Nutritional status and associated factors in children under five in Senegal: an empirical analysis.

Authors

  • Rokhy POUYE Université Cheikh Anta Diop de Dakar
  • Ndicak FALL

DOI:

https://doi.org/10.34874/PRSM.mjph-vol5iss1.38209

Keywords:

Nutritional status, children under five, Heckman, Senegal

Abstract

Senegal still has nutritional prevalence rates above World Health Organization (WHO) standards. In addition, malnutrition is well recognized in neonatal medicine and child health as a determining factor in child mortality despite efforts to reach global nutrition targets by 2025. Therefore, the main objective of this research is to analyze the drivers of child undernutrition in Senegal using the 2018 DHS Continuous database. Estimates are made through the two-stage Heckman model on a sample of 7368 children under five years old and their parents.

Results reveal that maternal factors, community factors, and individual factors are important determinants of infant undernutrition. Infants who received other milks before six months of age had height-for-age and weight-for-age Z-scores that deteriorated by 0.49 and 0.38 points, respectively, compared with infants exclusively breastfed.

To combat child undernutrition, keeping girls in school, promoting exclusive breastfeeding for the first six months, and introducing nutrition education programs should be priorities for the Senegalese government.

References

Ahsan, K. Z., El Arifeen, S., Al-Mamun, M. A., Khan, S. H., & Chakraborty, N. (2017). Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh. Archives of Public Health, 75(1), 1-13.

Albagli. (2000). L'économie des dieux céréaliers, les lois de l'autosuffisance alimentaire. Paris: L'HARMATHAN.

Ambapour, S., Okandza, J. C., & Moussana, H. A. (2015). Poverty and Nutritional Health of the Child: Some Evidence from 2005 Demographic and Health Survey of Congo. Health, 7(11), 1466.

Aoun, N., Matsuda, H. et Sekiyama, M. (2015). Accessibilité géographique aux soins et malnutrition au Rwanda. Sciences sociales & médecine, 130, 135-145.

Arnold, F., Nangia, P., & Kapil, U. (2004). Indicators of nutrition for women and children: current status and recommendations. Economic and Political Weekly, 664-670.

Arrow, K. J. (1963). Uncertainty and the Welfare Economics of Medecine Care; the American Economic Review.

Badji, M. S. (2006). Analyse de l’évolution des déterminants de la santé nutritionnelle des enfants âgés de moins de cinq ans au Sénégal. Perspective Afrique, 2(2-3).

Banque Mondiale (1993). Investir dans la santé. Washington DC : Banque Mondiale.

Banque Mondiale (1993). Investir dans la santé. Washington DC : Banque Mondiale.

Barro, R. J. (1990). Government spending in a simple model of endogeneous growth. Journal of political economy, 98(5, Part 2), S103-S125.

Becker, G. S. (1964). Human capital theory. Columbia, New York, 1964.

Becker, G. S. (1965). A Theory of the Allocation of Time. The economic journal, 75(299), 493-517.

Behrman, J. R., & Deolalikar, A. B. (1988). Health and nutrition. Handbook of development economics, 1, 631-711.

Bork, K. A., & Diallo, A. (2017). Boys are more stunted than girls from early infancy to 3 years of age in rural Senegal. The Journal of nutrition, 147(5), 940-947.

Charasse, C. (1999). La mesure et les déterminants de l'état de santé en Afrique du Sud. Revue d'économie du développement, 7(4), 9-37.

Das, S., & Sahoo, H. (2011). An investigation into factors affecting child undernutrition in Madhya Pradesh. The Anthropologist, 13(3), 227-233.

Deolalikar, A. B. (2004). Poverty and Child Malnutrition in Bangladesh (Report No. SASPR-4). Washington, DC : The World Banko. Document Number.

Dereje, N. (2014). Determinants of severe acute malnutrition among under five children in Shashogo Woreda, southern Ethiopia: a community based matched case control study. J Nutr Food Sci, 4(5), 300.

Erzse, A., Goldstein, S., Norris, S. A., Watson, D., Kehoe, S. H., Barker, M., ... & Hofman, K. J. (2020). Double-duty solutions for optimising maternal and child nutrition in urban South Africa : a qualitative study. Public Health Nutrition, 1-11.

Evans, R.G., & Stoddart, G.L. (1994). Producing health, consuming health care. In R.G. Evans, M.L. Barer, &T.R. Marmor (Eds.), Why are some people healthy and others not ? (pp.27-64). New York : Aldine De Gruyter.

Fikadu, T., Assegid, S., & Dube, L. (2014). Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: a case-control study. Bmc public health, 14(1), 1-7.

Gangadharan, L., & Maitra, P. (2000). La mortalité infantile reflète-t-elle un préjugé sexiste ? Preuve du Pakistan. Revue économique indienne, 113-131.

Garcia Cruz, LM, González Azpeitia, G., Reyes Súarez, D., Santana Rodríguez, A., Loro Ferrer, JF et Serra-Majem, L. (2017). Facteurs associés au retard de croissance chez les enfants âgés de 0 à 59 mois de la région centrale du Mozambique. Nutriments, 9 (5), 491.

Garenne, M. (2019). Tendances de l'État Nutritionnel des Jeunes Enfants dans les Pays Francophones du Sahel : 1990-2015.

Garenne, M., Myatt, M., Khara, T., Dolan, C., & Briend, A. (2019). Concurrent wasting and stunting among under‐five children in Niakhar, Senegal. Maternal & child nutrition, 15(2), e12736.

Gibson, J. (2000). Taille de l’enfant, ressources du ménage et méthodes d’enquête auprès des ménages. Université de Waikato, Waikato.

Green, L. W., Richard, L., & Potvin, L. (1996). Ecological foundations of health promotion. American journal of health promotion, 10(4), 270-281.

Grossman, M. (1972). Front matter, the demand for health: a theoretical and empirical investigation. In The demand for health: a theoretical and empirical investigation (pp. 20-0). NBER.

Hayfa Grira. (2007). Les déterminants du statut nutritionnel au Matlab : une analyse empirique, Post-Print halshs-00175088, HAL.

Heckman, J. J. (1976) The Common Structure of Statistical Models of Truncation, Sample Selection and Limited Dependent Variables and a Simple Estimator for Such Models. Annals of Economic Social Measurement, 5, 4, 475 - 492.

Heckman, J. J. (1979) Sample Selection Bias as a Specification Error. Econometrica, 47, l, 53 -161.

Horton, S. (1988) Ordre de naissance et état nutritionnel : preuves des Philippines. Développement économique et changement culturel, 36, 341-354.

Kanmiki, E. W., Bawah, A. A., Agorinya, I., Achana, F. S., Awoonor-Williams, J. K., Oduro, A. R., ... & Akazili, J. (2014). Socio-economic and demographic determinants of under-five mortality in rural northern Ghana. BMC international health and human rights, 14(1), 1-10.

Keino, S., Plasqui, G., Ettyang, G. et van den Borne, B. (2014). Déterminants du retard de croissance et du surpoids chez les jeunes enfants et les adolescents en Afrique subsaharienne. Bulletin de l’alimentation et de la nutrition, 35 (2), 167-178.

Kostermans, K. (1994). Assessing the quality of anthropometric data: Background and illustrated guidelines for survey managers. The World Bank.

Lucas Jr, R. E. (1988). On the mechanics of economic development. Journal of monetary economics, 22(1), 3-42.

Maurice, C. E., Green, G. E., & Luce, S. C. (1996). Behavioral intervention for young children with autism: A manual for parents and professionals. Pro-ed.

Ministère de la Santé et de l’Action Sociale (2020) : rapport des comptes de la sante 2014-2016,Sénégal https://www.sante.gouv.sn/sites/default/files/Compte%20de%20sant%C3%A9%202014-16-2.pdf

Ministère de la Santé et de l’Action Sociale. Direction Générale de la Santé (2019). Plan National de Développement Sanitaire et Social (PNDSS) 2019-2028. Sénégal

Morrisson, C., & Linskens, C. (2000). Les facteurs explicatifs de la malnutrition en Afrique subsaharienne.

Mosley, W. H., & Chen, L. C. (1984). An analytical framework for the study of child survival in developing countries. Population and development review, 10, 25-45.

Mushkin, S. J. (1962). Health as an Investment. Journal of political economy, 70(5, Part 2), 129-157.

Ntsame, O.N. (2000). Alimentation et état nutritionnel des enfants et des mères au Gabon. In Ministère de la planification/FNUAP/Macro. Enquête démographique et de Santé du Gabon (EDSG), Libreville ; 372 p.

OMS. (2002). La nutrition chez les nourrissons et le jeune enfant. Résolution de l’assemblée mondiale de la santé du 18 mai : 95-112.

Organisation Mondiale de la Santé. (2002). La nutrition chez les nourrissons et le jeune enfant. Résolution de l’assemblée mondiale de la santé du 18 mai : 95-112.

Razafiarisoa, B., Randrianaivo, A., Rakotonirina, S., & Mariko, S. (2004). Allaitement et état nutritionnel. Madagascar : Enquête Démographique et de Santé (EDS), 161-201.

Schultz, T. P. (1984). Studying the impact of household economic and community variables on child mortality. population and Development Review, 10, 215-235.

Schumpeter, J. A. (1939). Business cycles (Vol. 1, pp. 161-174). New York: McGraw-Hill.

Sen, A. (1981). The Entitlements Approach in Sen, A. Poverty and Famine. An Essay of Entitlement and Deprivation.

Sen, A. (1992). Inequality reexamined. Oxford University Press.

Sikirou, S. (2006). Approche anthropométrique des déterminants de l’état de santé : le cas des enfants de moins de cinq ans au Burkina Faso.

Sorgho, H. (2020). ‘Men are not playing their roles’, maternal and child nutrition in Nanoro, Burkina Faso. Public Health Nutrition, 1-11.

Sougou, N., & Boëtsch, G. (2016). Alimentation et croissance des jeunes enfants Peuls à Widou Thiengoly (Ferlo—Sénégal). BMSAP, 28(3), 145-154.

Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., ... & Kerac, M. (2020). Les garçons sont plus susceptibles d’être sous-alimentés que les filles : une revue systématique et une méta-analyse des différences entre les sexes en matière de dénutrition. Santé mondiale BMJ , 5 (12), e004030.

UNICEF : Analyse initiale de situation de la santé maternelle néonatale et infantile. 2012, Rapport final.

UNICEF, W. (2021). World Bank: levels and trends in child malnutrition; UNICEF/WHO/World Bank Group joint child malnutrition estimates: key findings of the 2017. World Health Organization. Geneva: World Health Organization, 1-32.

UNICEF. (2002b). La situation des enfants dans le monde. Résumé officiel ; 48 p.

UNICEF. (2002b). La situation des enfants dans le monde. Résumé officiel ; 48 p.

Waterlow, J. C., Buzina, R., Keller, W., Lane, J. M., Nichaman, M. Z., & Tanner, J. M. (1977). The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bulletin of the world Health Organization, 55(4), 489.

World Health Organization. (2001). Macroeconomics and health: investing in health for economic development: report of the Commission on Macroeconomics and Health. In Macroeconomics and health: investing in health for economic development: report of the commission on macroeconomics and health (pp. 202-202).

World Health Organization. (2017). Global targets 2025 to improve maternal, infant and young children nutrition (No. WHO/NMH/NHD/17.10). World Health Organization.

Webography

https://apps.who.int/iris/bitstream/handle/10665/149023/WHO_NMH_NHD_14.8_eng.pdf?sequence=1&isAllowed=y

https://www.unicef.org/wca/fr/communiqu%C3%A9s-de-presse/afrique-de-louest-et-du-centre-plus-de-15-millions-de-cas-de-malnutrition#_ftn1

https://www.who.int/fr/news-room/fact-sheets/detail/malnutrition

https://scalingupnutrition.org/wp-content/uploads/2019/02/Note-de-plaidoyer-et-dInterpellation-SENEGAL.pdf

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Published

22-06-2023

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