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Open AccessArticle

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
Author to whom correspondence should be addressed.
Current Affiliation: Research and Analysis Department, Action Contre la Faim, 14/16 Boulevard de Douaumont, 75854 Paris, France
Academic Editor: María M. Morales Suárez-Varela
Int. J. Environ. Res. Public Health 2016, 13(2), 178;
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)
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
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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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