ArticlePloS one2017
The importance of public health, poverty reduction programs and women's empowerment in the reduction of child stunting in rural areas of Moramanga and Morondava, Madagascar.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Article
- "Empowerment-Fulfilled, Free, and Strong": Conceptualizing Youth Empowerment in Madagascar Using an Arts-Based Methodology.Health promotion practice · 2026Article
- Socioeconomic and nutritional determinants outweigh gut microbiota influence on neurodevelopment in young children from Antananarivo, Madagascar.Scientific reports · 2026Article
- Public health surveillance of tropical diseases in Madagascar: a scoping review of population burden, intervention strategies, and health system responses.BMC public health · 2025Article
- Assessment of Stunting and Its Effect on Wasting in Children Under Two in Rural Madagascar.Children (Basel, Switzerland) · 2025Article
- Nutrimetry and Evaluation of Intestinal Parasites and Anaemia in Malnourished Schoolchildren from Toliara (Madagascar).Children (Basel, Switzerland) · 2025Article
- Schistosomiasis and Intestinal Helminthiases in a Remote Area of Central Madagascar.Journal of tropical medicine · 2025Article
- Article
- Article
- High prevalence of chronic malnutrition in indigenous children under 5 years of age in Chimborazo-Ecuador: multicausal analysis of its determinants.BMC public health · 2022Article
- An exploration of cultural influencing factors on dietary diversity in Malagasy children aged 6-59 months.BMC nutrition · 2022Article
- Optimum birth interval (36-48 months) may reduce the risk of undernutrition in children: A meta-analysis.Frontiers in nutrition · 2022Article
- Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic.Maternal and child health journal · 2021Article
- Fine-scale variation in malaria prevalence across ecological regions in Madagascar: a cross-sectional study.BMC public health · 2021Article
- High prevalence of intestinal parasite infestations among stunted and control children aged 2 to 5 years old in two neighborhoods of Antananarivo, Madagascar.PLoS neglected tropical diseases · 2021Article
- Benefits and Risks of Smallholder Livestock Production on Child Nutrition in Low- and Middle-Income Countries.Frontiers in nutrition · 2021Review
- Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study.Current developments in nutrition · 2020Article
- Inequalities in cause-specific mortality in children and adolescents in the Moramanga health survey, Madagascar.International journal of public health · 2020Article
- What does women's empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries.Global health research and policy · 2020Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition accounts for 45% of mortality in children under five years old, despite a global mobilization against chronic malnutrition. In Madagascar, the most recent data show that the prevalence of stunting in children under five years old is still around 47.4%. This study aimed to identify the determinants of stunting in children in rural areas of Moramanga and Morondava districts to target the main areas for intervention.
methodsA case-control study was conducted in children aged from 6 to 59.9 months, in 2014-2015. We measured the height and weight of mothers and children and collected data on child, mother and household characteristics. One stool specimen was collected from each child for intestinal parasite identification. We used a multivariate logistic regression model to identify the determinants of stunting using backwards stepwise methods.
resultsWe included 894 and 932 children in Moramanga and in Morondava respectively. Stunting was highly prevalent in both areas, being 52.8% and 40.0% for Moramanga and Morondava, respectively. Stunting was most associated with a specific age period (12mo to 35mo) in the two study sites. Infection with Trichuris trichiura (aOR: 2.4, 95% CI: 1.1-5.3) and those belonging to poorer households (aOR: 2.3, 95% CI: 1.6-3.4) were the major risk factors in Moramanga. In Morondava, children whose mother had activities outside the household (aOR: 1.7, 95% CI: 1.2-2.5) and those perceived to be small at birth (aOR: 1.6, 95% CI: 1.1-2.1) were more likely to be stunted, whereas adequate birth spacing (≥24months) appeared protective (aOR: 0.4, 95% CI: 0.3-0.7).
conclusionInterventions that could improve children's growth in these two areas include poverty reduction, women's empowerment, public health programmes focusing on WASH and increasing acceptability, and increased coverage and quality of child/maternal health services.
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