Prevalence and associated Factors of Malnutrition, among Children 6-59 months old in Pastoral communities of Aweil Centre, South Sudan
is one of the leading causes of morbidity and mortality among children globally
has been linked to 60% of the 10.9million deaths annually of children under five.
The median stunting prevalence in WHO African region is 31.3%.
Center of South Sudan has consistently high malnutrition rates despite running nutrition
projects with relative stability. Results from nutrition survey in November 2013
indicated a severe acute malnutrition (SAM) prevalence rate of 6.3% (95% CI, 4.5-8.9)
and a global acute malnutrition (GAM) rate of 22.4% (95% CI, 17.8-27.7). Both prevalence
rates were above the WHO thresholds of 15% and 2% respectively.
cross-sectional study done with two-stage cluster sampling method showed that generally
children 6-59 months in Aweil Center have poor nutritional status with GAM (<-2
z-score and/or edema) of 23.2% (95% CI, 19.0-27.9) and SAM (% < -3SD) of 7% (95%
CI, 4.9%-9.9%). However, stunting based on height/length-for-age z-scores was 8.7%
(95% CI, 6.5-11.6), which was within the acceptable new WHO’s threshold regarded
as low probably due to genetic factors for tallness for Dinka tribe.
study revealed high burden of infectious diseases at 94.5% with p-value 0.00022
(95%C. I, 0.1667-0.291). Poor feeding and family planning practices; poor access
roads to markets contribute to childhood malnutrition.
approach is needed to root out the chronic malnutrition from Aweil center shift
from food Aid to support of food production, scale up of primary health care and
iCCM interventions and community awareness on feeding practices among others.
Associated-factors, Malnutrition, Children 6-59 months, Infectious diseases, Genetics.
BJ, Agho KE, Merom D, Renzaho AM, Hall JJ (2017) Child malnutrition in
Sub-Saharan Africa: A meta-analysis of demographic and health surveys
(2006-2016). PLoS ONE 12(5): e0177338
M. and Mpairwe A.2017. WHO emergency nutrition response in South Sudan https://www.ennonline.net/fex/53/whoinsouthsudan
2010. Guidelines for measuring household and individual dietary diversity. fao_guidelines_for_measuring_dietary_diversity_2010_october
H. H. 2017. Reproductive health causes tension in South Sudan
E, King A, Awira A and Koyoki L 2013. Integrating severe acute malnutrition
into the management of childhood diseases at community level in South Sudan. https://www.malariaconsortium.org/media-downloads/248/
Aryastami K N, Shankar A, Kusumawardani N, Besral B, Jahari B, A and Achadi E
2017. Low birth weight was the most dominant predictor associated with stunting
among children aged 12–23 months in Indonesia. BMC Nutrition (2017) 3:16 DOI
L.V, Mahendra D. S, and Jayachandran U 2016. Impact of agricultural
interventions on the nutritional status in South Asia: A review. PMC4952527
Harvey and Beth Rogers, 2007. Nutrition status and its determinants in Southern
Thokozani 2014. "Review of Maternal Effects on Early Childhood
Stunting." Grand Challenges Canada Economic Returns to Mitigating Early
Life Risks Project Working Paper Series, 2014-18. https://repository.upenn.edu/gcc_economic_returns/18
Sudan Centre for Census, Statistics and Evaluation (SSCCSE) 2010. Poverty in
Southern Sudan: Estimates from NBHS (2010)
Nations 2015. The Millennium Development Goals Report 2015
2015, Progress for Children Beyond averages: learning from the MDGs. NUMBER 11,
J, Blaauw R, and Labadarios D 2010. 2010 Congress Supplement. Clinical
Nutrition Challenges: Evidence vs Practice. S Afr J Clin Nutr S1 2010;23(1)
1999. Management of severe malnutrition: a manual for physicians and other
senior health workers. Geneva
2003. Global strategy for infant and young child feeding. Geneva.
2017. Nutrition in the WHO African Region. Brazzaville: World Health
health organization2015. Vaccination coverage cluster surveys: Reference
2017. Sudan Humanitarian Response Plan 2017. Health sector situation http://www.who.int/emergencies/response-plans/2017/sudan/en/
2018. Vitamin A supplementation in infants and children 6–59 months of age.
E-Library of Evidence for Nutrition Actions (eLENA).