ArticleSSM - population health2019
What explains the fall in child stunting in Sub-Saharan Africa?
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline.The American journal of clinical nutrition · 2020Pooled it
- Drivers of stunting reduction in Ethiopia: a country case study.The American journal of clinical nutrition · 2020Pooled it
- Analysing the drivers of stunting reduction in twelve sub-saharan African countries using the RIF decomposition approach.BMC public health · 2024Article
- Social and physical environment effects on toileting disability among older adults in India.BMC geriatrics · 2024Article
- The Socio-Environmental Determinants of Childhood Malnutrition: A Spatial and Hierarchical Analysis.Nutrients · 2024Article
- Temporal variation of chronic child malnutrition in the context of strengthening healthcare services in Burkina Faso: an Oaxaca-Blinder multivariate decomposition analysis.Frontiers in public health · 2024Article
- Article
- What explains the large disparity in child stunting in the Philippines? A decomposition analysis.Public health nutrition · 2022Article
- Economic attributes and childhood stunting in Rwanda: case study of the City of Kigali.The Pan African medical journal · 2022Article
- Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: a regression analysis.Food security · 2022Article
- Mapping Geographical Differences and Examining the Determinants of Childhood Stunting in Ethiopia: A Bayesian Geostatistical Analysis.Nutrients · 2021Article
- Effectiveness of integrated nutrition interventions on childhood stunting: a quasi-experimental evaluation design.BMC nutrition · 2021Article
- Maternal factors associated with moderate and severe stunting in Ethiopian children: analysis of some environmental factors based on 2016 demographic health survey.Nutrition journal · 2021Article
- Article
- Factors Associated with Stunting among Children under 5 Years in Five South Asian Countries (2014-2018): Analysis of Demographic Health Surveys.Nutrients · 2020Article
- Extent of and trends in inequalities in child stunting in Sierra-Leone from 2005 to 2013: evidence from demographic and health surveys and multiple indicator cluster surveys.International journal for equity in health · 2020Article
- Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis.Journal of nutrition and metabolism · 2020Article
- Article
- Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa.BMJ global health · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There have been steep falls in rates of child stunting in much of Sub-Saharan Africa (SSA). Using Demographic and Health Survey data, we document significant reductions in stunting in seven SSA countries in the period 2005-2014. For each country, we distinguish potential determinants that move in a direction consistent with having contributed to the reduction in stunting from those that do not. We then decompose the change in stunting and in proximal determinants into a part that can be explained by changes in distal determinants and a residual part that captures the impact of unmeasured factors, such as vertical nutrition programs. We show that increases in coverage of child immunization, deworming medication and maternal iron supplementation often coincide with a fall in stunting. The magnitudes and directions of changes in two other proximal determinants -- age-appropriate feeding and diarrhea prevalence -- suggest that these have not been strong contributors to the fall in stunting. Utilization of maternity care emerges from the decomposition analysis as the most important distal determinant associated with reduced stunting, and also with increased coverage of iron supplementation, and, to a lesser extent, with child immunization and deworming medication. This circumstantial evidence is strong enough to warrant more detailed investigation of the extent to which maternity care is an effective channel through which to target further attacks on the blight of undernourished children.
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