Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys
Open Access
- 29 August 2018
- journal article
- research article
- Published by Cambridge University Press (CUP) in Public Health Nutrition
- Vol. 21 (16), 2915-2928
- https://doi.org/10.1017/s1368980018001982
Abstract
ObjectiveTo describe trends of childhood stunting among under-5s in Uganda and to assess the impact of maternal education, wealth and residence on stunting.DesignSerial and pooled cross-sectional analyses of data from Uganda Demographic and Health Surveys (UDHS) of 1995, 2001, 2006 and 2011. Prevalence of stunting and mean height-for-age Z-score were computed by maternal education, wealth index, region and other sociodemographic characteristics. Multivariable logistic and linear regression models were fitted to survey-specific and pooled data to estimate independent associations between covariates and stunting or Z-score. Sampling weights were applied in all analyses.SettingUganda.SubjectsChildren aged <5 years.ResultsWeighted sample size was 14 747 children. Stunting prevalence decreased from 44·8% in 1995 to 33·2% in 2011. UDHS reported stunting as 38% in 1995, underestimating the decline because of transitioning from National Center for Health Statistics/Centers for Disease Control and Prevention standards to WHO standards. Nevertheless, one in three Ugandan children was still stunted by 2011. South Western, Mid Western, Kampala and East Central regions had highest odds of stunting. Being born in a poor or middle-income household, of a teen mother, without secondary education were associated with stunting. Other persistent stunting predictors included small birth size, male gender and age 2–3 years.ConclusionsSustained decrease in stunting suggests that child nutrition interventions have been successful; however, current prevalence does not meet Millennium Development Goals. Stunting remains a public health concern and must be addressed. Customizing established measures such as female education and wealth creation while targeting the most vulnerable groups may further reduce childhood stunting.This publication has 34 references indexed in Scilit:
- Critical windows for nutritional interventions against stuntingThe American Journal of Clinical Nutrition, 2013
- A Probability Sample for Monitoring the HIV-infected Population in Care in the U.S. and in Selected StatesThe Open AIDS Journal, 2012
- Trends and determinants of undernutrition among young Kenyan children: Kenya Demographic and Health Survey; 1993, 1998, 2003 and 2008–2009Public Health Nutrition, 2012
- Prevalence and trends of stunting among pre-school children, 1990–2020Public Health Nutrition, 2011
- Risk Factors and Trends in Childhood Stunting in a District in Western UgandaJournal of Tropical Pediatrics, 2010
- Boys are more stunted than girls in Sub-Saharan Africa: a meta-analysis of 16 demographic and health surveysBMC Pediatrics, 2007
- ‘We are not eating our own food here’: food security and the cash economy in Eastern UgandaLand Degradation & Development, 2006
- Fertility in Kenya and Uganda: A comparative study of trends and determinantsPopulation Studies, 2005
- Infant and Young Child Feeding in Western Uganda: Knowledge, Practices and Socio-economic CorrelatesJournal of Tropical Pediatrics, 2005
- Size at Birth and Gestational Age as Predictors of Adult Height and WeightEpidemiology, 2005