Evidence map›Paper›PMID 33521543›Full record

ArticleBMJ nutrition, prevention & health2020

Spectrum of nutrition-specific and nutrition-sensitive determinants of child undernutrition: a multisectoral cross-sectional study in rural Mozambique.

Hirotsugu Aiga, Marika Nomura, José Paulo M Langa, Mussagy Mahomed, Rosa Marlene, Albertina Alage, Nilton Trindade, Dino Buene, Hiroshi Hiraoka, Shunichi Nakada and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ nutrition, prevention & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Hirotsugu AigaSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID 0000-0001-5910-3379
Marika NomuraDepartment of Human Development, Japan International Cooperation Agency, Tokyo, Japan.
José Paulo M LangaEndemic and Epidemic Disease Program, National Institute of Health, Maputo, Mozambique.
Mussagy MahomedHealth System Program, National Institute of Health, Maputo, Mozambique.
Rosa MarlenePublic Health Directorate, Ministry of Health, Maputo, Mozambique.
Albertina AlageTraining Documentation and Technology Transfer Directorate, Ministry of Agriculture and Food Security, Maputo, Mozambique.
Nilton TrindadeWater Resource Directorate, Ministry of Public Works, Housing and Water Resources, Maputo, Mozambique.
Dino BueneTechnical Secretariat for Food Security and Nutrition, Maputo, Mozambique.
Hiroshi HiraokaDepartment of Rural Development, Japan International Cooperation Agency, Tokyo, Japan.
Shunichi NakadaDepartment of Rural Development, Japan International Cooperation Agency, Tokyo, Japan.
Edgar ArindeNiassa Provincial Health Department, Lichinga, Mozambique.
José VarimeloNiassa Provincial Agriculture and Food Security Department, Lichinga, Mozambique.
Américo Jeremias ChivaleNiassa Provincial Public Works Department, Lichinga, Mozambique.
Japan International Cooperation Agency · JPMinistry of Health · MZNational Directorate of Geology · MZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite an increasing need for multisectoral interventions and coordinations for addressing malnutrition, evidence-based multisectoral nutrition interventions have been rarely developed and implemented in low-income and middle-income countries. To identify key determinants of undernutrition for effectively designing a multisectoral intervention package, a nutrition survey was conducted, by comprehensively covering a variety of variables across sectors, in Niassa province, Mozambique.

methodsA cross-sectional household survey was conducted in Niassa province, August-October 2019. Anthropometric measurements, anaemia tests of children under 5 years of age and structured interviews with their mothers were conducted. A total of 1498 children under 5 years of age participated in the survey. We employed 107 background variables related to possible underlying and immediate causes of undernutrition, to examine their associations with being malnourished. Both bivariate (χ

resultsPrevalence rates of stunting, underweight and wasting were estimated at 46.2%, 20.0% and 7.1%, respectively. Timely introduction of solid, semi-solid or soft foods to children of 6-8 months of age was detected as a determinant of being not stunted. Mother-child cosleeping and ownership of birth certificate were a protective factor from and a promoting factor for being underweight, respectively. Similarly, availability and consumption of eggs at the household level and cough during the last 2 weeks among children were likely to be a protective factor from and a promoting factor for being wasted, respectively.

conclusionTimely introduction of solid, semi-solid or soft foods could serve as an entry point for the three sectors to start making joint efforts, as it requires the interventions from all health, agriculture and water sectors. To enable us to make meaningful interprovincial, international and inter-seasonal comparisons, it is crucially important to develop a standard set of variables related to being malnourished.

Indexed as

dietary patternsmalnutritionnutrition assessment

Identifiers

PMID33521543
PMCPMC7841811
OpenAlexW3107321202

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.