Acute Undernutrition (Wasting) and Associated Factors among Children Aged 6-23 Months in Kemba Woreda, Southern Ethiopia: A Community Based Cross-Sectional Study
Eskezyiaw Agedew*, Assegedew Shimeles
Background: wasting is a major health problem in developing countries. Wasting (low in weight- for- age of < -2 Z -score) is affecting significant number of children in the world and responsible for loss of many child lives particularly in Asian and sub-Saharan countries. Identifying potential factors and forecasting appropriate intervention strategies plays vital role in declining child mortality.
Objective :To assess acute undernutrition (wasting) and associated factors among Children aged 6-23 Months in Kemba Woreda, Southern Ethiopia.
Methods : Community based cross-sectional study was carried out among 562 mothers who have young child from 6-23 months in 2014/15 in Kemba Woreda by using pre tested and structured questioners. Multivariate analyses were conducted by SPSS version 20.
Results :The prevalence of wasting was found to be 21% with 95% CI (17.2-23.9). In multiple logistic regressions, boys[AOR: 1.8; 95% CI(1.17-2.81)],maternal age > 30years [AOR: 2.60; 95% CI(1.07-6.35)], mothers who have no formal education [AOR: 2.76; 95% CI(1.63-4.69)], mothers who work as daily workers [AOR: 3.06; 95% CI(1.03-9.12)] and have Private work activity(merchant, farmers) [AOR: 2.39; 95% CI(1.61-3.53)],mothers who have no antenatal and post natal follow up [AOR: 2.33; 95% CI(1.45-3.74)], [AOR: 1.82; 95%CI(1.02-3.25)] respectively, non-exclusive breastfed children [AOR: 2.18; 95% CI(1.20-3.99)] and media exposure of the mother[AOR: 1.99;95% CI(1.19-3.32)] were identified as significant independent predictors of childhood acute under-nutrition. However, medical illness of children and immunization status were not associated with wasting.
Conclusion and Recommendation: A great proportion of children were affected by acute nutritional insult. Significant numbers of factors were found to be having statistical association with wasting. An organized effort should be made at all levels to increase maternal awareness and strengthening on practice of exclusive breastfeeding, proper antenatal and post natal care provision to solve the high level of acute under-nutrition in children.