Predictors of Acute Malnutrition Among 6 - 23 Months Children in Hidhebu Abote Woreda, Oromia, Ethiopia

Abstract

Introduction: Malnutrition is major public-health problem throughout the developing world and is an underlying factor in over 50% of the 10–11 million children under 5 years of age who die each year. Although the prevalence of malnutrition is generally high in Ethiopia, there were no enough documented predictors. Therefore; this study was undertaken to identify predictors of acute malnutrition among 6 - 23 months in HidhebuAbote Woreda, Oromiya Regional State, Ethiopia.  Methods: Community based unmatched case-control study design was utilized. Children of 6-23 months in the Woreda were screened by weight for height and 288 children (144 cases and 144 controls) were selected by simple random sampling technique. Results: The mean age of the cases and controls were 13.38 (+ 4.68) and 14.41 (+ 5.44) month respectively. There were more males in the cases 68 (47.5%) than in the controls 58 (40.5%). Cases with malnutrition were more likely to: have mothers who did not graduate as model by the health extension program (AOR= 7.246), have spring and /or river as source of drinking water (AOR= 5.349), initiate breastfeeding late (AOR= 4.248), not exclusively breastfed(AOR= 4.586), not given  colostrums(AOR=2.706), be bottle fed (AOR=3.111) and have illness during the last two weeks before the survey (AOR=4.136) compared to controls.Conclusion: Finally this study identified that distal, intermediate and proximal factors associated with Acute Malnutrition among 6 - 23 months Children in the study area. Therefore, those factors associated with Acute Malnutrition would be emphatically considered during development of child health and Nutritional programs by police makers in collaboration with others responsible bodies. Federal ministry of health would be better to give greater emphases to address under two years child Nutritional status to improve through health education by using mass media and community mobilization in more comprehensive manner by integrated to health extension program of model family graduation package about child nutritional and optimal child feeding practices based on the final guideline and improving water and sanitation including home based treatment of water using ‘Wuha’ Agar.

Key words: Acute Malnutrition 6 - 23 Months Children Hidhebu Abote Woreda