Magnitude and Associated Factors of Undernutrition Among Children Aged 6-59 Months in Ethiopian Orphanage Centres
- PMID:33776509
- PMCID: PMC7989956
- DOI: 10.2147/PHMT.S289809
Magnitude and Associated Factors of Undernutrition Among Children Aged 6-59 Months in Ethiopian Orphanage Centres
Abstract
Background: Children without parental care are at high risk for under-nutrition. Ethiopia counts as one of the largest populations of orphans in the world. However, there is no information about the nutritional status of children in Ethiopian orphanage centers. Thus, we aimed to assess magnitude and associated factors of undernutrition among children aged 6-59 months in Ethiopian orphanage centres.
Methods: Institution-based descriptive and analytical cross-sectional study was conducted on 227 children aged 6-59 months in selected orphanage centers of Addis Ababa, Ethiopia from July to August 2019. A simple random sampling technique was used to select the study participants. Interviewer administered structured pretested questionnaire, document review and anthropometric measurements were used to collect the data. Epi info version 7.2.1.0 and SPSS version 23.0 were used for data entry and analysis respectively. Anthropometric indices were generated using the WHO Anthro software version 3.2.2. A cut-off point below -2 standard deviation used to determine under-nutrition (stunting, underweight, and wasting). All variables with p-value < 0.25 in the bivariable analysis were considered for further multivariable binary logistic regression analysis. The level of statistical significance was declared at a p-value <0.05.
Results: The prevalence of wasting, underweight, and stunting were 4.4%, 12.3%, and 34.8%, respectively. Being a double orphaned child [AOR= 2.9 (1.201, 7.167)] and lack of vitamin A supplement in the last six months (AOR=1.9 (1.049, 3.799) were significant predictors of stunting and illness in the last two weeks before the survey [AOR= 4.9 (1.345, 1.865)] was a significant predictor of wasting.
Conclusion: The prevalence of stunting was high when compared with WHO's classification. Being a double orphaned, lack of vitamin A supplement, and illness in the last two weeks were associated with undernutrition. Therefore, intensified efforts to increase rates of vitamin A supplementation and as well as other disease prevention measures should be strengthened by the orphanage administrators and the health authorities.
Keywords: Addis Ababa; Ethiopia; under-five orphan and vulnerable children; under-nutrition.
© 2021 Teferi and Teshome.
Conflict of interest statement
The authors report no conflicts of interest for this work.
Figures
Similar articles
- Undernutrition and Associated Factors among Under-Five Orphan Children in Addis Ababa, Ethiopia, 2020: A Cross-Sectional Study.Sewnet SS, Derseh HA, Desyibelew HD, Fentahun N.Sewnet SS, et al.J Nutr Metab. 2021 Nov 1;2021:6728497. doi: 10.1155/2021/6728497. eCollection 2021.J Nutr Metab. 2021.PMID:34760319Free PMC article.
- Nutritional status among orphans and vulnerable children aged 6 to 59 months in Addis Ababa, Ethiopia: a community-based cross-sectional study.Berr N, Nigatu Y, Dereje N.Berr N, et al.BMC Nutr. 2021 Apr 26;7(1):24. doi: 10.1186/s40795-021-00431-5.BMC Nutr. 2021.PMID:33896424Free PMC article.
- Prevalence and associated factors of undernutrition among under-five children from model and non-model households in east Gojjam zone, Northwest Ethiopia: a comparative cross-sectional study.Zeray A, Kibret GD, Leshargie CT.Zeray A, et al.BMC Nutr. 2019 Apr 8;5:27. doi: 10.1186/s40795-019-0290-y. eCollection 2019.BMC Nutr. 2019.PMID:32153940Free PMC article.
- Co-existence of overweight/obesity and stunting: it's prevalence and associated factors among under - five children in Addis Ababa, Ethiopia.Sebsbie A, Minda A, Ahmed S.Sebsbie A, et al.BMC Pediatr. 2022 Jun 29;22(1):377. doi: 10.1186/s12887-022-03445-5.BMC Pediatr. 2022.PMID:35764944Free PMC article.
- Prevalence and associated factors influencing stunting and wasting among children of ages 1 to 5 years in Nkwanta South Municipality, Ghana.Danso F, Appiah MA.Danso F, et al.Nutrition. 2023 Jun;110:111996. doi: 10.1016/j.nut.2023.111996. Epub 2023 Feb 9.Nutrition. 2023.PMID:37003173Review.
Cited by
- Undernutrition and its associated factors among children aged 6 to 59 months in Menz Gera Midir district, Northeast Ethiopia: A community-based cross-sectional study.Engidaye G, Aynalem M, Adane T, Gelaw Y, Yalew A, Enawgaw B.Engidaye G, et al.PLoS One. 2022 Dec 6;17(12):e0278756. doi: 10.1371/journal.pone.0278756. eCollection 2022.PLoS One. 2022.PMID:36473009Free PMC article.
- Magnitude of under-nutrition among under five children in Ethiopia based on 2019 Mini-Ethiopia Demographic and Health Survey: Generalized Linear Mixed Model (GLMM).Raru TB, Ayana GM, Merga BT, Negash B, Deressa A, Birhanu A, Hassen FA, Roba KT.Raru TB, et al.BMC Nutr. 2022 Oct 17;8(1):113. doi: 10.1186/s40795-022-00598-5.BMC Nutr. 2022.PMID:36253811Free PMC article.
- Determinants of wasting among children aged 6-59 months in North-East Ethiopia: a community-based case-control study.Chekol YT, Arefaynie M, Kassa AA, Alene TD, Ngusie HS.Chekol YT, et al.BMJ Open. 2022 Aug 2;12(8):e057887. doi: 10.1136/bmjopen-2021-057887.BMJ Open. 2022.PMID:35918114Free PMC article.
- Experiences and perceptions of COVID-19 infection and vaccination among Palestinian refugees in Jerash camp and Jordanian citizens: a comparative cross-sectional study by face-to-face interviews.Al-Hatamleh MAI, Hatmal MM, Mustafa SHF, Alzu'bi M, AlSou'b AF, Abughanam SNS, Olaimat AN, Kateeb ET, Mohamud R.Al-Hatamleh MAI, et al.Infect Dis Poverty. 2022 Dec 13;11(1):123. doi: 10.1186/s40249-022-01047-y.Infect Dis Poverty. 2022.PMID:36510264Free PMC article.
- Determinants of undernutrition among children aged 6-59 months during the COVID-19 pandemic: A hospital-based cross-sectional study in Ethiopia.Debela SA, Sisay D, Negassa M, Daba C, Mesfin Tefera Y, Debela EA, Goyomsa GG, Luke AO, Benayew Shiferaw M, Asmare M, Gebrehiwot M.Debela SA, et al.J Public Health Res. 2023 Jun 10;12(2):22799036231181174. doi: 10.1177/22799036231181174. eCollection 2023 Apr.J Public Health Res. 2023.PMID:37333033Free PMC article.
References
- UNICEF. Progress for children: a report card on nutrition. Unicef. 1–33; 2006. Available from:http://www.unicef.org/publications/files/Progress_for_Children-No._7_Lo-.... Accessed March4, 2021.
- Hoseini BL, Moghadam ZE, Saeidi M, Askarieh MR, Khademi G. Child malnutrition at different world regions in (1990–2013. Int J Pediatr. 2015;3:921–932.
- Gudina A, Nega J, Tariku A. The situation of orphans and vulnerable children in selected Woredas and towns in Jimma Zone. Int J Sociol Anthropol. 2014;6:246–256. doi:10.5897/IJSA2014.0554 - DOI
Related information
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources