ArticleBMC public health2024
Anthropometric failures and its predictors among under five children in Ethiopia: multilevel logistic regression model using 2019 Ethiopian demographic and health survey data.
Article in BMC public health, 2024. 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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14 citing papers in PubMed.
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- The association between anthropometric failure and zinc deficiency among preschool-age children in rural Sidama region, Ethiopia: a community-based cross-sectional study.BMC nutrition · 2026Article
- Spatial disparities and associated factors of composite index of anthropometric failure for under-five children across three African countries.Global epidemiology · 2026Article
- A Dual Malnutrition Challenge in Tanzania Explored Through Logistic Regression Analysis.Nutrients · 2026Article
- Factors Associated With Composite Anthropometric Failures (CIAF) Among Under Five Children in Lesotho: An Insight From the 2023 to 2024 Demographic and Health Survey Data.Food science & nutrition · 2026Article
- Socioeconomic and Environmental Factors Associated with Child Undernutrition and Growth Failure in Eastern Africa.Nutrients · 2026Article
- Anthropometric Failure and Associated Factors Among Infants Aged 6-8 Months in West Gojjam Zone, Ethiopia.Food science & nutrition · 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
- Multilevel Analysis of Severe Anthropometric Failure among Under-Five Children in Benin: A Cross-Sectional Study Using 2017 to 2018 Demographic and Health Survey Data.Annals of global health · 2026Article
- Determinants of height-for-age Z-score (HAZ) among Ethiopian children aged 0-59 months: a multilevel mixed-effects analysis.BMC public health · 2025Article
- Geo-spatial pattern and determinants of composite index of anthropometric failure among children under five in Ethiopia.Scientific reports · 2025Article
- Residence-based disparities of composite index of anthropometric failures in East African under five children; multivariate decomposition analysis.BMC public health · 2025Article
- Analyzing childhood (0-59 months) malnutrition determinants in five West African countries of Gabon, Gambia, Liberia, Mauritania, and Nigeria using a generalized additive mixed model from DHS data.Frontiers in nutrition · 2025Article
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Abstract
backgroundComposite Index of Anthropometric Failure (CIAF) combines all three forms of anthropometric failures to assess undernutrition status of children. There is no study on CIAF to identify the real and severe form of under nutrition among Ethiopian children that addressed community level factors. So, this study determined CIAF and identified important factors which helps to design appropriate intervention strategies by using multi-level advanced statistical model.
methodsThe study included 5,530 under five children and utilized a secondary data (EMDHS 2019) which was collected through community-based and cross-sectionally from March 21 to June 28, 2019. Composite index of anthropometric failure among under five children was assessed and a two-stage sampling technique was used to select the study participants. Descriptive summary statistics was computed. A multi-level binary logistic regression model was employed to identify important predictors of CIAF in under five children. Adjusted odds ratio with its 95% CI was estimated and level of significance 0.05 was used to determine significant predictors of CIAF.
resultsThe prevalence of composite index of anthropometric failure (CIAF) was 40.69% (95% CI: 39.41, 42.00) in Ethiopia. Both individual and community level predictors were identified for CIAF in under five children. Among individual level predictors being male sex, older age, short birth interval, from mothers who have not formal education, and from poor household wealth quintile were associated with higher odds of CIAF among under five children. Low community women literacy and being from agriculturally based regions were the community level predictors that were associated with higher odds of CIAF in under five children in Ethiopia.
conclusionsThe burden of composite index of anthropometric failure in under five children was high in Ethiopia. Age of child, sex of child, preceding birth interval, mother's education, household wealth index, community women literacy and administrative regions of Ethiopia were identified as significant predictors of CIAF. Therefore, emphasis should be given for those factors to decrease the prevalence of CIAF in under five children in Ethiopia.
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