Prevalence of Acute Malnutrition and Associated Factors among Children aged 6–59 months in South Wollo Zone, East Amhara, Northeast Ethiopia: a Community-based cross-sectional study

ObjectiveThe aim of this study is to determine the prevalence of acute malnutrition and associated factors in South Wollo zone, East Amhara, Northeast Ethiopia.DesignA community-based cross-sectional study was conducted among 504 children aged 6–59 months who were selected by using a multistage samp...

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Published in:BMJ open 2023-10, Vol.13 (10), p.e062582-e062582
Main Authors: Mihret, Setegn Tarekegn, Biset, Gebeyaw, Nurye, Nurye Ali
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Language:English
Subjects:
Age
Breastfeeding & lactation
Children & youth
Cross-sectional studies
Data collection
Employment
Families & family life
Food
Households
Malabsorption
Malnutrition
Mothers
Nutrition
NUTRITION & DIETETICS
Nutritional support
Paediatrics
Public health
Questionnaires
Response rates
Sample size
Sociodemographics
Software
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description ObjectiveThe aim of this study is to determine the prevalence of acute malnutrition and associated factors in South Wollo zone, East Amhara, Northeast Ethiopia.DesignA community-based cross-sectional study was conducted among 504 children aged 6–59 months who were selected by using a multistage sampling technique. The mid-upper-arm-circumference and Z-scores for weight-for-height were used to determine the nutritional status of the participants. A semi-structured interview questionnaire was used to collect the data. Then data was entered into EpiData V.3.1 and exported to SPSS software V.25 for analysis. Binary logistic regression was used to identify factors associated with acute malnutrition and variables with p value
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The mid-upper-arm-circumference and Z-scores for weight-for-height were used to determine the nutritional status of the participants. A semi-structured interview questionnaire was used to collect the data. Then data was entered into EpiData V.3.1 and exported to SPSS software V.25 for analysis. Binary logistic regression was used to identify factors associated with acute malnutrition and variables with p value&lt;0.05 were declared as statistically significant.SettingThe study was conducted in South Wollo zone, Northeast Ethiopia from 1 August 2020 to 30 September 2020.ParticipantsChildren aged 6–59 months with their mothers were the study subjects.ResultsThe prevalence of acute malnutrition among children aged 6–59 months was 31.0%. Child aged 6–11 months (adjusted OR (AOR)=3.92; 95% CI: 1.74 to 8.82), illiterate mothers (AOR=3.01; 95% CI: 1.92 to 7.01), single mother (AOR=3.06; 95% CI: 1.32 to 7.07), lack of latrine (AOR=2.39; 95% CI: 1.12 to 5.11), diarrhoea (AOR=4.18; 95% CI: 2.02 to 8.65), respiratory tract infection (AOR=2.31; 95% CI: 1.08 to 4.94), family size (≥5) (AOR=3.29; 95% CI: 1.53 to 7.09) and cessation of breast feeding before 2 years (AOR=3.79; 95% CI: 1.71 to 8.23) were the independent predictors of acute malnutrition.ConclusionAcute malnutrition is highly prevalent in the study area which is more than the national figure. Thus, improving maternal education, access to the latrine, improved breastfeeding practice, improved family planning usage and early detection and treatment of diarrhoea and respiratory tract infections will enhance children’s nutritional status. In addition, nutritional diversity education needs to be strengthened.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2022-062582</identifier><identifier>PMID: 37879690</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Age ; Breastfeeding &amp; lactation ; Children &amp; youth ; Cross-sectional studies ; Data collection ; Employment ; Families &amp; family life ; Food ; Households ; Malabsorption ; Malnutrition ; Mothers ; Nutrition ; NUTRITION &amp; DIETETICS ; Nutritional support ; Paediatrics ; Public health ; Questionnaires ; Response rates ; Sample size ; Sociodemographics ; Software</subject><ispartof>BMJ open, 2023-10, Vol.13 (10), p.e062582-e062582</ispartof><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2023 Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b517t-675afe41b11d603a74d5400508a9831b0f5a86c8d9a6784b32af84313a252f443</citedby><cites>FETCH-LOGICAL-b517t-675afe41b11d603a74d5400508a9831b0f5a86c8d9a6784b32af84313a252f443</cites><orcidid>0000-0002-8953-5022 ; 0000-0002-0017-5965</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2881043804/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2881043804?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3181,25731,27901,27902,36989,36990,44566,53766,53768,55316,55325,74869,77339,77340,77403,77429</link.rule.ids></links><search><creatorcontrib>Mihret, Setegn Tarekegn</creatorcontrib><creatorcontrib>Biset, Gebeyaw</creatorcontrib><creatorcontrib>Nurye, Nurye Ali</creatorcontrib><title>Prevalence of Acute Malnutrition and Associated Factors among Children aged 6–59 months in South Wollo Zone, East Amhara, Northeast Ethiopia: a Community-based cross-sectional study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectiveThe aim of this study is to determine the prevalence of acute malnutrition and associated factors in South Wollo zone, East Amhara, Northeast Ethiopia.DesignA community-based cross-sectional study was conducted among 504 children aged 6–59 months who were selected by using a multistage sampling technique. The mid-upper-arm-circumference and Z-scores for weight-for-height were used to determine the nutritional status of the participants. A semi-structured interview questionnaire was used to collect the data. Then data was entered into EpiData V.3.1 and exported to SPSS software V.25 for analysis. Binary logistic regression was used to identify factors associated with acute malnutrition and variables with p value&lt;0.05 were declared as statistically significant.SettingThe study was conducted in South Wollo zone, Northeast Ethiopia from 1 August 2020 to 30 September 2020.ParticipantsChildren aged 6–59 months with their mothers were the study subjects.ResultsThe prevalence of acute malnutrition among children aged 6–59 months was 31.0%. Child aged 6–11 months (adjusted OR (AOR)=3.92; 95% CI: 1.74 to 8.82), illiterate mothers (AOR=3.01; 95% CI: 1.92 to 7.01), single mother (AOR=3.06; 95% CI: 1.32 to 7.07), lack of latrine (AOR=2.39; 95% CI: 1.12 to 5.11), diarrhoea (AOR=4.18; 95% CI: 2.02 to 8.65), respiratory tract infection (AOR=2.31; 95% CI: 1.08 to 4.94), family size (≥5) (AOR=3.29; 95% CI: 1.53 to 7.09) and cessation of breast feeding before 2 years (AOR=3.79; 95% CI: 1.71 to 8.23) were the independent predictors of acute malnutrition.ConclusionAcute malnutrition is highly prevalent in the study area which is more than the national figure. Thus, improving maternal education, access to the latrine, improved breastfeeding practice, improved family planning usage and early detection and treatment of diarrhoea and respiratory tract infections will enhance children’s nutritional status. In addition, nutritional diversity education needs to be strengthened.</description><subject>Age</subject><subject>Breastfeeding &amp; lactation</subject><subject>Children &amp; youth</subject><subject>Cross-sectional studies</subject><subject>Data collection</subject><subject>Employment</subject><subject>Families &amp; family life</subject><subject>Food</subject><subject>Households</subject><subject>Malabsorption</subject><subject>Malnutrition</subject><subject>Mothers</subject><subject>Nutrition</subject><subject>NUTRITION &amp; DIETETICS</subject><subject>Nutritional support</subject><subject>Paediatrics</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Response rates</subject><subject>Sample size</subject><subject>Sociodemographics</subject><subject>Software</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9ks1u1DAUhSMEolXpE7CxxIZFQ_0fhw0ajVqoVH4kQEhsrJvYmXiUxFPbqTQ73oGH4X14EjydEVAWeGPrnnM_XV-donhK8AtCmDxvxrXf2KmkmNISSyoUfVAcU8x5KbEQD_96HxWnMa5xPlzUQtDHxRGrVFXLGh8XPz4EewuDnVqLfIcW7ZwsegvDNKfgkvMTgsmgRYy-dZCsQZfQJh8igtFPK7Ts3WCCza5V1uTPb99FjbKS-ojchD76OfXoix8Gj776yZ6hC4gJLcYeApyhdz6k3u4qF6l3fuPgJQK09OM4Ty5tywZiprbBx1hG2-7GgQHFNJvtk-JRB0O0p4f7pPh8efFp-aa8fv_6arm4LhtBqlTKSkBnOWkIMRIzqLgRHGOBFdSKkQZ3ApRslalBVoo3jEKnOCMMqKAd5-ykuNpzjYe13gQ3QthqD07fFXxYaQjJtYPVHRNWZlxtpOJ510oY3BowUhChKtlm1qs9azM3ozWtnVKA4R70vjK5Xq_8rSY4z85VlQnPD4Tgb2Ybkx5dbO0wwGT9HDVVijKaj8zWZ_9Y134OeX93LoI5U3j3PbZ33S052O73NATrXdD0IWh6FzS9D1ruOt93ZfEP9n8dvwAf2ddx</recordid><startdate>20231024</startdate><enddate>20231024</enddate><creator>Mihret, Setegn Tarekegn</creator><creator>Biset, Gebeyaw</creator><creator>Nurye, Nurye Ali</creator><general>British Medical Journal Publishing Group</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8953-5022</orcidid><orcidid>https://orcid.org/0000-0002-0017-5965</orcidid></search><sort><creationdate>20231024</creationdate><title>Prevalence of Acute Malnutrition and Associated Factors among Children aged 6–59 months in South Wollo Zone, East Amhara, Northeast Ethiopia: a Community-based cross-sectional study</title><author>Mihret, Setegn Tarekegn ; 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The mid-upper-arm-circumference and Z-scores for weight-for-height were used to determine the nutritional status of the participants. A semi-structured interview questionnaire was used to collect the data. Then data was entered into EpiData V.3.1 and exported to SPSS software V.25 for analysis. Binary logistic regression was used to identify factors associated with acute malnutrition and variables with p value&lt;0.05 were declared as statistically significant.SettingThe study was conducted in South Wollo zone, Northeast Ethiopia from 1 August 2020 to 30 September 2020.ParticipantsChildren aged 6–59 months with their mothers were the study subjects.ResultsThe prevalence of acute malnutrition among children aged 6–59 months was 31.0%. Child aged 6–11 months (adjusted OR (AOR)=3.92; 95% CI: 1.74 to 8.82), illiterate mothers (AOR=3.01; 95% CI: 1.92 to 7.01), single mother (AOR=3.06; 95% CI: 1.32 to 7.07), lack of latrine (AOR=2.39; 95% CI: 1.12 to 5.11), diarrhoea (AOR=4.18; 95% CI: 2.02 to 8.65), respiratory tract infection (AOR=2.31; 95% CI: 1.08 to 4.94), family size (≥5) (AOR=3.29; 95% CI: 1.53 to 7.09) and cessation of breast feeding before 2 years (AOR=3.79; 95% CI: 1.71 to 8.23) were the independent predictors of acute malnutrition.ConclusionAcute malnutrition is highly prevalent in the study area which is more than the national figure. Thus, improving maternal education, access to the latrine, improved breastfeeding practice, improved family planning usage and early detection and treatment of diarrhoea and respiratory tract infections will enhance children’s nutritional status. In addition, nutritional diversity education needs to be strengthened.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>37879690</pmid><doi>10.1136/bmjopen-2022-062582</doi><orcidid>https://orcid.org/0000-0002-8953-5022</orcidid><orcidid>https://orcid.org/0000-0002-0017-5965</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Breastfeeding & lactation
Children & youth
Cross-sectional studies
Data collection
Employment
Families & family life
Food
Households
Malabsorption
Malnutrition
Mothers
Nutrition
NUTRITION & DIETETICS
Nutritional support
Paediatrics
Public health
Questionnaires
Response rates
Sample size
Sociodemographics
Software
title Prevalence of Acute Malnutrition and Associated Factors among Children aged 6–59 months in South Wollo Zone, East Amhara, Northeast Ethiopia: a Community-based cross-sectional study
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