Spatial Variations and Determinants of Acute Malnutrition Among Under- Five Children in Ethiopia: Evidence from 2019 Ethiopian Demographic Health Survey

Autor: Binyam Tariku Seboka, Tilahun Dessie Alene, Habtamu Setegn Ngusie, Samuel Hailegebreal, Delelegn Emwodew Yehualashet, Girma Gilano, Mohammedjud Hassen Ahmed, Robel Hussen Kabthymer, Girum Gebremeskel Kanno, Getanew Aschalew Tesfa
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Annals of Global Health, Vol 87, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2214-9996
DOI: 10.5334/aogh.3500
Popis: Background and aims: Childhood acute malnutrition, in the form of wasting defined by a severe weight loss as a result of acute food shortage and/or illness. It is a critical public health problem that needs urgent attention in developing countries, like Ethiopia. Despite its variation between localities, the risk factors and its geospatial variation were not addressed enough across the various corner of the country. Therefore, the current study was undertaken to assess spatial variation and factors associated with acute malnutrition among under-five children in Ethiopia. Methods: A total weighted sample of 4 955 under-five children were included from the 2019 Demographic and Health Survey. Getis-Ord spatial statistical tool used to identify the hot and cold spot areas of severe and acute malnutrition. A multilevel multivariable logistic regression model using was used to examine predictors of acute malnutrition. In the multivariable multilevel analysis, Adjusted Odds Ratio with 95% CI was used to declare significant determinants of acute malnutrition among children. Result: Among 4 955 under-five children, 7% of them were wasted and 1% of them were severely wasted in Ethiopia during the 2019 national demographic survey. The distribution was followed some spatial geo-locations where most parts of Somali were severely affected (RR = 1.46, P37 value
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