Citation: Birhanu A, Mekonen S, Atenafu A and Abebaw D. Stunting and Associated Factors among Children
Aged 6-59 Months in Lasta Woreda, North East Ethiopia, 2015: A Community Based Cross Sectional Study
Design. J Fam Med. 2017; 4(3): 1112.
J Fam Med - Volume 4 Issue 3 - 2017
ISSN : 2380-0658 | www.austinpublishinggroup.com
Birhanu et al. © All rights are reserved
Journal of Family Medicine
Open Access
Abstract
Background: Stunting refers to low height-for-age as a result of chronic
malnutrition. Globally, 165 million under fve year’s children were stunted
annually, which was associated with 10.6 million deaths. Although stunting is
increasingly being recognized as a widespread problem, precise data on the
magnitude and associated factors of stunting was not available at the study area
which was highly infuenced by the local geo-cultural factor, custom and context.
Objective: The aim of this study was to assess prevalence and factors
associated stunting among children aged 6-59 months in Lasta Woreda, North
East Ethiopia.
Methods: A community based cross sectional study was conducted from
March-April, 2015. A multistage sampling strategy with simple random sampling
approach was used with total sample size units of 825. Data were collected
Using validated questionnaire through interviewing parents or caregivers and
Anthropometric measurement. EPI INFO version 7 software was used for data
entry. For Analysis SPSS version 20 statistical software was used. Principal
component Analysis was applied to compute wealth index. Z-Score of the
children were calculated using SMART software (ENA2011). To identify the
association and signifcant predictors, binary logistic regression was employed.
Results: A total of 759 study participants were included in the study giving
response rate of 92%. The overall prevalence stunting was 49.7% (95% CI:
46.1-53.3). Among this 57.7%; (95% CI: 50.9-60.4) were male and 42.3% (95%
CI: 36.8-47.6) were female. The proportion of moderate and sever stunting
among study population was 31.7% and 18.0% respectively. Being male AOR=
1.90; (95% CI; 1.29-2.82), increasing age (AOR = 8.38; (95% CI: 3.78-15.6)),
large family size (AOR=1.78; (95% CI; 1.19-2.65)), poor wealth status (AOR =
2.64; (95% CI; 1.58-4.41)), illiterate mother (AOR = 4.02; (95% CI: 2.3-7.04)),
leftover food (AOR=1.94; (95% CI: 1.30-2.90)), living in rural area (AOR = 2.08;
(95% CI: 1.10-4.19)) and less frequency of feeding (AOR = 2.13; (95% CI: 1.18-
3.82)) were signifcantly associated with stunting.
Conclusion: This study shows that, the prevalence of stunting among
children aged 6-59 months in Lasta Woreda is higher as compared to the
national fgures (MEDHS, 2014). Being male, increasing age, large family
size, giving leftover food, poor wealth status, and illiterate parents were factors
associated with stunting. Urgent, therapeutic and targeted supplementary
feeding programs need to be considered for chronically malnourished children
in Lasta Woreda to reduce stunting. Factors associated to stunting as identifed
with this study need to be considered for the intervention plan.
Keywords: Stunting; 6-59 months children; Lasta Woreda; Ethiopia
infections [3,4]. Improved nutrition with adequate feeding and care
develop the intellectual ability of the children [5].
Globally under nutrition, cause 45% of all deaths of children
younger than fve years, which is equivalent to 3.1 million deaths
[6,7]. Worldwide out of four children, one is stunted and in
developing countries one in three and specifcally in Africa two out of
fve children’s sufered with stunting [5,8].
In Ethiopia, more than 2 out of every 5 children stunted,
Background
Stunting refers to low height-for-age as a result of chronic
malnutrition. Stunting in children under fve is defned as a height for
age less than Z-scores below minus two standard deviations (−2SD)
of the World Health Organization (WHO) child growth standards
median [1,2]. Stunting has negative consequence for a child’s physical
and mental development. Children who are stunted tend to achieve
lower scores on intelligence and are more likely to become afected by
Special Article – Public Health
Stunting and Associated Factors among Children Aged
6-59 Months in Lasta Woreda, North East Ethiopia, 2015:
A Community Based Cross Sectional Study Design
Birhanu A
1
, Mekonen S
1
, Atenafu A
1
and Abebaw
D
2
*
1
University of Gondar, Collage of Medicine and Health
Science, Institute of Public Health, Department of
Epidemiology and Biostatistics, Ethiopia
2
Department of Research and Training, Amanuel Mental
Specialized Hospital, Ethiopia
*Corresponding author: Dessie Abebaw, Department
of Research and Training, Amanuel Mental Specialized
Hospital, Ethiopia
Received: February 09, 2017; Accepted: March 03,
2017; Published: March 10, 2017