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Spatial Variations and Determinants of Acute Malnutrition Among Under- Five Children in Ethiopia: Evidence from 2019 Ethiopian Demographic Health Survey Cover

Spatial Variations and Determinants of Acute Malnutrition Among Under- Five Children in Ethiopia: Evidence from 2019 Ethiopian Demographic Health Survey

Open Access
|Nov 2021

Figures & Tables

Table 1

The Descriptive Characteristics of the Study Participants.

VARIABLESWASTEDNOT WASTEDWASTEDNOT WASTED
WEIGHTED FREQUENCY (%)WEIGHTED FREQUENCY (%)VARIABLESWEIGHTED FREQUENCY (%)WEIGHTED FREQUENCY (%)
Sex of childWealth index
Male223.8 (62.7)2293.6 (49.9)Poorest135.5 (37.9)1034 (22.5)
Female132.9 (37.3)2305.0 (50.1)Poorer80.0 (22.4)1002.4 (21.8)
Age of childMiddle47.1 (13.2)875.7 (19.0)
0–5m48.6 (13.6)467.9 (10.2)Richer55.4 (15.5)809.8 (17.6)
6–11m29.3 (8.2)437.3 (9.5)Richest38.7 (10.9)876.4 (19.1)
12–23m78.8 (22.1)911.3 (19.8)Child birth order
24–35m76.3 (21.4)897.8 (19.5)First113.6 (31.8)1816.6 (39.5)
>36m123.6 (34.6)1884.4 (41)Second80.2 (22.5)1216.2 (26.5)
ANC visitThird162.9 (45.7)1565.9 (34.1)
Yes161.2 (65.1)2524.7 (75.8)Mother educational level
No86.3 (34.9)803.8 (24.2)No education247.7 (69.5)2426 (52.8)
Under-five children in housePrimary86.0 (24.1)1655 (36.0)
1 child103.8 (29.2)1836.4 (40.1)Secondary& above122.9 (6.4)516.5 (11.2)
2 child180.0 (50.6)2124.7 (46.4)Household size
3 child72.2 (20.3)621.7 (13.6)1–470.7 (19.8)1333.4 (29.0)
Source of drinking water5–9248.6 (69.7)2951.5 (64.2)
unimproved129.9 (36.4)1626.1 (35.4)10 and more37.4 (10.5)313.7 (6.8)
Improved226.8 (63.6)2969.4 (64.6)Residence
Vaccination statusurban70.4 (19.7)1161.9 (25.3)
Yes63.4 (17.5)825.7 (17.9)Rural286.3 (80.3)3436.7 (74.7)
No294.4 (82.5)3772.8 (82.0)
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Figure 1

Acute and severe malnutrition among children aged 6–59 months in Ethiopia, 2019 EDHS.

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Figure 2

The global spatial autocorrelation of wasted children in Ethiopia, 2019 EDHS.

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Figure 3

The global spatial autocorrelation of severely wasted children in Ethiopia, 2019 EDHS.

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Figure 4

Spatial distribution of wasting among under-five children in Ethiopia, 2019 EDHS.

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Figure 5

Spatial distribution of severely wasted under-five children in Ethiopia, 2019 EDHS.

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Figure 6

Hotspot analysis of wasting among under-five children in Ethiopia, 2019 EDHS.

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Figure 7

Hotspot analysis of severely wasted under-five children in Ethiopia, 2019 EDHS.

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Figure 8

Spatial Interpolation of wasting among under-five children in Ethiopia, EDHS 2019.

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Figure 9

Spatial Interpolation of severely wasted children in Ethiopia, EDHS 2019.

Table 2

Significant Spatial Clusters of Wasting Among Under-Five Children in Ethiopia, 2019.

YEARCLUSTERENUMERATION AREAS (CLUSTERS DETECTED)COORDINATES/RADIUSPOPULATIONCASESRRLLRP-VALUE
20191135, 123, 140, 137, 138, 124, 131, 145, 132, 122, 134, 136, 142, 133, 139, 129, 121, 130, 107, 250, 1416.639662 N, 44.465853 E/381.04 km5151162.9046.96<0.000
21934.495034 N, 36.230625 E/0 km36206.2524.95<0.000
342, 40, 699.548779 N, 40.084216 E/39.15 km60203.7513.72<0.000

[i] ** N.B LLR, log-likelihood ratio; RR, relative risk.

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Figure 10

SaTScan scan analysis of wasting among under-five children in Ethiopia, 2019 EDHS.

Table 3

Significant Spatial Clusters Severely Wasted Children in Ethiopia, 2019.

YEARCLUSTERENUMERATION AREAS (CLUSTERS DETECTED)COORDINATES/RADIUSPOPULATIONCASESRRLLRP-VALUE
20191137, 138, 123, 135, 142, 136, 145, 134, 140, 131, 141, 1225.856584 N, 43.726016 E/284.96 km291266.424.2<0.001
21934.495034 N, 36.230625 E/0 km3669.88.56<0.030

[i] ** N.B LLR, log-likelihood ratio; RR, relative risk.

agh-87-1-3500-g11.png
Figure 11

SaTScan scan analysis of severely wasted children in Ethiopia, 2019 EDHS.

Table 4

Model estimates for factors associated with acute malnutrition in 2019.

2019 EDHSMODEL 0MODEL 1MODEL 2MODEL 3
Inter-cluster correlation (ICC)0.610.220.110.04
Log-likelihood ratio (LLR)–1580.1–1014.7–1480.7–984.0
Proportional change in variance (PCV)Reference0.610.710.72
Table 5

Factors Associated with Wasting Among Children in Ethiopia by Multilevel Logistic Regression Analysis, EDHS 2019.

VARIABLESMODEL IMODEL IIMODEL III
Sex of child
      Male1.8 (1.3–2.7)***1.9 (1.3–2.7)***
      Female1.001.00
Child’s age(months)
      0–5m1.001.00
      6–11 m0.7 (0.4–1.3)0.6 (0.3–1.2)
      12–23 m0.9 (0.6–1.7)1.0 (0.5–1.8)
      24–35m0.8 (0.5–1.6)0.9 (0.5–1.7)
      >36m0.5 (0.3–0.9)*0.5 (0.2–0.9)*
Wealth index
      Poorest1.001.00
      Poorer0.8 (0.5–1.2)1.1 (0.6–1.8)
      Middle0.6 (0.3–1.1)0.8 (0.4–1.5)
      Richer0.6 (0.4–1.1)0.9 (0.5–1.7)
      Richest0.5 (0.2–0.8)*0.6 (0.3–1.4)
Source of drinking water
      unimproved1.4 (0.9–2.2)1.5 (1.0–2.3)*
      improved1.001.00
Region
      Tigray1.001.00
      Afar1.6 (0.9–2.8)1.1 (0.5–2.1)
      Amhara0.8 (0.5–1.4)0.7 (0.4–1.3)
      Oromiya0.5 (0.3–0.8)*0.3 (0.1–0.6)***
      Somali2.7 (1.7–4.3)***1.5 (0.7–2.9)
      Benishangul Gumz0.7 (0.3–1.3)0.3 (0.2–0.7)***
      SNNP0.6 (0.4–1.3)0.4 (0.2–0.7)***
      Gambella1.5 (0.9–2.7)1.4 (0.7–2.9)
      Harari0.4 (0.2–0.8)*0.3 (0.2–0.8)*
      Addis Abeba0.3 (0.1–0.7)*0.2 (0.1–0.8)*
      Dire Dawa0.7 (0.3–1.2)0.4 (0.2–0.9)*
DOI: https://doi.org/10.5334/aogh.3500 | Journal eISSN: 2214-9996
Language: English
Published on: Nov 22, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Binyam Tariku Seboka, Tilahun Dessie Alene, Habtamu Setegn Ngusie, Samuel Hailegebreal, Delelegn Emwodew Yehualashet, Girma Gilano, Mohammedjud Hassen Ahmed, Robel Hussen Kabthymer, Girum Gebremeskel Kanno, Getanew Aschalew Tesfa, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.