Individual, household, and community level risk factors of stunting in children younger than 5 years: Findings from a national surveillance system in Nepal

Maternal and Child Nutrition

Volumn 14, Issue 1, 2018, Pages

  Dorsey, Jamie L ^a   Manohar, Swetha ^a   Neupane, Sumanta ^b   Shrestha, Binod ^b   Klemm, Rolf D W ^a,c   West, Keith P ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c HELEN KELLER INTERNATIONAL   (United States)

Author keywords

children; multilevel; Nepal; risk factors; stunting; younger than 5 years

Indexed keywords

ARTICLE; BODY HEIGHT; CHILD; CLUSTER ANALYSIS; COMMUNITY; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE BURDEN; EDUCATION; FEMALE; HEALTH SURVEY; HIGH SCHOOL; HOSPITAL; HOUSEHOLD; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; MARKET; MATERNAL FACTOR; MATERNAL HEIGHT; MOTHER; NATIONAL SURVEILLANCE SYSTEM; NEPAL; PRESCHOOL CHILD; PREVALENCE; PRIORITY JOURNAL; PUBLIC HEALTH; RANDOMIZATION; STUNTING; CATERING SERVICE; EDUCATIONAL STATUS; FAMILY SIZE; GROWTH DISORDER; HEALTH CARE PLANNING; INCOME; MEDICAL RECORD; ODDS RATIO; POVERTY; RISK FACTOR; RURAL POPULATION; SOCIOECONOMICS;

BODY HEIGHT; CHILD, PRESCHOOL; COMMUNITY HEALTH PLANNING; DIET RECORDS; EDUCATIONAL STATUS; FAMILY CHARACTERISTICS; FEMALE; FOOD SUPPLY; GROWTH DISORDERS; HEALTH SURVEYS; HUMANS; INCOME; INFANT; MALE; MOTHERS; NEPAL; ODDS RATIO; POVERTY; RISK FACTORS; RURAL POPULATION; SOCIOECONOMIC FACTORS;

EID: 85013637042     PISSN: 17408695     EISSN: 17408709     Source Type: Journal    
DOI: 10.1111/mcn.12434     Document Type: Article

References (66)

1. Abuya, B. A., Onsomu, E. O., Kimani, J. K., & Moore, D. (2011). Influence of maternal education on child immunization and stunting in Kenya. Maternal and Child Health Journal, 15, 1389–1389.
2. Abuya, B. A., Ciera, J., & Kimani-Murage, E. (2012). Effect of mother's education on child's nutritional status in the slums of Nairobi. BMC Pediatrics, 12, 80.
3. Acharya, D., Gautam, S., Kaphle, H. P., & Naupane, N. (2013). Factors associated with nutrition status of under-five children in Rupandehi district of Nepal. Journal of Health and Applied Sciences Nepal, 3, 56–59.
4. Ali, D., Saha, K. K., Nguyen, P. H., Diressie, M. T., Ruel, M. T., Menon, P., & Rawat, R. (2013). Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. Journal of Nutrition, 143, 2015–2021.
5. Arnold, F., Parasuraman, S., Arokiasamy, P., & Kothari, M. (2009). Nutrition in India: National Family Health Survey (NFHS-3), India, 2005-06. International Institute for Population Sciences & ICF Macro: Mumbai, India; Calverton, Maryland.
6. Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S., Dewey, K., Giugliani, E., … Shekar, M. (2008). What works? Interventions for maternal and child undernutrition and survival. The Lancet 371, 417–440.
7. Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., … Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382, 427–451.
8. Calder, P. C., & Jackson, A. (2000). Undernutrition, infection, and immune function. Nutrition Research Reviews, 13, 3–29.
9. Campbell, R. K., Talegawkar, S. A., Christian, P., LeClerq, S. C., Khatry, S. K., Wu, L. S., & West, K. P. Jr. (2014). Seasonal dietary intakes and socioeconomic status among women in the terai of Nepal. Journal of Health, Population and Nutrition, 32, 198–216.
10. Campbell, R. K., Talegawkar, S. A., Christian, P., LeClerq, S. C., Khatry, S. K., Wu, L. S., … West, K. P. Jr. (2015). Evaluation of a novel single-administration food frequency questionnaire for assessing seasonally varied dietary patterns among women in rural Nepal. Ecology of Food and Nutrition, 54, 314–327.
11. Christian, P., Lee, S. E., Donahue, A. M., Adair, L. S., Arifeen, S. E., Ashorn, P., … Black, R. E. (2013). Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries. International Journal of Epidemiology, 42, 1340–1355.
12. Coates, J., Swindale, A., & Bilinksy, P. (2007). Household food insecurity access scale (HFIAS) for measurement of food access: Indicator guide. FHI360/FANTA: Washington, DC.
13. Corsi, D. J., Mejia-Guevara, I., & Subramanian, S. V. (2015). Risk factors for chronic undernutrition among children in India: Estimating relative importance, population attributable risk and fractions. Social Science and Medicine, 157, 165–185.
14. Devkota, M. D., Adhikari, R. K., & Upreti, S. R. (2016). Stunting in Nepal: Looking back, looking ahead. Maternal & Child Nutrition, 12(suppl 1), 257–259.
15. Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal and Child Nutrition, 4(Supp 1), 24–85.
16. Dewey, K. G., & Begum, K. (2011a). Long-term consequences of stunting in early life. Maternal and Child Nutrition, 7(Supp 3), 5–18.
17. Dewey, K. G., & Mayers, D. R. (2011b). Early child growth: How do nutrition and infection interact? Maternal and Child Nutrition, 7(Suppl 3), 129–142.
18. Fenske, N., Burns, J., Hothorn, T., & Rehfuess, E. A. (2013). Understanding child stunting in India: A comprehensive analysis of socio-economic, nutritional and environmental determinants using additive quantile regression. PloS One, 8, e78692.
19. Gautam, K. P., Adhikari, M., Khatri, R. B., & Devkota, M. D. (2016). Determinants of infant and young child feeding practices in Rupandehi, Nepal. BMC Research Notes, 9, 135.
20. Glewwe, P. (1999). Why does mother's schooling raise child health in developing countries? Evidence from Morocco. The Journal of Human Resources, 34, 124–159.
21. Goto, E. (2016). Dose-response association between maternal body mass index and small for gestational age: A meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 22, 1–25.
22. Headey, D., & Hoddinott, J. (2015). Understanding the rapid reduction of undernutrition in Nepal, 2001-2011. PloS One, 10, e0145738.
23. Hong, R., & Mishra, V. (2006). Effect of wealth inequality on chronic under-nutrition in Cambodian children. Journal of Health, Population and Nutrition, 24, 89–99.
24. Humphrey, J. H. (2009). Child undernutrition, tropical enteropathy, toilets, and handwashing. Lancet, 19, 1032–1035.
25. Imdad, A., Yakoob, M. Y., & Bhutta, Z. A. (2011). Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health, 11(Supp 3), S25.
26. International Council for Science, & International Social Science Council. (2015). Review of the Sustainable Development Goals: The science perspective. Paris: International Council for Science.
27. International Food Policy Research Institute. (2015). Global nutrition report 2015: Actions and accountability to advance nutrition and sustainable development. Washington, DC: International Food Policy Research Institute.
28. Johnson, F. C., & Rogers, B. L. (1993). Children's nutritional status in female-headed households in the Dominican Republic. Social Science and Medicine, 37, 1293–1301.
29. Joshi, K. D., Conroy, C., & Witcombe, J. R. (2012a). Agriculture, seed, and innovation in Nepal: Industry and policy issues for the future. Washington, DC: International Food Policy Research Institute.
30. Joshi, N., Agho, K. E., Dibley, M. J., Senarath, U., & Tiwari, K. (2012b). Determinants of inappropriate complementary feeding practices in young children in Nepal: Secondary data analysis of Demographic and Health Survey 2006. Maternal and Child Nutrition, 8(Supp 1), 45–59.
31. Kennedy, G., Ballard, T., & Dop, M. C. (2011). Guidelines for measuring household and individual dietary diversity. Food and Agriculture Organization: Rome.
32. Kozuki, N., Katz, J., Lee, A. C., Vogel, J. P., Silveira, M. F., Sania, A., … Black, R. E. (2015). Short maternal stature increases risk of small-for-gestational age and preterm births in low- and middle-income countries: individual participant data meta-analysis and population attributable fraction. Journal of Nutrition, 145, 2542–2550.
33. Kumar, N., Harris, J., & Rawat, R. (2015). If they grow it, will they eat and grow? Evidence from Zambia on agricultural diversity and child undernutrition. Journal of Development Studies, 51, 1060–1077.
34. Leroy, J. L., Habicht, J. P., Gonzalez de Cossio, T., & Ruel, M. T. (2014). Maternal education mitigates the negative effects of higher income on the double burden of child stunting and maternal overweight in rural Mexico. Journal of Nutrition, 144, 765–770.
35. Malhotra, R., Noheria, A., Amir, O., Ackerson, L. K., & Subramanian, S. V. (2008). Determinants of termination of breastfeeding within the first 2 years of life in India: Evidence from the National Family Health Survey-2. Maternal and Child Nutrition, 4, 181–193.
36. Marquis, G. S., Habicht, J. P., Lanata, C. F., Black, R. E., & Rasmussen, K. M. (1997). Association of breastfeeding and stunting in Peruvian toddlers: An example of reverse causality. International Journal of Epidemiology, 26, 349–356.
37. Martorell, R., & Young, M. F. (2012). Patterns of stunting and wasting: Potential explanatory factors. Advances in Nutrition, 3, 22–233.
38. McDonald, C. M., McLean, J., Kroeun, H., Talukder, A., Lynd, L. D., & Green, T. J. (2015). Household food insecurity and dietary diversity among correlates of maternal and child undernutrition in rural Cambodia. European Journal of Clinical Nutrition, 69, 242–246.
39. Ministry of Health and Population, New ERA, ICF International. (2012). Nepal Demographic and Health Survey 2011. International Institute for Population Sciences & ICF Macro: Kathmandu, Nepal; Calverton, MD.
40. Mostafa, K. S. (2011). Socio-economic determinants of severe and moderate stunting among under-five children of Rural Bangladesh. Malaysian Journal of Nutrition, 17, 105–118.
41. National Planning Commission. (2012). Multi-sector nutrition plan for accelerating the reduction of maternal and child undernutrition in Nepal. Government of Nepal: Kathmandu.
42. National Planning Commission, & Central Bureau of Statistics. (2013). Nepal thematic report on food security and nutrition 2013. National Planning Commission: Kathmandu.
43. Ngure, F. M., Reid, B. M., Humphrey, J. H., Mbuya, M. N., Pelto, G., & Stoltzfus, R. J. (2014). Water, sanitation, and hygiene (WASH), environmental enteropathy, nutrition, and early child development: Making the links. Annals of the New York Academy of Sciences, 1308, 118–128.
44. Osei, A., Pandey, P., Spiro, D., Nielson, J., Shrestha, R., Talukder, Z., … Haselow, N. (2010). Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali District of Nepal. Food and Nutrition Bulletin, 4, 483–494.
45. Paudel, R., Pradhan, B., Wagle, R. R., Pahari, D. P., & Onta, S. R. (2012). Risk factors for stunting among children: A community based case control study in Nepal. Kathmandu University Medical Journal, 10, 18–24.
46. Pramod Singh, G. C., Nair, M., Grubesic, R. B., & Connell, F. A. (2009). Factors associated with underweight and stunting among children in rural terai of eastern Nepal. Asia-Pacific Journal of Public Health, 21, 144–152.
47. Prendergast, A. J., Rukobo, S., Chasekwa, B., Mutasa, K., Ntozini, R., Mbuya, M. N., … Humphrey, J. H. (2014). Stunting is characterized by chronic inflammation in Zimbabwean infants. PloS One, 9, e86928.
48. Rah, J. H., Cronin, A. A., Badgaiyan, B., Aguayo, V. M., Coates, S., & Ahmed, S. (2015). Household sanitation and personal hygiene practices are associated with child stunting in rural India: A cross-sectional analysis of surveys. BMJ Open, 5, e005180.
49. Restrepo-Mendez, M. C., Barros, A. J. D., Black, R. E., & Victora, C. G. (2015). Time trends in socio-economic inequalities in stunting prevalence: Analyses of repeated national surveys. Public Health Nutrition, 18, 2097–2104.
50. Richard, S. A., Black, R. E., Gilman, R. H., Guerrant, R. L., Kang, G., Lanata, C. F., … Checkley, W. (2012). Wasting is associated with stunting in early childhood. Journal of Nutrition, 142, 1291–1296.
51. Rogers, B. L. (1996). The implications of female household headship for food consumption and nutritional status in the Dominican Republic. World Development, 24, 113–128.
52. Ruwali, D. (2011). Nutritional status of children under five years of age and factors associated in Padampur VDC, Chitwan. Health Prospect, 10, 14–15.
53. Semba, R. D., de Pee, S., Sun, K., Sari, M., Akhter, N., & Bloem, M. W. (2008). Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: A cross-sectional study. The Lancet, 371, 322–328.
54. Senarath, U., Agho, K. E., Godakandage, S. S., Hazir, T., Jayawickrama, H., Joshi, N., … Dibley, M. J. (2012). Comparisons of complementary feeding indicators and associated factors in children 6-23 months across five South Asian countries. Maternal and Child Nutrition, 8(Supp 1), 89–106.
55. Shively, G., & Sununtnasuk, C. (2015). Agricultural diversity and child stunting in Nepal. The Journal of Development Studies, 51, 1078–1096.
56. Singh, A., & Ram, F. (2014). Household food insecurity and nutritional status of children and women in Nepal. Food and Nutrition Bulletin, 35, 3–11.
57. Spears, D., Ghosh, A., & Cumming, O. (2013). Open defecation and childhood stunting in India: An ecological analysis of new data from 112 districts. PloS One, 8, e73784.
58. Tielsch, J. M., Darmstadt, G. L., Mullany, L. C., Khatry, S. K., Katz, J., LeClerq, S. C., … Adhikari, R. (2007). Impact of newborn skin-cleansing with chlorohexidine on neonatal mortality in southern Nepal: A community-based, cluster-randomized trial. Pediatric, 119, e330–e340.
59. Tiwari, R., Ausman, L. M., & Agho, K. E. (2014). Determinants of stunting and severe stunting among under-fives: Evidence from the 2011 Nepal Demographic and Health Survey. BMC Pediatrics, 27, 239.
60. United Nations Children's Fund, & Government of Nepal. (2012). Country programme action plan 2013–2017. Kathmandu: United Nations Children's Fund.
61. United Nations Children's Fund, World Health Organization, & The World Bank. (2015). Levels and trends in child malnutrition: 2015 edition. In UNICEF: New York; World Health Organization: Geneva. Washington DC: The World Bank.
62. Vaidya, A., Saville, N., Shrestha, B. P., Costello, A. M., Manandhar, D. S., & Osrin, D. (2008). Effects of antenatal multiple micronutrient supplementation on children's weight and size at 2 years of age in Nepal: Follow up a double-blind randomised controlled trial. The Lancet, 371, 492–499.
63. Victora, C. G., Villar, J., Barros, F. C., Ismail, L. C., Chumlea, C., Papageorghiou, A. T., … Kennedy, S. H. (2015). Anthropometric characterization of impaired fetal growth: Risk factors for and prognosis of newborns with stunting or wasting. JAMA Pediatrics, 169, e151431.
64. World Health Organization Multicentre Growth Reference Study Group. (2006). WHO child growth standards based on length/height, weight and age. Acta Paediatrica. Supplement, 450, 76–85.
65. Xie, C., Epstein, L. H., Eiden, R. D., Shenassa, E. D., Li, X., Liao, Y., & Wen, X. (2016). Stunting at 5 years among SGA newborns. Pediatrics, 137, 1–10.
66. Young, M. F., Nguyen, P. H., Addo, O. Y., Hao, W., Nguyen, H., Pham, H., … Ramakrishnan, U. (2015). The relative influence of maternal nutritional status before and during pregnancy on birth outcomes in Vietnam. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 194, 223–222.