{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:12:12Z","timestamp":1785831132887,"version":"3.56.0"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T00:00:00Z","timestamp":1615852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008548","name":"Harvard T.H. Chan School of Public Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008548","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is unacceptably slow. In addition, little is known about the magnitude and factors associated with concurrent wasting and stunting (WaSt). Therefore, this study aimed to assess the prevalence and factors associated with WaSt, wasting, stunting and underweight among children 6\u201359\u2009months in Kersa Health and Demographic Surveillance System, Ethiopia. Data from a total of 1091 children and their parents' were analysed from a cross\u2010sectional study. Household questionnaires and anthropometric measurements were used for data collection. Height\u2010for\u2010age, weight\u2010for\u2010height and weight\u2010for\u2010age indices are expressed as standard deviation units from the mean for the reference group. Multivariate analyses were conducted to identify factors associated with WaSt, wasting, stunting and underweight. Statistical significance was declared at <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05. The prevalence of indicators of malnutrition was WaSt (5.8%), wasting (16.8%), stunting (53.9%) and underweight (36.9%). Children aged 6\u201317 months had a higher odds of wasting (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.12\u20132.75) compared with those aged 36\u201359 months, whereas children aged 18\u201335 months (aOR 2.4, 95% CI 1.65\u20133.47) and 36\u201359 months (aOR 1.6, 95% CI 1.07\u20132.37) had higher odds of stunting compared with those aged 6\u201317 months. Similarly, children aged 18\u201335\u2009months (aOR 1.6, 95% CI 1.07\u20132.37) and 36\u201359\u2009months (aOR 2.2, 95% CI 1.52\u20133.10) had higher odds of underweight compared with children aged 6\u201317\u2009months. Households that did not treat drinking water at point of use were at higher odds of WaSt (aOR 3.3, 95% CI 1.16\u20139.27) and stunting (aOR 1.9, 95% CI 1.31\u20132.85) compared with those who did treat drinking water. Boys were more likely to be WaSt, wasted, stunted and underweight. Cough was associated with WaSt, wasting and underweight. Furthermore, maternal education, maternal occupation and maternal age were significantly associated with wasting. Maternal body mass index (BMI) of less than 18.5\u2009kg\/m<jats:sup>2<\/jats:sup> and maternal BMI between 18.5 and 25\u2009kg\/m<jats:sup>2<\/jats:sup> were associated with child stunting. In Kersa, the prevalence of WaSt, wasting, stunting and underweight is very high and requires urgent public health intervention. This study highlights point\u2010of\u2010use water treatment, maternal education, hygiene and sanitation, child health service utilization and maternal BMI as important areas to improve to target child malnutrition. Furthermore, a community\u2010based programmatic and policy direction for early identification and management of WaSt in addition to other indicators of malnutrition is recommended.<\/jats:p>","DOI":"10.1111\/mcn.13172","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T06:50:59Z","timestamp":1615963859000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Prevalence and determinants of concurrent wasting and stunting and other indicators of malnutrition among children 6\u201359\u2009months old in Kersa, Ethiopia"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1166-9207","authenticated-orcid":false,"given":"Aklilu Abrham","family":"Roba","sequence":"first","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University  Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0341-2329","authenticated-orcid":false,"given":"Nega","family":"Assefa","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University  Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadeta","family":"Dessie","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University  Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abebe","family":"Tolera","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University  Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kedir","family":"Teji","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences Haramaya University  Dire Dawa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemler","family":"Elena","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health Harvard University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilia","family":"Bliznashka","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health Harvard University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wafaie","family":"Fawzi","sequence":"additional","affiliation":[{"name":"Harvard T.H. 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