search
for
 About Bioline  All Journals  Testimonials  Membership  News  Donations


African Journal of Food, Agriculture, Nutrition and Development
Rural Outreach Program
ISSN: 1684-5358
EISSN: 1684-5374
Vol. 14, No. 5, 2014, pp. 2088-2113
Bioline Code: nd14056
Full paper language: English
Document type: Research Article
Document available free of charge

African Journal of Food, Agriculture, Nutrition and Development, Vol. 14, No. 5, 2014, pp. 2088-2113

 en MALNUTRITION AMIDST PLENTY: AN ASSESSMENT OF FACTORS RESPONSIBLE FOR PERSISTENT HIGH LEVELS OF CHILDHOOD STUNTING IN FOOD SECURE WESTERN UGANDA
Kikafunda, J.K.; Agaba, E. & Bambona, A.

Abstract

In spite of favourable natural and human resource capacity, malnutrition remains an important health and welfare problem in Uganda especially among children below 5 years. Western Uganda has persistently registered highest levels of childhood malnutrition despite being referred to as “the food basket” of the country. This study sought to establish the causes of persistent child undernutrition to guide design of effective nutritional policies and interventions. This was a cross-sectional study that used both quantitative and qualitative methods. Multistage random sampling and stratified sampling were used to select study areas and households with children 6.59 months, respectively. Stunting levels were determined using anthropometric measurements of height-for-age using the US National Center for Health Statistics (NCHS) Reference Standards, which were approved for use in developing countries by the World Health Organization (WHO). The main causes of malnutrition were determined by logistic regression analysis. Almost half (46%) of children below 5 years were stunted, which is comparable to national prevalence of 47.8% for Western Uganda and this is unacceptably high. The major causes of stunting at (p ≤0.05) were improper health and sanitation, poor child feeding practices, poor access to appropriate knowledge for health and nutrition, poor socio-economic variables of access to food, type of employment, distance to main roads and markets, housing facility, income flow regime, gender disparities and access to fuel for cooking. Overall, there is low intake of animal protein and generally constrained access to adequate amount of food required for normal growth and development. At multivariate level, the main risk factors included; lack of information on child health feeding, socio-economic capacity of household, poor hygiene practices, and preparation of special foods for children. Results suggest that more emphasis needs to be put on community nutrition and health education with a focus on diet, hygiene, sanitation, social-economic and livelihood programs, improvement of health care services and diversification of interventions especially into poverty alleviation programs with a nutrition focus.

Keywords
Stunting; young children; nutrition; Uganda

 
© Copyright 2014 - African Journal of Food, Agriculture, Nutrition and Development
Alternative site location: http://www.ajfand.net/

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2017, Site last up-dated on 16-Oct-2017.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Internet Data Center of Rede Nacional de Ensino e Pesquisa, RNP, Brazil