Journal of Food and Nutrition Sciences

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Trends of Child Wasting and Stunting in Uganda from 1995 to 2016, and Progress Towards 65TH World Health Assembly Global Nutrition Targets

Received: 03 July 2018    Accepted: 13 August 2018    Published: 04 September 2018
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Abstract

Between 1995 and 2016, the government of Uganda ratified several commitments to fight child undernutrition including achieving the 65th World Health Assembly (WHA) targets of reducing stunting and wasting by 2025. It is important we monitor such commitments to inform policy makers about the progress of their commitments. The objective of this study was to review national and regional trends of stunting and wasting in Uganda from 1995 to 2016, and assess progress towards the 65th WHA global nutrition targets for stunting and wasting. The Uganda Demographic and Health Surveys conducted from 1995 to 2016 were used to review national regional trends in stunting and wasting for children less than five years of age. At national level, the prevalence of wasting decreased from 5.3% in 1995 to 4.0% in 2016 while the prevalence of stunting decreased from 38.3% in 1995 to 29% in 2016. The annual reduction rate of stunting and wasting were 0.45% and 0.01% respectively. At regional level, the prevalence of wasting in Karamoja increased from 7.1% in 2011 to 10% in 2016, a similar trend of wasting was observed in west Nile (from 6.2 % in 2011 to 10.4 % in 2016), the prevalence of stunting (13.5% in 2011 to 18% in 2016) increased in Kampala region. In the year 2016, there was regional inequalities of stunting and wasting. Some regions were above or below the national prevalence. There was an overall decline of wasting and stunting in Uganda between 1995 and 2016, but the prevalence of stunting remained unacceptably high at 29%. By the year 2016, Uganda had already achieved the 65th WHA target for wasting but may not achieve for stunting by 2025 if the annual reduction rate of stunting remains low at 0.45%. These findings summarize progress achieved towards fighting stunting and wasting in the last two decades in Uganda and help identify regions that need feasible interventions.

DOI 10.11648/j.jfns.20180604.11
Published in Journal of Food and Nutrition Sciences (Volume 6, Issue 4, July 2018)
Page(s) 90-95
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Stunting, Wasting, Trends, Uganda, 65th World Health Assembly

References
[1] R. E. Black et al., “Maternal and child undernutrition: global and regional exposures and health consequences,” Lancet, vol. 371, pp. 243–60, 2008.
[2] R. E. Black et al., “Maternal and child undernutrition and overweight in low-income and middle-income countries,” Lancet, vol. 382, no. 9890, pp. 427–451, 2013.
[3] Z. A. Bhutta and R. A. Salam, “Global nutrition epidemiology and trends,” Ann. Nutr. Metab., vol. 61, no. suppl 1, pp. 19–27, 2012.
[4] UNICEF/WHO/World Bank Group, “Levels and trends in child malnutrition UNICEF/WHO/World Bank Group joint malnutrition estimates. Key findings of the 2017 edition,” 2017.
[5] M. de Onis, M. Blössner, and E. Borghi, “Prevalence and trends of stunting among pre-school children, 1990-2020,” Public Health Nutr., vol. 15, no. 1, pp. 142–148, 2012.
[6] Uganda Bureau of Statistics and Inner City Fund, “Uganda Demographic and Health Survey 2016,” Kampala, Uganda and Rockville, Maryland, USA, 2018.
[7] D. S. Berkman, A. G. Lescano, R. H. Gilman, S. L. Lopez, and M. M. Black, “Effects of stunting, diarrhoeal disease, and parasitic infection during infancy on cognition in late childhood: A follow-up study,” Lancet, vol. 359, no. February 16, pp. 564–571, 2002.
[8] J. Hoddinott et al., “Adult consequences of growth failure in early childhood,” Am. J. Clin. Nutr., vol. 98, pp. 1170–8, 2013.
[9] K. G. Dewey and K. Begum, “Long-term consequences of stunting in early life,” Matern. Child Nutr., vol. 7, no. SUPPL. 3, pp. 5–18, 2011.
[10] L. E. Caulfield, M. de Onis, M. Blössner, and R. E. Black, “Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles,” Am. Jounral Clin. Nutr., vol. 80, pp. 193–8, 2004.
[11] A. H. Irena, M. Mwambazi, and V. Mulenga, “Diarrhea is a Major killer of Children with Severe Acute Malnutrition Admitted to Inpatient Set-up in Lusaka, Zambia,” Nutr. J., vol. 10, no. 1, p. 110, 2011.
[12] E. Buzigi, “Prevalence of Intestinal Parasites, and its Association with Severe Acute Malnutrition Related Diarrhoea,” J. Biol. Agric. Heal. Care, vol. 5, no. 2, pp. 81–92, 2015.
[13] N. Lelijveld et al., “Chronic disease outcomes after severe acute malnutrition in Malawian children (ChroSAM): a cohort study,” Lancet Glob. Heal., vol. 4, no. 9, 2016.
[14] A. J. Prendergast and J. H. Humphrey, “The stunting syndrome in developing countries,” Paediatr. Int. Child Health, vol. 34, no. 4, pp. 250–265, 2014.
[15] C. D. Mathers and D. Loncar, “Projections of global mortality and burden of disease from 2002 to 2030.,” PLoS Med., vol. 3, no. 11, p. e442, Nov. 2006.
[16] Government of Uganda, “The Costitution of the Republic of Uganda 1995,” 1995.
[17] Government of Uganda, “The Uganda Food and Nutrition Policy,” 2003.
[18] United Nations, “Transforming our world: The 2030 agenda for sustainable development,” 2015.
[19] World Health Organization, “Sixty fifth World Health Assembly,” Geneva, 2012.
[20] Statistics Department-Uganda and Macro International Inc, “Uganda Demographic and Health Survey 1995,” Calverton, Maryland, 1996.
[21] Uganda Bureau of Statistics and ORC Macro, “Uganda Demographic and Health Survey 2000-2001,” Calverton, Maryland, USA:, 2001.
[22] Uganda Bureau of Statistics and Macro International Inc, “Uganda Demographic and Health Survey 2006,” Calverton, Maryland, USA, 2007.
[23] Uganda Bureau of Statistics and Inner City Fund International Inc, “Uganda Demographic and Health Survey 2011,” Kampala, Uganda and Calverton, Maryland USA, 2012.
[24] G. A. Stevens et al., “Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries : a systematic analysis of population representative data,” Lancet, vol. 380, pp. 824–834, 2012.
[25] S. Ssewanyana and I. Kasirye, “Food Insecurity in Uganda: a Dilema to Achieving the Hunger Millennium Development Goal,” Res. Ser., vol. 70, p. 40, 2010.
[26] United Nations Children’s Fund, “A UNICEF policy review: Strategy for improved nutrition of children and women in developing countrires,” New York, USA, 1990.
[27] C. Bredenkamp, L. R. Buisman, and E. Van de Poel, “Persistent inequalities in child undernutrition : evidence from 80 countries, from 1990 to today,” Int. J. Epidemiol., no. March 2014, pp. 1328–1335, 2014.
[28] J.-C. Fotso, “Urban – rural differentials in child malnutrition : Trends and socioeconomic correlates in sub-Saharan Africa,” Health Place, vol. 13, pp. 205–223, 2007.
[29] The Famine Early Warrning System Network, “Karamoja region food security assessment: Uganda. A special report by the famine early warning system network,” 2010.
[30] World Food Program, “Food Security & Nutrition Assessment : Karamoja, Uganda July 2016,” 2016.
[31] World Food Program and Food and Agriculture Organization of the United Nations, “Karamoja food security assessment,” 2014.
[32] The Famine Early Warrning System Network, “UGANDA Food Security Outlook October 2015 to March 2016 average harvests,” 2016.
[33] M. A. Olwedo, E. Mworozi, H. Bachou, and C. G. Orach, “Factors associated with malnutrition among children in internally displaced person’s camps, northern Uganda.,” Afr. Health Sci., vol. 8, no. 4, pp. 244–252, 2008.
[34] M. T. Ruel et al., “URBAN CHALLENGES TO FOOD AND NUTRITION SECURITY: A REVIEW OF FOOD SECURITY, HEALTH, AND CAREGIVING IN THE CITIES,” 1996.
[35] Food and Agriculture Organization of the United Nations, “FAO at Work in Karamoja: Supporting communities to build resilience,” 2009.
[36] K. G. Dewey, “Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: evidence, challenges and opportunities,” Matern. Child Nutr., vol. 12, pp. 27–38, 2016.
[37] S. Gray, H. A. Akol, and M. Sundal, “Mixed-Longitudinal Growth of Breastfeeding Children in Moroto District, Uganda ( Karamoja Subregion ). A Loss of Biological Resiliency ?,” Am. J. Hum. Biol., vol. 509, no. May, pp. 499–509, 2008.
[38] J. Kikafunda, E. Agaba, and Bambona, “Malnutrition amidst Plenty: An Assessment of factors responsible for persistent high levels of Childhood stunting in food Secure Western Uganda,” African J. Food Agric. Nutr. Dev., vol. 14, no. 5, pp. 2088–2113, 2014.
[39] Food and Nutrition Technical Assistance, “The Analysis of the Nutrition Situation in Uganda May 2010,” 2010.
[40] G. K. M. Muhoozi, P. Atukunda, R. Mwadime, P. O. Iversen, and A. C. Westerberg, “Nutritional and developmental status among 6- to 8-month-old children in southwestern Uganda: A cross-sectional study,” Food Nutr. Res., vol. 60, no. October 2017, 2016.
[41] D. J. Corsi, M. Neuman, J. E. Finlay, and S. V Subramanian, “Demographic and health surveys : a profile,” Int. J. Epidemiol., vol. 41, pp. 1602–1613, 2012.
[42] World Health Organization and United Nations Childrens Fund, “WHO child growth standards and the identification of severe acute malnutrition in infants and children,” 2009.
[43] I. Hossain et al., “Comparison of midupper arm circumference and weight-for-height z score for assessing acute malnutrition in Bangladeshi children aged 6 – 60 mo : an file:///C:/Users/User/AppData/Local/Mendeley Ltd/Mendeley Desktop/Downloaded/Unknown - Unknown - PHYSICAL A,” Am. Jounral Clin. Nutr., no. C, pp. 1232–1237, 2017.
[44] M. Fiorentino et al., “Current MUAC cut-offs to screen for acute malnutrition need to be adapted to gender and age: The example of Cambodia,” PLoS One, vol. 11, no. 2, pp. 1–11, 2016.
Author Information
  • Deparment of Human Nutrition & Home Economics, Kyambogo University, Kampala, Uganda; School of Clinical & Community Nutrition, Uganda Institute of Allied Health and Management Sciences Mulago, Kampala, Uganda; Health Tutors College Mulago, Makerere University, Kampala, Uganda

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    Edward Buzigi. (2018). Trends of Child Wasting and Stunting in Uganda from 1995 to 2016, and Progress Towards 65TH World Health Assembly Global Nutrition Targets. Journal of Food and Nutrition Sciences, 6(4), 90-95. https://doi.org/10.11648/j.jfns.20180604.11

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    Edward Buzigi. Trends of Child Wasting and Stunting in Uganda from 1995 to 2016, and Progress Towards 65TH World Health Assembly Global Nutrition Targets. J. Food Nutr. Sci. 2018, 6(4), 90-95. doi: 10.11648/j.jfns.20180604.11

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    Edward Buzigi. Trends of Child Wasting and Stunting in Uganda from 1995 to 2016, and Progress Towards 65TH World Health Assembly Global Nutrition Targets. J Food Nutr Sci. 2018;6(4):90-95. doi: 10.11648/j.jfns.20180604.11

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  • @article{10.11648/j.jfns.20180604.11,
      author = {Edward Buzigi},
      title = {Trends of Child Wasting and Stunting in Uganda from 1995 to 2016, and Progress Towards 65TH World Health Assembly Global Nutrition Targets},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {6},
      number = {4},
      pages = {90-95},
      doi = {10.11648/j.jfns.20180604.11},
      url = {https://doi.org/10.11648/j.jfns.20180604.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jfns.20180604.11},
      abstract = {Between 1995 and 2016, the government of Uganda ratified several commitments to fight child undernutrition including achieving the 65th World Health Assembly (WHA) targets of reducing stunting and wasting by 2025. It is important we monitor such commitments to inform policy makers about the progress of their commitments. The objective of this study was to review national and regional trends of stunting and wasting in Uganda from 1995 to 2016, and assess progress towards the 65th WHA global nutrition targets for stunting and wasting. The Uganda Demographic and Health Surveys conducted from 1995 to 2016 were used to review national regional trends in stunting and wasting for children less than five years of age. At national level, the prevalence of wasting decreased from 5.3% in 1995 to 4.0% in 2016 while the prevalence of stunting decreased from 38.3% in 1995 to 29% in 2016. The annual reduction rate of stunting and wasting were 0.45% and 0.01% respectively. At regional level, the prevalence of wasting in Karamoja increased from 7.1% in 2011 to 10% in 2016, a similar trend of wasting was observed in west Nile (from 6.2 % in 2011 to 10.4 % in 2016), the prevalence of stunting (13.5% in 2011 to 18% in 2016) increased in Kampala region. In the year 2016, there was regional inequalities of stunting and wasting. Some regions were above or below the national prevalence. There was an overall decline of wasting and stunting in Uganda between 1995 and 2016, but the prevalence of stunting remained unacceptably high at 29%. By the year 2016, Uganda had already achieved the 65th WHA target for wasting but may not achieve for stunting by 2025 if the annual reduction rate of stunting remains low at 0.45%. These findings summarize progress achieved towards fighting stunting and wasting in the last two decades in Uganda and help identify regions that need feasible interventions.},
     year = {2018}
    }
    

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