Factors Associated with Stunting Among Children Ages 6 to 24 Months in the Amhara Region of Ethiopia Open Access

Nesrudin, Rihana (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/3r074v47b?locale=en


Introduction/Background: Stunting (linear growth failure) is one of the major public health challenges being faced globally, with a high prevalence among children under 2 years of age. In Ethiopia, stunting affects 44% of children. Even though stunting causes a significant burden on the nation, there is limited research that has attempted to investigate stunting and the various factors affecting it.

Objective: The objective of this study is to investigate eight factors - environmental enteropathy, mother's age of marriage, child dietary diversity, mother's literacy, mother's gender attitude, household food security, home garden availability and number of pregnancies - and their association with stunting in children under 2 years of age in the Amhara region of Ethiopia.

Method: Data analyzed in this study came from the baseline survey administered by CARE's Nutrition at the Center (N@C) program in 2014. A cross-sectional study design was utilized to collect data from 2127 mothers or caregivers with children ages 0 - 36 month in the Amhara region of Ethiopia. A sample size of 927 was used for the data analysis of this study. SPSS and OpenEpi were used for the statistical analyses. WHO Anthro was used to calculate the outcome variable: stunting.

Results: The study found that when adjusting for other explanatory variables, mothers who marry at 17 years of age or younger are more likely to have stunted children (OR 1.348, P - value 0.078), children who are provided with the minimum dietary diversity are less likely to be stunted than those who are not (OR 0.560, P - value 0.096), and households with a higher risk of environmental enteropathy are more likely to have stunted children than households with a lower risk (OR 1.107, P - value 0.087).

Conclusion: The study found the age at which mothers marry, children's dietary diversity and households' environmental enteropathy risk influence the stunting status of children in the Amhara region of Ethiopia. Programs implementing nutritional interventions should take heed of these results to increase their effectiveness and decrease the prevalence of stunting in Ethiopia.

Table of Contents


Chapter I: Introduction 5

A. Context of Project: 5

B. Problem Statement: 6

C. Objective: 6

Chapter II: Literature Review 8

A. Global Stunting Prevalence: 8

B. Consequences of Stunting: 9

C. Prevalence of Stunting in Ethiopia: 12

D. Factors Associated with Stunting in Ethiopia: 13

Chapter III: Manuscript 19

I. Introduction: 18

II. Methods: 19

A. Study Design and Survey Tool: 19

B. Study Location: 20

C. Sampling Frame: 22

D. Selection of Participants: 22

E. Data Collection: 22

F. Data Analysis: 23

G. Statistical Model: 23

H. Variables and Measure: 25

Table 1: 26

III. Results: 33

Table 2: 34

Table 3: 35

Table 4: 37

Table 5: 39

IV. Discussion: 40

A. Limitations and Strengths: 43

B. Conclusion: 44

Chapter IV: Expanded Conclusions and Recommendations 45

References: 47

Appendices: 50

Appendix 1: 50

Appendix 2: 52

Appendix 3: 113

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
  • English
Research field
Committee Chair / Thesis Advisor
Committee Members
Partnering Agencies
Last modified

Primary PDF

Supplemental Files