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Vol. 8 No. 2 (2019)

The Association Between Household Wealth and Nutritional Status of Preschool Children in Tanzania: Evidence from the 2012/13 National Panel Survey

https://doi.org/10.56279/jhss.v8i2.16
samwel lwiza

Corresponding Author(s) : samwel lwiza

samwel.lwiza@duce.ac.tz

Journal of Humanities & Social Science (JHSS), Vol. 8 No. 2 (2019)

Abstract

This study aims to investigate the association between household wealth and nutritional
status among preschool children in Tanzania. The analysis is based on a nationally
representative sample of 2,120 children from the Tanzania National Panel Survey (NPS),
2012/13. Household wealth was measured by wealth index constructed using the Principal
Component Analysis (PCA); whereas child stunting and underweight were used to
determine the nutritional status of a child. Results indicate that the prevalence of children
stunting and underweight were 40% and 21%, respectively. Multivariate logistic regression
model shows that the proportion of stunting and underweight in the poorest 20%
households were twice and six times as high as that of the richest 20% households,
respectively. Moreover, children from the poorest households were nearly three and two
times more likely to be stunted and underweight relative to children from richest
households. Other factors significantly associated with child undernourishment include;
household size, age of the household head, age and sex of a child, occurrence of
diarrhoea, paternal education, marital status, and place of residence. The study concludes
that household wealth is one of the main factors for malnutrition. It reveals the
importance of interventions aimed not only at improving household economic status but
also strengthening family planning policies, and improving primary health care and
sanitation, as solutions for malnutrition.

Keywords

wealth status, stunting underweight preschool children Tanzania
The Association Between Household Wealth and Nutritional Status of Preschool Children in Tanzania: Evidence from the 2012/13 National Panel Survey. (2020). Journal of Humanities & Social Science (JHSS), 8(2). https://doi.org/10.56279/jhss.v8i2.16
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References
  1. Abubakar, A., J. Uriyo, S. Msuya, M. Swai, & B. Stray-Pedersen. 2012. Prevalence and Risk Factors
  2. for Poor Nutritional Status among Children in the Kilimanjaro Region of Tanzania. International
  3. Journal of Environmental Research and Public Health, 9(10), 3506–3518. https://doi.
  4. org/10.3390/ijerph9103506.
  5. Abuya, B. A., J. Ciera & E. Kimani-murage. 2012. Effect of Mother's Education on Child's Nutritional
  6. Status in the Slums of Nairobi. BMC Pediatrics 2012, 12:80. http://www.biomedcentral.com/1471-
  7. /12/80.
  8. Ahmed, A.M.S, T. Ahmed, S.K. Roy, N. Alam & M.I Hossain. 2012. Determinants of Undernutrition
  9. in Children Under 2 years of Age from Rural Bangladesh. Indian Pediatr., 49:821 – 4. Retrieved
  10. from https://www.indianpediatrics.net/oct2012/oct-821-824.htm.
  11. Ahmed M.M., A. Hokororo, B.R. Kidenya, R.K & E. Kamugisha. 2016. Prevalence of Undernutrition
  12. and Risk Factors of Severe Undernutrition among Children Admitted to Bugando Medical Centre
  13. in Mwanza, Tanzania. BMC Nutrition (2016) 2:49. DOI: 10.1186/s40795-016-0090-6.
  14. Akombi B.J., K.E. Agho, J.J. Hall, D. Merom, T. Astell-Burt & A.M. Renzaho. 2017. Stunting and Severe
  15. Stunting among Children Under-5 Years in Nigeria: A Multilevel analysis. BMC Pediatr. 2017;17:15.
  16. Alderman, H., & D.D. Headey. 2017. How Important is Parental Education for Child Nutrition? World
  17. Development, 94, 448–464. https://doi.org/10.1016/j.worlddev.2017.02.007.
  18. Amugsi, D. A., M.B. Mittelmark, A. Lartey, D.J. Matanda, & H.B. Urke. 2014. Influence of Childcare
  19. Practices on Nutritional Status of Ghanaian Children: A Regression Analysis of the Ghana
  20. Demographic and Health Surveys. BMJ Open, 4(11), e005340. https://doi.org/10.1136/bmjopen2014-005340.
  21. Anuradha, R., S. Ranjit, D.S. Sam, F. Roniya, D. Roopa, S. Sakthi, S.R. Sabu & P. Ranjit. 2014.
  22. Nutritional Status of Children Aged 3–6 Years in a Rural Area of Tamilnadu.Journal of Clinical
  23. Diagnostic Research: JCDR, 8(10), JCO1-4. https://doi.org/10.7860/JCDR/2014/8902.4969.
  24. Asfaw, M., M. Wondaferash, M. Taha & L. Dube. 2015. Prevalence of Undernutrition and Associated
  25. Factors among Children Aged between Six to Fifty-nine Months in Bule Hora District, South
  26. Ethiopia. BMC Public Health, 15(1), 41. https://doi.org/10.1186/s12889-015-1370-9.
  27. Black, R. E., L.H. Allen, Z.A. Bhutta, L.E. Caulfield, O. Mercedes, M. Ezzati, C. Mathers & J. Rivera. 2008.
  28. Maternal and Child Undernutrition: Global and Regional Exposures and Health Consequences. The
  29. Lancet, 371(9608), 243–260. https://doi.org/10.1016/S0140-6736(07)61690-0.
  30. Casey PH, P.M. Simpson, J.M. Gossett, M.L. Bogle, C.M. Champagne, C. Connell, … J. Weber. 2006.
  31. The Association of Child and Household Food Insecurity with Childhood Overweight Status.
  32. Pediatrics . 118(5):e1406– 13.doi: 10.1542/pe ds.2006-0097.
  33. Chirande, L., D. Charwe, H. Mbwana, R. Victor, S. Kimboka, A. Issaka, … K.E. Agho. 2015.
  34. Determinants of Stunting and Severe Stunting among Under-fives in Tanzania: Evidence from
  35. the 2010 Cross-sectional Household Survey. BMC Pediatrics, 15, 165.
  36. https://doi.org/10.1186/s12887-015-0482-9.
  37. Delpeuch, F., P. Traissac, Y. Martin-Prével, J. Massamba & B. Maire. 2000. Economic Crisis and
  38. Malnutrition: Socioeconomic Determinants of Anthropometric Status of Preschool Children and
  39. their Mothers in An African Urban Area. Public Health Nutrition, 3(1), 39–47.
  40. https://doi.org/10.1017/S1368980000000069.
  41. Dewey, K. G., & D.R. Mayers. 2011. Early Child Growth: How do Nutrition and Infection Interact?
  42. Maternal & Child Nutrition, 7, 129–142. https://doi.org/10.1111/j.1740-8709.2011.00357.x.
  43. Espo, M., T. Kulmala, K. Maleta, T. Cullinan, M.L. Salin & P. Ashorn. 2007. Determinants of Linear
  44. Growth and Predictors of Severe Stunting During Infancy in Rural Malawi. Acta Paediatrica,
  45. (12), 1364–1370. https://doi.org/10.1111/j.1651-2227.2002.tb02835.x.
  46. FAO, IFAD, UNICEF, WFP & WHO. 2017. The State of Food Security and Nutrition in the World 2017.
  47. Building Resilience for Peace and Food Security. Rome, FAO. https://doi.org/10.1080/ 15226514.
  48. 751351.
  49. FAO, IFAD, UNICEF, WFP & WHO. 2018. The State of Food Security and Nutrition in the World 2018.
  50. Building Climate Resilience for Food Security and Nutrition. Global Food Insecurity Report. Rome.
  51. https://doi.org/10.1093/cjres/rst006.
  52. Filmer, D. & L. Pritchett. 1998. Estimating Wealth Effects without Expenditure Data—or Tears : An
  53. Application to Educational Enrollments in States of India 1, 1–38.
  54. Fotso J.C., N. Madise, A. Baschieri, J. Cleland, E. Zulu, M.K. Mutua & H. Essendi. 2012. Child Growth
  55. in Urban Deprived Settings: Does Household Poverty Status Matter? At Which Stage of Child
  56. Development? Health Place. 18(2):375 – 84. doi:10.1016/j.healthplace.2011.12.003.
  57. Grantham-McGregor, S., Y.B. Cheung, S. Cueto, P. Glewwe, L. Richter, B. Strupp & International
  58. Child Development Steering Group. 2007. Developmental potential in the first 5 years for
  59. children in developing countries. Lancet (London, England), 369(9555), 60–70. https://doi.
  60. org/10.1016/S0140-6736(07)60032-4.
  61. Hien N.N. & S. Kam. 2008. Nutritional Status and the Characteristics Related to Malnutrition in
  62. Children Under-five Years of Age in Nghean, Vietnam. J Prev Med Public Health, 41(4), 232–240.
  63. Retrieved from https://reference.medscape.com/medline/abstract/18664729.
  64. Holleman, C., Jackson, J., Sánchez, M.V. & R. Vos. 2017. Sowing the seeds of peace for food security
  65. - Disentangling the nexus between conflict, food security and peace, FAO. Agricultural
  66. Development Economics Technical Study 2. Rome, FAO. 95 pp.
  67. Hong, R., J.E. Banta & J.A. Betancourt. 2006. Relationship Between Household Wealth Inequality
  68. and Chronic Childhood Under-Nutrition in Bangladesh. International Journal for Equity in Health,
  69. , 1–10. https://doi.org/10.1186/1475-9276-5-15.
  70. Humbwavali, J. B., C. Giugliani, L.N. Nunes, S.V. Dalcastagnê & B.B. Duncan. 2019. Malnutrition and
  71. its Associated Factors : A cross-sectional Study with Children Under 2 Years in a Sub-urban Area
  72. in Angola, 1–11.
  73. International Food Policy Research Institute (IFPRI). 2015. Global Nutrition Report 2015: Actions and
  74. Accountability to Advance Nutrition and Sustainable Development. Washington DC. https://doi. org/
  75. 2499/9780896298835.
  76. Juma, O.A., Z.O. Enumah, H. Wheatley, M.Y. Rafiq, S. Shekalaghe, A. Ali, S. Mgonia & S. Abdulla.
  77. Prevalence and assessment of malnutrition among children attending the Reproductive
  78. and Child Health clinic at Bagamoyo District Hospital, Tanzania. BMC Public Health
  79. (16): 1094 (2016).
  80. Kandala N.B., T.P. Madungu, J.B. Emina, K.P. Nzita & F.P. Cappuccio. 2011. Malnutrition among
  81. Children Under the Age of Five in the Democratic Republic of Congo(DRC): Does Geographic
  82. Location Matter? BMC Public Health. 2011;11:261.
  83. Kingsley E.A, B.J. Akombi, A.J. Ferdous, I. Mbugua & J.K. Kamara. 2019. Childhood Undenutrition in
  84. three Disadvantaged East African Districts: A Multinomial Analysis. BMC Pediatrics (2019) 19:118.
  85. https://doi.org/10.1186/s12887-019-1482-y.
  86. Kunwar, R., & P.B. Pillai. 2002. Impact of Education of Parents on Nutritional Status of Primary
  87. School Children. Medical Journal, Armed Forces India, 58(1), 38–43. https://doi.org/10.1016/S0377-
  88. (02)80011-9.
  89. Macharia, T.N., S. Ochola, M.K. Mutua & E.W. Kimani-Murage. 2018. Association Between
  90. Household Food Security and Infant Feeding Practices in Urban Informal Settlements in Nairobi,
  91. Kenya. Journal of Developmental Origins of Health and Disease, 9(1), 20–29.
  92. https://doi.org/10.1017/S2040174417001064.
  93. Mahgoub, S., M. Nnyepi & T. Bandeke. 2006. Factors Affecting Prevalence of Malnutrition Among
  94. Children Under Three Years of Age in Botswana. Retrieved from https://www.academia. edu/
  95. /FACTORS_AFFECTING_PREVALENCE_OF_MALNUTRITION_AMONG_CHILDREN_UNDE
  96. R_THREE_YEARS_OF_AGE_IN_BOTSWANA.
  97. Mamiro, P.S., P. Kolsteren, D. Roberfroid, S. Tatala, A.S. Opsomer & J.H. Van Camp. 2005. Feeding
  98. Practices and Factors Contributing to Wasting, Stunting, and Iron-deficiency Anaemia among 3-
  99. -month old Children in Kilosa District, Rural Tanzania Infant-feeding Practices in Tanzania. J
  100. HEALTH POPUL NUTR, 23(3), 222–230. Retrieved from https://tspace.library.utoronto.ca/
  101. bitstream/1807/5990/1/hn05028.pdf.
  102. Marcoux, A. 2002. Sex Differentials in Undernutrition: A Look at Survey Evidence. Population and
  103. Development Review, 28(2), 275–284. https://doi.org/10.1111/j.1728-4457.2002.00275.x.
  104. Marjan, Z.M., M. Kandiah, K.G. Lin & T.E. Siong. 2002. Socioeconomic Profile and Nutritional Status
  105. of Children in Rubber Smallholdings. Asia Pacific Journal of Clinical Nutrition, 11(2), 133–141.
  106. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12074180.
  107. Martorell R. 1999. The Nature of Child Malnutrition and its Long-Term Implications. Food Nutr Bull.
  108. (3): 288 –92.
  109. Medhin G, C. Hanlon, M. Dewey, A. Alem, F. Tesfaye, B. Worku, M. Tomlinson & M. Prince. 2010.
  110. Prevalence and Predictors of Undernutrition among Infants Aged Six and Twelve Months in
  111. Butajira, Ethiopia: the P-MaMiE Birth Cohort. BMC Public Health. 2010;10:27.
  112. Mgongo, M., N.A.S. Chotta, T.H. Hashim, J.G. Uriyo, D.J. Damian, B. Stray-pedersen, … S. Vangen.
  113. Underweight, Stunting and Wasting among Children in Kilimanjaro Region, Tanzania ; A
  114. Population-Based Cross-Sectional Study, 1–12. https://doi.org/10.3390/ ijerph14050509.
  115. Ministry of Health and Social Welfare (MHSW). 2014. Tanzania National Nutrition Survey 2014. Dar es
  116. Salaam, Tanzania.
  117. Monteiro, C.A., M.H.D. Benicio, W.L. Conde, S. Konno, A.L. Lovadino, A.J. Barros & C.G. Victora. 2010.
  118. Narrowing Socioeconomic Inequality in Child Stunting: The Brazilian Experience, 1974–2007. Bulletin
  119. of the World Health Organization, 88(4), 305–311. https://doi.org/10.2471/ BLT.09.069195.
  120. Mostafa-Kamal, S.M. & A.M. Rosliza. 2010. Effects of Wealth on Nutritional Status of Preschool
  121. Children in Bangladesh. Malaysian Journal of Nutrition, 16(2): 219–232.
  122. Mtoi E.H. & C.N.M. Nyaruhucha. 2019. Child Care Practices and Nutritional Status of Under-Five
  123. Children in Tanzania: Evidence from Fishing Communities in Pangani District. International
  124. Journal of Asian Social Science, Asian Economic and Social Society, vol. 9(7), pages 390-405, July.
  125. http://www.aessweb.com/download.php?id=4609.
  126. Mutisya, M., N.B. Kandala, M.W. Ngware & C.W. Kabiru. 2015. Household Food (In)security and
  127. Nutritional Status of Urban Poor Children Aged 6 to 23 Months in Kenya Global Health. BMC
  128. Public Health, 15(1), 1–10. https://doi.org/10.1186/s12889-015-2403-0.
  129. National Bureau of Statistics (NBS). 2014a. Tanzania National Panel Survey Report (NPS) - Wave 3, 2012
  130. - 2013. Dar es Salaam, Tanzania.
  131. —. 2014b. The United Republic of Tanzania Basic Demographic and Socio-Economic Profile Report Tanzania
  132. Mainland Dar es Salaam. Dar es Salaam, Tanzania.https://www.tanzania.go.tz/egov_uploads/
  133. documents /TANZANIA_MAINLAND_SOCIO_ECONOMIC_PROFILE_sw.pdf.
  134. Reyes, H., R. Pérez-Cuevas, A. Sandoval, R. Castillo, J.I. Santos, S.V. Doubova & G. Gutiérrez. 2004.
  135. The Family as a Determinant of Stunting in Children Living in Conditions of Extreme Poverty: A
  136. case-control Study. BMC Public Health, 4(1): 57. https://doi.org/10.1186/1471-2458-4-57.
  137. Teshome, B., W. Kogi-Makau, Z. Getahun & G. Taye. 2010. Magnitude and Determinants of Stunting
  138. in Children Underfive Years of Age in Food Surplus Region of Ethiopia: The case of West Gojam
  139. Zone. Ethiopian Journal of Health Development, 23(2). https://doi.org/10.4314/ejhd.v23i2.53223.
  140. UNICEF, WHO, World Bank Group. 2017. Levels and Trends in Child Malnutrition in
  141. UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates Key Findings of the 2016
  142. edition. New York: UNICEF; Geneva: WHO; Washington DC: World Bank.
  143. —. 2018. Levels and Trends in Child Malnutrition in UNICEF/WHO/World Bank Group Joint Child
  144. Malnutrition Estimates Key Findings of the 2017 edition. New York: UNICEF; Geneva: WHO;
  145. Washington DC: World Bank.
  146. United Nations Development Programme (UNDP). 2013. Africa Human Development Report 2012:
  147. Towards A Food Secure Future. Popul Dev Rev. 39(1):172 – 3. doi:10.1111/j.1728-
  148. 2013.00584.x.
  149. United Nations International Children’s Fund (UNICEF). 2014. Multi-Sectoral Approaches to Nutrition.
  150. Nutrition-Specific and Nutrition-Sensitive Interventions to Accelerate Progress. New York:.
  151. Van de Poel, E., A.R. Hosseinpoor, C. Jehu-Appiah, J. Vega & N. Speybroeck. 2007. Socioeconomic
  152. Inequality in Malnutrition in Developing Countries. Bulletin of the World Health Organization,
  153. (4), 282–291. https://doi.org/10.2471/BLT.07.044800.
  154. Victora, C.G., L. Adair, C. Fall, P.C. Hallal, R. Martorell, L. Richter, H.S. Sachdev & Maternal and Child
  155. Undernutrition Study Group. 2008. Maternal and Child Undernutrition: Consequences for Adult
  156. Health and Human Capital. The Lancet, 371(9609), 340–357. https://doi.org/10.1016/S0140-
  157. (07)61692-4.
  158. Wamani, H., A.N. Astrøm, S. Peterson, J.K. Tumwine & T. Tylleskär. 2007. Boys are More Stunted
  159. than Girls in Sub-Saharan Africa: A Meta-Analysis of 16 Demographic and Health Surveys. BMC
  160. Pediatrics, 7, 17. https://doi.org/10.1186/1471-2431-7-17.
  161. Wamani, H., T. Tylleskär, A.N. Åstrøm, J.K. Tumwine & S. Peterson. 2004. Mothers’ Education but
  162. not Fathers’ Education, Household Assets or Land Ownership is the Best Predictor of Child
  163. Health Inequalities in Rural Uganda. International Journal for Equity in Health, 3(1), 9.
  164. https://doi.org/10.1186/1475-9276-3-9.
  165. Wondafrash, M., B. Admassu, Z.B. Bayissa & F. Geremew. 2017. Comparative Study on Nutritional
  166. Status of under Five Children with Employment Status of Mothers in Adama Town, Central
  167. Ethiopia. Maternal and Pediatric Nutrition, 03(01), 1–8. https://doi.org/10.4172/2472-
  168. 1000117.
  169. World Health Organisation (WHO). 2010. Interpretation Guide Nutrition Landscape Information System
  170. (NLIS). Country Profile Indicators. Geneva. Retrieved from https://apps.who.int/iris/
  171. bitstream/handle/10665/44397/9789241599955_eng.pdf?sequence=1&isAllowed=y.
  172. —. 2014. Global Database on Child Growth and Malnutrition. United Republic of Tanzania, Child
  173. Malnutrition Estimates by WHO Child Growth Standards. Retrieved from https://www.who.int/
  174. nutgrowthdb/database/countries/tza/en/.
  175. —. 2015. Micronutrient Deficiencies. Retrieved February 20, 2019, from
  176. https://www.who.int/nutrition/topics/ida/fr/.
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The Association Between Household Wealth and Nutritional Status of Preschool Children in Tanzania: Evidence from the 2012/13 National Panel Survey. (2020). Journal of Humanities & Social Science (JHSS), 8(2). https://doi.org/10.56279/jhss.v8i2.16
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