ArticleMaternal and child health journal2021
Factors Associated with Stunted Growth in Children Under Five Years in Antananarivo, Madagascar and Bangui, Central African Republic.
Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Socioeconomic and nutritional determinants outweigh gut microbiota influence on neurodevelopment in young children from Antananarivo, Madagascar.Scientific reports · 2026Article
- Experiences, barriers, and enablers of infant and young child feeding among adolescent mothers in Sub-Saharan Africa: a scoping review protocol.Systematic reviews · 2025Article
- Integrated Evaluation of Undernutrition, Anaemia, and Intestinal Parasitic Infections in School-Aged Children: A Cross-Sectional Study in Three Regions of Southern Madagascar.Children (Basel, Switzerland) · 2025Article
- Effect of single-parent versus dual-parent households on dietary intake and growth among under-five children in Rwanda: an analysis using directed acyclic graph.BMC nutrition · 2025Article
- Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia.Belitung nursing journal · 2025Article
- Factors Associated with Carriage of Enteropathogenic and Non-Enteropathogenic Viruses: A Reanalysis of Matched Case-Control Data from the AFRIBIOTA Site in Antananarivo, Madagascar.Pathogens (Basel, Switzerland) · 2023Article
- Effect of applying the health promotion model in stunting prevention and behavior control in Indonesia.Journal of education and health promotion · 2023Article
- The eukaryome of African children is influenced by geographic location, gut biogeography, and nutritional status.microLife · 2023Article
- Path analysis model for preventing stunting in dryland area island East Nusa Tenggara Province, Indonesia.PloS one · 2023Observational
- Stunted children display ectopic small intestinal colonization by oral bacteria, which cause lipid malabsorption in experimental models.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
- Putative Biomarkers of Environmental Enteric Disease Fail to Correlate in a Cross-Sectional Study in Two Study Sites in Sub-Saharan Africa.Nutrients · 2022Article
- Factors associated with anaemia among preschool- age children in underprivileged neighbourhoods in Antananarivo, Madagascar.BMC public health · 2022Article
- Intestinal microbiota research from a global perspective.Gastroenterology report · 2022Review
- Changes in Systemic Regulatory T Cells, Effector T Cells, and Monocyte Populations Associated With Early-Life Stunting.Frontiers in immunology · 2022Article
Corrections and comments
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Authors and funding
22 authors at 5 institutions in 5 countries.
Funding
Abstract
objectivesWith a fourth of all under-five children affected, stunting remains one of the biggest health challenges worldwide. Even though the main underlying factors are known, the exact pathways to stunting varying in affected regions, and interventions thus need to be tailored to the local contexts. This study aimed assessing and comparing factors associated with stunting in two understudied sub-Saharan urban contexts with some of the highest stunting prevalence globally: Bangui, Central African Republic (~ 36%) and Antananarivo, Madagascar (42%).
methodsWe performed a case-control study on 175 + 194 stunted and 237 + 230 non-stunted control children aged 2-5 years and matched for age, gender and district of residency. Factors associated with stunting were identified using a standardized, paper questionnaire delivered by trained interviewers. Statistical analysis was done using logistic regression modelling.
resultsIn both sites, formal maternal education lowered the risk of being stunted and restricted access to soap, suffering of anaemia and low birth weight were associated with higher risk of stunting. Short maternal stature, household head different from parents, diarrhoea and coughing were associated with an increased risk and continuing breastfeeding was associated with a lower risk of stunting in Antananarivo. Previous severe undernutrition and dermatitis/ fungal skin infections were associated with higher and changes in diet during pregnancy with lower risk of stunting in Bangui.
conclusionsOur results suggest maternal education, antenatal care, iron supplementation and simple WASH interventions such as using soap and infection control as general and breastfeeding (Antananarivo) or better nutrition (Bangui) as area-specified interventions.
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