Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: May 20, 2022
Date Accepted: Dec 27, 2022
Understanding child wasting in Ethiopia: A cross-sectional analysis of 2019 Ethiopian Demographic Health Survey data using generalized linear latent and mixed model
ABSTRACT
Background:
According to the WHO, every country has to reduce under nutrition including wasting below 5% by 2025. Wasting is still prevalent in different corners of Ethiopia, but usually deprived direct attention because of the prevalence of other under nutrition problems.
Objective:
Thus, this study was aimed to identify the sole prevalence and associated factors of wasting that might be important for renewing policy commitments
Methods:
A community-based cross-sectional data from Ethiopian Mini-Demographic Health survey (EMDHS) was applied for this analysis. Data was obtained from DHS website and cleaned in relation to the study criteria so that 2,016 women with under-five children were identified. The multilevel ordinal regression using generalized linear latent and mixed model (gllamm) was conducted in stata v.15 and the predicted probability with log-likelihood ratio test was also applied. Data was presented using mean, percent, 95% CI, prediction coefficients, and standard errors.
Results:
In our analysis, wasting was 7.68% (95% CI 6.56%) in the study population. Factors like feeding diverse foods [coef.=4.90, 95% CI:4.90,4.98], female sex of the household leader [coef.=-40.40 95% CI:-40.41,-40.32], home [coef.=-35.51 95% CI:-35.55,-35.47], birth oder of 1st [coef.=16.66 95% CI:16.60,16.72] and 2nd [coef.=16.65 95% CI:16.60,16.70] respectively, female child [coef.=-12.65 95% CI:-12.69,-1262], household size of 1-3 [coef.=10.86 95% CI:10.80,10.92] and 4-5 members [coef.=10.87 95% CI:10.91,10.92] were some of the associated factors
Conclusions:
Considering the target set by W.H.O to reduce under-nutrition in under-five children, 5% by 2025, and the current 7.68% wasting in under-five children is very high, which should spark immediate commitment from the government. Additionally, reducing maternal under education, supporting women in using family planning, creating awareness on sex preferences, economically empowering women, and renewing commitment to maternal health services and follow-ups during pregnancy might be inclusive activity which need further encouragement once again. Clinical Trial: not a trial
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