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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. 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.
    7. World Bank, 2014. "Nigeria Economic Report, No. 2, July 2014," World Bank Publications - Reports 19980, The World Bank Group.
    8. 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.
    9. 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.
    10. Erreygers, Guido, 2009. "Correcting the Concentration Index," Journal of Health Economics, Elsevier, vol. 28(2), pages 504-515, March.
    11. 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.
    12. 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.
    13. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LLC, vol. 16(1), pages 112-138, March.
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