Determinants of stunting among children under age five in Burundi: Evidence from the 2016–2017 Burundi Demographic and Health Survey (BDHS 2016–17)

Food Science & Nutrition · 5 authors, 4 centres

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TL;DR

This cross-sectional study analyzed data from the 2016–2017 Burundi Demographic and Health Survey to identify factors associated with stunting in children under five. The central result is that stunting is highly prevalent at 56.9%, with numerous child, maternal, and household factors identified as determinants.

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The study analyzed data from the 2016–2017 Burundi Demographic and Health Survey, a cross-sectional population-based household survey. The analysis was constrained to children under age five for whom anthropometric data were collected. The key finding is a high stunting prevalence of 56.9%, comprising 31.0% moderate and 25.9% severe cases. Several associated factors were identified: stunting was more common among boys, increased with age, and was linked to small size at birth. Maternal factors included being underweight, short, single, or having little education. Household factors included rural residence, lower wealth, and lack of improved toilet facilities. The implications suggest a need for multifactorial interventions addressing the identified determinants, as prevalence has not notably decreased in recent years.

STUDY TYPE

cross-sectional

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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ORIGINAL PAPER

PMC10345696

Determinants of stunting among children under age five in Burundi: Evidence from the 2016–2017 Burundi Demographic and Health Survey (BDHS 2016–17)

Food Science & Nutrition

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ABSTRACT

Abstract Burundi has one of the highest prevalence of stunting in the world. This study aimed to identify determinants of stunting among children under age five in Burundi. A total of 4993 children with anthropometric measurements from the 2016–2017 Burundi Demographic and Health Survey were included in the study. Stunting was assessed from the height‐for‐age Z ‐scores (HAZ). Logistic regression models were analyzed to identify demographic, maternal, child‐related, and structural variables that influence stunting. In total, 56.9% of children under age five were stunted, of those 31.0% moderately and 25.9% severely. Multivariable logistic regression indicated that older children, male children (adjusted OR (aOR) = 1.41, 95% CI 1.24–1.61), and children who were perceived as small (aOR = 2.00, 95% CI 1.55–2.59) or very small at birth (aOR = 2.37, 95% CI 1.57–3.59) were significantly more likely to be stunted. Moreover, children of single mothers, with lower levels of education, who were underweight at the time of the survey (aOR = 1.95, 95% CI 1.42–2.68), who had short stature (aOR = 3.76, 95% CI 2.50–5.66) or who conceived more than four children (aOR = 1.22, 95% CI 1.05–1.42) were more commonly stunted. Stunting was more prevalent in rural areas (aOR = 2.53, 95% CI 1.72–3.73) and in households with no access to improved types of toilet facilities (aOR = 1.27, 95% CI 1.10–1.45). The results of this study show that the prevalence of stunting in children under age five in Burundi is alarmingly high and underscores the urgent need for decisive and determined action. Keywords: Burundi, children under five, stunting, undernutrition

CITATION EXPORT

Manuel L Gaiser, Andrea S Winkler, Stefanie J Klug et al.. Determinants of stunting among children under age five in Burundi: Evidence from the 2016–2017 Burundi Demographic and Health Survey (BDHS 2016–17). Food Science & Nutrition. (2023). https://doi.org/10.1002/fsn3.3400

AUTHORS

5 · 4 CENTRES

Manuel L Gaiser, Andrea S Winkler, Stefanie J Klug, Sandra Nkurunziza, Dominik Stelzle

1 Chair of Epidemiology, Department of Sport and Health Sciences, Technical University of Munich, Munchen, Germany
2 Center for Global Health, Department of Neurology, Technical University of Munich, Munich, Germany
3 Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway
4 Health Community Department, Faculty of Medicine, University of Burundi, Bujumbura, Burundi