Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis
Nigeria is a high burden country for stunting. Stunting reduction has been slow and characterized by unequal progress across the 36 states and federal capital territory of the country. This study aimed to assess the changes in prevalence of stunting and growth determinants from 2003 to 2018, identif...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Springer
2022
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/120545 |
| _version_ | 1855533494713712640 |
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| author | Adeyemi, Olutayo Touré, Mariama Covic, Namukolo M. Bold, Mara van den Nisbett, Nicholas Headey, Derek D. |
| author_browse | Adeyemi, Olutayo Bold, Mara van den Covic, Namukolo M. Headey, Derek D. Nisbett, Nicholas Touré, Mariama |
| author_facet | Adeyemi, Olutayo Touré, Mariama Covic, Namukolo M. Bold, Mara van den Nisbett, Nicholas Headey, Derek D. |
| author_sort | Adeyemi, Olutayo |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Nigeria is a high burden country for stunting. Stunting reduction has been slow and characterized by unequal progress across the 36 states and federal capital territory of the country. This study aimed to assess the changes in prevalence of stunting and growth determinants from 2003 to 2018, identify factors that predicted the change in stunting, and project future stunting prevalence if these predicted determinants improve. Trend and linear decomposition analyses of growth outcomes and determinants were conducted using 2003, 2008, 2013, and 2018 Nigeria Demographic and Health Survey data. Pooled data included 57,507 children 0 to 59 months old. Findings show that stunting and severe stunting significantly reduced from 43 to 37% and 23% to 17%, respectively (p < 0.001), between 2003 and 2018. Disturbingly, height-for-age z-scores at birth significantly decreased, indicating risks of potential future stunting increase. Improvements in nine stunting determinants (maternal body mass index, maternal height, ≥ 4 antenatal care visits, health facility delivery, reduced child illnesses, asset index, maternal education, paternal education, and preceding birth interval) predicted stunting reductions in children 0–59 months. Few of these nine determinants improved in subpopulations with limited stunting progress. Intra-sectoral and multisectoral coordination were potentially inadequate; 12% of children had received all of three selected health sector interventions along a continuum of care and 6% had received all of six selected multisector interventions. Forward looking projections suggest that increased efforts to improve the nine predictors of stunting change can reduce under-five stunting in Nigeria to ≤ 27% in the short term. |
| format | Journal Article |
| id | CGSpace120545 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Springer |
| publisherStr | Springer |
| record_format | dspace |
| spelling | CGSpace1205452024-12-04T19:43:26Z Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis Adeyemi, Olutayo Touré, Mariama Covic, Namukolo M. Bold, Mara van den Nisbett, Nicholas Headey, Derek D. stunting nutrition food security scaling up growth disorders econometrics child stunting Nigeria is a high burden country for stunting. Stunting reduction has been slow and characterized by unequal progress across the 36 states and federal capital territory of the country. This study aimed to assess the changes in prevalence of stunting and growth determinants from 2003 to 2018, identify factors that predicted the change in stunting, and project future stunting prevalence if these predicted determinants improve. Trend and linear decomposition analyses of growth outcomes and determinants were conducted using 2003, 2008, 2013, and 2018 Nigeria Demographic and Health Survey data. Pooled data included 57,507 children 0 to 59 months old. Findings show that stunting and severe stunting significantly reduced from 43 to 37% and 23% to 17%, respectively (p < 0.001), between 2003 and 2018. Disturbingly, height-for-age z-scores at birth significantly decreased, indicating risks of potential future stunting increase. Improvements in nine stunting determinants (maternal body mass index, maternal height, ≥ 4 antenatal care visits, health facility delivery, reduced child illnesses, asset index, maternal education, paternal education, and preceding birth interval) predicted stunting reductions in children 0–59 months. Few of these nine determinants improved in subpopulations with limited stunting progress. Intra-sectoral and multisectoral coordination were potentially inadequate; 12% of children had received all of three selected health sector interventions along a continuum of care and 6% had received all of six selected multisector interventions. Forward looking projections suggest that increased efforts to improve the nine predictors of stunting change can reduce under-five stunting in Nigeria to ≤ 27% in the short term. 2022-08 2022-08-16T07:28:44Z 2022-08-16T07:28:44Z Journal Article https://hdl.handle.net/10568/120545 en Open Access Springer Adeyemi, O., Toure, M., Covic, N., van den Bold, M.,· Nisbett, N. and Headey, D. 2022. Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis. Food Security 14:995–1011. |
| spellingShingle | stunting nutrition food security scaling up growth disorders econometrics child stunting Adeyemi, Olutayo Touré, Mariama Covic, Namukolo M. Bold, Mara van den Nisbett, Nicholas Headey, Derek D. Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title | Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title_full | Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title_fullStr | Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title_full_unstemmed | Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title_short | Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: A regression analysis |
| title_sort | understanding drivers of stunting reduction in nigeria from 2003 to 2018 a regression analysis |
| topic | stunting nutrition food security scaling up growth disorders econometrics child stunting |
| url | https://hdl.handle.net/10568/120545 |
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