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Watson, Fiona, Bekele Negussie, Carmel Dolan, Jeremy Shoham, and Andrew Hall. "Quality and potential use of data collected during nutrition surveys: an analysis of surveys in Ethiopia." International Health 3, no. 2 (2011): 85–90. http://dx.doi.org/10.1016/j.inhe.2011.01.003.
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Faerber, Emily, Roland Brouwer, Jan Low, and Amy Webb Girard. "Community-Based Nutrition Education Improves Caregivers’ Knowledge of Complementary Feeding in Southern Ethiopia." Current Developments in Nutrition 4, Supplement_2 (2020): 979. http://dx.doi.org/10.1093/cdn/nzaa054_051.
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Abstract Objectives Quality Diets for Better Health (QDBH) is a nutrition-sensitive agriculture project in southern Ethiopia that promotes vitamin A-rich orange-fleshed sweetpotato (OFSP) and community-based nutrition education to improve the quality of young child diets. The objective of this research is to examine the impact of the project and other predictors on caregiver knowledge of infant and young child feeding (IYCF) over time. Methods Communities were randomized to a control group and intervention groups receiving OFSP planting materials and community-based nutrition education. Households with infants <6 months completed a baseline survey in January 2018, and follow-up surveys 7 and 13 months later. Knowledge of IYCF recommendations and vitamin A was assessed at each visit; a knowledge score (range 0–100) was calculated by assigning points for accurate responses. If a caregiver was missing not more than two responses, we imputed her score with the community-mean to retain sample size and minimize bias. We used mixed effects modeling to examine the effect of QDBH and other factors, such as education and prenatal counseling, on knowledge scores over time, while controlling for covariates. Results Of the 605 households who completed the baseline survey, 548 (90.6%) and 523 (86.4%) completed the follow-up surveys. Baseline characteristics of the group lost to follow-up did not differ from those retained in the sample. Knowledge scores were highest at baseline (65.3 ± 14.4), and lower at 7 months (48.4 ± 13.8) and 13 months follow-up (46.9 ± 14.0). Baseline scores were higher among caregivers with higher education (P < 0.05) and who reported receiving prenatal IYCF counseling (P < 0.0001), but also declined faster among those who had prenatal counseling (β = −1.6, P = 0.04). Knowledge scores in intervention and control groups were similar at baseline (P = 0.49), but scores of those in the intervention group declined less rapidly than those in the control group (β = 4.0, P < 0.0001). Conclusions Caregivers’ knowledge of IYCF decreased in the postnatal period; decreases were fastest among those who received prenatal IYCF counseling and among those in the control group. Postnatal community-based nutrition education can help maintain knowledge of IYCF recommendations. Funding Sources This research is funded by the European Union in partnership with the International Potato Center.
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Anthonj, Carmen, Lisa Fleming, Ryan Cronk, et al. "Improving Monitoring and Water Point Functionality in Rural Ethiopia." Water 10, no. 11 (2018): 1591. http://dx.doi.org/10.3390/w10111591.
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This study examines the patterns, trends, and factors associated with functional community water points in rural Ethiopia and identifies potential areas of improvement in terms of practitioner response to functionality and functionality monitoring. It was part of an integrated WaSH and nutrition program implemented by UNICEF Ethiopia and the Government of Ethiopia. Cross-sectional surveys were conducted to collect WaSH-related data in communities and WaSH committees from four community-based nutrition (CBN) program groupings in Ethiopia. In all areas, CBN was implemented, but only in less than half of the areas, a WaSH intervention was implemented. Seventy-three representative kebeles, comprising 30 intervention and 43 control communities, were surveyed. Two structured surveys were conducted. The ‘community survey’ addressed community water points and their functionality and the main areas for improvement needed. The ‘WaSH committee survey’ investigated technical and management aspects of water points and their functionality. Data were analyzed using bivariate regression to identify community characteristics and management practices associated with functionality of water points and explore opportunities to improve water point functionality and monitoring. In the communities, 65% of water points were functional. Eighty percent of communities had a WaSH committee. The WaSH committee members reported that the most used water point types were protected dug wells and boreholes, and that 80% of their water points were functional. India Mark II pumps were more likely to be functional and communities with longer established WaSH committees had higher water point functionality. Communities suggested that the key factors for water point sustainability were improving water quality and water pressure, reducing water collection time, and speeding up repair times. Taking community leaders’ ‘priority lists’ into consideration offers sustainable opportunities for demand-driven, adaptive and targeted design and implementation of rural water supply programs, which, if they include the grassroots level as key informants and actors of change, can succeed. Interventions should integrate the ‘voice’ of the community, the WaSH committees, and other stakeholders and thereby facilitate transdisciplinary approaches at different stages of program management (planning, monitoring, and evaluation). This would help closing the knowledge to action gap and improve policy, programming, practice, and service delivery.
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Tareke, Amare Abera, and Taddese Alemu Zerfu. "Magnitude, Trends, and Determinants of Iodized Salt Availability among Households in Ethiopia: Analysis of Ethiopian Demographic and Health Surveys (2000–2016)." Nutrition and Metabolic Insights 14 (January 2021): 117863882110253. http://dx.doi.org/10.1177/11786388211025342.
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Background: Iodine deficiency causes various health problems such as mental defects, goiter, reproductive damage, hypo and hyperthyroidism, stillbirth, abortion, congenital abnormalities, cretinism, mental retardation, muscle anomalies, and reduced work output. Although the adverse effects on health and socio-economic development are well known, they persisted as a public health problem worldwide. Salt iodization is recommended as a simple cost-effective method to prevent iodine deficiency disorders. This study aimed to determine the magnitude, trends, and determinants of iodized salt availability in the household in Ethiopia. Methods: The current study used the Ethiopian Demographic and Health Surveys conducted from 2000 to 2016 with a total of 57 939 households. Descriptive statistics were performed on selected background characteristics to provide an overall picture of the sample after considering sample weights. To ensure the representativeness of the sample we applied a complex sample design considering household weights, primary sampling units, and the strata associated with it. The Cochran–Armitage test was performed to assess the trend of iodized salt availability in the household. Multivariate logistic regression was used to determine the association between the dependent variable and independent variables. A significance level of .05 was chosen for all analyses. Results: The magnitude of iodized salt availability in the household was 28.45% in 2000, 54.34% in 2005, 15.42% in 2011, and 89.28% in 2016. Iodized salt availability increased from 28.45% [95% CI: 27.69-29.21] in 2000 to 89.28% [95% CI: 88.79-89.75] in 2016. Despite the decline from 2005 to 2011 in the percentage of households with iodized salt, overall, there was a significant increment from 2000 to 2016 in Ethiopia ( P-value <.001). There were differences in the status of salt iodization in the administrative region, wealth, family size, and ownership of radio or television. Conclusion: Remarkable progress has been made in Ethiopia regarding iodized salt availability in recent years. Besides the current efforts to achieve universal salt iodization, future interventions should prioritize specific groups like those with lower socioeconomic status and geographic areas with lower availability of iodized salt in the household.
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Tasic, Hana, Nadia Akseer, Seifu H. Gebreyesus, et al. "Drivers of stunting reduction in Ethiopia: a country case study." American Journal of Clinical Nutrition 112, Supplement_2 (2020): 875S—893S. http://dx.doi.org/10.1093/ajcn/nqaa163.
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ABSTRACT Background Chronic undernutrition in children continues to be a global public health concern. Ethiopia has documented a significant decline in the prevalence of childhood stunting, a measure of chronic undernutrition, over the last 20 y. Objectives The aim of this research was to conduct a systematic assessment of the determinants that have driven child stunting reduction in Ethiopia from 2000 to 2016, focused on the national, community, household, and individual level. Methods This study employed both quantitative and qualitative methods. Specifically, a systematic literature review, retrospective quantitative data analysis using Demographic and Health Surveys from 2000–2016, qualitative data collection and analysis, and analyses of key nutrition-specific and -sensitive policies and programs were undertaken. Results National stunting prevalence improved from 51% in 2000 to 32% in 2016. Regional variations exist, as do pro-rich, pro-urban, and pro-educated inequalities. Child height-for-age z score (HAZ) decomposition explained &gt;100% of predicted change in mean HAZ between 2000 and 2016, with key factors including increases in total consumable crop yield (32% of change), increased number of health workers (28%), reduction in open defecation (13%), parental education (10%), maternal nutrition (5%), economic improvement (4%), and reduced diarrhea incidence (4%). Policies and programs that were key to stunting decline focused on promoting rural agriculture to improve food security; decentralization of the health system, incorporating health extension workers to improve rural access to health services and reduce open defecation; multisectoral poverty reduction strategies; and a commitment to improving girls’ education. Interviews with national and regional stakeholders and mothers in communities presented improvements in health service access, women and girls’ education, improved agricultural production, and improved sanitation and child care practices as drivers of stunting reduction. Conclusions Ethiopia's stunting decline was driven by both nutrition-specific and -sensitive sectors, with particular focus on the agriculture sector, health care access, sanitation, and education.
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Kim, Sunny, Celeste Sununtnasuk, Amare Tadesse, et al. "Home Food Availability, Food Insecurity and Nutrition Knowledge Are Key Factors Influencing Dietary Diversity Among Adolescent Girls in Southern Ethiopia." Current Developments in Nutrition 4, Supplement_2 (2020): 536. http://dx.doi.org/10.1093/cdn/nzaa046_036.
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Abstract Objectives In Ethiopia, where 40% of the population is under 15 years, evidence on adolescent nutrition is limited. We examined the dietary diversity and its determinants among in-school adolescent girls in 2 regions in southern Ethiopia. Methods We used household survey data from 162 in-school adolescent girls aged 10–14 y across 54 primary schools in one agrarian region (SNNP) and one pastoralist region (Somali), collected in October-November 2019. Multiple regression models were used to examine factors such as nutrition knowledge, food availability and food insecurity associated with the dietary diversity score, adjusted for age and geographic clustering. Results All of the adolescent girls were currently enrolled in school (grades 4–8), and most resided with their mothers (96.9%) and fathers (80.2%). Prevalence of thinness was 11.7% (body mass index (BMI)-for-age Z-score &lt; −2SD), and 35.2% were mildly thin (BMI-for-age Z-score &lt; -1SD). Dietary diversity was low, with 3.7 food groups (out of 10) consumed in the last 24 h. Also, 48.8% reported consuming sweets and sugar-sweetened beverages in the last 24 h. Nutrition knowledge among adolescents was moderate, with an average score of 4.8 out of 8 knowledge items. On occurrences of food insecurity in the past 30 days, they reported an average score of 1.1 (out of 9 items). However, household surveys revealed a high degree of food insecurity (56.2%). Adolescents also reported that only 3.6 food groups (out of 10) were available at home some/most/all of the time (that is, 3–7 days) over the past 7 days. Unsurprisingly, food availability at home (β = 0.30, P = 0.000) and food insecurity (β = −0.12, P = 0.013) followed by nutrition knowledge (β = 0.11, 0 = 0.031) were significantly associated with dietary diversity score. Conclusions Understanding the factors influencing poor diets among adolescents will help to enhance the design of educational interventions to improve adolescent nutrition outcomes, a critical priority in Ethiopia. However, household food insecurity and household food availability are serious concerns in this context. Funding Sources Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI 360; and CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), led by the International Food Policy Research Institute.
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Moss, Cami, Tesfaye Hailu Bekele, Mihretab Melesse Salasibew, et al. "Sustainable Undernutrition Reduction in Ethiopia (SURE) evaluation study: a protocol to evaluate impact, process and context of a large-scale integrated health and agriculture programme to improve complementary feeding in Ethiopia." BMJ Open 8, no. 7 (2018): e022028. http://dx.doi.org/10.1136/bmjopen-2018-022028.
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IntroductionImproving complementary feeding in Ethiopia requires special focus on dietary diversity. The Sustainable Undernutrition Reduction in Ethiopia (SURE) programme is a government-led multisectoral intervention that aims to integrate the work of the health and agriculture sectors to deliver a complex multicomponent intervention to improve child feeding and reduce stunting. The Federal Ministries of Health and Agriculture and Natural Resources implement the intervention. The evaluation aims to assess a range of processes, outcomes and impacts.Methods and analysisThe SURE evaluation study is a theory-based, mixed methods study comprising impact and process evaluations. We hypothesise that the package of SURE interventions, including integrated health and agriculture behaviour change communication for nutrition, systems strengthening and multisectoral coordination, will result in detectable differences in minimum acceptable diet in children 6–23 months and stunting in children 24–47 months between intervention and comparison groups. Repeated cross-sectional household surveys will be conducted at baseline and endline to assess impact. The process will be assessed using observations, key informant interviews and focus group discussions to investigate the fidelity and dose of programme implementation, behavioural pathways of impact and contextual factors interacting with the intervention. Pathways of impact will also be explored through statistical analyses.Ethics and disseminationThe study has received ethics approval from the scientific and ethical review committees at the Ethiopian Public Health Institute and the London School of Hygiene and Tropical Medicine. The findings will be disseminated collaboratively with stakeholders at specified time points and through peer-reviewed publications and presentations.
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Mohammed, Shimels H., Tesfa D. Habtewold, Debelo D. Abdi, Shahab Alizadeh, Bagher Larijani, and Ahmad Esmaillzadeh. "The relationship between residential altitude and stunting: evidence from >26 000 children living in highlands and lowlands of Ethiopia." British Journal of Nutrition 123, no. 8 (2020): 934–41. http://dx.doi.org/10.1017/s0007114519003453.
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AbstractLittle information is known about the influence of altitude on child growth in Ethiopia, where most people live in highlands. We investigated the relation of residential altitude with growth faltering (stunting) of infants and young children in Ethiopia. We also examined whether the altitude–growth relationship was independent of the influence of the dietary and non-dietary determinants of growth. We used the data of 26 976 under-5-year-old children included in the Ethiopian Demographic and Health Surveys, conducted from 2005 to 2016. The samples were recruited following a two-stage cluster sampling strategy. Stunting was defined by height-for-age <−2 z-scores. The relationship between residential altitude and stunting was examined by running multiple logistic regression analysis, controlling the effect of covariate dietary and non-dietary variables. The residential altitude of the study participants ranged from −116 to 4500 m above sea level (masl). There was a significant and progressive increase in the prevalence and odds of stunting with increasing altitude (P < 0·001), irrespective of the dietary and non-dietary predictors of stunting. The prevalence of stunting was lowest in lowlands (39 %) and highest in highlands (47 %). Compared with altitude <1000 masl, the odds of stunting was 1·41 times higher at altitude ≥2500 masl (OR 1·41, 95 % CI 1·16, 1·71) and 1·29 times higher at altitude 2000–2499 masl (OR 1·29, 95 % CI 1·11, 1·49). Children living in highlands might be at a higher risk of poor growth. Further studies are warranted to understand the mechanism behind the observed altitude–stunting link and identify strategies to compensate for the growth-faltering effect of living in highlands.
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Fenta, Haile Mekonnen, Lijalem Melie Tesfaw, and Muluwerk Ayele Derebe. "Trends and Determinants of Underweight among Under-Five Children in Ethiopia: Data from EDHS." International Journal of Pediatrics 2020 (June 29, 2020): 1–9. http://dx.doi.org/10.1155/2020/3291654.
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Background and Aims. Malnutrition among under-five children is one of the major causes of death in low-income countries. Accordingly, health sectors in developing countries are providing renewed attention to the status of children’s nutrition. This study sought to explore the trends and identify the determinants of underweight Ethiopian under-five children across time. Methods. The data in the study was obtained from the 2000, 2005, 2011, and 2016 Ethiopian Demographic and Health Surveys (EDHS). The study involved 27564 under-five children across Ethiopian regions. The status of underweight is determined using weight for age. This anthropometric index has been categorized as “underweight” (Z-score less than -2) and “not underweight” (Z-score greater or equal to -2). Logistic regression was used for each survey to detect significant determinants of underweight, while multivariate decomposition was used to determine the trends and identified the child, maternal, and household characteristics that are associated with underweight. Result. The survey in 2000, 2005, 2011, and 2016 showed that 41, 33, 29, and 24% of sampled under-five children were underweight, respectively, and after adjusting for confounders, children were more likely to be underweight if they were male (OR=1.16, 95%CI=1.02, 1.33) in 2016 EDHS. Children whose mother’s age is below 20 (OR=5.75, 95%CI=1.44, 23.1)) were more likely to be underweight compared with children whose mother’s age is above 45. Children whose mothers had no education and primary education only (OR=1.65, 95% CI 1.05, 2.59 and OR=1.43, 95% CI 1.15, 1.78, respectively) were more likely underweight compared to children whose mothers had higher education. Conclusion. Children’s age, birth weight, mother’s education status, and children’s gender were the most common significant factors of underweight. The prevalence of underweight among under-five children declined over time which leads to an achievement in terms of meeting millennium development goals and nutritional targets. Government and concerned stakeholders should work to maintain this achievement for further reduction of underweight among under-five children.
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Harika, Rajwinder, Mieke Faber, Folake Samuel, Afework Mulugeta, Judith Kimiywe, and Ans Eilander. "Are Low Intakes and Deficiencies in Iron, Vitamin A, Zinc, and Iodine of Public Health Concern in Ethiopian, Kenyan, Nigerian, and South African Children and Adolescents?" Food and Nutrition Bulletin 38, no. 3 (2017): 405–27. http://dx.doi.org/10.1177/0379572117715818.
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Objective: To perform a systematic review to evaluate iron, vitamin A, zinc, and iodine status and intakes in children and adolescents (0-19 years) in Ethiopia, Kenya, Nigeria, and South Africa. Method: Both national and subnational data published from the year 2005 to 2015 were searched via MEDLINE, Scopus, and national public health websites. For each micronutrient and country, status data from relevant studies and surveys were combined into an average prevalence and weighted by sample size (WAVG). Inadequate intakes were estimated from mean (SD) intakes. Results: This review included 55 surveys and studies, 17 from Ethiopia, 11 from Kenya, 12 from Nigeria, and 16 from South Africa. The WAVG prevalence of anemia ranged from 25% to 53%, iron deficiency from 12% to 29%, vitamin A deficiency (VAD) from 14% to 42%, zinc deficiency from 32% to 63%, and iodine deficiency from 15% to 86% in children aged 0 to 19 years from 4 countries. Generally, children <5 years had higher prevalence of anemia (32%-63%), VAD (15%-35%), and zinc deficiency (35%-63%) compared to children aged 5 to 19 years. Studies with intake data indicated that inadequate intakes ranged from 51% to 99% for zinc, 13% to 100% for iron, and 1% to 100% for vitamin A. Households failing to consume adequately iodized (>15 ppm) salt ranged from 2% in Kenya to 96% in Ethiopia. Conclusion: With large variation within the 4 African countries, our data indicate that anemia and vitamin A, zinc, and iodine deficiencies are problems of public health significance. Effective public health strategies such as dietary diversification and food fortification are needed to improve micronutrient intake in both younger and older children.
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Bhutta, Zulfiqar A., Nadia Akseer, Emily C. Keats, et al. "How countries can reduce child stunting at scale: lessons from exemplar countries." American Journal of Clinical Nutrition 112, Supplement_2 (2020): 894S—904S. http://dx.doi.org/10.1093/ajcn/nqaa153.
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ABSTRACT Background Child stunting and linear growth faltering have declined over the past few decades and several countries have made exemplary progress. Objectives To synthesize findings from mixed methods studies of exemplar countries to provide guidance on how to accelerate reduction in child stunting. Methods We did a qualitative and quantitative synthesis of findings from existing literature and 5 exemplar country studies (Nepal, Ethiopia, Peru, Kyrgyz Republic, Senegal). Methodology included 4 broad research activities: 1) a series of descriptive analyses of cross-sectional data from demographic and health surveys and multiple indicator cluster surveys; 2) multivariable analysis of quantitative drivers of change in linear growth; 3) interviews and focus groups with national experts and community stakeholders and mothers; and 4) a review of policy and program evolution related to nutrition. Results Several countries have dramatically reduced child stunting prevalence, with or without closing geographical, economic, and other population inequalities. Countries made progress through interventions from within and outside the health sector, and despite significant heterogeneity and differences in context, contributions were comparable from health and nutrition sectors (40% of change) and other sectors (50%), previously called nutrition-specific and -sensitive strategies. Improvements in maternal education, maternal nutrition, maternal and newborn care, and reductions in fertility/reduced interpregnancy intervals were strong contributors to change. A roadmap to reducing child stunting at scale includes several steps related to diagnostics, stakeholder consultations, and implementing direct and indirect nutrition interventions related to the health sector and nonhealth sector . Conclusions Our results show that child stunting reduction is possible even in diverse and challenging contexts. We propose that our framework of organizing nutrition interventions as direct/indirect and inside/outside the health sector should be considered when mapping causal pathways of child stunting and planning interventions and strategies to accelerate stunting reduction to achieve the 2030 Sustainable Development Goals.
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Shelus, Victoria, and Orlando L. Hernandez. "The usefulness of a handwashing proxy in large household surveys." Journal of Water, Sanitation and Hygiene for Development 5, no. 4 (2015): 565–73. http://dx.doi.org/10.2166/washdev.2015.184.
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Handwashing with soap is a cost-effective way of reducing diarrheal disease mortality in children under 5. Tracking this practice among child caretakers is a challenge, as the gold standard method – structured observations – is cumbersome, costly, and conducive to over-performance. The water, sanitation, and hygiene (WASH) field needs a valid, reliable proxy to track handwashing with soap in large surveys. This proxy is crucial as the new 2015–2030 Sustainable Development Goals (SDGs) may track hygiene. Using data from the Multiple Indicators Cluster Survey (MICS) and the Demographic Health Survey (DHS) from five countries, we conducted multivariate analyses to explore an association between the presence of functional handwashing stations (HWSs), (together with needed supplies) and the likelihood of lower reports of child diarrheal disease. A limited to moderate association exists in three of the five countries considered, characterized by comparable rates of childhood diarrhea: Malawi, Sierra Leone, and Zimbabwe. The relationship was detected when controlling for potential confounding factors (other WASH elements, socio-demographic factors, nutrition practices, and immunization status) and when accounting for cluster effects. The likelihood of reported diarrhea among children under 5 increases when there is no HWS, just a handwashing device with no supplies, only water or only soap. The relationship is moderate in Malawi and less strong in Sierra Leone and Zimbabwe. No relationship was found in Ethiopia and Ghana. Further exploration of the usefulness of this proxy in other African and non-African contexts is warranted.
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Raut, Manoj Kumar, Daliya Sebastian, and Ananta Basudev Sahu. "Monitoring of health and nutrition sustainable development goals and indicators: a case of estimation of denominators in thirteen 100 million+ countries for the mid-year of 2017." International Journal Of Community Medicine And Public Health 5, no. 5 (2018): 1844. http://dx.doi.org/10.18203/2394-6040.ijcmph20181687.
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Background: The success of any program is measured by continuous monitoring through service statistics for a periodic oversight and through evaluation surveys to measure the relevance, effectiveness, efficiency and impact of activities in the light of specified objectives. Service statistics need a lot of indicators to be tracked on a regular basis. The service statistics provide us with numerators. To understand the numerators more meaningfully, we need to standardize them by using specific denominators. So, denominators have to be estimated, which can enable computation of indicators for monitoring purposes. Census and large scale sample surveys provide proportions to calculate denominators for program monitoring purposes.Methods: This paper uses demographic techniques to estimate denominators for the thirteen 100 million plus countries as of UN projections, 2017 of Philippines, Ethiopia, Japan, Mexico, Russian Federation, Bangladesh, Nigeria, Pakistan, Brazil, Indonesia, United States of America, India and China.Results: The denominators have been estimated for number of live births, number of annual pregnancies, the first 1,000 days, children and women of reproductive age (15 to 49 years), pregnant, lactating, non-pregnant and non-lactating women, elderly in the age group of 60+ years.Conclusions: The estimations of denominators at the sub-national levels becomes quite challenging due to the scarce availability of data to be used as proportions for different population groups. But, once, the methodology is improved with appropriate data, it could serve as a boon for annual program monitoring process at multiple data time points between two national surveys and between two consecutive censuses.
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Desalegn, Beruk, Christine Lambert, Simon Riedel, Tegene Negese, and Hans Biesalski. "Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia." International Journal of Environmental Research and Public Health 15, no. 8 (2018): 1767. http://dx.doi.org/10.3390/ijerph15081767.
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About half of Ethiopians belong to the Orthodox Tewahedo religion. Annually, more than 200 days are dedicated to religious fasting, which includes abstaining from all types of food, animal source foods, and water. However, the association of fasting with undernutrition remains unknown in Ethiopia. Therefore, dietary pattern and nutritional status of lactating women during lent fasting and non-fasting periods were studied, and predictor variables for maternal underweight were identified. To achieve this, lactating mothers in lent fasting (N = 572) and non-fasting (N = 522) periods participated from rural Tigray, Northern Ethiopia. Average minimum diet diversity (MDD-W) was computed from two 24-h recalls, and nutritional status was assessed using body mass index (BMI). Binary logistic regression was used to identify potential predictors of maternal underweight. Wilcoxon signed-rank (WSRT) and McNemar’s tests were used for comparison of the two periods. The prevalence of underweight in fasting mothers was 50.6%. In the multivariate logistic regression model, younger age, sickness in the last four weeks preceding the survey, fasting during pregnancy, lactation periods, grandfathers’ as household decision makers, previous aid experience, non-improved water source, and not owning chicken were positively associated with maternal underweight. In WSRT, there was no significant (p > 0.05) difference on maternal body weight and BMI between periods. The average number of meals, diet diversity, and animal source foods (ASFs), consumption scores were significantly increased in non-fasting compared to fasting periods in both fasting and non-fasting mothers (p < 0.001, p < 0.05, and p < 0.001, respectively). Consumption of dark green leafy vegetables was higher in the fasting period (11%) than non-fasting (3.6%), in the study population. As a conclusion, Ethiopian Orthodox fasting negatively affected maternal nutritional status and dietary pattern in rural Tigray, Northern Ethiopia. To reduce maternal malnutrition in Ethiopia, existing multi-sectoral nutrition intervention strategies, should include religious institutions in a sustainable manner.
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Kim, Sunny S., Phuong Hong Nguyen, Yisehac Yohannes, et al. "Behavior Change Interventions Delivered through Interpersonal Communication, Agricultural Activities, Community Mobilization, and Mass Media Increase Complementary Feeding Practices and Reduce Child Stunting in Ethiopia." Journal of Nutrition 149, no. 8 (2019): 1470–81. http://dx.doi.org/10.1093/jn/nxz087.
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ABSTRACT Background Appropriate infant and young child feeding practices are critical for optimal child growth and development, but in Ethiopia, complementary feeding (CF) practices are very poor. Alive & Thrive (A&T) provided intensive behavior change interventions through 4 platforms: interpersonal communication (IPC), nutrition-sensitive agricultural activities (AG), community mobilization (CM), and mass media (MM). Objectives The aim of this study was to evaluate the impact of A&T intensive compared with nonintensive interventions (standard nutrition counseling and agricultural extension service and less intensive CM and MM) on CF practices and knowledge and child anthropometric outcomes. Methods We used a cluster-randomized evaluation design with cross-sectional surveys among households with children aged 6–23.9 mo [n = 2646 at baseline (2015) and n = 2720 at endline (2017)]. We derived difference-in-difference impact estimates (DDEs) and conducted dose–response and path analyses to document plausibility of impacts. Results At endline, exposure to IPC was 17.8–32.3%, exposure to AG was 22.7–36.0%, exposure to CM was 18.6–54.3%, and exposure to MM was 35.4% in the intensive group. Minimum dietary diversity and minimum acceptable diet increased significantly in the intensive group but remained low at endline (24.9% and 18.2%, respectively). Significant differential declines in stunting prevalence were observed (DDE: −5.6 percentage points; P < 0.05) in children aged 6–23.9 mo, decreasing from 36.3% to 22.8% in the intensive group. Dose–response analyses showed higher odds of minimum dietary diversity (OR: 3.3; 95% CI: 2.2, 4.8) and minimum meal frequency (OR: 1.9; 95% CI: 1.4, 2.6) and higher height-for-age z score (HAZ) (β: 0.24; 95% CI: 0.04, 0.4) among women exposed to 3 or 4 platforms. Path analyses showed a strong relation between AG and egg consumption, which led to increased child dietary diversity and HAZ. Conclusions Delivery of social and behavior change interventions using multiple platforms was feasible and effective, resulting in improvements in CF practices and child stunting within a 2-y period. There is a need for continued efforts, however, to expand intervention coverage and to improve CF practices in Ethiopia. This trial was registered at clinicaltrials.gov as NCT02775552.
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KEDIR SEID, ABDU. "HEALTH AND NUTRITIONAL STATUS OF CHILDREN IN ETHIOPIA: DO MATERNAL CHARACTERISTICS MATTER?" Journal of Biosocial Science 45, no. 2 (2012): 187–204. http://dx.doi.org/10.1017/s0021932012000442.
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SummaryIn Ethiopia, despite some recent improvements, the health and nutritional status of children is very poor. A better understanding of the main socioeconomic determinants of child health and nutrition is essential to address the problem and make appropriate interventions. In the present study, an attempt is made to explore the effect of maternal characteristics on the health and nutritional status of under-five children using the 2005 Ethiopian Demographic and Health Survey. The health and nutritional status of children are measured using the two widely used anthropometric indicators height-for-age (HAZ) and weight-for-height (WHZ). In the ordinary least squares (OLS) estimation, it is observed that maternal characteristics have a significant impact on child health and nutritional status. The magnitudes of the coefficients, however, are found to slightly increase when maternal education is instrumented in the 2SLS estimation. Moreover, in the quantile regression (QR) estimation, the impacts of maternal characteristics are observed to vary between long-term and current child health and nutritional status.
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Fenn, Bridget, Assaye T. Bulti, Themba Nduna, Arabella Duffield, and Fiona Watson. "An evaluation of an operations research project to reduce childhood stunting in a food-insecure area in Ethiopia." Public Health Nutrition 15, no. 9 (2012): 1746–54. http://dx.doi.org/10.1017/s1368980012001115.
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AbstractObjectiveTo determine which interventions can reduce linear growth retardation (stunting) in children aged 6–36 months over a 5-year period in a food-insecure population in Ethiopia.DesignWe used data collected through an operations research project run by Save the Children UK: the Child Caring Practices (CCP) project. Eleven neighbouring villages were purposefully selected to receive one of four interventions: (i) health; (iii) nutrition education; (iii) water, sanitation and hygiene (WASH); or (iv) integrated comprising all interventions. A comparison group of three villages did not receive any interventions. Cross-sectional surveys were conducted at baseline (2004) and for impact evaluation (2009) using the same quantitative and qualitative tools. The primary outcome was stunted growth in children aged 6–36 months measured as height (or length)-for-age Z-scores (mean and prevalence). Secondary outcomes were knowledge of health seeking, infant and young child feeding and preventive practices.SettingAmhara, Ethiopia.SubjectsChildren aged 6–36 months.ResultsThe WASH intervention group was the only group to show a significant increase in mean height-for-age Z-score (+0·33, P = 0·02), with a 12·1 % decrease in the prevalence of stunting, compared with the baseline group. This group also showed significant improvements in mothers’ knowledge of causes of diarrhoea and hygiene practices. The other intervention groups saw non-significant impacts for childhood stunting but improvements in knowledge relating to specific intervention education messages given.ConclusionsThe study suggests that an improvement in hygiene practices had a significant impact on stunting levels. However, there may be alternative explanations for this and further evidence is required.
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Farah, Alinoor Mohamed, Tahir Yousuf Nour, Bilal Shikur Endris, and Seifu Hagos Gebreyesus. "Concurrence of stunting and overweight/obesity among children: Evidence from Ethiopia." PLOS ONE 16, no. 1 (2021): e0245456. http://dx.doi.org/10.1371/journal.pone.0245456.
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Background Nutrition transition in many low- and middle-income countries (LMICs) has led to shift in childhood nutritional outcomes from a predominance of undernutrition to a double burden of under- and overnutrition. Yet, policies that address undernutrition often times do not include overnutrition nor do policies on overweight, obesity reflect the challenges of undernutrition. It is therefore crucial to assess the prevalence and determinants of concurrence stunting and overweight/obesity to better inform nutrition programs in Ethiopia and beyond. Methods We analyzed anthropometric, sociodemographic and dietary data of children under five years of age from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 8,714 children were included in the current study. Concurrence of stunting and overweight/obesity (CSO) prevalence was estimated by basic, underlying and immediate factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses. Results The overall prevalence of CSO was 1.99% (95% CI, 1.57–2.53). The odds of CSO was significantly higher in children in agrarian region compared to their counter parts in the pastoralist region (AOR = 1.51). Other significant factors included; not having improved toilet facility (AOR = 1.94), being younger than 12 months (AOR = 4.22), not having history of infection (AOR = 1.83) and not having taken deworming tablet within the previous six months (AOR = 1.49). Conclusion Our study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. Therefore, identifying children at risk of growth flattering and excess weight gain provides nutrition policies and programs in Ethiopia and beyond with an opportunity of earlier interventions through improving sanitation, dietary quality by targeting children under five years of age and those living in Agrarian regions of Ethiopia.
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Muche, Amare, Mequannent Sharew Melaku, Erkihun Tadesse Amsalu, and Metadel Adane. "Using geographically weighted regression analysis to cluster under-nutrition and its predictors among under-five children in Ethiopia: Evidence from demographic and health survey." PLOS ONE 16, no. 5 (2021): e0248156. http://dx.doi.org/10.1371/journal.pone.0248156.
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Background Malnutrition among under-five children is a common public health problem and it is one of the main cause for the mortality of under-five children in developing countries, including Ethiopia. Therefore, lack of evidence about geographic heterogeneity and predictors of under-nutrition hinders for evidence-based decision-making process for the prevention and control programs of under-nutrition in Ethiopia. Thus, this study aimed to address this gap. Methods The data were obtained from the Ethiopian Demographic and Health Survey (EDHS) 2016. A total of 9,384 under-five children nested in 645 clusters were included with a stratified two-stage cluster sampling. ArcGIS version 10.5 software was used for global, local and ordinary least square analysis and mapping. The spatial autocorrelation (Global Moran’s I) statistic was held in order to assess the pattern of wasting, stunting, and underweight whether it was dispersed, clustered, or randomly distributed. In addition, a Bernoulli model was used to analyze the purely spatial cluster detection of under-nutrition indicators through SaTScan version 9.6 software. Geographically weighted regression (GWR) version 4.0 software was used to model spatial relationships in the GWR analysis. Finally, a statistical decision was made at p-value<0.05 with 95%CI for ordinary least square analysis and geographically weighted regression. Main findings Childhood under-nutrition showed geographical variations at zonal levels in Ethiopia. Accordingly, Somali region (Afder, Gode, Korahe, Warder Zones), Afar region (Zone 2), Tigray region (Southern Zone), and Amhara region (Waghmira Zones) for wasting, Amhara region (West Gojam, Awi, South Gondar, and Waghmira Zones) for stunting and Amhara region (South Wollo, North Wollo, Awi, South Gondar, and Waghmira zones), Afar region (Zone 2), Tigray region (Eastern Zone, North Western Zone, Central Zone, Southern Zone, and Mekele Special Zones), and Benshangul region (Metekel and Assosa Zones) for underweight were detected as hot spot (high risk) regions. In GWR analysis, had unimproved toilet facility for stunting, wasting and underweight, father had primary education for stunting and wasting, father had secondary education for stunting and underweight, mothers age 35–49 years for wasting and underweight, having female children for stunting, having children eight and above for wasting, and mother had primary education for underweight were significant predictors at (p<0.001). Conclusions Our study showed that the spatial distribution of under-nutrition was clustered and high-risk areas were identified in all forms of under-nutrition indicators. Predictors of under-nutrition were identified in all forms of under-nutrition indicators. Thus, geographic-based nutritional interventions mainly mobilizing additional resources could be held to reduce the burden of childhood under-nutrition in hot spot areas. In addition, improving sanitation and hygiene practice, improving the life style of the community, and promotion of parent education in the identified hot spot zones for under-nutrition should be more emphasized.
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Ba, Djibril M., Paddy Ssentongo, Duanping Liao, Ping Du, and Kristen H. Kjerulff. "Non-iodized salt consumption among women of reproductive age in sub-Saharan Africa: a population-based study." Public Health Nutrition 23, no. 15 (2020): 2759–69. http://dx.doi.org/10.1017/s1368980019003616.
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AbstractObjective:To identify countries in sub-Saharan Africa (SSA) that have not yet achieved at least 90 % universal salt iodization and factors associated with the consumption of non-iodized salt among women of reproductive age.Design:A cross-sectional study using data from Demographic and Health Surveys (DHS). The presence of iodine in household salt (iodized or non-iodized), which was tested during the survey process, was the study outcome. Multivariable logistic regression models were used to determine independent factors associated with the consumption of non-iodized salt among women of reproductive age.Setting:There were eleven countries in SSA that participated in the DHS since 2015 and measured the presence of iodine in household salt.Participants:Women (n 108 318) aged 15–49 years.Results:Countries with the highest rate of non-iodized salt were Senegal (29·5 %) followed by Tanzania (21·3 %), Ethiopia (14·0 %), Malawi (11·6 %) and Angola (10·8 %). The rate of non-iodized salt was less than 1 % in Rwanda (0·3 %), Uganda (0·5 %) and Burundi (0·8 %). Stepwise multivariable logistic regression showed that women were more likely to be using non-iodized salt (adjusted OR; 95 % CI) if they were poor (1·62; 1·48, 1·78), pregnant (1·16; 1·04, 1·29), aged 15–24 years (v. older: 1·14; 1·04, 1·24) and were not literate (1·14; 1·06, 1·23).Conclusions:The use of non-iodized salt varies among SSA countries. The higher level of use of non-iodized salt among poor, young women and pregnant women is particularly concerning.
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Belay, Adamu, Edward J. M. Joy, Christopher Chagumaira, et al. "Selenium Deficiency Is Widespread and Spatially Dependent in Ethiopia." Nutrients 12, no. 6 (2020): 1565. http://dx.doi.org/10.3390/nu12061565.
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Selenium (Se) is an essential element for human health and livestock productivity. Globally, human Se status is highly variable, mainly due to the influence of soil types on the Se content of crops, suggesting the need to identify areas of deficiency to design targeted interventions. In sub-Saharan Africa, including Ethiopia, data on population Se status are largely unavailable, although previous studies indicated the potential for widespread Se deficiency. Serum Se concentration of a nationally representative sample of the Ethiopian population was determined, and these observed values were combined with a spatial statistical model to predict and map the Se status of populations across the country. The study used archived serum samples (n = 3269) from the 2015 Ethiopian National Micronutrient Survey (ENMS). The ENMS was a cross-sectional survey of young and school-age children, women and men. Serum Se concentration was measured using inductively coupled plasma mass spectrometry (ICPMS). The national median (Q1, Q3) serum Se concentration was 87.7 (56.7, 123.0) μg L−1. Serum Se concentration differed between regions, ranging from a median (Q1, Q3) of 54.6 (43.1, 66.3) µg L−1 in the Benishangul-Gumuz Region to 122.0 (105, 141) µg L−1 in the Southern Nations, Nationalities, and Peoples’ Region and the Afar Region. Overall, 35.5% of the population were Se deficient, defined as serum Se < 70 µg L−1. A geostatistical analysis showed that there was marked spatial dependence in Se status, with serum concentrations greatest among those living in North-East and Eastern Ethiopia and along the Rift Valley, while serum Se concentrations were lower among those living in North-West and Western Ethiopia. Selenium deficiency in Ethiopia is widespread, but the risk of Se deficiency is highly spatially dependent. Policies to enhance Se nutrition should target populations in North-West and Western Ethiopia.
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Adam Birhan, Nigussie, and Denekew Bitew Belay. "Associated risk factors of underweight among under-five children in Ethiopia using multilevel ordinal logistic regression model." African Health Sciences 21, no. 1 (2021): 362–72. http://dx.doi.org/10.4314/ahs.v21i1.46.
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Background: Malnutrition is associated with both under nutrition and over nutrition which causes the body to get improp- er amount of nutrients to maintain tissues and organ function. Under nutrition is the result of insufficient intake of food, poor utilization of nutrients due to illnesses, or a combination of these factors. The purpose of this study was to identify associated risk factors and assess the variation of underweight among under-five children of different regions in Ethiopia.
 Methods: Ethiopian Demography and Health Survey (EDHS-2016) weight-to-age data for under-five children is used. In order to achieve the objective of this study; descriptive, single level and multilevel ordinal logistic regression analysis were used.
 Results: From a total of 8935 children about 8.1% were severely underweight, 17.1% were moderately underweight and 74.8% were normal. The test of heterogeneity suggested that underweight varies among region and multilevel ordinal model fit data better than single level ordinal model.
 Conclusion: Educational level of mother, religion, birth order, type of birth, sex of child, mother body mass index, birth size of child, existence of diarrhea for last two weeks before survey, existence of fever for last two weeks before survey, duration of breast feeding, age child and wealth index had significant effect on underweight among under-five children in Ethiopia. The finding revealed that among the fitted multilevel partial proportional odds model, the random intercept model with fixed coefficients is appropriate to assess the risk factors of underweight among under-five children in Ethiopia. The findings of this study have important policy implications. The government should work closely with both the private sector and civil society to teach women to have sufficient knowledge, awareness and mechanisms of improving under-five under- weight for children’s wellbeing.
 Keywords: Underweight; Partial proportional odds model; Multilevel partial proportional odds model; under-five children.
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Endris, Neima, Henok Asefa, and Lamessa Dube. "Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia." BioMed Research International 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/6587853.
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Background. Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0–59 months in rural Ethiopia. Methods. Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. Result. The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. Conclusion. The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished.
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Onyango, Adelheid W., Elaine Borghi, Mercedes de Onis, Ma del Carmen Casanovas, and Cutberto Garza. "Complementary feeding and attained linear growth among 6–23-month-old children." Public Health Nutrition 17, no. 9 (2013): 1975–83. http://dx.doi.org/10.1017/s1368980013002401.
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AbstractObjectiveTo examine the association between complementary feeding indicators and attained linear growth at 6–23 months.DesignSecondary analysis of Phase V Demographic and Health Surveys data (2003–2008). Country-specific ANOVA models were used to estimate effects of three complementary feeding indicators (minimum meal frequency, minimum dietary diversity and minimum adequate diet) on length-for-age, adjusted for covariates and interactions of interest.SettingTwenty-one countries (four Asian, twelve African, four from the Americas and one European).SubjectsSample sizes ranging from 608 to 13 676.ResultsLess than half the countries met minimum meal frequency and minimum dietary diversity, and only Peru had a majority of the sample receiving a minimum adequate diet. Minimum dietary diversity was the indicator most consistently associated with attained length, having significant positive effect estimates (ranging from 0·16 to 1·40 for length-for-age Z-score) in twelve out of twenty-one countries. Length-for-age declined with age in all countries, and the greatest declines in its Z-score were seen in countries (Niger, −1·9; Mali, −1·6; Democratic Republic of Congo, −1·4; Ethiopia, −1·3) where dietary diversity was persistently low or increased very little with age.ConclusionsThere is growing recognition that poor complementary feeding contributes to the characteristic negative growth trends observed in developing countries and therefore needs focused attention and its own tailored interventions. Dietary diversity has the potential to improve linear growth. Using four food groups to define minimum dietary diversity appears to capture enough information in a simplified, standard format for multi-country comparisons of the quality of complementary diets.
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Tusa, Biruk Shalmeno, Adisu Birhanu Weldesenbet, and Sewnet Adem Kebede. "Spatial distribution and associated factors of underweight in Ethiopia: An analysis of Ethiopian demographic and health survey, 2016." PLOS ONE 15, no. 12 (2020): e0242744. http://dx.doi.org/10.1371/journal.pone.0242744.
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Background Underweight is one form of indicators of under-nutrition, which results from the poor nutrient intake and underlying health problems. Its impact is beyond an individual and extends to a country level. It has been known from the literature that underweight has a negative effect on income and development of a country. In the context of Ethiopia, factors predicting underweight remain unknown and there is a paucity of evidence on geographical distribution of underweight among individuals aged 15–49 years. Therefore, the aim of this study was to examine the geographic distribution of underweight and its associated factors among individuals aged 15–49 years in Ethiopia. Methods Secondary data analysis was done on a data set consisting of 28,450 individuals and obtained from the Ethiopian Demography and Health Survey (EDHS) 2016. The spatial distribution of underweight across the country was identified by ArcGIS software. Hotspots analysis was done using Getis-Ord Gi* statistic within ArcGIS. In SaTScan software, the Bernoulli model was fitted by Kulldorff’s methods to identify the purely spatial clusters of underweight. A binary logistic regression was applied to determine factors associated with being underweight. Result In Ethiopia, the spatial distribution of underweight was clustered with Global Moran’s I = 0.79 at p-value < 0.0001. The highest underweight clusters were observed in Tigray, Gambella, eastern part of Amhara, and western and central part of Afar regions. Male individuals [AOR = 1.21; 95% CI: (1.15 1.28)], never married [AOR = 1.14; 95% CI: (1.05, 1.24)], rural residents [AOR = 1.32; 95% CI: (1.18, 1.47)], rich [AOR = 0.85; 95% CI: (0.76, 0.94)], cigarette smoking [AOR = 1.25; 95% CI: (1.07, 1.46)], drinking treated water [AOR = 0.91; 95% CI: (0.83, 0.99)] and open filed defecation [AOR = 1.17; 95% CI: (1.08, 1.26)] were found to have a significant association with being underweight. Conclusions There was a significant clustering of underweight among individuals aged 15–49 years. Gender, age, marital status, place of residence, wealth index, cigarette smoking, using untreated water and types of toilet were the significant factors of being underweight. Therefore, effective public health interventions like building safe and supportive environments for nutrition, providing socio-economic protection and nutrition-related education for poor and rural resident would be better to mitigate these situations and associated risk factors in hot spot areas. In addition, policymakers should strengthen and promote nutrition sensitive policies and activities in order to alleviate the underlying and basic causes of underweight.
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Chikako, Teshita Uke, Abdul-Aziz Seidu, John Elvis Hagan, and Bright Opoku Ahinkorah. "Complex Multilevel Modelling of the Individual, Household and Regional Level Variability in Predictors of Undernutrition among Children Aged 6–59 Months in Ethiopia." Nutrients 13, no. 9 (2021): 3018. http://dx.doi.org/10.3390/nu13093018.
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Worldwide, ten and a half million children under five die every year, with 98% of these deaths in low- and middle-income countries, including Ethiopia. Undernutrition is a serious public health problem in Ethiopia and children are the most affected segments of the population. This study, therefore, sought to investigate the socio-economic, demographic, health and environmental factors associated with undernutrition among children aged 6–59 months in Ethiopia. Data were obtained from the 2016 Ethiopian Demographic and Health Survey. In this study, anthropometric data (height and weight) and other variables of 9461 children were measured. Descriptive statistics and multilevel logistic regression models were fitted. The descriptive results revealed that about 27.5% of the children aged between 6–59 months were undernourished. Place of residence, employment status of the mother, educational status of the mother, the mother’s nutritional status, age of the child, birth order of children, source of drinking water, diarrhea and fever among children in the two weeks before the survey were the most important factors associated with undernutrition among children aged 6–59 months in Ethiopia. The findings indicate that it is useful to support health care and food security programs in rural areas to directly address food insecurity and undernutrition problems of the poor and exposed communities in rural parts of the country. The education sector must increase mothers’ access to education in all areas to help identify the quality of healthcare and the required attention needed for their children. The health sector should increase their health education programs on the importance of exclusive breastfeeding.
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Usman, Muhammed A., and Nicolas Gerber. "Irrigation, drinking water quality, and child nutritional status in northern Ethiopia." Journal of Water, Sanitation and Hygiene for Development 10, no. 3 (2020): 425–34. http://dx.doi.org/10.2166/washdev.2020.045.
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Abstract In this paper, we investigate the relationship between household drinking water quality and irrigation and child nutrition using primary household survey data and microbiological water sample testings in two rural districts of Ethiopia. Anthropometric measures such as height-for-age z-scores (HAZ), weight-for-age z-scores (WAZ), and weight-for-height z-scores (WHZ) were used to measure stunting, underweight, and wasting, respectively. Our survey results show that 41% of the children are stunted, 26% underweight, and 8% wasted. More than 58% of household's stored drinking water samples were also contaminated with Escherichia coli bacteria. The multivariate regression results suggest that irrigation farming and on-premises water sources are significantly associated with lower HAZ, while uncontaminated household stored drinking water quality is correlated with higher WAZ. The results also reveal that dietary diversity score and the number of antenatal care visits by the primary caretaker are statistically significant predictors of child nutritional status. These findings, however, cast doubt on the hypothesis that irrigated agriculture exclusively has a positive effect on child nutrition outcomes.
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Gobena, Daniel Alemu, and Anbesse Girma. "Paradox of Food and Nutrition Insecurity in Food Surplus Area of Haramaya District, Eastern Ethiopia." Turkish Journal of Agriculture - Food Science and Technology 7, no. 10 (2019): 1538. http://dx.doi.org/10.24925/turjaf.v7i10.1538-1540.2527.
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Food and nutrition insecurity are inability to access adequate amount of nutritious foods to meet dietary needs for a productive and healthy life. However, food and nutrition insecurity, in some part of Ethiopia, is very high though food is not scarce. Therefore, a survey was conducted to investigate food consumption and dietary habits of the population in the district. A questionnaire and focus group discussions were used for data collection. Data were collected on available food sources and habits of consumption in purposively selected four kebeles in the district. Data were specifically collected on utilization and eating habit of cereal grains, legumes, fruit, vegetables, and animal food sources. A total of 150 representative sample households were interviewed based on the population size of the study area. The result obtained from the survey indicated that cereal grains (34.9%), legumes & pulses (28.5%), fruit & vegetables (16.8%), meat and poultry (19.8%) products are commonly produced in many parts of the study area. The study indicated that the population entirely consumes cereal grains that are mainly sources of carbohydrate, with minimal consumption of other food types. Though there are surplus food items in the study area, there is poor utilization and undiversified consumption habit. This indicates that the area is vulnerable for food and nutrition insecurity. Therefore, knowledge on proper utilization of local existing food sources for enhancing food and nutrition security is essential. Awareness creation on benefits and preparation of balanced diet at household level from local food sources is a vital to improve food and nutrition security in the study area.
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Wogi, Abebe Argaw, Shibru Temesgen Wakweya, and Yohannes Yebabe Tesfay. "Determinants of Time-to-Under-Five Mortality in Ethiopia." International Journal of Biomedical and Clinical Engineering 7, no. 1 (2018): 1–24. http://dx.doi.org/10.4018/ijbce.2018010101.
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This article describes how under-five mortality rate is one of the critical indicators of development of a country. This rate tells of children's access to basic health interventions such as vaccinations, medical treatment and adequate nutrition. This article proposes to identify the determinants of time to under-five mortality in Ethiopia based on the 2014 data taken from the Ethiopian Mini Demographic and Health Survey of women of the age group15-49 years. In this survival quantitative analysis, this article considers relevant socioeconomic, demographic variables and environmental factors. Various parameters shared among frailty models are employed to identify the determinants of Time-To-Under-Five Mortality of Ethiopia. The selection of the best-fit survival model is done by applying the Akaike information criterion (AIC). The AIC prevailed that the Weibull-gamma multivariable-shared frailty model is relatively the best-fit model. The estimation result of the Weibull-gamma multivariable-shared frailty model predicted that the major factors identified for under-five mortality in Ethiopia were mothers' educational level, mothers' age at first birth, place of residence, household size, sex of child born, preceding birth interval, economic status of family, place of delivery, marital status of family, and source of drinking water. The result implied that vast work is expected from governmental and non-governmental bodies to reduce the under-five mortality in the country by considering the identified factors.
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Kebede, Dufera Tejjeba, Daniel Biftu Bekalo, and Daniel Mesele Mekuriaw. "Multivariate analysis of correlates of children nutritional status in Harar region, Ethiopia." International Journal of Scientific Reports 6, no. 3 (2020): 101. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20200647.
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<p class="abstract"><strong>Background:</strong> Malnutrition is defined as deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients. In Ethiopia malnutrition is one of the most serious health and welfare problems among infants and young children. Malnutrition among children under five years of age is a chronic problem in most regions of Ethiopia, including the Harari region. The main objective of this study was to assess risk factors attributed to nutritional status of children in Harari region.</p><p class="abstract"><strong>Methods:</strong> Data was obtained from Ethiopian Demographic Health Survey, 2016. Different factors were considered as determinants of nutritional status of a child. The study used Multivariate Multiple Linear Regression model to identify significant correlates of children nutritional status. </p><p class="abstract"><strong>Results:</strong> The descriptive statistics in the study revealed that out of a total of 233 children included in the study 21% are underweighted, 19.3% are stunted and 11.2% are wasted in the study area. From Multivariate multiple linear regression, breast feeding factors, health status of child and child vaccination status significantly affect nutritional status of the under five children.</p><p class="abstract"><strong>Conclusions:</strong> The factor analyses conducted in this study indicated that only two factors (instead of 5 original observed variables or items) were sufficient to explain 78.605% of the total variation in PCFA of observed items related to child nutritional status. Factors duration of breast feeding, birth order of a child, current age of child is statistically significant in affecting child malnutrition.</p>
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Belay, Tafere, and Nigatu Regassa. "Patterns in the Risk Factors of Undernutrition Among Children 0 to 24 Months and 25 to 59 Months Old in Ethiopia: Evidence From the 2016 National Survey." Current Developments in Nutrition 4, Supplement_2 (2020): 808. http://dx.doi.org/10.1093/cdn/nzaa053_013.
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Abstract Objectives The objective of this study is to examine the contribution of child, maternal and household factors on undernutrition of children under five years in Ethiopia. Methods We used the 2016 Ethiopian Demographic and Health Survey data. We have included 4199 young children (0–24 months) and 5497 older age group (25–59 months), giving a total of 9696 children. Results Among the younger age group 29% were stunted, 14% were wasted and 19% were underweight, and among the older age group prevalence of stunting, wasting and underweight were 47%, 8% and 28% respectively. Being female, intake of multiple micronutrients, households having piped source of drinking water, high maternal BMI, higher household wealth, higher maternal education were associated with decreased odds of at least one form of undernutrition in both groups. On the other hand, children who were anemic, had small birth weight, drank from bottle, and children of stunted or wasted or working mother were more likely to be stunted, wasted or underweight in both groups (P &lt; 0.05). Conclusions While most predictors and/or risk factors followed similar pattern across the two groups, child factors had higher leverage in the younger than the older groups across the three forms of undernutrition. Multiple set of factors predicted childhood undernutrition in Ethiopia. The study underscores the importance of intervening in the first 1000 days through promoting maternal education, maternal-child health services, mother's nutrition, and improving the intra household food distribution. Funding Sources N/A.
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Hailemariam, Assefa. "Fertility levels and trends in Arsi and Shoa regions of Central Ethiopia." Journal of Biosocial Science 23, no. 4 (1991): 387–400. http://dx.doi.org/10.1017/s0021932000019490.
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SummaryLevels and trends of fertility in the Arsi and Shoa regions of Central Ethiopia are examined, using data from the 1986 Population, Health and Nutrition baseline survey of the Ministry of Health of Ethiopia. The population has high fertility. Total fertility of six children per woman in the late 1960s increased to eight children per woman in the early 1980s, then declined to seven children per woman in the mid-1980s. Urban fertility declined by a substantial amount during the 15 years before the survey while rural fertility increased during the same period.The implications of high fertility are considered.
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Aemro, Melkam, Molla Mesele, Zelalem Birhanu, and Azeb Atenafu. "Dietary Diversity and Meal Frequency Practices among Infant and Young Children Aged 6–23 Months in Ethiopia: A Secondary Analysis of Ethiopian Demographic and Health Survey 2011." Journal of Nutrition and Metabolism 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/782931.
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Background. Appropriate complementary feeding practice is essential for growth and development of children. This study aimed to assess dietary diversity and meal frequency practice of infants and young children in Ethiopia.Methods. Data collected in the Ethiopian Demographic and Health Survey (EDHS) from December 2010 to June 2011 were used for this study. Data collected were extracted, arranged, recoded, and analyzed by using SPSS version 17. A total of 2836 children aged 6–23 months were used for final analysis. Both bivariate and multivariate analysis were done to identify predictors of feeding practices.Result. Children with adequate dietary diversity score and meal frequency were 10.8% and 44.7%, respectively. Children born from the richest households showed better dietary diversity score (OR = 0.256). Number of children whose age less than five years was important predictor of dietary diversity (OR = 0.690). Mothers who had exposure to media were more likely to give adequate meal frequency to their children (OR = 0.707).Conclusion. Dietary diversity and meal frequency practices were inadequate in Ethiopia. Wealth quintile, exposure to media, and number of children were affecting feeding practices. Improving economic status, a habit of eating together, and exposure to media are important to improve infant feeding practices in Ethiopia.
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Tiruneh, Sofonyas Abebaw, Dawit Tefera Fentie, Seblewongel Tigabu Yigizaw, Asnakew Asmamaw Abebe, and Kassahun Alemu Gelaye. "Spatial distribution and geographical heterogeneity factors associated with poor consumption of foods rich in vitamin A among children age 6–23 months in Ethiopia: Geographical weighted regression analysis." PLOS ONE 16, no. 6 (2021): e0252639. http://dx.doi.org/10.1371/journal.pone.0252639.
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Introduction Vitamin A deficiency is a major public health problem in poor societies. Dietary consumption of foods rich in vitamin A was low in Ethiopia. This study aimed to assess the spatial distribution and spatial determinants of dietary consumption of foods rich in vitamin A among children aged 6–23 months in Ethiopia. Methods Ethiopian 2016 demographic and health survey dataset using a total of 3055 children were used to conduct this study. The data were cleaned and weighed by STATA version 14.1 software and Microsoft Excel. Children who consumed foods rich in vitamin A (Egg, Meat, Vegetables, Green leafy vegetables, Fruits, Organ meat, and Fish) at least one food item in the last 24 hours were declared as good consumption. The Bernoulli model was fitted using Kuldorff’s SaTScan version 9.6 software. ArcGIS version 10.7 software was used to visualize spatial distributions for poor consumption of foods rich in vitamin A. Geographical weighted regression analysis was employed using MGWR version 2.0 software. A P-value of less than 0.05 was used to declare statistically significant predictors spatially. Results Overall, 62% (95% CI: 60.56–64.00) of children aged 6–23 months had poor consumption of foods rich in vitamin A in Ethiopia. Poor consumption of foods rich in vitamin A highly clustered in Afar, eastern Tigray, southeast Amhara, and the eastern Somali region of Ethiopia. Spatial scan statistics identified 142 primary spatial clusters located in Afar, the eastern part of Tigray, most of Amhara and some part of the Oromia Regional State of Ethiopia. Children living in the primary cluster were 46% more likely vulnerable to poor consumption of foods rich in vitamin A than those living outside the window (RR = 1.46, LLR = 83.78, P < 0.001). Poor wealth status of the household, rural residence and living tropical area of Ethiopia were spatially significant predictors. Conclusion Overall, the consumption of foods rich in vitamin A was low and spatially non-random in Ethiopia. Poor wealth status of the household, rural residence and living tropical area were spatially significant predictors for the consumption of foods rich in vitamin A in Ethiopia. Policymakers and health planners should intervene in nutrition intervention at the identified hot spot areas to reduce the poor consumption of foods rich in vitamin A among children aged 6–23 months.
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Kennedy, Eileen, Girmay A. Mersha, Sibhatu Biadgilign, et al. "Nutrition Policy and Governance in Ethiopia: What Difference Does 5 Years Make?" Food and Nutrition Bulletin 41, no. 4 (2020): 494–502. http://dx.doi.org/10.1177/0379572120957218.
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Two studies, ENGINE (Empowering New Generations to Improve Nutrition and Economic opportunities) and Growth through Nutrition, were conducted in the same 4 regions of Ethiopia approximately 5 years apart. A similar protocol using a quantitative and qualitative survey of key informants at the subnational level was used to explore barriers and facilitators for implementation of the country’s national multisector nutrition plan. Noticeable differences were observed, including a change in the perception of the nutrition problems in pregnant women and preschool aged children and greater awareness of the multisector plan. Poor coordination and collaboration were still noted in both time periods. A key issue highlighted was the need to keep up the momentum for multisector approaches to improve nutrition in the policy agenda.
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Hall, Andrew, Tamiru Kassa, Tsegaye Demissie, Tedbabe Degefie, and Seung Lee. "National survey of the health and nutrition of schoolchildren in Ethiopia." Tropical Medicine & International Health 13, no. 12 (2008): 1518–26. http://dx.doi.org/10.1111/j.1365-3156.2008.02168.x.
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Negash, Canaan, Tefera Belachew, Carol J. Henry, Afework Kebebu, Kebede Abegaz, and Susan J. Whiting. "Nutrition Education and Introduction of Broad Bean—Based Complementary Food Improves Knowledge and Dietary Practices of Caregivers and Nutritional Status of Their Young Children in Hula, Ethiopia." Food and Nutrition Bulletin 35, no. 4 (2014): 480–86. http://dx.doi.org/10.1177/156482651403500409.
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Background Nutritious complementary foods are needed in countries where undernutrition and stunting are major problems, but mothers may be reluctant to change from traditional gruels. Objective To test whether a recipe-based complementary feeding education intervention would improve knowledge and practice of mothers with young children in Hula, Ethiopia. Methods A baseline survey of 200 eligible, randomly selected mother—child pairs gathered data on sociodemographic characteristics, food security status, knowledge and practices concerning complementary feeding, food group intakes of children aged 6 to 23 months by 24-hour recalls, and children's anthropometric measurements. Twice a month for 6 months, women in the intervention group received an education session consisting of eight specific messages using Alive and Thrive posters and a demonstration and tasting of a local barley and maize porridge recipe containing 30% broad beans. The control group lived in a different area and had no intervention. Results At 6 months, knowledge and practice scores regarding complementary feeding were significantly improved ( p < .001) in the intervention group but not in the control group. The intervention resulted in improvement of children's dietary diversity, as well as mean intake of energy and selected nutrients, compared with children in the control group. Changes in height and weight did not differ between the two groups. Conclusions Community-based nutrition education over 6 months that included demonstration of a local porridge recipe with broad beans added improved the complementary feeding practices of caregivers and the nutritional status of their young children.
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Forsido, Sirawdink Fikreyesus, Frehiwot Tadesse, Tefera Belachew, and Oliver Hensel. "Maternal dietary practices, dietary diversity, and nutrient composition of diets of lactating mothers in Jimma Zone, Southwest Ethiopia." PLOS ONE 16, no. 7 (2021): e0254259. http://dx.doi.org/10.1371/journal.pone.0254259.
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Background Optimal nutrition during lactation is essential for the well-being of the mother and the infant. Studies have shown that access to nutrient-rich foods during lactation is critical as minimal stores of nutrients can have adverse effects. This study aimed to investigate the diversity, composition, and nutrient adequacy of diets of lactating mothers in Southwest Ethiopia. Methods A community-based cross-sectional survey was carried out in three districts of Jimma Zone, Southwest Ethiopia, in February 2014. A stratified multistage sampling technique was used to select 558 lactating mothers. Data were collected using a pre-tested and structured interviewer-administered questionnaire. Minimum dietary diversity for women (MDD-W) was computed from a single 24-h recall. A cut off value of 5 was used to classify the dietary diversity into achieving MDD-W or not. The proximate, mineral and anti-nutritional compositions of 12 commonly consumed foods were analysed using standard methods. Nutrient adequacy ratio (NAR) and Mean adequacy ratio (MAR) of these foods were estimated. Results The mean (±SD) dietary diversity score (DDS) of the study participants was 3.73±1.03. Meeting MDD-W was positively associated with agricultural production diversity (P = 0.001) and educational level of the women (P = 0.04). Conversely, district of the study (P = 0.003) and place of residence (P = 0.019) were negatively associated with meeting MDD-W. The proximate composition (g/100g) of the sampled foods ranged between 24.8–65.6 for moisture, 7.6–19.8 for protein, 2.1–23.1 for crude fat, 2.0–27 for crude fibre, 1.0–21.2 for total ash, and 0.9–45.8 for total carbohydrate content. The calorific value ranged between 124.5–299.6 Kcal/100g. The mineral contents (mg/100g) ranged between 9.5–52.5 for iron, 2.2–4.2 for zinc, 42.6–318.2 for calcium, and 150.7–379.9 for phosphorus. The content of anti-nutritional factors (mg/100g) ranged between 11.1–178.9 for phytate and 3.7–315.9 for tannin. All the commonly consumed maternal foods were not sufficient to meet the energy, fat and protein requirements, (NAR<1). However, all diets provided adequate iron and most of the cereal-based foods provided adequate carbohydrate and minerals. The overall nutrient adequacy was below the cut-off point for all food types. Conclusions The diets of lactating mothers in Southwest Ethiopia lack diversity and nutrient adequacy. A community-based nutrition education program on the importance of diet diversity and nutrient intake during lactation based on a multi-sectoral approach is needed.
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Mohammed, Shimels Hussien, and Ahmad Esmaillzadeh. "The relationships among iron supplement use, Hb concentration and linear growth in young children: Ethiopian Demographic and Health Survey." British Journal of Nutrition 118, no. 9 (2017): 730–36. http://dx.doi.org/10.1017/s0007114517002677.
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AbstractGrowth faltering and anaemia remain unacceptably high among infants and young children in Ethiopia. In this study, we investigated the relationships among Fe supplement use (ISU), Hb concentration and linear growth, hypothesising positive relationships between ISU and Hb, ISU and linear growth and Hb and linear growth. We used a nationally representative data of 2400 children aged 6–24 months from the Ethiopian Demographic and Health Survey (EDHS) 2011, conducted following a stratified, two-stage cluster sampling. We examined the links by Pearson’s correlation, bivariate and multivariate linear regression analyses and reported adjusted estimates. We found that ISU was not significantly associated with either Hb (β=1·09; 95 % CI −2·73, 5·01, P=0·567) or linear growth (β=0·07; 95 % CI −0·06, 0·21, P=0·217). We found a positive, however, weak, correlation between Hb and linear growth (r 0·09; 95 % CI 0·06, 0·11, P<0·001). Hb predicted linear growth independent of a variety dietary and non-dietary factors (β=0·08; 95 % CI 0·04, 0·11, P<0·001). Although not the primary focus of the study, our analysis showed that age and breast-feeding duration were independently associated with Hb; age, birth type, size at birth, sex, breast-feeding duration, dietary diversity and deworming were independently associated with linear growth, indicating that Hb and linear growth are multifactorial with both nutritional and non-nutritional factors implicated. Further studies, with better design and exposure assessment, are warranted on the relation of ISU with Hb or linear growth.
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Wolde-Gebriel, Zewdie, Teshome Demeke, Clive E. Westa, and Frits Van Der Haar. "Goitre in Ethiopia." British Journal of Nutrition 69, no. 1 (1993): 257–68. http://dx.doi.org/10.1079/bjn19930027.
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A stratified goitre survey was conducted on 35635 schoolchildren and 19158 household members in all Regions of Ethiopia except Eritrea and Tigrai. The gross goitre prevalence (mean of male and female values) among schoolchildren and household members was 30.6 and 18.7% respectively, while that of visible goitre was 1.6 and 3.2% respectively. Prevalence was higher in females (27.3% in household members and 36.1% in schoolchildren) than in males (10.1% in household members and 25.1% in schoolchildren) and increased with age more in females than in males. The prevalence rates at higher altitudes were higher than those at lower altitudes in both schoolchildren and household members. Using an epidemiological model the consequences of iodine deficiency, including cretinism and maternal wastage, have been estimated.
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Kang, Yunhee, Seungman Cha, Sarah Yeo, and Parul Christian. "Implementation, utilization and influence of a community-based participatory nutrition promotion programme in rural Ethiopia: programme impact pathway analysis." Public Health Nutrition 20, no. 11 (2017): 2004–15. http://dx.doi.org/10.1017/s1368980017000660.
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AbstractObjectiveA community-based participatory nutrition promotion (CPNP) programme, involving a 2-week group nutrition session, attempted to improve child feeding and hygiene. The implementation, utilization and influence of the CPNP programme were examined by programme impact pathway (PIP) analysis.DesignFive CPNP programme components were evaluated: (i) degree of implementation; (ii) participants’ perception of the nutrition sessions; (iii) participants’ message recall; (iv) utilization of feeding and hygiene practices at early programme stage; and (v) participants’ engagement in other programmes.SettingHabro and Melka Bello districts, Ethiopia.SubjectsRecords of 372 nutrition sessions, as part of a cluster-randomized trial, among mothers (n876 in intervention area,n914 in control area) from a household survey and CPNP participants (n197) from a recall survey.ResultsOverall, most activities related to nutrition sessions were successfully operated with high fidelity (>90 %), but a few elements of the protocol were only moderately achieved. The recall survey among participants showed a positive perception of the sessions (~90 %) and a moderate level of message recall (~65 %). The household survey found that the CPNP participants had higher minimum dietary diversity at the early stage (34·0v. 19·9 %,P=0·01) and a higher involvement in the Essential Nutrition Action (ENA) programme over a year of follow-up (28·2v. 18·3 %;P<0·0001) compared with non-participants within the intervention area.ConclusionsOur PIP analysis suggests that CPNP was feasibly implemented, promoted a sustained utilization of proper feeding behaviours, and enhanced participation in the existing ENA programme. These findings provide a possible explanation to understanding CPNP’s effectiveness.
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Woldeamanuel, Berhanu Teshome, and Tigist Tigabie Tesfaye. "Risk Factors Associated with Under-Five Stunting, Wasting, and Underweight Based on Ethiopian Demographic Health Survey Datasets in Tigray Region, Ethiopia." Journal of Nutrition and Metabolism 2019 (December 20, 2019): 1–11. http://dx.doi.org/10.1155/2019/6967170.
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Background. Stunting, wasting, and underweight among children are major problems in most regions of Ethiopia, including the Tigray region. The main objective of this study was to assess the risk factors associated with stunting, wasting, and underweight of children in the Tigray region. Methods. The information collected from 1077 children born 5 years before the survey was considered in the analysis. Multivariable binary logistic regression analysis was fitted to identify significant risk factors associated with stunting, wasting, and underweight. Results. Male children and rural born were having a higher burden of both severe and moderate stunting, wasting, and underweight than females and urban born. Among male children, 27.6%, 4.10%, and 14.2% of them were stunted, wasted, and underweight, respectively. Protected drinking water (odds ratio (OR) = 0.68; 95% confidence interval (CI): (0.50, 0.92)) was associated with stunting. Maternal age at birth less than 20 years (OR = 0.66; 95% CI: (0.45, 0.97)) and being male (OR = 2.04; 95% CI: (1.13, 3.68)) were associated with high risk of underweight. No antenatal care follow-up (OR = 2.20; 95% CI: (1.04, 4.64)) was associated with wasting, while the poor wealth index, diarrhea, low weight at birth (<2.5 kg), lower age of a child, and 3 or more under-five children in a household were significantly associated with stunting, wasting, and underweight. Conclusions. Being born in rural, being male, unprotected drinking water, smaller weight at birth, no antenatal follow-ups, diarrhea, and poor household wealth were factors associated with increased stunting, wasting, and underweight. Thus, interventions that focus on utilization of antenatal care services, improving household wealth, and improving access to protected drinking water were required by policymakers to decrease stunting, wasting, and underweight more rapidly.
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Ahmed, Kedir, Kingsley Agho, Andrew Page, Amit Arora, and Felix Ogbo. "Mapping Geographical Differences and Examining the Determinants of Childhood Stunting in Ethiopia: A Bayesian Geostatistical Analysis." Nutrients 13, no. 6 (2021): 2104. http://dx.doi.org/10.3390/nu13062104.
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Understanding the specific geographical distribution of stunting is essential for planning and implementing targeted public health interventions in high-burdened countries. This study investigated geographical variations in the prevalence of stunting sub-nationally, and the determinants of stunting among children under 5 years of age in Ethiopia. We used the 2016 Ethiopia Demographic and Health Survey (EDHS) dataset for children aged 0–59 months with valid anthropometric measurements and geographic coordinates (n = 9089). We modelled the prevalence of stunting and its determinants using Bayesian geospatially explicit regression models. The prevalence of stunting among children under five years was 36.3% (95% credible interval (CrI); 22.6%, 51.4%) in Ethiopia, with wide variations sub-nationally and by age group. The prevalence of childhood stunting ranged from 56.6% (37.4–74.6%) in the Mekelle Special zone of the Tigray region to 25.5% (10.5–48.9%) in the Sheka zone of the Southern Nations, Nationalities and Peoples region. Factors associated with a reduced likelihood of stunting in Ethiopia included non-receipt of breastmilk, mother’s BMI (overweight/obese), employment status (employed), and higher household wealth, while the enablers were residence in the “arid” geographic areas, small birth size of the child, and mother’s BMI (underweight). The prevalence and determinants of stunting varied across Ethiopia. Efforts to reduce the burden of childhood stunting should consider geographical heterogeneity and modifiable risk factors.
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Busse, H. A., W. Jogo, M. Fofanah, et al. "Participatory Assessment of Factors Influencing Nutrition and Livelihoods in Rural Ethiopia: Implications for Measuring Impacts of Multisector Nutrition Programs." Food and Nutrition Bulletin 38, no. 4 (2017): 468–84. http://dx.doi.org/10.1177/0379572117703265.
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Agricultural interventions more effectively improve nutrition when they are adapted to local contexts and engage multiple sectors. However, evidence is limited for how to design and measure the impacts of such interventions. We piloted a participatory methodology to collect community feedback to inform the design and selection of measures for a multisector nutrition intervention in Ethiopia. Study participants were purposively recruited from 6 rural districts in Tigray and the Southern Nations, Nationalities, and Peoples’ regions. Qualitative data were collected from 12 focus group discussions with smallholder farmers (men and women) participating in a nutrition-sensitive agriculture intervention. The Sustainable Livelihoods Approach (SLA) combined with an ecological systems model informed the survey tool and analyses. Analyses revealed 3 key findings. First, there were regional differences in how communities defined assets important for nutrition. Second, when asked to prioritize which assets were most important, communities selected every SLA capital category; however, the types of assets within each category differed by region. Third, the most commonly reported barriers to good nutrition were traditional feeding behaviors (eg, men eating before women) and lack of nutrition knowledge. How households use assets to enhance nutrition is influenced by diverse and dynamic cultural, social, economic, and ecological factors. The participatory methods piloted in this study present a novel approach to identify contextually relevant household, community, and institutional assets used to support food and nutrition security.
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Dubale Mamoro, Muluken, and Lolemo Kelbiso Hanfore. "Tetanus Toxoid Immunization Status and Associated Factors among Mothers in Damboya Woreda, Kembata Tembaro Zone, SNNP, Ethiopia." Journal of Nutrition and Metabolism 2018 (November 22, 2018): 1–9. http://dx.doi.org/10.1155/2018/2839579.
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Background. Tetanus toxoid immunization is one of the proven strategies for eliminating maternal and neonatal tetanus. According to Ethiopian Demographic Health Survey of 2016, only 49% of mothers received two tetanus toxoid (TT) injections during their last pregnancy which is below the World Health Organization and Ethiopia Ministry of Health recommendation. Therefore, the aim of this study was to determine the status of TT immunization among mothers in Damboya Woreda, South Ethiopia. Method. A community-based cross-sectional study was conducted from March 1 to 26, 2017, in Damboya Woreda. A total of 837 mothers who had given birth in the last 12 months were included in the study. The simple random sampling method was used to select the study participants, and data were collected through an interview using a structured questionnaire. Data were entered into Epi data software version 3.1 and exported to SPSS version 22 for further analysis. Logistic regression was used to identify independent predictors of the immunization status of mothers at a 5% significance level. Result. The finding of this study revealed that 607 (72.5%) mothers were protected at birth against tetanus. Age of mother who attended elementary school, husbands’ education status, visited by HEW’s at home, making joint health decision with husband, use of modern family planning method, number of antenatal care visit, and time to reach the nearest health facility were independent predictors of TT immunization status among the mothers. Conclusion. Significant proportions of the mothers were not taken at least two doses of TT vaccine which is a minimum dose to prevent maternal or neonatal tetanus. Even though most mothers had access for TT immunization service, they were not immunized with protective doses of TT vaccine.
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Berhane, Hanna Y., Magnus Jirström, Semira Abdelmenan, et al. "Social Stratification, Diet Diversity and Malnutrition among Preschoolers: A Survey of Addis Ababa, Ethiopia." Nutrients 12, no. 3 (2020): 712. http://dx.doi.org/10.3390/nu12030712.
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In Sub-Saharan Africa, being overweight in childhood is rapidly rising while stunting is still remaining at unacceptable levels. A key contributor to this double burden of malnutrition is dietary changes associated with nutrition transition. Although the importance of socio-economic drivers is known, there is limited knowledge about their stratification and relative importance to diet and to different forms of malnutrition. The aim of this study was to assess diet diversity and malnutrition in preschoolers and evaluate the relative importance of socioeconomic resources. Households with children under five (5467) were enrolled using a multi-stage sampling procedure. Standardized tools and procedures were used to collect data on diet, anthropometry and socio-economic factors. Multivariable analysis with cluster adjustment was performed. The prevalence of stunting was 19.6% (18.5–20.6), wasting 3.2% (2.8–3.7), and overweight/obesity 11.4% (10.6–12.2). Stunting, overweight, wasting and limited diet diversity was present in all social strata. Low maternal education was associated with an increased risk of stunting (Adjusted odds ratio (AOR): 1.8; 1.4–2.2), limited diet diversity (AOR: 0.33; 0.26–0.42) and reduced odds of being overweight (AOR: 0.61; 0.44–0.84). Preschoolers in Addis Ababa have limited quality diets and suffer from both under- and over-nutrition. Maternal education was an important explanatory factor for stunting and being overweight. Interventions that promote diet quality for the undernourished whilst also addressing the burgeoning problem of being overweight are needed.
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KINFU, A. YOHANNES. "CHILD UNDERNUTRITION IN WAR-TORN SOCIETY: THE ETHIOPIAN EXPERIENCE." Journal of Biosocial Science 31, no. 3 (1999): 403–18. http://dx.doi.org/10.1017/s0021932099004034.
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Using data from a cross-sectional nutrition survey conducted in rural Ethiopia between March and April 1992, roughly a year after the end of one of the longest civil wars in modern human history, this study attempts to document the magnitude and correlates of childhood undernutrition in Ethiopia. Findings from the study reveal that, at the time of the survey, 59% of children in the country were exposed to long-term or chronic undernutrition (stunted); about 4% were suffering from acute problems (wasted); and about the same proportion were both stunted and wasted. Less than a third of the country's children had normal growth. The logistic–binomial regression results demonstrated the existence of significant clustering of risks of undernutrition within areas of residence and notable differentials by age of child, duration of breast-feeding, age at introduction of supplementary foods and number of under-five siblings. Significant variations were also noted by age of household head, per capita land holding, religious affiliation and prevalence of endemic diseases in an area.
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Asres, Getahun, and Arthur I. Eidelman. "Nutritional Assessment of Ethiopian Beta-Israel Children: A Cross-Sectional Survey." Breastfeeding Medicine 6, no. 4 (2011): 171–76. http://dx.doi.org/10.1089/bfm.2011.0016.
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BEZA, ABEBE YABEKER. "STATISTICAL Analysis of the Nutritional Status OF Women in Ethiopia: Evidence From the 2016 ETHIOPIA Demographic and Health Survey." International Journal of Scientific and Research Publications (IJSRP) 9, no. 4 (2019): p8866. http://dx.doi.org/10.29322/ijsrp.9.04.2019.p8866.
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Kriesemer, Simone Kathrin, Gudrun Barbara Keding, Admassu Tesso Huluka, and Jochen Dürr. "Leafy Vegetables under Shade? Performance, Consumer Acceptance, and Nutritional Contribution of Cowpea (Vigna unguiculata (L.) Walp.) Leaves in the Yayu Coffee Forest Biosphere Reserve in Southwest Ethiopia." Sustainability 13, no. 4 (2021): 2218. http://dx.doi.org/10.3390/su13042218.
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In rural Ethiopia, people consume mainly cereals and pulses. Integrating vegetables into the multi-storey cropping system of the Yayu Coffee Forest Biosphere Reserve could improve nutritional health while reducing pressure on natural habitats in the biodiversity hotspot. The aim of the study was to assess the performance of cowpea under shade and its consumer acceptance as leafy vegetables. Trials compared continuous harvesting with uprooting, and food preference was tested. A baseline survey was conducted in four villages and revealed that cropping of vegetables in coffee plantations would be adoptable by 17% of farmers. The cumulatively harvested mean leaf yield (18.15 t ha−1) was significantly higher than the leaf yield of the uprooted cowpea (6.56 t ha−1). As many as 41% (52%) of participants liked cowpea dishes (very much). Based on the trial yields and the RDA, a 25 m2 cowpea plot could produce sufficient vitamin A for 2.1–4.6 adults, iron for 0.8–1.7, and vitamin C for 1.3–2.9 adults during six months. Cowpea was successfully cultivated below coffee, yielded most when repeatedly harvested and showed a high acceptance among consumers. The consumption of cowpea leaves from coffee forests could contribute to a balanced diet and improved nutrition.