Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011
This article was published in the Public Health Nutrition [© The Authors 2018 ] and the definite version is available at : https://doi.org/10.1017/S136898001700341X The Journal's website is at: https://www.cambridge.org/core/journals/public-health-nutrition/article/spatiotemporal-heterogeneity-...
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Cambridge University Press
2022
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10361-163912022-03-22T04:23:32Z Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 Hasan, Md Tanvir Mamun, Abdullah A Williams, Gail M Soares Magalhães, Ricardo J Brac James P. Grant School of Public Health Spatial clustering Malnutrition Children under 5 years of age Bangladesh This article was published in the Public Health Nutrition [© The Authors 2018 ] and the definite version is available at : https://doi.org/10.1017/S136898001700341X The Journal's website is at: https://www.cambridge.org/core/journals/public-health-nutrition/article/spatiotemporal-heterogeneity-of-malnutrition-indicators-in-children-under-5-years-of-age-in-bangladesh-19992011/5A2899EB3F0499F0E944E9B2E5351BAD Objective: To examine changes in the spatial clustering of malnutrition in children under 5 years of age (under-5s) for the period 1999 to 2011 in Bangladesh. Design: We used data from four nationally representative Demographic and Health Surveys (DHS) conducted in 1999–2000, 2004, 2007 and 2011 in Bangladesh involving a total of 24 211 under-5s located in 1661 primary sampling units (PSU; geographical unit of analysis) throughout Bangladesh. The prevalence of stunting (height/length-for-age Z-score <− 2), underweight (weight-for-age Z-score <− 2) and wasting (weight-for-height/length Z-score <− 2) at each PSU site and for each survey year were estimated based on the WHO child growth standard. The extent of spatial clustering was quantified using semivariograms. Setting: Whole of Bangladesh. Subjects: Children under 5 years of age. Results: Our results demonstrate that in 1999–2000 most PSU throughout Bangladesh experienced stunting, underweight and wasting prevalence which exceeded the WHO thresholds. By 2011, this situation improved, although in two of the six divisions (Barisal and Sylhet) PSU still exhibited higher levels of malnutrition compared with other divisions of the country. The pattern of spatial clustering for stunting, underweight and wasting also changed between 1999 and 2011 both at national and sub-national (division) levels. Conclusions: We identified divisions where malnutrition indicators (stunting, underweight and wasting) remain highly clustered and other divisions where they are more widely spread in Bangladesh. This has important implications on how interventions for malnutrition need to be delivered (geographically targeted interventions v. random interventions) within each division of the country Published 2022-03-06T04:18:10Z 2022-03-06T04:18:10Z 2018 2018-01-30 Journal Article Hasan, M. T., Mamun, A. A., Williams, G. M., & Soares Magalhães, R. J. (2018). Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in bangladesh, 1999-2011. Public Health Nutrition, 21(5), 857-867. doi:10.1017/S136898001700341X http://hdl.handle.net/10361/16391 https://doi.org/10.1017/S136898001700341X en_US https://www.cambridge.org/core/journals/public-health-nutrition/article/spatiotemporal-heterogeneity-of-malnutrition-indicators-in-children-under-5-years-of-age-in-bangladesh-19992011/5A2899EB3F0499F0E944E9B2E5351BAD Public Health Nutrition application/pdf Cambridge University Press |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Spatial clustering Malnutrition Children under 5 years of age Bangladesh |
| spellingShingle |
Spatial clustering Malnutrition Children under 5 years of age Bangladesh Hasan, Md Tanvir Mamun, Abdullah A Williams, Gail M Soares Magalhães, Ricardo J Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| description |
This article was published in the Public Health Nutrition [© The Authors 2018 ] and the definite version is available at : https://doi.org/10.1017/S136898001700341X The Journal's website is at: https://www.cambridge.org/core/journals/public-health-nutrition/article/spatiotemporal-heterogeneity-of-malnutrition-indicators-in-children-under-5-years-of-age-in-bangladesh-19992011/5A2899EB3F0499F0E944E9B2E5351BAD |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Hasan, Md Tanvir Mamun, Abdullah A Williams, Gail M Soares Magalhães, Ricardo J |
| format |
Journal Article |
| author |
Hasan, Md Tanvir Mamun, Abdullah A Williams, Gail M Soares Magalhães, Ricardo J |
| author_sort |
Hasan, Md Tanvir |
| title |
Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| title_short |
Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| title_full |
Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| title_fullStr |
Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| title_full_unstemmed |
Spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in Bangladesh, 1999–2011 |
| title_sort |
spatiotemporal heterogeneity of malnutrition indicators in children under 5 years of age in bangladesh, 1999–2011 |
| publisher |
Cambridge University Press |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16391 https://doi.org/10.1017/S136898001700341X |
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