Assessment of the WHO Stunting Framework using Ethiopia as a case study

Datos Bibliográficos

ID15536618
AutoresJames P Wirth (0000-0002-4733-0379, Institut de Recherche pour le Développement, autor de correspondencia), Fabian Rohner (0000-0003-0579-6952, GroundWork Crans‐près‐Céligny Switzerland), Nicolai Petry (0000-0002-3904-5754, GroundWork Crans‐près‐Céligny Switzerland), Adelheid W Onyango (World Health Organization), Joan Matji (Government of Ethiopia), Adam Bailes (Government of Ethiopia), Mercedes De Onís (World Health Organization), Bradley A Woodruff (0000-0002-1921-5592, GroundWork Crans‐près‐Céligny Switzerland)
Año2016
Volumen13
Número2
Fecha de publicación2016-04-29
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMaternal and Child Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1740-8695 • E-ISSN: 1740-8709
EditorialWiley (PUBLISHER • GB)
DOI10.1111/mcn.12310
PMID27126511
OpenAlexW2344185713
IdiomaEN
Citas recibidas11
Referencias citadas78

Poor linear growth in children <5 years old, or stunting, is a serious public health problem particularly in Sub-Saharan Africa. In 2013, the World Health Organization (WHO) released a conceptual framework on the Context, Causes and Consequences of Childhood Stunting (the 'WHO framework') that identifies specific and general factors associated with stunting. The framework is based upon a global review of data, and we have applied it to a country-level analysis where health and nutrition policies are made and public health and nutrition data are collected. We reviewed the literature related to sub-optimal linear growth, stunting and birth outcomes in Ethiopia as a case study. We found consistent associations between poor linear growth and indicators of birth size, recent illness (e.g. diarrhoea and fever), maternal height and education. Other factors listed as causes in the framework such as inflammation, exposure to mycotoxins and inadequate feeding during and after illness have not been examined in Ethiopia, and the existing literature suggests that these are clear data gaps. Some factors associated with poor linear growth in Ethiopia are missing in the framework, such as household characteristics (e.g. exposure to indoor smoke). Examination of the factors included in the WHO framework in a country setting helps identifying data gaps helping to target further data collection and research efforts. © 2016 John Wiley & Sons Ltd

Conceptual framework · Context (archaeology · Data collection · Developing country · Economic growth · Environmental health · Geography · Linear growth · Public health · Child Nutrition and Water Access · Energy and Environment Impacts · Medicine · Poverty, Education, and Child Welfare