Email updates

Keep up to date with the latest news and content from BMC Public Health and BioMed Central.

Open Access Highly Accessed Research article

Seasonal variation in the prevalence of acute undernutrition among children under five years of age in east rural Ethiopia: a longitudinal study

Gudina Egata1*, Yemane Berhane2 and Alemayehu Worku23

Author Affiliations

1 Department of Public Health, College of Health Sciences, Haramaya University, P.O. Box: 235, Harar, Ethiopia

2 Addis Continental Institute of Public Health, Professor of Epidemiology and Public Health, Addis Ababa, Ethiopia

3 Department of Epidemiology and Biostatistics, School of Public Health, Doctor of Statistics Addis Ababa University, Addis Ababa, Ethiopia

For all author emails, please log on.

BMC Public Health 2013, 13:864  doi:10.1186/1471-2458-13-864

Published: 18 September 2013

Abstract

Background

Malnutrition is a deficiency state of both macro and micronutrients (under - nutrition) and their over consumption (over- nutrition) causing measurable adverse effects on human body structure and function, resulting in specific physical and clinical outcomes. Little has been known about the seasonal variation in the magnitude of acute child under-nutrition and its determinants in low and middle-income countries making difficult the choice of a better nutrition intervention. The objective of this study was to determine the prevalence of acute under-nutrition and its associated factors on children aged 6 to 36 months in east rural Ethiopia in wet and dry seasons.

Methods

A longitudinal study was conducted on children aged 6 to 36 months and their mothers (mother–child pairs) from July/August 2010/2011 to January/ February 2011/2012 in east rural Ethiopia. Data were collected from 2,132 mother–child pairs using a pretested structured questionnaire and the UNICEF recommended anthropometric measuring instruments after standardization. The Odds Ratio with 95% confidence interval was estimated to identify the predictors of acute child under nutrition (wasting) using a conditional fixed- effects logistic regression.

Results

The prevalence of acute child under-nutrition was 7.4%; 95% CI: (6.3%, 8.5%) in wet and 11. 2%; 95% CI: (9.8%, 12.5%) in dry seasons. Child wasting was more common among children of poor households who had no cooperative bank saving accounts [AOR (95% CI) = 8.2. (1.8, 37.6)], and access to health facilities [AOR (95% CI) = 2.2 (1.4, 3.6)].

Conclusion

Acute child under-nutrition was relatively higher in the dry season. Although season was not significantly associated with child under - nutrition, poverty and poor access to health services were important predictors of wasting in the study setting. Thus, effective community–based nutrition interventions that require a multi - disciplinary approach should be scaled up to curb childhood under-nutrition.

Keywords:
Acute child under-nutrition; Ethiopia; Under five children; Season