Abstract

Despite recent progress shown by some of the indicators of Millennium DevelopmentGoals in Bangladesh, the nutritional status among all children of the country is notso satisfactory. Growing evidence suggest that there exist regional differences in childunder-nutrition in Bangladesh. The present article is an attempt to identify the regionaldifferences of child under-nutrition across six divisions of Bangladesh and to understandsome of the determinants of under-nutrition using DHS-2007 Bangladesh dat. This datafocus on under-nutrition and some of the determinants related to household, child andmother. A multivariate model was employed to study the regional differences of undernutritionstatus among children. Across the divisions, a variation of under-nutrition isobserved among the children. The prevalence of under-nutrition is statistically significantin poor households. Economics status, mothers’ education, children’s age, number of familymembers and duration of breastfeeding are important determinants of under-nutritionacross divisions. Child under-nutrition in Bangladesh is still a concern for the householdwith poor economic status. The article calls for improvement of the economic status of thehouseholds across divisions keeping in view the nature of inequality in childhood undernutritionin the country and its differential characteristics across the divisions.

Highlights

  • Bangladesh is the seventh most populous country in the world, and one of the poorest (USAID 2009; World Bank 2010)

  • The recent Demographic and Health Surveys (DHS) dataset provides much needed data to carry out the study on regional differences of under-nutrition in Bangladesh

  • These data demonstrate that there is a regional difference of weight-for-height related under-nutrition among children across divisions in Bangladesh, and this is a severe public health problem

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Summary

Introduction

Bangladesh is the seventh most populous country in the world, and one of the poorest (USAID 2009; World Bank 2010). Under-nutrition rates in Bangladesh are among the highest in the world (WFP 2011). In case of the child nutrition indicator, it ranks among the highest in the world with 20–40% of babies weighing less than 2500 g at birth (Faruque et al 2008). Prevalence of stunting is higher among children in rural areas (49%) than among their urban counterparts (36%). Prevalence of underweight is 10 percentage points higher among rural (42%) than that among urban children (32%). Among children aged 0–4 years, about 57% of both boys and girls are undernourished (stunting, wasting, or underweight) (Barkat et al 2009)

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