Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014
This article was published in the International Journal for Equity in Health [© 2016 The Author(s) ] and the definite version is available at : https://doi.org/10.1186/s12939-016-0477-7. The Journal's website is at: https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-016-0477-7#Abs1...
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2018
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10361-88452019-09-30T03:13:46Z Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 Rabbani, Atonu Khan, Akib Yusuf, Sifat Adams, Alayne Stunting Severe stunting Socioeconomic inequities Health survey Bangladesh demography This article was published in the International Journal for Equity in Health [© 2016 The Author(s) ] and the definite version is available at : https://doi.org/10.1186/s12939-016-0477-7. The Journal's website is at: https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-016-0477-7#Abs1 Background We explore long-term trends and determinants of socioeconomic inequities in chronic childhood undernutrition measured by stunting among under-five children in Bangladesh. Given that one in three children remain stunted in Bangladesh, the socioeconomic mapping of stunting prevalence may be critical in designing public policies and interventions to eradicate childhood undernutrition. Methods Six rounds of Bangladesh Demographic and Health Survey data are utilized, spanning the period 1996/97 to 2014. Using recognized measures of absolute and relative inequality (namely, absolute and relative difference, concentration curve and index), we quantify trends, and decompose changes in the concentration index to identify factors that best explain observed dynamics. Results Despite remarkable improvements in average nutritional status over the last two decades, socio-economic inequalities have persisted, and according to some measures, even worsened. For example, expressed as rate-ratios, the relative inequality in under-five stunting increased by 56% and the concentration index more than doubled between 1996/97 and 2014. Decomposition analyses find that wealth and maternal factors such as mothers’ schooling and short stature are major contributors to observed socio-economic inequalities in child undernutrition and their changes over time. Conclusions Reflecting on recent success around socioeconomic and gender equity in child mortality, and the weak legacy of nutrition policy in Bangladesh, we suggest that nutrition programming energies be focused specifically on the most disadvantaged and applied at scale to close socioeconomic gaps in stunting prevalence. Published 2018-01-02T04:56:11Z 2018-01-02T04:56:11Z 2016-11-16 Article Rabbani, A., Khan, A., Yusuf, S., & Adams, A. (2016). Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014. International Journal for Equity in Health, 15(1), 1–14. https://doi.org/10.1186/s12939-016-0477-7 14759276 http://hdl.handle.net/10361/8845 https://doi.org/10.1186/s12939-016-0477-7 en https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-016-0477-7#Abs1 application/pdf © 2016 International Journal for Equity in Health |
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Brac University |
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Institutional Repository |
| language |
English |
| topic |
Stunting Severe stunting Socioeconomic inequities Health survey Bangladesh demography |
| spellingShingle |
Stunting Severe stunting Socioeconomic inequities Health survey Bangladesh demography Rabbani, Atonu Khan, Akib Yusuf, Sifat Adams, Alayne Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| description |
This article was published in the International Journal for Equity in Health [© 2016 The Author(s) ] and the definite version is available at : https://doi.org/10.1186/s12939-016-0477-7. The Journal's website is at: https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-016-0477-7#Abs1 |
| format |
Article |
| author |
Rabbani, Atonu Khan, Akib Yusuf, Sifat Adams, Alayne |
| author_facet |
Rabbani, Atonu Khan, Akib Yusuf, Sifat Adams, Alayne |
| author_sort |
Rabbani, Atonu |
| title |
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| title_short |
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| title_full |
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| title_fullStr |
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| title_full_unstemmed |
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014 |
| title_sort |
trends and determinants of inequities in childhood stunting in bangladesh from 1996/7 to 2014 |
| publisher |
© 2016 International Journal for Equity in Health |
| publishDate |
2018 |
| url |
http://hdl.handle.net/10361/8845 https://doi.org/10.1186/s12939-016-0477-7 |
| work_keys_str_mv |
AT rabbaniatonu trendsanddeterminantsofinequitiesinchildhoodstuntinginbangladeshfrom19967to2014 AT khanakib trendsanddeterminantsofinequitiesinchildhoodstuntinginbangladeshfrom19967to2014 AT yusufsifat trendsanddeterminantsofinequitiesinchildhoodstuntinginbangladeshfrom19967to2014 AT adamsalayne trendsanddeterminantsofinequitiesinchildhoodstuntinginbangladeshfrom19967to2014 |
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