Limits...
Predictors of the risk of malnutrition among children under the age of 5 years in Somalia.

Kinyoki DK, Berkley JA, Moloney GM, Kandala NB, Noor AM - Public Health Nutr (2015)

Bottom Line: Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index.Infection and climatic variations are likely to be key drivers of malnutrition in Somalia.Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia.

View Article: PubMed Central - PubMed

Affiliation: 1Department Public Health Research,Spatial Health Metris Group,INFORM Project,Kenya Medical Research Institute/Wellcome Trust Research Programme,PO Box 43640-00100,Nairobi,Kenya.

ABSTRACT

Objective: To investigate the predictors of wasting, stunting and low mid-upper arm circumference among children aged 6-59 months in Somalia using data from household cross-sectional surveys from 2007 to 2010 in order to help inform better targeting of nutritional interventions.

Design: Cross-sectional nutritional assessment surveys using structured interviews were conducted among communities in Somalia each year from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6-59 months from households across three livelihood zones (pastoral, agro-pastoral and riverine). Predictors of three anthropometric measures, weight-for-height (wasting), height-for-age (stunting) and mid-upper arm circumference, were analysed using Bayesian binomial regression, controlling for both spatial and temporal dependence in the data.

Setting: The study was conducted in randomly sampled villages, representative of three livelihood zones in Somalia.

Subjects: Children between the ages of 6 and 59 months in Somalia.

Results: The estimated national prevalence of wasting, stunting and low mid-upper arm circumference in children aged 6-59 months was 21 %, 31 % and 36 %, respectively. Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index. A 1-unit increase in enhanced vegetation index was associated with a 38 %, 49 % and 59 % reduction in wasting, stunting and low mid-upper arm circumference, respectively.

Conclusions: Infection and climatic variations are likely to be key drivers of malnutrition in Somalia. Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia.

Show MeSH

Related in: MedlinePlus

(colour online) Differences in the OR and CrI (represented by vertical bars) of thedeterminants of (a) wasting, (b) stunting and (c) low MUAC in children under the ageof 5 years by zone in Somalia; data from household cross-sectional nutritional surveysconducted from 2007 to 2010 (CrI, credible interval; MUAC, mid-upper armcircumference; EVI, enhanced vegetation index)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4697134&req=5

fig2: (colour online) Differences in the OR and CrI (represented by vertical bars) of thedeterminants of (a) wasting, (b) stunting and (c) low MUAC in children under the ageof 5 years by zone in Somalia; data from household cross-sectional nutritional surveysconducted from 2007 to 2010 (CrI, credible interval; MUAC, mid-upper armcircumference; EVI, enhanced vegetation index)

Mentions: Figure 2(a) to 2(c) shows the regional variation of important predictors associated with wasting,stunting and MUAC, respectively. Vegetation cover was found to be strongly associated withwasting, stunting and MUAC in the South Central and North West zones and to have a weakassociation in the North East zone, which is normally very dry and has large desert areas.Predictors with a strong association with wasting were diarrhoea and febrile illness in thelast 2 weeks across all three regions. Stunting was associated with the age and sex of thechild and environmental predictors related to vegetation cover and temperature, in allzones. Although the results show high variability in the effects of predictors associatedwith MUAC of the child, some of the predictors that showed a strong association werediarrhoea and febrile illness in the last 2 weeks, age of the child above 24 months andEVI.Fig. 2


Predictors of the risk of malnutrition among children under the age of 5 years in Somalia.

Kinyoki DK, Berkley JA, Moloney GM, Kandala NB, Noor AM - Public Health Nutr (2015)

(colour online) Differences in the OR and CrI (represented by vertical bars) of thedeterminants of (a) wasting, (b) stunting and (c) low MUAC in children under the ageof 5 years by zone in Somalia; data from household cross-sectional nutritional surveysconducted from 2007 to 2010 (CrI, credible interval; MUAC, mid-upper armcircumference; EVI, enhanced vegetation index)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4697134&req=5

fig2: (colour online) Differences in the OR and CrI (represented by vertical bars) of thedeterminants of (a) wasting, (b) stunting and (c) low MUAC in children under the ageof 5 years by zone in Somalia; data from household cross-sectional nutritional surveysconducted from 2007 to 2010 (CrI, credible interval; MUAC, mid-upper armcircumference; EVI, enhanced vegetation index)
Mentions: Figure 2(a) to 2(c) shows the regional variation of important predictors associated with wasting,stunting and MUAC, respectively. Vegetation cover was found to be strongly associated withwasting, stunting and MUAC in the South Central and North West zones and to have a weakassociation in the North East zone, which is normally very dry and has large desert areas.Predictors with a strong association with wasting were diarrhoea and febrile illness in thelast 2 weeks across all three regions. Stunting was associated with the age and sex of thechild and environmental predictors related to vegetation cover and temperature, in allzones. Although the results show high variability in the effects of predictors associatedwith MUAC of the child, some of the predictors that showed a strong association werediarrhoea and febrile illness in the last 2 weeks, age of the child above 24 months andEVI.Fig. 2

Bottom Line: Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index.Infection and climatic variations are likely to be key drivers of malnutrition in Somalia.Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia.

View Article: PubMed Central - PubMed

Affiliation: 1Department Public Health Research,Spatial Health Metris Group,INFORM Project,Kenya Medical Research Institute/Wellcome Trust Research Programme,PO Box 43640-00100,Nairobi,Kenya.

ABSTRACT

Objective: To investigate the predictors of wasting, stunting and low mid-upper arm circumference among children aged 6-59 months in Somalia using data from household cross-sectional surveys from 2007 to 2010 in order to help inform better targeting of nutritional interventions.

Design: Cross-sectional nutritional assessment surveys using structured interviews were conducted among communities in Somalia each year from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6-59 months from households across three livelihood zones (pastoral, agro-pastoral and riverine). Predictors of three anthropometric measures, weight-for-height (wasting), height-for-age (stunting) and mid-upper arm circumference, were analysed using Bayesian binomial regression, controlling for both spatial and temporal dependence in the data.

Setting: The study was conducted in randomly sampled villages, representative of three livelihood zones in Somalia.

Subjects: Children between the ages of 6 and 59 months in Somalia.

Results: The estimated national prevalence of wasting, stunting and low mid-upper arm circumference in children aged 6-59 months was 21 %, 31 % and 36 %, respectively. Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index. A 1-unit increase in enhanced vegetation index was associated with a 38 %, 49 % and 59 % reduction in wasting, stunting and low mid-upper arm circumference, respectively.

Conclusions: Infection and climatic variations are likely to be key drivers of malnutrition in Somalia. Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia.

Show MeSH
Related in: MedlinePlus