Background
Methods and materials
Study design and settings
Source population and study population
Inclusion and exclusion criteria
Sampling procedure
Variables of the study
Operational definitions
Anthropometric measurements
Data processing and analysis
Ethical consideration
Result
Socio-demographic characteristics of the study participants
Variables | Frequency | Percentage (%) |
---|---|---|
Age of the child | ||
6–11 months | 981 | 12.08 |
12–23 months | 1798 | 22.14 |
24–35 months | 1726 | 21.25 |
36–47 months | 1752 | 21.57 |
48–59 months | 1865 | 22.96 |
Sex of the child | ||
Male | 4185 | 51.53 |
Female | 3937 | 48.47 |
Mothers’ educational | ||
No education | 173 | 2.13 |
Primary education | 342 | 4.21 |
Secondary education | 2228 | 27.44 |
Higher education | 5379 | 66.23 |
Marital status | ||
Currently married | 7706 | 94.87 |
Currently not married | 416 | 5.13 |
Type of birth | ||
Single | 7924 | 97.56 |
Multiple | 198 | 2.44 |
Birth order | ||
1–2 order | 2749 | 33.85 |
3–4 order | 2209 | 27.20 |
> = 5 order | 3164 | 38.95 |
Anemia | ||
Not anemic | 5640 | 70.51 |
Mild anemia | 1775 | 22.19 |
Moderate anemia | 485 | 6.06 |
Severe anemia | 100 | 1.24 |
No of U-5 children | ||
1 child | 3001 | 37.25 |
2 children | 3896 | 48.35 |
> = children | 1161 | 14.40 |
Family size | ||
< 4 families | 2038 | 27.11 |
> = 4 families | 5479 | 72.89 |
Wealth index | ||
Richest | 1140 | 14.15 |
Richer | 1457 | 18.08 |
Middle | 1774 | 22.02 |
Poorer | 1880 | 23.33 |
Poorest | 1806 | 22.41 |
Household head sex | ||
Male | 6979 | 86.63 |
Female | 1078 | 13.37 |
Father’s education | ||
No education | 3579 | 46.84 |
Primary education | 3180 | 41.62 |
Secondary education | 584 | 7.64 |
Higher education | 298 | 3.90 |
Source of drinking water | ||
Improved water source | 4604 | 57.15 |
Unimproved water source | 3453 | 42.85 |
Type of toilet facility | ||
Improved water source | 765 | 9.49 |
Unimproved water source | 7292 | 90.51 |
Residence | ||
Urban | 873 | 10.84 |
Rural | 7184 | 89.16 |
Region | ||
Urban | 230 | 2.85 |
Rural | 7302 | 90.62 |
Developing | 526 | 6.52 |
Community level education | ||
Illiterate | 5268 | 65.96 |
Literate | 2718 | 34.04 |
Community poverty rate | ||
In poverty | 3367 | 41.79 |
Above poverty | 4690 | 58.21 |
Prevalence of severe stunting among under-five children
Region | Children nutritional status | Total | ||
---|---|---|---|---|
Not stunted | Moderately stunted | Severely stunted | ||
Tigray | 324 | 153 | 80 | 557 |
Afar | 44 | 16 | 19 | 79 |
Amhara | 782 | 465 | 344 | 1591 |
Oromia | 2140 | 716 | 621 | 3477 |
Somalia | 247 | 54 | 45 | 346 |
Benishangul –Gumuz | 46 | 19 | 18 | 83 |
SNNPR | 980 | 332 | 364 | 1676 |
Gambella | 14 | 3 | 2 | 18 |
Harari | 11 | 4 | 2 | 17 |
Dire Dawa | 18 | 8 | 6 | 32 |
Addis Ababa | 152 | 24 | 5 | 181 |
Total | 4758 | 1794 | 1506 | 8058 |
Factors associated with severe childhood stunting
Stunting | Random intercept model | Community level factors | House hold and individual factors | Full model |
---|---|---|---|---|
Region | ||||
Urban | 1 | 1 | ||
Rural | 1.76 (1.24–2.48) | 1.62 (1.14–2.30)** | ||
Developing | 1.23 (0.87–1.74) | 1.23 (0.86–1.76) | ||
Residence | ||||
Urban | 1 | 1 | ||
Rural | 1.35 (0.96–1.90) | 0.78 (0.51–1.18) | ||
Community literacy | ||||
Literate | 1 | 1 | ||
Illiterate | 0.80 (0.66–0.957) | 0.90 (0.73–1.11) | ||
Community poverty index | ||||
In poverty | 1 | 1 | ||
> poverty | 1.37 (1.14–1.65) | 1.08 (0.86–1.36) | ||
wealth index | ||||
Richest | 1 | 1 | ||
Richer | 1.43 (1.03–1.97)** | 1.37 (0.97–1.93) | ||
Middle | 1.80 (1.30–2.50)** | 1.84 (1.27–2.67)** | ||
Poorer | 2.11 (1.51–2.95)** | 2.13 (1.45–3.14)** | ||
Poorest | 2.44 (1.76–3.39)** | 2.52 (1.72–3.68)** | ||
Water source | ||||
Improved | 1 | 1 | ||
Un improved | 0.88 (0.73–1.06) | 0.87 (0.72–1.05) | ||
Toilet | ||||
Improved | 1 | 1 | ||
Un improved | 1.12 (0.78–1.613) | 1.11 (0.76–1.61) | ||
Maternal age | ||||
15–19 | 1 | 1 | ||
20–35 | 0.54 (0.34–0.85) | 0.51 (0.32–0.81)** | ||
36–49 | 0.48 (0.29–0.80) | 0.41 (0.24–0.71)** | ||
Maternal height | 0.95 (0.93–0.96) | 0.95 (0.93–0.96)** | ||
Maternal Education | ||||
No-education | 1 | 1 | ||
Primary | 0.80 (0.67–0.950)* | 0.84 (0.67–1.02) | ||
Secondary | 0.62 (0.42–0.92)* | 0.68 (0.45–1.02) | ||
Higher | 0.35 (0.19–0.66)** | 0.38 (0.20–0.74)** | ||
Maternal BMI | ||||
Normal | 1 | 1 | ||
Under-weight | 0.49 (0.35–0.69) | 0.52 (0.37–0.72)** | ||
Over-weight | 3.33 (2.15–5.17) | 3.43 (2.21–5.33)** | ||
Child age (months) | ||||
6–12 | 1 | 1 | ||
12–23 | 3.64 (2.55–5.21) | 3.72 (2.59–5.32)** | ||
24–35 | 5.43 (3.90–7.56) | 5.52 (3.95–7.71)** | ||
36–47 | 5.12 (3.65–7.16) | 5.17 (3.68–7.26)** | ||
48–59 | 3.98 (2.82–5.60) | 4.11 (2.89–5.83)** | ||
Child sex | ||||
Female | 1 | 1 | ||
Male | 1.28 (1.10–1.49) | 1.26 (1.09–1.46)** | ||
Birth order | ||||
1 to 2 | 1 | 1 | ||
3 to 4 | 0.96 (0.77–1.18) | 0.94 (0.76–1.16) | ||
5 and above | 1.24 (0.98–1.55) | 1.20 (0.96–1.51) | ||
Cut points | ||||
Cut point 1 | 1.66 (1.51–1.83) | 1.30 (1.00–1.60) | −6.65(−8.98,-4.31) | −6.42(−8.78,-4.07) |
Cut point 2 | 1.71 (1.59–1.82) | 1.50 (2.19–2.80) | −5.34(−7.66,-3.01) | −5.12(−7.46,-2.78) |
Cluster variance(θ) | 0.45 (0.34–0.60) | 0.38 (0.29–0.50)** | 0.41 (0.31–0.53)** | 0.40 (0.30–0.52)** |
Median OR | 1.90 (1.75–2.09) | 1.80 (1.67–1.96) | 1.84 (1.70–2.01) | 1.83 (1.69–2.00)** |
ICC (VPC) | 0.12 (0.09–0.15)** | 0.10 (0.08–0.13)** | 0 .11 (0.09–0.14)** | 0.11 (0.08–0.14)** |
PCV | 15.56% | 8.89% | 11.11% |