FACTORS ASSOCIATED WITH STUNTING, WASTING AND UNDERWEIGHT AMONG CHILDREN AGED 2-5 YEARS IN EARLY CHILDHOOD DEVELOPMENT AND EDUCATION CENTERS IN MASINGA SUB COUNTY, MACHAKOS COUNTY

Authors

  • Ruth N. Mutua Jomo Kenyatta University of Agriculture and Technology
  • Joseph Keriko Jomo Kenyatta University of Agriculture and Technology
  • Joseph Mutai Kenya Medical Research Institute

DOI:

https://doi.org/10.47672/ejhs.232
Abstract views: 1340
PDF downloads: 591

Keywords:

stunting, wasting, underweight, early childhood development, education centers

Abstract

Purpose: The main objective of this study was to determine factors associated with stunting, wasting and underweight among children aged 2-5 years in early childhood development and education centers in Masinga sub county, Machakos County.

Methodology: This was a descriptive cross sectional study. This study was conducted amongst 322 children in 15 randomly selected public early childhood development and education centers. Simple random sampling was used to select the children. Data was collected from mothers of children aged 24 to 59 months using pre-tested structured questionnaires and was analyzed using Statistical Package for Social Sciences, version 10. Chis-square was used to measure the relationship between variables at p≤ 0.05. Data was then presented in frequencies, percentages, graphs and tables.

Results: Factors such as socio-economic characteristics, environmental and health characteristics of children, among others, were found to be having some form of associations with stunting, wasting and underweight. The following variables had significant relationship; mother’s religion with wasting p= 0.111, age of the child with stunting p= 0.033 and underweight p= 0.038, level of the ECDE with stunting p= 0.034 and underweight p= 0.038, sex of the child with stunting p= 0.021, underweight p= 0.032 and wasting p= 0.012 and availability of the toilet with underweight p= 0.024.

Unique contribution to theory, practice and policy: Stunting, wasting and underweight among children aged 2-5 years continue to be a major public health concern that needs concerted efforts from a multi-sectoral approach to at least reduce the impact associated with the same. Factors such as age of the child, level of the ECDE, sex and environment, among others, are some of the main contributors to stunting, wasting and underweight among children.  There is need for Machakos County government to implement a county nutrition integrated program with a community-based nutrition component that is linked to education, health, water and sanitation, and other relevant partners.

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Author Biographies

Ruth N. Mutua, Jomo Kenyatta University of Agriculture and Technology

Post Graduate Student

Joseph Keriko, Jomo Kenyatta University of Agriculture and Technology

Post Graduate Student

Joseph Mutai, Kenya Medical Research Institute

Lecturer

References

Adekanmbi, V., Kayode, G. and Uthman, O. (2013). Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis. Matern Child Nutr 2013, 9:244–259.

Adler, M. and Specker, B. (2001). Atypical diets in infancy and early childhood. Pediatr Ann. 30. 673–80.

Ahmed, E., Mofida, Y., Elkhalifa, H. and Elnasik, H. (2011). Nutritional status of the children under age of five in a desertified area of Sudan; alrawakeeb valley, Khartoum, Sudan. International Journal of Current Research 2: 103-108.

Ahmed, N., Barnett, I. and Longhurst, R. (2015). Determinants of child undernutrition in Bangladesh literature review. MQSUN report.

Alonso, E. (2015). The impact of culture, religion and traditional knowledge on food and nutrition security in developing countries. FOODSECURE Working paper no. 30.

Anderson, l., Tegegn, A., Tessema, F., Galea, S. and Hadley, C. (2011). Food insecurity, childhood illness and maternal emotional distress in Ethiopia”, Public health nutrition, 15. 4. 648-655

Bronte-Tinkew, J. and DeJong, G. (2004). Children’s nutrition in Jamaica: do household structure and household economic resources matter? Social Science Medicine 58. 499–514.

Chiara, A., Tefera, D., Mutembei, G., Kopplow, R. and Debarati, G. (2016). Factors Associated with Stunting among Pre-school Children in Southern Highlands of Tanzania. Journal of Tropical Pediatrics. 0. 1–19.

Cogill, B. (2003). Anthropometric Indicators Measurement Guide. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington, D.C.

Correia, L., Silva, C., Campos, S., Andrade, M., Machado, M., Lindsay, C., Leite, J., Rocha, A. and Cunha, J. (2014). Prevalence and determinants of child undernutrition and stunting in semiarid region of Brazil. Saude Publica.48. 1.19-28.

Crompton, D. and Nesheim, M. (2002). Nutritional impact of intestinal helminthiasis during the human life cycle. Annual Review of Nutrition. 22. 35–59.

Das, S. and Hossain, M. (2008). Levels and determinants of child undernutrition in Bangladesh’, Pakistan Journal of Statistics; 24.4: 301-323.

Dawit, D., Abraham, D. and Abebe, A. (2015). Under nutrition and associated risk factors among school age children in Addis Ababa, Ethiopia. BMC Public health. 15.375.

Desai S. (1992). Children at risk: the role of family structure in Latin America and West Africa. Population and Development Review 18. 689–717.

Elham, K., Zahra, H., Zahra K., Aliasghar, N., Mohsen, M. and Mohammadreza, H. (2014). Prevalence and determinants of under-nutrition among children under six. International Journal of Health Policy Management, 3.2.71 – 76.

Fentaw, R., Bogale, A. and Abebaw, D. (2013). Prevalence of child malnutrition in agro-pastoral households in Afar regional state of Ethiopia. Nutrition Research and Practice.7. 2. 122-131.

Gebreegziabiher, G., Etana, B. and Niggusie, D. (2014). Determinants of Anemia among Children Aged 6–59 Months Living in Kilte Awulaelo Woreda, Northern Ethiopia. Anemia. 10.1155/2014/245870.

Gibson, S. and Anderson, P. (2009). A review of interventions based on dietary diversification or modification strategies with the potential to enhance intakes of total and absorbable zinc. Food Nutrition Bulletin 30 (1).108-43.

Glewwe, P. (1999). Why Does Mother's Schooling Raise Child Health in Developing Countries? Evidence from Morocco The Journal of Human Resources. 34.1.124-159.

Grummer-Strawn, M. (1993). Does prolonged breastfeeding impair child growth? A critical review. Pediatrics. 91.766–71.

Guerrant, L. (2008). ‘Malnutrition as an Enteric Infectious Disease with Long-term Effects on Child Development’. 10.1753-4887.

Gurmu, E. and Etana, D. (2013). Household structure and children’s nutritional status in Ethiopia. Genus 69:113–130.

Heaton, T., Forste, R., Hoffmann, J. and Flake, D. (2005). Cross-national variation in family influences on child health. Social Science Medicine. 60.97–108.

Kandala, B., Fahrmeir, L., Klasen, S. and Priebe, J. (2009). Geo-additive models of Childhood Undernutrition in three Sub-Saharan African Countries. Population, Space and Place.15. 461-473.

Kavosi, E., Hassan, Z., Rostami, Z., Kavosi, Z., Nasihatkon, A. and Moghadami M. (2014). Prevalence and determinants of under-nutrition among children under six: a cross-sectional survey in Fars province, Iran. International Journal Health Policy Management, 3(2). 71 – 76.

Keino, S., Plasqui, G. and Ettyang, G. (2014). Determinants of stunting and overweight among young children and adolescents in sub-Saharan Africa. Food Nutr Bull. 35. 167–78.

Kenya Demographic and Health Survey. (2008-09). Kenya National Bureau of Statistics. Nairobi, Kenya.

Makoka, D. and Masibo, P. (2015). Is there a threshold level of maternal education sufficient to reduce child undernutrition? Evidence from Malawi, Tanzania and Zimbabwe. BMC Pediatric. 15. 96.

McGadney-Douglass, F., Douglass, L., Apt NA. and Antwi, P. (2005). Ghanaian mothers helping adult daughters: the survival of malnourished grandchildren. Journal of Mother Initiative Response Community Involvement 7. 112–124.

Merchant, A., Jones, C. and Kiure, A. (2003). Water and sanitation associated with improved child growth, European Journal of Clinical Nutrition. 57. 12. 1562–1568.

Ministry of Public Health and Sanitation. (2012). Nature nutrition action plan 2012 – 2017. Kenya.

Nanjunda, M. (2014). Prevalence of under-nutrition and anemia among under five rural children of South Karnataka, India. Nitte University Journal of Health Science, 4 (4). 2249 - 7110.

Olack, B., Burke, H., Cosmas, L., Bamrah, S., Dooling, K. and Feikin, D. R. (2011). Nutritional status of under-five children living in an informal urban settlement in Nairobi, Kenya. Journal of Health Population Nutrition. 29. 4.357–63.

Olatidoye, P., Adebusoye, M., Adekola, A. and Jatto, 0. (2011). Effect of maternal employment on nutritional status of pre-school children from low income household area of Oyo state. Journal of Environmental, Agricultural and Food Chemistry. 10. 7.

Onis, M. and Blössner, M. (2000). Prevalence and Trends of Overweight among Preschool Children in Developing Countries. American Journal of Clinical Nutrition, 72 (1).1032 - 9.

Panigrahi, A. and Chandan Das, S. (2014). Undernutrition and Its Correlates among Children of 3–9 Years of Age Residing in Slum Areas of Bhubaneswar, India. Scientific World Journal. 719673. 9.

Paramita, S., Nina, P. and Benjamin, I. (2010). Epidemiological correlates of under-nutrition in under-5 years children in an urban slum of ludhiana, india Health and Population: Perspectives and Issues 33. 1.1-9.

Patrice, L. E., Maureen, M. B., Jere R. B., Meena, C. M., Paul, J. G., Lydia, K., Reynaldo, M. and Mary, E.Y. and the International Child Development Steering Group. (2007). Child development in developing countries 3, Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The lancet, 369 (1). 229 – 42.

Pelto, G., Levitt E. and Thairu, L. (2003). Improving feeding practices: current patterns, common constraints, and the design of interventions. Food Nutrition Bulletin. 24. 1. 45-82.

Ramachandran, P. and Gopalan, H. (2009). Undernutrition and risk of infections in preschool children. Nutrition Foundation of India, New Delhi, India.

Rawat, R., Kumar, S., Manju L. and Jose R. (2014). Prevalence and Determinants of Under-nutrition among School-aged Children in an Urban Slum in India. Academic Medical Journal of India 20.2.3.102–5.

Salehi, M., Shahbazi, M., Mehrabi, Y. and Kolahi, A. (2004). Assessing the impact of nutrition education on growth indices of Iranian nomadic children: an application of a modified beliefs, attitudes, subjective-norms and enabling factors model. British Journal of Nutrition, 91(1).779–787.

Semali, I.; Kessy, A.; Mmbaga, E.; Leyna, G. (2015). Prevalence and determinants of stunting in under-five children in central Tanzania: remaining threats to achieving Millennium Development Goal 4 BMC Public Health.15.1153.

Sheikholeslam, R., Kimiagar, M., Siasi, F., Abdollahi, Z., Jazayeri, A., Keyghobadi, K., Ghaffarpoor, M., Noroozi, F., Kalantari, M., Minaei, N., Eslami, F. and Hormozdyari, H. (2004). Multidisciplinary intervention for reducing malnutrition among children in the Islamic Republic of Iran. Eastern Mediterranean health journal, 10 (6), 844 - 852.

Simondon, K., Simondon, F., Costes, R., Delaunay, V. and Diallo, A. (2001). Breast-feeding is associated with improved growth in length, but not weight, in rural Senegalese toddlers. American Journal of Clinical Nutrition.73. 5.959-67.

Sourabh, D., Samiran, B. and Himesh, B. (2015). Prevalence of Undernutrition among Preschool Children under Five Attending Pediatric OPD in a Tertiary Care Hospital of Northeastern India International Journal of Pediatric. 3. 2-2.

Stephenson, L., Latham, M., Adams, E., Kinoti S. and Pertet A. (1993). Physical fitness, growth and appetite of Kenyan school boys with hookworm, Trichuris trichiura and Ascaris lumbricoides infections are improved four months after a single dose of albendazole. Journal of Nutrition.123.6.1036–1046.

Suchdev, P., Addo, Y., Martorell, R., Grant, F., Ruth, L., Patel, M., Juliao, P., Quick, R. and Flores-Ayala, R. (2016). Effects of community-based sales of micronutrient powders on morbidity episodes in preschool children in Western Kenya. Journal Clinical Nutrition

UNICEF. (2013). Improving child nutrition the achievable imperative for global progress.

WHO. (2001). Schistosomiasis and soil-transmitted helminth infection. In: Fifty-Fourth World Health Assembly, Geneva.

WHO. (2010). Nutrition landscape information system Country profile indicators interpretation guide, Geneva, Switzerland.

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Published

2017-04-10

How to Cite

Mutua, R. N., Keriko, J., & Mutai, J. (2017). FACTORS ASSOCIATED WITH STUNTING, WASTING AND UNDERWEIGHT AMONG CHILDREN AGED 2-5 YEARS IN EARLY CHILDHOOD DEVELOPMENT AND EDUCATION CENTERS IN MASINGA SUB COUNTY, MACHAKOS COUNTY. European Journal of Health Sciences, 1(2), 44 - 69. https://doi.org/10.47672/ejhs.232

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