Effects on child growth of a reduction in the general food distribution ration and provision of small-quantity lipid-based nutrient supplements in refugee camps in eastern Chad.
malnutrition
Journal
BMJ nutrition, prevention & health
ISSN: 2516-5542
Titre abrégé: BMJ Nutr Prev Health
Pays: England
ID NLM: 101769223
Informations de publication
Date de publication:
2021
2021
Historique:
received:
22
04
2021
accepted:
02
05
2021
entrez:
26
7
2021
pubmed:
27
7
2021
medline:
27
7
2021
Statut:
epublish
Résumé
We used the United Nations High Commissioner for Refugees Standardised Expanded Nutrition Survey data to evaluate the effect of a change in food ration on child growth in refugee camps in eastern Chad. We compared trends of wasting and stunting prevalence over time and the association between the coexistence of being both stunted and wasted using Pearson's χ Overall the prevalence of stunting and wasting decreased significantly over time. The odds of being both stunted and wasted was 1.38 higher than having one or the other condition separately (p<0.001, 95% CI=1.29 to 1.47). Trends in mean HAZ and WHZ before and after a ration change in 2014 indicate that growth had either slowed down or worsened. In the period following the ration change, children 24-59 months saw a significant decrease in mean HAZ of 0.04 per year (p=0.02, 95% CI=-0.07 to -0.01) and for the younger age group, there was a significant decrease in mean WHZ of 0.06 per year (p=0.03, 95% CI=-0.12 to -0.01). The dual burden of stunting and wasting is a considerable challenge in refugee camp settings. Changes to the food distribution had adverse effects on child growth for both age groups. Broadening the scope of interventions aimed at children in camps is essential when tackling malnutrition with increased efforts essential during periods of wider food assistance shortages.
Sections du résumé
BACKGROUND
BACKGROUND
We used the United Nations High Commissioner for Refugees Standardised Expanded Nutrition Survey data to evaluate the effect of a change in food ration on child growth in refugee camps in eastern Chad.
METHODS
METHODS
We compared trends of wasting and stunting prevalence over time and the association between the coexistence of being both stunted and wasted using Pearson's χ
RESULTS
RESULTS
Overall the prevalence of stunting and wasting decreased significantly over time. The odds of being both stunted and wasted was 1.38 higher than having one or the other condition separately (p<0.001, 95% CI=1.29 to 1.47). Trends in mean HAZ and WHZ before and after a ration change in 2014 indicate that growth had either slowed down or worsened. In the period following the ration change, children 24-59 months saw a significant decrease in mean HAZ of 0.04 per year (p=0.02, 95% CI=-0.07 to -0.01) and for the younger age group, there was a significant decrease in mean WHZ of 0.06 per year (p=0.03, 95% CI=-0.12 to -0.01).
CONCLUSIONS
CONCLUSIONS
The dual burden of stunting and wasting is a considerable challenge in refugee camp settings. Changes to the food distribution had adverse effects on child growth for both age groups. Broadening the scope of interventions aimed at children in camps is essential when tackling malnutrition with increased efforts essential during periods of wider food assistance shortages.
Identifiants
pubmed: 34308131
doi: 10.1136/bmjnph-2021-000292
pii: bmjnph-2021-000292
pmc: PMC8258085
doi:
Types de publication
Journal Article
Langues
eng
Pagination
235-242Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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