ArticleBMC nutrition2023
Multilevel multivariate modeling on the association between undernutrition indices of under-five children in East Africa countries: evidence from recent demographic health survey (DHS) data.
Article in BMC nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Prevalence of undernutrition and associated factors among children with congenital heart disease in Africa: a systemic review and meta-analysis.Journal of translational medicine · 2025Pooled it
- Co-occurrence patterns of malnutrition indicators among children in sub-Saharan Africa.Communications medicine · 2026Article
- Feeding patterns and nutrition status of children aged 0-24 months in Rwanda: a secondary data analysis of Rwanda DHS 2019-2020.Scientific reports · 2026Article
- Dietary and non-dietary factors of undernutrition using Composite Index of Anthropometric Failure in children aged 6-23 months in Democratic Republic of the Congo: the 2023 National Nutrition Survey.BMJ nutrition, prevention & health · 2026Article
- Seasonal prevalence of child undernutrition and its associated factors in the west Gojjam zone, Ethiopia.Archives of public health = Archives belges de sante publique · 2025Article
- Coexisting predictors for undernutrition indices among under-five children in West Africa: application of a multilevel multivariate ordinal logistic regression model.BMC nutrition · 2025Article
- Water, sanitation, and hygiene and their association with child undernutrition: a hierarchical analysis of the 2020 Somaliland demographic health survey.Frontiers in public health · 2025Article
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2 authors at 1 institution in 1 country.
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Abstract
backgroundMalnutrition is the main cause of illness and death in children under the age of five. It affects millions of children worldwide, putting their health and future in jeopardy. Therefore, this study aimed to identify and estimate the effects of important determinants of anthropometric indicators by taking into account their association and cluster effects.
methodThe study was carried out in 10 countries in East Africa: Burundi, Ethiopia, Comoros, Uganda, Rwanda, Tanzania, Zimbabwe, Kenya, Zambia, and Malawi. A weighted total sample of 53,322 children under the age of five was included. Given the impact of other predictors such as maternal, child, and socioeconomic variables, a multilevel multivariate binary logistic regression model was employed to analyze the relationship between stunting, wasting, and underweight.
resultThe study included 53,322 children, and 34.7%, 14.8%, and 5.1% were stunted, underweight, and wasted, respectively. Almost half of the children (49.8%) were female, and 22.0% lived in urban areas. The estimated odds of children from secondary and higher education mothers being stunted and wasted were 0.987; 95% CI: 0.979 - 0.994 and 0.999; 95% CI: 0.995 - 0.999, respectively, times the estimated odds of children from no education mothers. Children from middle-class families were less likely to be underweight than children from poorer families.
conclusionThe prevalence of stunting was higher than in the sub-Saharan Africa region, but the prevalence of wasting and underweight was lower. According to the study's findings, undernourishment among young children under the age of five continues to be a significant public health issue in the East African region. Governmental and non-governmental organizations should therefore plan public health participation focusing on paternal education and the poorest households in order to improve the undernutrition status of children under five. Additionally, improving the delivery of healthcare at health facilities, places of residence, children's health education, and drinking water sources are essential for lowering child undernutrition indicators.
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