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Drivers of change in weight‐for‐height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors

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dc.contributor.author Samuel, Aregash
dc.contributor.author Girma, Meron
dc.contributor.author Hussein, Alemayehu
dc.contributor.author Baye, Kaleab
dc.contributor.author van Zyl, Cornelia
dc.contributor.author Tessema, Masresha
dc.contributor.author Chitekwe, Stanley
dc.contributor.author Laillou, Arnaud
dc.date.accessioned 2022-12-02T12:15:34Z
dc.date.available 2022-12-02T12:15:34Z
dc.date.issued 2022-05-24
dc.identifier.uri http://ephispace.ephi.gov.et/xmlui/handle/123456789/473
dc.description.abstract The prevention of wasting should be a public health priority as the global burden of acute malnutrition is still high. Gaps still exist in our understanding of context‐ specific risk factors and interventions that can be implemented to prevent acute malnutrition. We used data from the four rounds of the Ethiopia Demographic and Health Survey (2000–2016) to identify risk factors that have contributed to the change in weight‐for‐height z‐score (WHZ) among children under 5 years of age. We performed a pooled linear regression analysis followed by a decomposition analysis to identify relevant risk factors and their relative contribution to the change in WHZ. Modest improvements in WHZ were seen between 2000 and 2016. The sharpest decrease in mean WHZ occurred from birth to 6 months of age. Perceived low weight at birth and recent diarrhoea predicted a decline in WHZ among children aged 0–5, 6–23 and 23–59 months. Less than 50% of the change in WHZ was accounted for by the change in risk factors included in our regression decomposition analysis. This finding highlights data gaps to identify context‐specific wasting risk factors. The decline in the prevalence of recent diarrhoea (15% of the improvement), decline in low birth size (7%–9%), and an increase in wealth (15%–30%) were the main risk factors that accounted for the explained change in WHZ. Our findings emphasize the importance of interventions to reduce low birthweight, diarrhoea and interventions that address income inequities to prevent acute malnutrition en_US
dc.language.iso en en_US
dc.publisher . Maternal & Child Nutrition en_US
dc.subject ACUTE MALNUTRITION en_US
dc.subject RISK FACTORS en_US
dc.subject WEIGHT FOR HEIGHT en_US
dc.title Drivers of change in weight‐for‐height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors en_US
dc.type Journal Article en_US
ep.contributor.affiliation Ethiopian Public Health Institute en_US
ep.contributor.affiliation enter for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia en_US
ep.contributor.affiliation National Information Platforms for Nutrition (NIPN), International Food Policy Research Institute, Addis Ababa, Ethiopia en_US
ep.contributor.affiliation United Nations Children's Fund (UNICEF), Addis Ababa, Ethiopia en_US
ep.identifier.status Open Access en_US
ep.identifier.status Open Access
ep.identifier.doi https://doi.org/10.1111/mcn.13392 en_US
ep.journal Maternal and Child Nutrition en_US


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