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Mapping child growth failure across low- and middle-income countries

Title: Mapping child growth failure across low- and middle-income countries
Authors: Kinyoki, DK; Osgood-Zimmerman, AE; Pickering, BV; Schaeffer, LE; Marczak, LB; Lazzar-Atwood, A; Collison, ML; Henry, NJ; Abebe, Z; Adamu, AA; Adekanmbi, V; Ahmadi, K; Ajumobi, O; Al-Eyadhy, A; Al-Raddadi, RM; Alahdab, F; Alijanzadeh, M; Alipour, V; Altirkawi, K; Amini, S; Andrei, CL; Antonio, CAT; Arabloo, J; Aremu, O; Asadi-Aliabadi, M; Atique, S; Ausloos, M; Avila, M; Awasthi, A; Quintanilla, BPA; Azari, S; Badawi, A; Bärnighausen, TW; Bassat, Q; Baye, K; Bedi, N; Bekele, BB; Bell, ML; Bhattacharjee, NV; Bhattacharyya, K; Bhattarai, S; Bhutta, ZA; Biadgo, B; Bikbov, B; Briko, AN; Britton, G; Burstein, R; Butt, ZA; Car, J; Castañeda-Orjuela, CA; Castro, F; Cerin, E; Chipeta, MG; Chu, DT; Cork, MA; Cromwell, EA; Cuevas-Nasu, L; Dandona, L; Dandona, R; Daoud, F; Gupta, RD; Weaver, ND; Leo, DD; Neve, JWD; Deribe, K; Desalegn, BB; Deshpande, A; Desta, M; Diaz, D; Dinberu, MT; Doku, DT; Dubey, M; Durães, AR; Dwyer-Lindgren, L; Earl, L; Effiong, A; Zaki, MES; Tantawi, ME; El-Khatib, Z; Eshrati, B; Fareed, M; Faro, A; Fereshtehnejad, SM; Filip, I; Fischer, F; Foigt, NA; Folayan, MO; Fukumoto, T; Gebrehiwot, TT; Gezae, KE; Ghajar, A; Gill, PS; Gona, PN; Gopalani, SV; Grada, A; Guo, Y; Haj-Mirzaian, A; Hall, JB; Hamidi, S
Publisher Information: NATURE PORTFOLIO
Publication Year: 2020
Collection: The University of Melbourne: Digital Repository
Description: Childhood malnutrition is associated with high morbidity and mortality globally1. Undernourished children are more likely to experience cognitive, physical, and metabolic developmental impairments that can lead to later cardiovascular disease, reduced intellectual ability and school attainment, and reduced economic productivity in adulthood2. Child growth failure (CGF), expressed as stunting, wasting, and underweight in children under five years of age (0-59 months), is a specific subset of undernutrition characterized by insufficient height or weight against age-specific growth reference standards3-5. The prevalence of stunting, wasting, or underweight in children under five is the proportion of children with a height-for-age, weight-for-height, or weight-for-age z-score, respectively, that is more than two standard deviations below the World Health Organization's median growth reference standards for a healthy population6. Subnational estimates of CGF report substantial heterogeneity within countries, but are available primarily at the first administrative level (for example, states or provinces)7; the uneven geographical distribution of CGF has motivated further calls for assessments that can match the local scale of many public health programmes8. Building from our previous work mapping CGF in Africa9, here we provide the first, to our knowledge, mapped high-spatial-resolution estimates of CGF indicators from 2000 to 2017 across 105 low- and middle-income countries (LMICs), where 99% of affected children live1, aggregated to policy-relevant first and second (for example, districts or counties) administrative-level units and national levels. Despite remarkable declines over the study period, many LMICs remain far from the ambitious World Health Organization Global Nutrition Targets to reduce stunting by 40% and wasting to less than 5% by 2025. Large disparities in prevalence and progress exist across and within countries; our maps identify high-prevalence areas even within nations otherwise succeeding in ...
Document Type: article in journal/newspaper
Language: English
ISSN: 0028-0836
Relation: https://hdl.handle.net/11343/247375
Availability: https://hdl.handle.net/11343/247375
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.3B5A4521
Database: BASE