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Int. J. Environ. Res. Public Health 2016, 13(2), 178; doi:10.3390/ijerph13020178

Child Wasting in Emergency Pockets: A Meta-Analysis of Small-Scale Surveys from Ethiopia

Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Université catholique de Louvain, Clos Chapelle-aux-Champs, 30.94, 1200 Brussels, Belgium
Current Affiliation: Research and Analysis Department, Action Contre la Faim, 14/16 Boulevard de Douaumont, 75854 Paris, France
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Author to whom correspondence should be addressed.
Academic Editor: María M. Morales Suárez-Varela
Received: 6 December 2015 / Revised: 18 January 2016 / Accepted: 20 January 2016 / Published: 28 January 2016
(This article belongs to the Special Issue Children, Adolescents and Nutrition)
View Full-Text   |   Download PDF [801 KB, uploaded 28 January 2016]   |  

Abstract

Child undernutrition is a major public health concern in Ethiopia (stunting national prevalence: 44%; wasting: 10%), despite the overall improvement in child health status during the last decade. Hundreds of small-scale surveys are conducted in Ethiopia’s emergency pockets under ENCU’s supervision. We reviewed the evidence from small-scale surveys conducted between 2008 and 2013 with two objectives: to provide a summary estimate of wasting prevalence from emergency pockets and to examine reasons for variation in prevalence estimates. We created a dataset by combining data from the Complex Emergency Database, the Famine Early Warning System Network and the Armed Conflict Location Event Data. We conducted a meta-analysis of small-scale surveys using a random effects model with known within-study heterogeneity. The influence of survey covariates on estimated prevalence was investigated with meta-regression techniques. We included 158 surveys in the analysis. A high degree of heterogeneity among surveys was observed. The overall estimate of wasting prevalence was 10.6% (95% CI 9.8–11.4), with differences among regions and between residents and refugees. Meta-regression results showed that vaccination coverage, child mortality, diarrhea prevalence and food insecurity are significantly associated with wasting prevalence. Child care and displacement status were not. Aggregated analysis of small-scale surveys provides insights into the prevalence of wasting and factors explaining its variation. It can also guide survey planning towards areas with limited data availability. View Full-Text
Keywords: wasting; small-scale surveys; meta-analysis; Ethiopia wasting; small-scale surveys; meta-analysis; Ethiopia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Altare, C.; Delbiso, T.D.; Guha-Sapir, D. Child Wasting in Emergency Pockets: A Meta-Analysis of Small-Scale Surveys from Ethiopia. Int. J. Environ. Res. Public Health 2016, 13, 178.

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