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Characterizing Undernourished Children Under-Five Years Old with Diarrhoea in Mozambique: A Hospital Based Cross-Sectional Study, 2015–2019
ISSN: 2072-6643 ;EISSN: 2072-6643 ;DOI: 10.3390/nu14061164
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Title:
Characterizing Undernourished Children Under-Five Years Old with Diarrhoea in Mozambique: A Hospital Based Cross-Sectional Study, 2015–2019
Author:
Sambo, Júlia
;
Cassocera, Marta
;
Chissaque, Assucênio
;
Bauhofer, Adilson Fernando Loforte
;
Roucher, Clémentine
;
Chilaúle, Jorfélia
;
Cossa-Moiane, Idalécia
;
Guimarães, Esperança L
;
Manhique-Coutinho, Lena
;
Anapakala, Elda
;
Bero, Diocreciano M
;
Langa, Jerónimo S
;
Polman, Katja
;
Gonçalves, Luzia
;
de Deus, Nilsa
Subjects:
Associated factors
;
Children
;
Diarrhoea
;
Mozambique
;
Undernutrition
Description:
Diarrhoea is associated with undernutrition and this association is related to increased morbidity and mortality in children under-five. In this analysis we aimed to assess the frequency and associated factors of undernutrition in children under-five with diarrhoea. A hospital-based cross-sectional study was conducted from January 2015 to December 2019 through a surveillance system in five sentinel hospitals in Mozambique. Sociodemographic and clinical information was collected, including anthropometry. A total of 963 children were analysed. The overall undernutrition frequency was 54.1% (95% CI: 50.9–57.2), with 32.5% (95% CI: 29.6–35.5) stunting, 26.6% (95% CI: 23.9–29.6) wasting and 24.7% (95% CI: 22.1–27.5) underweight. Children from Nampula province had 4.7 (p = 0.016) higher odds for stunting compared with children from Maputo and Zambézia. Children whose mother was illiterate had higher odds of being underweight 5.4 (p < 0.001). Children born under 2500 g of weight had 2.85 (p = 0.001), 2.97 (p < 0.001) and 2.19 (p = 0.013) higher odds for being underweighted, wasted and stunted, respectively. The HIV positive status of the children was associated with higher odds of being underweight 2.88 (p = 0.005), wasted 2.24 (p = 0.025), and stunted 2.89 (p = 0.004). The province, caregiver education level, child’s birthweight and HIV status were factors associated with undernutrition in children with diarrhoea. These findings emphasise the need for additional caregiver’s education on the child’s nutrition and associated infectious diseases. More studies are needed to better understand the social context in which a child with diarrhoea and undernutrition is inserted.
Creation Date:
2022-03
Language:
English
Identifier:
ISSN: 2072-6643
EISSN: 2072-6643
DOI: 10.3390/nu14061164
Source:
PubMed (Medline)
Geneva Foundation Free Medical Journals at publisher websites
AUTh Library subscriptions: ProQuest Central
Vrije Universiteit
ROAD
DOAJ Directory of Open Access Journals
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