting were identified using a standardized, paper questionnaire delivered by trained interviewers. Statistical analysis was done using logistic regression modelling. RESULTS: In both sites, formal maternal education lowered the risk of being stunted and restricted access to soap, suffering of anaemia and low birth weight were associated with higher risk of stunting. Short maternal stature, household head different from parents, diarrhoea and coughing were associated with an increased risk and continuing breastfeeding was associated with a lower risk of stunting in Antananarivo. Previous severe undernutrition and dermatitis/ fungal skin infections were associated with higher and changes in diet during pregnancy with lower risk of stunting in Bangui. CONCLUSIONS: Our results suggest maternal education, antenatal care, iron supplementation and simple WASH interventions such as using soap and infection control as general and breastfeeding (Antananarivo) or better nutrition (Bangui) as area-specified interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10995-021-03201-8.
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spelling pubmed-84486982021-10-01 Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic Vonaesch, Pascale Djorie, Serge Ghislain Kandou, Kaleb Jephté Estimé Rakotondrainipiana, Maheninasy Schaeffer, Laura Andriatsalama, Prisca Vega Randriamparany, Ravaka Gondje, Bolmbaye Privat Nigatoloum, Synthia Vondo, Sonia Sandrine Etienne, Aurélie Robinson, Annick Hunald, Francis Allen Raharimalala, Lisette Giles-Vernick, Tamara Tondeur, Laura Randrianirina, Frédérique Bastaraud, Alexandra Gody, Jean-Chrysostome Sansonetti, Philippe Jean Randremanana, Rindra Vatosoa Matern Child Health J Article OBJECTIVES: With a fourth of all under-five children affected, stunting remains one of the biggest health challenges worldwide. Even though the main underlying factors are known, the exact pathways to stunting varying in affected regions, and interventions thus need to be tailored to the local contexts. This study aimed assessing and comparing factors associated with stunting in two understudied sub-Saharan urban contexts with some of the highest stunting prevalence globally: Bangui, Central African Republic (~ 36%) and Antananarivo, Madagascar (42%). METHODS: We performed a case–control study on 175 + 194 stunted and 237 + 230 non-stunted control children aged 2–5 years and matched for age, gender and district of residency. Factors associated with stunting were identified using a standardized, paper questionnaire delivered by trained interviewers. Statistical analysis was done using logistic regression modelling. RESULTS: In both sites, formal maternal education lowered the risk of being stunted and restricted access to soap, suffering of anaemia and low birth weight were associated with higher risk of stunting. Short maternal stature, household head different from parents, diarrhoea and coughing were associated with an increased risk and continuing breastfeeding was associated with a lower risk of stunting in Antananarivo. Previous severe undernutrition and dermatitis/ fungal skin infections were associated with higher and changes in diet during pregnancy with lower risk of stunting in Bangui. CONCLUSIONS: Our results suggest maternal education, antenatal care, iron supplementation and simple WASH interventions such as using soap and infection control as general and breastfeeding (Antananarivo) or better nutrition (Bangui) as area-specified interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10995-021-03201-8. Springer US 2021-08-12 2021 /pmc/articles/PMC8448698/ /pubmed/34383227 http://dx.doi.org/10.1007/s10995-021-03201-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Vonaesch, Pascale
Djorie, Serge Ghislain
Kandou, Kaleb Jephté Estimé
Rakotondrainipiana, Maheninasy
Schaeffer, Laura
Andriatsalama, Prisca Vega
Randriamparany, Ravaka
Gondje, Bolmbaye Privat
Nigatoloum, Synthia
Vondo, Sonia Sandrine
Etienne, Aurélie
Robinson, Annick
Hunald, Francis Allen
Raharimalala, Lisette
Giles-Vernick, Tamara
Tondeur, Laura
Randrianirina, Frédérique
Bastaraud, Alexandra
Gody, Jean-Chrysostome
Sansonetti, Philippe Jean
Randremanana, Rindra Vatosoa
Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title_full Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title_fullStr Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title_full_unstemmed Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title_short Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic
title_sort factors associated with stunted growth in children under five years in antananarivo, madagascar and bangui, central african republic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448698/
https://www.ncbi.nlm.nih.gov/pubmed/34383227
http://dx.doi.org/10.1007/s10995-021-03201-8
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