Determinants of wasting among children aged 6-59 months in Wonago woreda, south Ethiopia. A facility-based unmatched case-control study.

Abstract

BackgroundWasting continued to threaten the lives of 52 million (7.7%) under-five children globally. Sub-Saharan Africa accounts for one-third of all wasted children globally, and Ethiopia is among the countries with the highest magnitude of Wasting in the region. Despite, the little decrement in the prevalence of other forms of malnutrition (stunting and underweight), the burden of wasting remains the same in the country. Gedeo zone is among those with a high prevalence of under-five wasting.ObjectiveTo identify determinants of wasting among children aged 6-59 months in Wonago Woreda, 2018.MethodsA facility-based unmatched case-control study was conducted from May 11 to July 21/2018. A total of 356 (119 cases and 237 controls) mothers/caregivers of under-five children who visited the Wonago woreda public health facilities were included in the study using systematic random sampling. Data were collected using a structured questionnaire and anthropometric measurement. Descriptive analysis was used to describe data. Binary logistic regression was used to identify determinants of wasting among children aged 6-59 months. Variables with p-value ResultsDeterminants which found to have an association with wasting in this study were; maternal illiteracy [AOR = 2.48, 95% CI (1.11, 5.53)] family size Conclusion and recommendationsDeterminants identified were maternal education, family size, wealth index, and exclusive breastfeeding, dietary diversity, and morbidity history of a child in the last 2 weeks. To reduce childhood wasting, due emphasis should be given to empowering women and improving the knowledge and practice of parents on appropriate infant and young child-caring practices.