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Trends in socioeconomic inequalities in child undernutrition: Evidence from Nigeria Demographic and Health Survey (2003 – 2013)

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  • Blessing J Akombi
  • Kingsley E Agho
  • Andre M Renzaho
  • John J Hall
  • Dafna R Merom

Abstract

Objective: The aim of this study was to examine the trend in socioeconomic inequalities in child undernutrition in Nigeria. Methods: The study analysed cross-sectional data from the Nigeria Demographic and Health Survey (NDHS) 2003 to 2013. The outcome variables were stunting, wasting and underweight among children under-five years. The magnitude of child undernutrition in Nigeria was estimated via a concentration index, and the socioeconomic factors contributing to child undernutrition over time were determined using the decomposition method. Results: The concentration index showed an increase in childhood wasting and underweight in Nigeria over time. The socioeconomic factors contributing to the increase in child undernutrition were: child’s age (0–23 months), maternal education (no education), household wealth index (poorest household), type of residence (rural) and geopolitical zone (North East, North West). Conclusions: To address child undernutrition, there is a need to improve maternal education and adopt effective social protection policies especially in rural communities in Nigeria.

Suggested Citation

  • Blessing J Akombi & Kingsley E Agho & Andre M Renzaho & John J Hall & Dafna R Merom, 2019. "Trends in socioeconomic inequalities in child undernutrition: Evidence from Nigeria Demographic and Health Survey (2003 – 2013)," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
  • Handle: RePEc:plo:pone00:0211883
    DOI: 10.1371/journal.pone.0211883
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    References listed on IDEAS

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    1. World Bank, 2013. "Nigeria Economic Report, No. 1, May 2013," World Bank Publications - Reports 16568, The World Bank Group.
    2. Burchi, Francesco, 2010. "Child nutrition in Mozambique in 2003: The role of mother's schooling and nutrition knowledge," Economics & Human Biology, Elsevier, vol. 8(3), pages 331-345, December.
    3. Pathak, Praveen Kumar & Singh, Abhishek, 2011. "Trends in malnutrition among children in India: Growing inequalities across different economic groups," Social Science & Medicine, Elsevier, vol. 73(4), pages 576-585, August.
    4. Mohammad Habibullah Pulok & Md Nasim-Us Sabah & Ulrika Enemark, 2016. "Socioeconomic inequalities of child malnutrition in Bangladesh," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 43(12), pages 1439-1459, December.
    5. Ching‐Man Ku & Susan KY Chow, 2010. "Factors influencing the practice of exclusive breastfeeding among Hong Kong Chinese women: a questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2434-2445, September.
    6. Ndiaye, Aida & Ruel, Marie T. & Smith, Lisa C., 2004. "Why is child malnutrition lower in urban than rural areas?," FCND briefs 176, International Food Policy Research Institute (IFPRI).
    7. World Bank, 2014. "Nigeria Economic Report, No. 2, July 2014," World Bank Publications - Reports 19980, The World Bank Group.
    8. Smith, Lisa C. & Ruel, Marie T. & Ndiaye, Aida, 2005. "Why Is Child Malnutrition Lower in Urban Than in Rural Areas? Evidence from 36 Developing Countries," World Development, Elsevier, vol. 33(8), pages 1285-1305, August.
    9. Wehby, George L. & Murray, Jeffrey C. & Castilla, Eduardo E. & Lopez-Camelo, Jorge S. & Ohsfeldt, Robert L., 2009. "Prenatal care demand and its effects on birth outcomes by birth defect status in Argentina," Economics & Human Biology, Elsevier, vol. 7(1), pages 84-95, March.
    10. Braveman, Paula & Tarimo, Eleuther, 2002. "Social inequalities in health within countries: not only an issue for affluent nations," Social Science & Medicine, Elsevier, vol. 54(11), pages 1621-1635, June.
    11. Erreygers, Guido, 2009. "Correcting the Concentration Index," Journal of Health Economics, Elsevier, vol. 28(2), pages 504-515, March.
    12. Jacob Novignon & Emmanuel Aboagye & Otuo Agyemang & Genevieve Aryeetey, 2015. "Socioeconomic-related inequalities in child malnutrition: evidence from the Ghana multiple indicator cluster survey," Health Economics Review, Springer, vol. 5(1), pages 1-11, December.
    13. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    14. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LP, vol. 16(1), pages 112-138, March.
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