INDIVIDUAL AND CONTEXTUAL FACTORS OF MALNUTRITION IN MOROCCAN CHILDREN UNDER FIVE
Keywords:
Undernutrition, Overnutrition, Determinants, Children Under Five, Multilevel Modeling.
Abstract
This study investigates the multifaceted determinants of malnutrition among Moroccan children under five, focusing on individual, household, and community influences. Utilizing data from the 2018 Population and Family Health Survey, the study analyzes 5,983 children aged 0–59 months. This study employs a multilevel modelling methodology to consider the data's hierarchical structure. The results reveal that 18% of Moroccan children suffer from undernutrition, while 10% experience overnutrition. Factors influencing malnutrition include child sex, age, birth weight, parental education, breastfeeding practices, household size, and poverty. Male children and those with a low birth weight are also at increased risk, with ORs of 1.49 and 1.93, respectively. Parental education, especially maternal education, protects against undernutrition (OR = 1.45). Breastfeeding practices impact child nutrition, with children not breastfed having higher odds of undernutrition (OR = 2.03). Children from poorer households are more likely to suffer from undernutrition (OR = 2.40). Conversely, children from wealthier households are at a higher risk of overnutrition (OR = 1.78). Community-level factors, such as poverty and regional disparities, influence undernutrition outcomes, with notable differences in regions like Beni Mellal-Khenifra (OR = 6.15). Children living in rural areas are more likely to experience undernutrition than their urban counterparts (OR = 1.87). The findings of this study conclude that addressing child malnutrition in Morocco requires multi-level interventions, focusing on parental education, breastfeeding promotion, support for low-birth-weight infants, and targeted strategies for socio-economic and geographic disparities.
JEL Classification Codes: I14, I12.
References
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Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T. A., Miranti, R., & Wiyono, V. H. (2021). Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia. PloS one, 16(11), e0260265. https://doi.org/10.1371/journal.pone.0260265
Nandy, S., & Svedberg, P. (2012). The Composite Index of Anthropometric Failure (CIAF): An alternative indicator for malnutrition in young children. In Handbook of Anthropometry: Physical measures of human form in health and disease (pp. 127-137). New York, NY: Springer, New York. https://doi.org/10.1007/978-1-4419-1788-1_6
Rajaram, S., Zottarelli, L. K., & Sunil, T. S. (2007). Individual, household, programme and community effects on childhood malnutrition in rural India. Maternal & child nutrition, 3(2), 129-140. https://doi.org/10.1111/j.1740-8709.2007.00086.x
Roba, A. A., & Başdaş, Ö. (2023). Multilevel analysis of trends and predictors of concurrent wasting and stunting among children 6–59 months in Ethiopia from 2000 to 2019. Frontiers in Nutrition, 10, 1073200. https://doi.org/10.3389/fnut.2023.1073200
Roobiati, N. F., Poncorini, E., & Murti, B. (2019). Multilevel analysis: the effect of socioeconomic, birth weight, and nutrition intake with wasting in Boyolali, Central Java. Journal of Maternal and Child Health, 4(1), 9-16. https://doi.org/10.26911/thejmch.2019.04.01.02
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Published
2024-07-07
How to Cite
Berrouyne, M., & Hami, H. (2024). INDIVIDUAL AND CONTEXTUAL FACTORS OF MALNUTRITION IN MOROCCAN CHILDREN UNDER FIVE. Bangladesh Journal of Multidisciplinary Scientific Research, 9(2), 19-29. https://doi.org/10.46281/bjmsr.v9i2.2221
Section
Research Paper/Theoretical Paper/Review Paper/Short Communication Paper
Copyright (c) 2024 Mustapha Berrouyne, Hinde Hami
This work is licensed under a Creative Commons Attribution 4.0 International License.
