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Determinants of stunting among under-five children in Ethiopia: a multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data.
BMC Pediatr. 2019 06 01; 19(1):176.BPed

Abstract

BACKGROUND

Childhood stunting is the most widely prevalent among under-five children in Ethiopia. Despite the individual-level factors of childhood stunting are well documented, community-level factors have not been given much attention in the country. This study aimed to identify individual- and community-level factors associated with stunting among under-five children in Ethiopia.

METHODS

Cross-sectional data from the 2016 Ethiopian Demographic and Health Survey was used. A total of 8855 under-five children and 640 community clusters were included in the current analysis. A multilevel logistic regression model was used at 5% level of significance to determine the individual- and community-level factors associated with childhood stunting.

RESULTS

The prevalence of stunting was found to be 38.39% in Ethiopian under-five children. The study showed that the percentage change in variance of the full model accounted for about 53.6% in odds of childhood stunting across the communities. At individual-level, ages of the child above 12 months, male gender, small size of the child at birth, children from poor households, low maternal education, and being multiple birth had significantly increased the odds of childhood stunting. At community-level, children from communities of Amhara, Tigray, and Benishangul more suffer from childhood stunting as compared to Addis Ababa's community children. Similarly, children from Muslim, Orthodox and other traditional religion followers had higher log odds of stunting relative to children of the protestant community.

CONCLUSIONS

This study showed individual- and community-level factors determined childhood stunting in Ethiopian children. Promotion of girl education, improving the economic status of households, improving maternal nutrition, improving age-specific child feeding practices, nutritional care of low birth weight babies, promotion of context-specific child feeding practices and narrowing rural-urban disparities are recommended.

Authors+Show Affiliations

Tigray National Regional State, Bureau of Science and Technology, Mekelle, Tigray, Ethiopia.Tigray National Regional State, Bureau of Science and Technology, Mekelle, Tigray, Ethiopia. mekonnen210@yahoo.com. School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. mekonnen210@yahoo.com.School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31153381

Citation

Fantay Gebru, K, et al. "Determinants of Stunting Among Under-five Children in Ethiopia: a Multilevel Mixed-effects Analysis of 2016 Ethiopian Demographic and Health Survey Data." BMC Pediatrics, vol. 19, no. 1, 2019, p. 176.
Fantay Gebru K, Mekonnen Haileselassie W, Haftom Temesgen A, et al. Determinants of stunting among under-five children in Ethiopia: a multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data. BMC Pediatr. 2019;19(1):176.
Fantay Gebru, K., Mekonnen Haileselassie, W., Haftom Temesgen, A., Oumer Seid, A., & Afework Mulugeta, B. (2019). Determinants of stunting among under-five children in Ethiopia: a multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data. BMC Pediatrics, 19(1), 176. https://doi.org/10.1186/s12887-019-1545-0
Fantay Gebru K, et al. Determinants of Stunting Among Under-five Children in Ethiopia: a Multilevel Mixed-effects Analysis of 2016 Ethiopian Demographic and Health Survey Data. BMC Pediatr. 2019 06 1;19(1):176. PubMed PMID: 31153381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of stunting among under-five children in Ethiopia: a multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data. AU - Fantay Gebru,K, AU - Mekonnen Haileselassie,W, AU - Haftom Temesgen,A, AU - Oumer Seid,A, AU - Afework Mulugeta,B, Y1 - 2019/06/01/ PY - 2018/09/17/received PY - 2019/05/20/accepted PY - 2019/6/3/entrez PY - 2019/6/4/pubmed PY - 2020/7/4/medline KW - Community factors KW - Ethiopia KW - Individual factors KW - Multilevel level KW - Stunting KW - Under-five children SP - 176 EP - 176 JF - BMC pediatrics JO - BMC Pediatr VL - 19 IS - 1 N2 - BACKGROUND: Childhood stunting is the most widely prevalent among under-five children in Ethiopia. Despite the individual-level factors of childhood stunting are well documented, community-level factors have not been given much attention in the country. This study aimed to identify individual- and community-level factors associated with stunting among under-five children in Ethiopia. METHODS: Cross-sectional data from the 2016 Ethiopian Demographic and Health Survey was used. A total of 8855 under-five children and 640 community clusters were included in the current analysis. A multilevel logistic regression model was used at 5% level of significance to determine the individual- and community-level factors associated with childhood stunting. RESULTS: The prevalence of stunting was found to be 38.39% in Ethiopian under-five children. The study showed that the percentage change in variance of the full model accounted for about 53.6% in odds of childhood stunting across the communities. At individual-level, ages of the child above 12 months, male gender, small size of the child at birth, children from poor households, low maternal education, and being multiple birth had significantly increased the odds of childhood stunting. At community-level, children from communities of Amhara, Tigray, and Benishangul more suffer from childhood stunting as compared to Addis Ababa's community children. Similarly, children from Muslim, Orthodox and other traditional religion followers had higher log odds of stunting relative to children of the protestant community. CONCLUSIONS: This study showed individual- and community-level factors determined childhood stunting in Ethiopian children. Promotion of girl education, improving the economic status of households, improving maternal nutrition, improving age-specific child feeding practices, nutritional care of low birth weight babies, promotion of context-specific child feeding practices and narrowing rural-urban disparities are recommended. SN - 1471-2431 UR - https://www.unboundmedicine.com/medline/citation/31153381/Determinants_of_stunting_among_under_five_children_in_Ethiopia:_a_multilevel_mixed_effects_analysis_of_2016_Ethiopian_demographic_and_health_survey_data_ DB - PRIME DP - Unbound Medicine ER -