Nutritional status as a central determinant of child mortality in sub ‐Saharan Africa: A quantitative conceptual framework

AbstractChild mortality is a major public health problem in sub ‐Saharan Africa and is influenced by nutritional status. A conceptual framework was proposed to explain factors related to undernutrition. Previously proposed conceptual frameworks for undernutrition do not consider child mortality and describe factors related to undernutrition from a qualitative viewpoint only. A structural equation modelling approach was applied to the data from World Bank and FAO databases collected from over 37 sub‐Saharan countries from 2000 to the most recent update. Ten food groups, exclusive breastfeeding, poverty and illiteracy rates, and environmental hygiene wer e investigated in relation to underweight, stunting, low birthweight, and child mortality. Standardized beta coefficient was reported, and graphical models were used to depict the relations among factors related to under‐five mortality in sub‐Saharan Africa. Child mortality in sub‐Saharan Afri ca ranged between 76 and 127 × 1,000. In the same period, low birthweight rate was about 14%. Poverty and illiteracy are confirmed to affect health resources, which in turn influenced nutritional status and child mortality. Among nutritional factors, exclusive breastfeeding had a greater influenc e than food availability. Low birthweight, more than underweight and stunting, influenced child mortality.Structural equation modelling is a suitable way to disentangle the complex quantitative framework among factors determining chi...
Source: Maternal and Child Nutrition - Category: Nutrition Authors: Tags: ORIGINAL ARTICLE Source Type: research