SynthesisThe American journal of clinical nutrition2020
Drivers of stunting reduction in the Kyrgyz Republic: A country case study.
Synthesis in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Understanding multifactorial drivers of child stunting reduction in Exemplar countries: a mixed-methods approach.The American journal of clinical nutrition · 2020Pooled it
- Exploring methods for assessing stakeholder perspectives in Scaling-Up Nutrition (SUN) countries: a scoping review.BMJ open · 2025Article
- The role of national nutrition programs on stunting reduction in Rwanda using machine learning classifiers: a retrospective study.BMC nutrition · 2024Article
- Drivers of success in global health outcomes: A content analysis of Exemplar studies.PLOS global public health · 2024Article
- Sex inequality in under-five deaths and associated factors in low and middle-income countries: a Fairlie decomposition analysis.BMC public health · 2022Article
- Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan.Nutrients · 2022Article
- Women's empowerment and child nutrition in South-Central Asia; how important is socioeconomic status?SSM - population health · 2021Article
- A framework for identifying and learning from countries that demonstrated exemplary performance in improving health outcomes and systems.BMJ global health · 2020Review
- A roadmap to reduce stunting.The American journal of clinical nutrition · 2020Article
- COVID-19 pandemic and mitigation strategies: implications for maternal and child health and nutrition.The American journal of clinical nutrition · 2020Review
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic malnutrition among infants and children continues to represent a global public health concern. The Kyrgyz Republic has achieved rapid declines in stunting over the last 20 y, despite modest increases in gross domestic product per capita.
objectiveThis study aimed to conduct a systematic, in-depth assessment of national, community, household, and individual drivers of nutrition change and stunting reduction, as well as nutrition-specific and -sensitive policies and programs, in the Kyrgyz Republic.
methodsThis mixed methods study employed 4 inquiry methods, including: 1) a systematic scoping literature review; 2) retrospective quantitative data analyses, including linear regression multivariable hierarchical modeling, difference-in-difference analysis, and Oaxaca-Blinder decomposition; 3) qualitative data collection and analysis; and 4) analysis of key nutrition-specific and -sensitive policies and programs.
resultsStunting prevalence has decreased in the Kyrgyz Republic, however, subnational variations and inequities persist. Child growth Victora curves show improvements in height-for-age z-scores (HAZ) for children in the Kyrgyz Republic between 1997 and 2014, indicating increased intrauterine growth and population health improvements. The decomposition analysis explained 88.9% (0.637 SD increase) of the predicted change in HAZ for children under 3 y (1997-2012). Key factors included poverty (61%), maternal nutrition (14%), paternal education (6%), fertility (6%), maternal age (3%), and wealth accumulation (2%). Qualitative analysis revealed poverty reduction, increased migration and remittances, food security, and maternal nutrition as key drivers of stunting decline. Systematic scoping literature review findings supported quantitative and qualitative results, and indicated that land reforms and improved food security represented important factors. Key nutrition-specific and -sensitive policies and programs implemented involved breastfeeding promotion, social protection schemes, and land and health sector reforms.
conclusionsImprovements in stunting were achieved amidst political and economic changes. Multilevel enablers, including poverty reduction, improved food security, and introduction of land and health reforms have contributed to improvements in health, nutrition, and stunting among children in the Kyrgyz Republic.
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