Prevalence and correlates of severe under-5 child anthropometric failure measured by the Composite Index of Severe Anthropometric Failure in Bangladesh

Chowdhury, Mohammad Rocky Khan, Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730, Rashid, Mamunur, Mondal, Nazrul Islam, Bornee, Farzana Akhter and Billah, Baki (2022) Prevalence and correlates of severe under-5 child anthropometric failure measured by the Composite Index of Severe Anthropometric Failure in Bangladesh. Frontiers in Pediatrics, 10.

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Abstract

Background: Although Bangladesh has made noticeable progress in reducing the prevalence of stunting, wasting, and being underweight among under-5 children, it has not been very successful in reducing overall severe anthropometric failure (SAF) among them. Therefore, the study aims to identify
the prevalence and risk factors of SAF measured by the Composite Index of Severe Anthropometric Failure (CISAF) among under-5 children in Bangladesh.
Methods: Data was drawn from a cross-sectional Bangladesh Demographic Health Survey (BDHS) conducted in 2017–2018. A bivariate analysis (Chi-square test) and logistic regression analysis were used to estimate the unadjusted, and age and sex-adjusted prevalence of SAF. Odds ratio (OR) and confidence interval (CI) were assessed using logistic regression analysis to identify the various risk factor of SAF.
Results: The overall adjusted prevalence of under-5 child SAF was 11.3% (95% CI: 10.6–12.0) and it was highly prevalent among children of uneducated mothers (adjusted, 22%, 95% CI: 17.3–26.8). The key factors associated with
SAF were children in the age group 24–35 months (OR: 2.43, 95% CI: 1.83–3.23), children born with low birth weight (OR: 3.14, 95% CI: 2.24–4.97), children of underweight mothers (OR: 1.82, 95% CI: 1.44–2.29), children of parents with no formal education (OR: 2.28, 95% CI: 1.56–3.31) and children
from lower socio-economic status (OR: 2.25, 95% CI: 1.55–3.26).
Conclusion: Prioritizing and ensuring context-specific interventions addressing individual, community, public policy, and environment level risk factors from policy level to implementation to reduce structural and intermediary determinants of under-5 SAF.

Item Type: Article
Identifier: 10.3389/fped.2022.978568
Additional Information: © 2022 Chowdhury, Khan, Rashid, Mondal, Bornee and Billah. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. This is the final version of the following article: [Chowdhury MRK, Khan HTA, Rashid M, Mondal MNI, Bornee FA and Billah B (2022) Prevalence and correlates of severe under-5 child anthropometric failure measured by the composite index of severe anthropometric failure in Bangladesh. Front. Pediatr. 10:978568. doi: 10.3389/fped.2022.978568], which was first published by Fronters Media at https://doi.org/10.3389/fped.2022.978568.
Keywords: Bangladesh, children, severe malnutrition, determinants, undernutrition
Subjects: Medicine and health > Health promotion and public health
Related URLs:
Depositing User: Hafiz T.A. Khan
Date Deposited: 14 Sep 2022 08:54
Last Modified: 06 Oct 2022 15:59
URI: https://repository.uwl.ac.uk/id/eprint/9398

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