Social Determinants of Undernutrition Among Under-5 Children in Rural Areas of Myanmar: A Narrative Review.

Abstract

Childhood undernutrition is a major public health challenge in Myanmar. To reduce the prevalence of childhood undernutrition in Myanmar, it is important to understand the social determinants of under-5 undernutrition. This review aimed to identify the social determinants of undernutrition in under-5 children in rural areas of Myanmar. A systematic search strategy was conducted through databases- Medline (Ovid), PubMed, SCOPUS, ProQuest Central, Web of science, and POPLINE. The grey literatures from relevant websites were also searched. Keywords were identified and used to search the literature published from 2007 to 2020 in English. Thematic analysis was performed. Twenty-five publications met the selection criteria and were reviewed. Five major themes were identified as important social determinants of under-5 undernutrition in Myanmar-food insecurity, poverty, maternal factors, an unhealthy environment, and low access to health services. This review highlights the need for a systematic and multisectoral approach to address under-5 undernutrition in Myanmar. Investment in agriculture and rural infrastructure development, and women's education and empowerment may be major contributors to improving the nutritional status of children in rural Myanmar. Findings from this study can be used to develop nutrition-related policies and programs to reduce childhood undernutrition and improve nutrition outcomes in rural Myanmar.