Transcript TUAB014 – Prevalence And Factors Associated With Stunting

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Prevalence and factors associated with stunting among underfive years children in Simiyu Region, Tanzania:
a population-based survey
David P. Ngilangwa1, Godfrey Matumu1, Benatus Sambili1
Amref Health Africa, Dar es Salaam, Tanzania
1st Amref Health Africa International Conference
Safari Park Hotel, Nairobi Kenya
24-26th November, 2014
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Outline:
• Background
• Methods
• Results
• Conclusion
• Acknowledgments
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Background
o Under nutrition is the threats to child survival.
o Globally,> 150m children are malnourished
o Malnutrition contributes to 35% of all <5
mortalities.
oIn Tanzania;
 Stunting currently affects 42% of
<5 children
 Tanzania ranks 3rd in SubSaharan Africa for stunting.
 Over 3 million of children <5 yrs
are estimated to be stunted oSimiyu:
 New region
 No baseline data on
stunting.
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Methods
• Objective
To determine the prevalence and factors associated with
stunting
among < 5 children in Simiyu region
• Study design
• A population based cross-sectional survey.
• Multistage sampling was used to;
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ii.
Select 30 villages in all the five districts and appr 27 HH
806 HH were covered, each of which had at least one child aged 659 months.
• 810 <5 yrs children were selected
• Anthropometric measurements were taken using
WHO std tool;
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Low height for age (stunting)
• SPSS version 20 used for analysis.
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Results:
Of 781 children, 263 (33.7%) were
stunted (< 2 SD)
-Though, slightly lower than the national
Fig1.Stunting index distribution for
children (6-59months)-Simiyu
region,
average of 42 %.
Moderate and severe stunting
accounted for 21.5% and 12.2%.
-While the severely stunted children is
17% at National level.
Stunting is highest (46.7%) in
children aged 18-23 and lowest
(11.3%) in children aged 9-11
months.
-Prevalence for children aged 18-23, is
slightly lower than the national average
of 55%.
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Anthropometry: measuring height
Results:
Stunting prevalence, higher in male
children (37.1%) as compared to
female ones (29.9%).
-Though, slightly lower than the national average
of 46% and 39%.
OR for female children to be stunted
as compared to male children (0.69)
-There was statistical evidence for the estimated
OR (p-value = 0.0224).
Age group; estimated OR to be
stunted was three times higher for
children aged
- 18-23 months, 24-35 months and 36-47 months, as
compared with children aged 6 to 8 months.
 Anaemic children had higher probability to be stunted as compared
to non-anaemic children (OR was 1.7, with p-value = 0.0132).
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Results: Demographic characteristics…
• Stunting is an indicator of chronic under-nutrition;
- Reflects failure to receive adequate nutrition, also
affected by recurrent and chronic illness.
- Under nutrition is manifested at an early age.
oWhat is so special ?
-With ,33.7% prevalence of stunting,
Simiyu is better of the national average
of 42.0% .
But the public health significance of
such prevalence is classified as HIGH
by WHO.
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Conclusion
• Timely and regular ANC visit
• Improving both quality and access to health
services and medication
o Community sensitization
o Quality of medication and quality of health
education/counseling
oWay forward:
To address the problem;
Emphasis is on intensive nutrition
and educational programmes among
communities.
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Acknowledgement
This study was supported by
o The Government of Canada
o The Government of Tanzania
o The community and PIT
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