Association between Women’s Empowerment and Other Socio-Demographic and Nutritional Factors on Stunting among Children Aged 6 to 59 Months: Data from 2016 EDHS
DOI:
https://doi.org/10.26911/thejmch.2022.07.06.02Abstract
Background: Stunting is the most prevalent form of malnutrition in children under five years of age in Ethiopia. Evidence supporting women’s impact on reducing child stunting is limited. In this paper, we examine the association between women’s empowerment and socio-demographic factors on stunting among children aged 6 to 59 months.
Subjects and Method: The study used the EDHS 2016 dataset. Children aged 6-59 months whose mothers (aged 15-49 years) were living with their husbands at the time of the survey were included. We enrolled 8,496 mother and child pairs. Complex sample logistic regression analysis was employed to determine the association between child stunting and the predictors. Data analyses were employed using SPSS Version 22.
Results: Around 2,624 (31%) of the mothers were 25 to 29 years old. In the 12 months before the survey, around 45% (3,806) of the mothers were employed; 2,072 (54%) of them had seasonal jobs, and the 1,734 (45%) remaining mothers had full-time employment. Among employed mothers, about 50.5% (1,921) had not received payment for their work. Household wealth index (AOR= 1.9; 95% CI= 1.44 to 2.73) and maternal height (AOR= 1.9; 95% CI= 1.28 to 2.82), and having a boy child (AOR= 1.3; 95%CI= 1.08 to 1.46) is more liked associating with stunting. But maternal attitude towards wife-beating (AOR= 1.1; 95% CI= 0.89 to 1.26) had no association with it.
Conclusion: children born from the poorest households, low maternal height (<145cm), and male sex have increased risk of stunting. Lastly, Mothers' economic and socio-familial empowerment do not predict the risk of child stunting.
Keywords: stunting, empowerment, women, Ethiopian demographic health survey.
Correspondence: Yirgalem Shibiru Baruda. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Email: yirgalemsh75@gmail.com.
References
Ali Z, Saaka M, Adams AG, Kamwininaang SK, Abizari AR (2017). The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana. BMC Nutr. 3:31. doi: 10.1186/s4079501701542.
Azupogo F, Abdul-Rahaman F, Gyanteh B, Atosona A (2019). Hygiene and sanitation practices and the risk of morbidity among children 6–23 months of age in Kumbungu District, Ghana. Adv. Public health, 2019, 1–12. https://doi.org/10.1155/2019/4313759
Bach A, Gregor E, Sridhar S, Fekadu H, Fawzi W (2020). Multisectoral integration of nutrition, health, and agriculture: implementation lessons from Ethiopia. Food Nutr Bull. 41(2):275-292. doi: 10.1177/0379572119895097.
Bhagowalia P, Menon P, Quisumbing AR, Soundararajan V (2012). IFPRI discussion paper01192 what dimensions of women’s empowerment matter most for child nutrition? evidence using nationally representative data from Bangladesh.
Soboksa NE, Gari SR, Hailu AB, Alemu BM (2020). Association between microbial water quality, sanitation and hygiene practices and childhood diarrhea in Kersa and Omo Nada districts of Jimma Zone, Ethiopia. PLoS One. 15(2): e0229303. doi: 10.1371/journal.pone.0229303.
Ethiopian central Stastical A, International, I (2016). Ethiopian demographic and health survey.
Chipili G, Msuya J, Pacific R, Majili Z (2018). Women empowerment and the nutrition status of children aged between 6-59 months. J Nutr Health Sci, 5(2). https://doi.org/10.15744/23939060.5.208
Hagos S, Hailemariam D, WoldeHanna T, Lindtjørn B (2017). Spatial heterogeneity and risk factors for stunting among children under age five in Ethiopia: A Bayesian geostatistical model. PLoS One. 12(2): e0170785. doi: 10.1371/journal.pone.0170785.
Hameed W, Azmat SK, Ali M, Sheikh MI, Abbas G, Temmerman M, Avan BI (2014). Women's empowerment and contraceptive use: the role of independent versus couples' decision-making, from a lower middle income country perspective. PLoS One. 9(8): e104633. doi: 10.1371/journal.pone.0104633.
Hannan A, Mentor F, Kavita, Ongechi S (2016). The association between women’s empowerment and child nutrition in Bangladesh.
Rytter MJ, Kolte L, Briend A, Friis H, Christensen VB (2014). The immune system in children with malnutritiona systematic review. PLoS One. 9(8): e105017. doi: 10.1371/journal.pone.0105017.
Hong R (2007). Effect of economic inequality on chronic childhood undernutrition in Ghana. Public Health Nutr. 2007 Apr;10(4):371-8. doi: 10.1017/S1368980007226035. PMID: 17362533.
Hong R (2007). Effect of economic inequa-lity on chronic childhood undernutrition in Ghana. Public Health Nutr. 10(4): 371-8. doi: 10.1017/S1368980007226035.
Kamiya Y, Nomura M, Ogino H, Yoshikawa, K, Siengsounthone L, Xangsayarath, P (2017). Mothers’ autonomy and childhood stunting: evidence from semi-urban communities in Lao PDR. BMC Women’s Health, 18(70). https://doi.org/10.1186/s1290501805673
Khan MN, Islam MM (2018). Women’s attitude towards wife-beating and its relationship with reproductive health-care seeking behavior: A countrywide population survey in Bangladesh. PLoS ONE. 13(6). https://doi.org/10.1371/journal.pone.0198833
Mebratie AD, Van de Poel E, Yilma Z, Abebaw D, Alemu G, Bedi AS (2014). Healthcare-seeking behaviour in rural Ethiopia: evidence from clinical vignettes. BMJ Open. 4(2): e004020. doi: 10.1136/bmjopen2013004020.
Mohammed SH, Muhammad F, Pakzad R, Alizadeh S (2019). Socioeconomic inequality in stunting among under-5 children in Ethiopia: a decomposition analysis. BMC Res Notes. 12(1):184. doi: 10.1186/s1310401942299.
Monday S, Elijah, K, Victor M (2018). Factors Influencing malnutrition among under five children at kitwe teaching hospital, Zambia. Int J Current Innovations in Advanced Research Citation, 1(7), 9–18. www.ijciaropenaccess.com
Musbah E, Worku A (2016). Influence of maternal education on child stunting in SNNPR, Ethiopia. Central African Journal of Public Health, 2(2), 71–82. https://doi.org/10.11648/j.cajph.20160202.15
Na M, Jennings L, Talegawkar SA, Ahmed S (2015). Association between women's empowerment and infant and child feeding practices in sub-Saharan Africa: an analysis of Demographic and Health Surveys. Public Health Nutr. 18(17):3155-65. doi: 10.1017/S1368980015002621.
Negash C, Whiting SJ, Henry CJ, Belachew T, Hailemariam TG (2015). Association between Maternal and Child Nutritional Status in Hula, Rural Southern Ethiopia: A Cross Sectional Study. PLoS One. 10(11):e0142301. doi: 10.1371/journal.pone.0142301.
Ross-Suits HM (2010). Public health theses school of public health 3-16-2010 public health commons recommended citation recommended citation Ross-Suits. Thesis. https://doi.org/10.57709/1341035
Shiwakoti R, Devkota MD, Paudel R (2017). Women’s empowerment and nutritional status of their children: a community-based study from villages of bhaktapur district, nepal. Universal Journal of Public Health, 5(1), 8–16. https://doi.org/10.13189/ujph.2017.050102
Shroff M, Griffiths P, Adair L, Suchindran C, Bentley M (2009). Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. Matern Child Nutr. 5(1):64-74. doi: 10.1111/j.17408709.2008.00161.x.
UNICEF, WHO, World Bank Group (2017). Level and trends in chid malnutrition: UNICEF/WHO/ World Bank Group Joing Child Malnutrition Estimate, Key finding 2017 edition.
van den Bold M, Quisumbing AR, Gillespie S (2013). Women’s empowerment and nutrition an evidence review.
Wamani H, Astrøm AN, Peterson S, Tumwine JK, Tylleskär T (2007). Boys are more stunted than girls in sub-Saha-ran Africa: a meta-analysis of 16 demographic and health surveys. BMC Pediatr. 7:17. doi: 10.1186/14712431717.
World Health Organization (2018). Reducing stunting in children: equity consideration for achieving global target 2025.
World Health Organization (2020). UNICEF/ WHO/ The World Bank Group joint child malnutirition estimate: level and trend child malnutirition: key finding of the 2020 edition.
Yalew BM (2013). Prevalence of malnutrition and associated factors among children age 6-59 months at Lalibela Town Administration, North Wollo-Zone, Anrs, Northern Ethiopia. J Nutr Disorders Ther, 04(132). https://doi.org/10.4172/21610509.1000132
Yang YY, Kaddu G, Ngendahimana D, Barkoukis H, Freedman D, Lubaale YA, Mupere E, Bakaki PM (2018). Trends and determinants of stunting among under-5s: evidence from the 1995, 2001, 2006 and 2011 Uganda Demographic and Health Surveys. Public Health Nutr. 21(16):2915-2928. doi: 10.1017/S1368980018001982.