Household Food Insecurity and Its Association with Nutritional Status of Children 6–59 Months of Age in Kebridehar City

https://doi.org/10.22146/ifnp.90356

Ebrahim Hassen Aden(1*), Saleha Abdusamed Mohammed(2)

(1) Department of Human Nutrition, Collage of Dryland Agriculture, Jigjiga University
(2) Department of Human Nutrition, Collage of Dryland Agriculture, Jigjiga University
(*) Corresponding Author

Abstract


Malnutrition, characterized by an imbalance in the intake of calories, proteins, or other nutrients, includes undernutrition and overnutrition. This study aimed to assess the impact of household food insecurity on the nutritional status of children aged 6 to 59 months in Kebridehar town using a community-based cross-sectional approach. The city of Kebridehar was divided into 12 kebeles and the study targeted families with children in the specified age group. A proportional sample of 344 households was randomly selected from each kebele. Data were collected through surveys and analyzed to determine the prevalence of food insecurity and its effects on children's nutrition.

Results: The study revealed significant disparities in food security: 11.6% of households were food secure, while 88.4% were food insecure. Female-headed homes had a lower percentage of impoverished children and the mother's education had a vital influence. Low- and middle-income households had a larger risk of childhood loss than higher-income ones. Smaller families were 15.76 times more likely to suffer food insecurity and homes without health services were 3.27 times higher potential to be food insecure. Children from insecure food families have poorer health outcomes, being 4.95 times more likely to be underweight, 1.30 times more likely to be stunted, and 1.45 times more likely to be wasted.

Conclusion: The study highlights an important problem of food insecurity that affects the health of children. Factors such as the woman's family, the mother's education level, low income and family size are crucial. Urgent interventions are necessary to improve food security and nutritional outcomes, especially for families with low income, less education, and poor sanitation.


Keywords


household food insecurity; household food secure; underweight; stunting; wasting; children

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References

A. Ahmad, S. Madanijah, C. M. Dwiriani, and R. Kolopaking, “Effect of nutrition education and multi-nutrient biscuit interventions on nutritional and iron status: A cluster randomized control trial on undernourished children aged 6–23 months in Aceh, Indonesia,” J. Nutr. Sci. Vitaminol. (Tokyo)., vol. 66, pp. S380–S390, 2020, doi: 10.3177/jnsv.66.S380.

A. M. Azizah, I. Nurmala, and S. R. Devy, “The Effect of Mother’s Educational Level and Stunting Incidence on Toddler: A Meta-analysis Meta Analisis: Pengaruh Tingkat Pendidikan Ibu terhadap Kejadian Stunting pada Anak Balita,” Amerta Nutr., vol. 6, no. 4, pp. 369–375, 2022, doi: 10.20473/amnt.v6i4.2022.369-375.

A. Of, T. H. E. Nutritional, S. Of, T. Hospital, and A. Province, “World Journal of Pharmaceutical Research,” vol. 10, no. 5, pp. 47–59, 2021, doi: 10.20959/wjpr20215-

A. W. FAO, IFAD, UNICEF, WFP, FAO, IFAD, UNICEF, WFP and WHO. (2019). The state and food security and nutrition in the world 2019. Safeguarding against economic slowdowns and downturns. Rome: FAO. 2019.

Abdulahi, A., Shab-Bidar, S., Rezaei, S., & Djafarian, K. (2017). Nutritional Status of Under Five Children in Ethiopia: A Systematic Review and Meta-Analysis. Ethiopian journal of health sciences, 27(2), 175–188. https://doi.org/10.4314/ejhs.v27i2.10

Ali, D., Saha, K. K., Nguyen, P. H., Diressie, M. T., Ruel, M. T., Menon, P., & Rawat, R. (2013). Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. The Journal of nutrition, 143(12), 2015–2021. https://doi.org/10.3945/
jn.113.175182

Althumiri, N. A., Basyouni, M. H., Duhaim, A. F., AlMousa, N., AlJuwaysim, M. F., & BinDhim, N. F. (2021). Understanding Food Waste, Food Insecurity, and the Gap between the Two: A Nationwide Cross-Sectional Study in Saudi Arabia. Foods (Basel, Switzerland), 10(3), 681. https://doi.org/10.3390/
foods10030681

Atalell, K. A., Alemu, T. G., & Wubneh, C. A. (2022). Mapping underweight in children using data from the five Ethiopia Demographic and Health Survey data conducted between 2000 and 2019: A geospatial analysis using the Bayesian framework. Frontiers in nutrition, 9,

B. A. Abuya, J. Ciera, and E. Kimani-Murage, “Effect of mother’s education on child’s nutritional status in the slums of Nairobi,” BMC Pediatr., vol. 12, no. 1998, 2012, doi: 10.1186/1471-2431-12-80.

Berra W. G. (2020). Household Food Insecurity Predicts Childhood Undernutrition: A Cross-Sectional Study in West Oromia (Ethiopia). Journal of environmental and public health, 2020, 5871980. https://doi.org/10.1155/2020/5871980K. A. Kuse and D. D. Debeko, (2023). Spatial distribution and determinants of stunting, wasting and underweight in children under-five in Ethiopia. BMC Public Health, vol. 23, no. 1, pp. 1–17. doi: 10.1186/s12889-023-15488-z.

Betebo, B., Ejajo, T., Alemseged, F., & Massa, D. (2017). Household Food Insecurity and Its Association with Nutritional Status of Children 6-59 Months of Age in East Badawacho District, South Ethiopia. Journal of environmental and public health, 2017, 6373595. https://doi.org/10.1155/2017/6373595

Coleman-Jensen, A., Rabbitt, M. P., Gregory, C. A., Singh, A., & Economic Research Service. (2022). Household food security in the United States in 2021 (No. 309). Economic Research Service. https://www.ers.usda.
gov/webdocs/publications/104656/err-309.pdf?v=2807.8

Das, S., Hossain, M. Z., & Nesa, M. K. (2009). Levels and trends in child malnutrition in Bangladesh. Asia-Pacific Population Journal, 24(2), 51-78. https://doi.org/
10.18356/6ef1e09a-en

Derso, A., Bizuneh, H., Keleb, A., Ademas, A., & Adane, M. (2021). Food insecurity status and determinants among Urban Productive Safety Net Program beneficiary households in Addis Ababa, Ethiopia. PLoS ONE, 16(9), e0256634. https://doi.org/10.1371/journal.
pone.0256634

Dessie, Z. B., Fentie, M., Abebe, Z., Ayele, T. A., & Muchie, K. F. (2019). Maternal characteristics and nutritional status among 6-59 months of children in Ethiopia: further analysis of demographic and health survey. BMC pediatrics, 19(1), 83. https://doi.org/10.
1186/s12887-019-1459-x

El Bilbeisi, A. H., Al-Jawaldeh, A., Albelbeisi, A., Abuzerr, S., Elmadfa, I., & Nasreddine, L. (2022). Association of Household Food Insecurity With Dietary Intakes and Nutrition-Related Knowledge, Attitudes, and Practices Among School-Aged Children in Gaza Strip, Palestine. Frontiers in nutrition, 9, 890850. https://doi.org/10.3389/fnut.2022.890850

F. Handayani, A. Siagian, and E. Y. Aritonang, “Mother’s Education as A Determinant of Stunting among Children of Age 24 to 59 Months in North Sumatera Province of Indonesia,” IOSR J. Humanit. Soc. Sci., vol. 22, no. 06, pp. 58–64, 2017, doi: 10.9790/0837-2206095864.

Golovaty, I., Tien, P. C., Price, J. C., Sheira, L., Seligman, H., & Weiser, S. D. (2020). Food Insecurity May Be an Independent Risk Factor Associated with Nonalcoholic Fatty Liver Disease among Low-Income Adults in the United States. The Journal of nutrition, 150(1), 91–98. https://doi.org/10.1093/jn/nxz212

H. Yisak, M. Tadege, B. Ambaw, and A. Ewunetei, “Prevalence and Determinants of Stunting, Wasting, and Underweight Among School-Age Children Aged 6–12 Years in South Gondar Zone, Ethiopia,” Pediatr. Heal. Med. Ther., vol. Volume 12, pp. 23–33, 2021, doi: 10.2147/phmt.s287815.

Haidar, Jemal & Wambui, Kogi-Makau. (2009). Gender Differences In The Household-Headship And Nutritional Status Of Pre-School Children. East African medical journal. 86. 69-73. 10.4314/eamj.v86i2.46936.

I. M. Rahma and M. Mutalazimah, “Correlation between Family Income and Stunting among Toddlers in Indonesia: A Critical Review,” Proc. Int. Conf. Heal. Well-Being (ICHWB 2021), vol. 49, no. Ichwb 2021, pp. 78–86, 2022, doi: 10.2991/ahsr.k.220403.011.

Ihabi, A. N., Rohana, A. J., Wan Manan, W. M., Wan Suriati, W. N., Zalilah, M. S., & Rusli, A. M. (2013). Nutritional outcomes related to household food insecurity among mothers in rural Malaysia. Journal of health, population, and nutrition, 31(4), 480–489. https://doi.org/10.3329/jhpn.v31i4.20031

Islam, M. A., Rahman, M., Uddin, M. F., Tariqujjaman, M., Karmakar, G., Rahman, M. A., Kelly, M., Gray, D., Ahmed, T., & Sarma, H. (2022). Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh. BMC Public Health, 22(1), Article 1075. https://doi.org/10.1186/s12889-022-13469-2

Khan, S., Zaheer, S., & Safdar, N. F. (2019). Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC public health, 19(1), 358. https://doi.org/10.1186/s12889-019-6688-2

Kishore, S., Thomas, T., Sachdev, H., Kurpad, A. V., & Webb, P. (2022). Modeling the potential impacts of improved monthly income on child stunting in India: a subnational geospatial perspective. BMJ open, 12(4), e055098. https://doi.org/10.1136/bmjopen-2021-055098

L. Palinkas, S. Horwitz, and C. Green, “乳鼠心肌提取 HHS Public Access,” Physiol. Behav., vol. 176, no. 1, pp. 139–148, 2016.

L. Rahayuwati et al., “Exploring the relationship between maternal education, parenting practice, and stunting among children under five: Findings from a cross-sectional study in Indonesia,” F1000Research, vol. 12, p. 722, 2023, doi: 10.12688/f1000research.133916.1.

Leung, C. W., Stewart, A. L., Portela-Parra, E. T., Adler, N. E., Laraia, B. A., & Epel, E. S. (2020). Understanding the Psychological Distress of Food Insecurity: A Qualitative Study of Children's Experiences and Related Coping Strategies. Journal of the Academy of Nutrition and Dietetics, 120(3), 395–403. https://doi.org/10.1016/j.jand.2019.10.012

Li, Z., Kim, R., Vollmer, S., & Subramanian, S. V. (2020). Factors Associated With Child Stunting, Wasting, and Underweight in 35 Low- and Middle-Income Countries. JAMA network open, 3(4), e203386. https://doi.org/10.1001/jamanetworkopen.2020.3386

Mulu, E., & Mengistie, B. (2017). Household food insecurity and its association with nutritional status of under five children in Sekela District, Western Ethiopia: a comparative cross-sectional study. BMC nutrition, 3, 35. https://doi.org/10.1186/s40795-017-0149-z

Myatt, M., Khara, T., Schoenbuchner, S., Pietzsch, S., Dolan, C., Lelijveld, N., & Briend, A. (2018). Children who are both wasted and stunted are also underweight and have a high risk of death: a descriptive epidemiology of multiple anthropometric deficits using data from 51 countries. Archives of public health = Archives belges de sante publique, 76, 28. https://doi.org/10.1186/
s13690-018-0277-1

Ortiz-Marrón, H., Ortiz-Pinto, M. A., Urtasun Lanza, M., Cabañas Pujadas, G., Valero Del Pino, V., Belmonte Cortés, S., Gómez Gascón, T., & Ordobás Gavín, M. (2022). Household food insecurity and its association with overweight and obesity in children aged 2 to 14 years. BMC public health, 22(1), 1930. https://doi.org/10.1186/s12889-022-14308-0

S. Thurstans et al., “Understanding Sex Differences in Childhood Undernutrition: A Narrative Review,” Nutrients, vol. 14, no. 5, pp. 1–15, 2022, doi: 10.3390/nu14050948.

Sahiledengle, B., Mwanri, L., Petrucka, P., Kumie, A., Beressa, G., Atlaw, D., Tekalegn, Y., Zenbaba, D., Desta, F., Teferu, Z., Wordofa, D., Seyoum, K., Gomora, D., Negash, G., & Agho, K. E. (2022). Determinants of undernutrition among young children in Ethiopia. Scientific reports, 12(1), 20945. https://doi.org/10.1038/s41598-022-25160-y

Samuel, A., Osendarp, S. J. M., Feskens, E. J. M., Lelisa, A., Adish, A., Kebede, A., & Brouwer, I. D. (2022). Gender differences in nutritional status and determinants among infants (6-11 m): a cross-sectional study in two regions in Ethiopia. BMC public health, 22(1), 401. https://doi.org/10.1186/s12889-022-12772-2

Shuvo, S. D., Hossain, M. S., Riazuddin, M., Mazumdar, S., & Roy, D. (2022). Factors influencing low-income households' food insecurity in Bangladesh during the COVID-19 lockdown. PloS one, 17(5), e0267488. https://doi.org/10.1371/journal.pone.0267488

Siddiqa, M., Shah, G. H., Mayo-Gamble, T. L., & Zubair, A. (2023). Determinants of Child Stunting, Wasting, and Underweight: Evidence from 2017 to 2018 Pakistan Demographic and Health Survey. Journal of nutrition and metabolism, 2023, 2845133. https://doi.org/10.1155/2023/2845133

Sigdel, A., Sapkota, H., Thapa, S., Bista, A., & Rana, A. (2020). Maternal risk factors for underweight among children under-five in a resource limited setting: A community based case control study. PloS one, 15(5), e0233060. https://doi.org/10.1371/journal.pone.0233060

Teshome, Z. T., Ayele, Z. T., & Abib, M. I. (2022). Assessment of solid waste management practices in Kebridehar city Somali regional state, Ethiopia. Heliyon, 8(9), e10451. https://doi.org/10.1016/j.heliyon.2022.e10451

The State of Food Security and Nutrition in the World 2019. (2019). In FAO eBooks. https://doi.org/
10.4060/ca5162en

Vuong, T. N., Dang, C. V., Toze, S., Jagals, P., Gallegos, D., & Gatton, M. L. (2022). Household water and food insecurity negatively impacts self-reported physical and mental health in the Vietnamese Mekong Delta. PloS one, 17(5), e0267344.



DOI: https://doi.org/10.22146/ifnp.90356

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