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Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia
BACKGROUND: Despite consistent efforts to reduce child undernutrition, severe acute malnutrition (SAM) continues to be a serious obstacle to child survival and development in Ethiopia. This study aimed to identify severe acute malnutrition and associated factors among children aged 6–59 months in Et...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529577/ https://www.ncbi.nlm.nih.gov/pubmed/36203897 http://dx.doi.org/10.1016/j.heliyon.2022.e10791 |
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author | Anato, Anchamo |
author_facet | Anato, Anchamo |
author_sort | Anato, Anchamo |
collection | PubMed |
description | BACKGROUND: Despite consistent efforts to reduce child undernutrition, severe acute malnutrition (SAM) continues to be a serious obstacle to child survival and development in Ethiopia. This study aimed to identify severe acute malnutrition and associated factors among children aged 6–59 months in Ethiopia. METHODS: A cross-sectional study was undertaken with 384 under-five children from February to March, 2020 in Ethiopia. A mid-upper arm circumference (MUAC) tape, weight scale, height board (standing) and recumbent length measurements (for children <24 months) were measured. To determine the variables associated with SAM, adjusted odds ratio was computed using multivariable analysis and p < 0.05 was declared as significant. RESULTS: The prevalence of acute undernutrition was 26%; 18% and 8% of the children were moderately and severely undernourished, respectively. Family size (≥5 members) (AOR: 3.71, 95% CI: 1.55–8.89), younger age group (6–11 months) (AOR: 4.80, 95% CI: 1.61–14.31) and history of diarrhea in the two weeks prior to the survey (AOR: 5.36, 95% CI: 1.97–14.61) were independently associated with SAM in the study population. CONCLUSION: Large family size, child age, diarrheal and household insecurity were important determinants of SAM among children. Therefore, aligning social protection programmes and improving health related interventions along with improving optimal breastfeeding, prevention and control of child morbidity, and strengthening family planning services are recommended to reduce child SAM. |
format | Online Article Text |
id | pubmed-9529577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-95295772022-10-05 Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia Anato, Anchamo Heliyon Research Article BACKGROUND: Despite consistent efforts to reduce child undernutrition, severe acute malnutrition (SAM) continues to be a serious obstacle to child survival and development in Ethiopia. This study aimed to identify severe acute malnutrition and associated factors among children aged 6–59 months in Ethiopia. METHODS: A cross-sectional study was undertaken with 384 under-five children from February to March, 2020 in Ethiopia. A mid-upper arm circumference (MUAC) tape, weight scale, height board (standing) and recumbent length measurements (for children <24 months) were measured. To determine the variables associated with SAM, adjusted odds ratio was computed using multivariable analysis and p < 0.05 was declared as significant. RESULTS: The prevalence of acute undernutrition was 26%; 18% and 8% of the children were moderately and severely undernourished, respectively. Family size (≥5 members) (AOR: 3.71, 95% CI: 1.55–8.89), younger age group (6–11 months) (AOR: 4.80, 95% CI: 1.61–14.31) and history of diarrhea in the two weeks prior to the survey (AOR: 5.36, 95% CI: 1.97–14.61) were independently associated with SAM in the study population. CONCLUSION: Large family size, child age, diarrheal and household insecurity were important determinants of SAM among children. Therefore, aligning social protection programmes and improving health related interventions along with improving optimal breastfeeding, prevention and control of child morbidity, and strengthening family planning services are recommended to reduce child SAM. Elsevier 2022-09-29 /pmc/articles/PMC9529577/ /pubmed/36203897 http://dx.doi.org/10.1016/j.heliyon.2022.e10791 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research Article Anato, Anchamo Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title | Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title_full | Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title_fullStr | Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title_full_unstemmed | Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title_short | Severe acute malnutrition and associated factors among children under-five years: A community based-cross sectional study in Ethiopia |
title_sort | severe acute malnutrition and associated factors among children under-five years: a community based-cross sectional study in ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529577/ https://www.ncbi.nlm.nih.gov/pubmed/36203897 http://dx.doi.org/10.1016/j.heliyon.2022.e10791 |
work_keys_str_mv | AT anatoanchamo severeacutemalnutritionandassociatedfactorsamongchildrenunderfiveyearsacommunitybasedcrosssectionalstudyinethiopia |