Abstract

Background: This study aims to describe malnutrition among children under five and to describe the food insecurity status during the current conflict in Yemen. Methods: Data were obtained from a Yemeni nutrition surveillance program (pilot phase) targeting 4142 households with 5276 children under five from two governorates (Ibb and Sana’a). Results: Global acute malnutrition was found in 13.3% of overall screened children, while 4.9% had severe acute malnutrition (SAM) and 8.4% had moderate acute malnutrition. One-fifth of the children under six months of age were acutely malnourished, followed by children under two years at 18.5% based on weight-for-height z scores. Significant associations between malnutrition and other diseases included suspected measles at three times higher rates (4.5%, p < 0.00) among SAM cases than other children. Diarrhea, fever, and cough were significantly higher among the SAM group (p < 0.05). Most households depended on market food purchases in the month preceding this survey (84.7%). Household coping mechanisms to secure daily meals included borrowing food to survive, changing types and quality of food, and decreasing the number of meals per day; some families sent their children to live with relatives. Conclusion: Malnutrition is a serious public health problem. The humanitarian community needs to adopt alternative strategies to improve food security and the nutrition status in Yemen.

Highlights

  • Yemen is the poorest country in the Middle East and North Africa, and since March 2015 it has been facing a significant humanitarian and security crisis

  • Yemen is facing the largest food security emergency in the world because of a severe decline in agriculture production, which affects approximately 60% of Yemenis who depend on agriculture

  • This study aims to determine the prevalence and factors associated with acute malnutrition among children under five years in the communities of Ibb and Sana’a governorates during the current conflict in Yemen

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Summary

Introduction

Yemen is the poorest country in the Middle East and North Africa, and since March 2015 it has been facing a significant humanitarian and security crisis. Yemen is facing the largest food security emergency in the world because of a severe decline in agriculture production, which affects approximately 60% of Yemenis who depend on agriculture. This study aims to describe malnutrition among children under five and to describe the food insecurity status during the current conflict in Yemen. Significant associations between malnutrition and other diseases included suspected measles at three times higher rates (4.5%, p < 0.00) among SAM cases than other children. Most households depended on market food purchases in the month preceding this survey (84.7%). Household coping mechanisms to secure daily meals included borrowing food to survive, changing types and quality of food, and decreasing the number of meals per day; some families sent their children to live with relatives

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