Chulalongkorn Medical Journal


Background : Under - nutrition is leading to a global public health problem associatedwith child morbidity and mortality especially low and middle incomecountries, Myanmar was also still facing under nutrition especially growthstunting is the highest rate compared with others.Objective : To explore the prevalence and predictors of growth stunting in childrenamong 1,000 days in Dry Zone, Pakokku Township, Myanmar.Methods : A cross-sectional and community based study was conducted with 393participants. Multi-stage sampling technique was drawn to select theserespondents at Pakokku Township in Myanmar. Data were collected frommothers with children under 2 years of age. Using 6 parts of structuredquestionnaires by face - to - face interview. Emergency NutritionAssessment (ENA) smart software was used for nutritional statusassessment based on WHO’s references to calculate child’s height toget Z score (standard deviation score). Stunting was assessed bycomparing the body length with age. It could be categorized as stuntingwhen the body length is less than -2 compared to standard deviation.Chi-square and multiple logistic regression were performed to examinefactors associated with stunting.Results : The prevalence of stunting was 14.8 %. The following factors weresignificantly associated with stunting: children in large family size(more than 2 children) (AOR=2.13, 95% CI 1.05 - 4.31), children aged13 to 24 months (AOR = 4.52, 95% CI 1.20 - 16.9), children were bornwith low birth weight and small gestation period (AOR = 3.26, 95% CI1.34 - 7.95 and AOR = 2.67, 95% CI 1.33 - 5.43), mothers with shorterheight (< 145 cm) (AOR = 3.84, 95% CI 1.29 - 11.48) (P <0.05).Conclusion : Maternal factors were mainly associated with child’s stunting. Nutritioninvestments should be added for the young especially those undertwo years old. Nutrition promotion should be focused for both motherand child since the mother is pregnant. Family planning service shouldbe provided and promoted to mothers in this area.


Faculty of Medicine, Chulalongkorn University

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