{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:30:55Z","timestamp":1793917855775,"version":"4.8.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Confl Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Malnutrition remains a major cause of morbidity and mortality amongst children in displaced settings. Nutrition at this stage is crucial for the growth and development of the child. It is estimated that 41\u00a0million children under 5 years are obese\/overweight, 159\u00a0million are stunted and 50\u00a0million are wasted worldwide. This study aimed to determine the prevalence and predictors of food insecurity and dietary diversity among internally displaced persons\u2019 children from 6 to 59 months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodology<\/jats:title>\n                <jats:p>A cross sectional community-based study was conducted on 395 children aged 6\u201359 months from May 2021-June 2021. A multistage cluster sampling method was used to select the study participants. A validated structured questionnaire was used to collect data on sociodemographic characteristics, food security and dietary diversity. Predictors of food insecurity and dietary diversity were identified using logistic regression. The outputs were presented using adjusted odd ratio (AOR) with 95% confidence interval (CI).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The study results revealed that the level of household food insecurity was 91.6%, at risk of experiencing hunger (3.3%) and food secure (5.5%). Participants had mean dietary diversity score of 3.6 food groups, 51.6% had a low or inadequate dietary diversity and 48.4% had adequate dietary diversity. Children who were from households with monthly income of $101- $200 US dollars and had been displaced just once were 79% (AOR: 0.21, 95%CI: 0.07\u20130.60) and 84% (AOR: 0.16, 95%CI: 0.05\u20130.50) less likely to be food insecure compared to their counterparts respectively. While households with participants who Walked\u2009\u2265\u200910\u00a0min to fetch drinking water (AOR: 11.61 95%CI: 2.39\u201352.08) were more likely food insecure. In addition, household monthly income of \u2265 $100 US dollars (AOR: 0.20, 95%CI: 0.07\u20130.56) had a reduced chance of providing low diversified food. Households that had received social grants (AOR: 2.15, 95%CI: 1.38\u20133.49) and walked\u2009\u2265\u200910\u00a0min to fetch drinking water (AOR: 2.43, 95%CI: 1.48\u20133.98) had a higher chance of providing low diversified food.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Dietary diversity and household food insecurity was unacceptably low and high respectively among internally displaced children. Policymakers should prioritize strengthening both nutrition sensitive and specific activities that contribute to reduction of food insecurity and consumption of unbalance diet.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13031-023-00511-2","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T17:02:49Z","timestamp":1679590969000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The predictors of food security and dietary diversity among internally displaced persons\u2019 children (6\u201359 months) in Bamenda health district, Cameroon"],"prefix":"10.1186","volume":"17","author":[{"given":"Ayuk Betrand","family":"Tambe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mbah Larissa","family":"Akeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Tendongfor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thembekile","family":"Dhlamini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Given","family":"Chipili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xikombiso","family":"Mbhenyane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,23]]},"reference":[{"key":"511_CR1","unstructured":"UNICEF. Improving Child Nutrition: The achievable imperative [Internet]. Vol.\u00a018, NCSL legisbrief. 2013 [cited 2022 Aug 22]. 1\u20132 p. Available from: https:\/\/scholar.google.com\/scholar?hl=en&as_sdt=0%2C5&q=Improving+child+nutrition%3A+the+achievable+imperative+for+global+progress+United+Nations+Children%27s+Fund+%282013%29+https%3A%2F%2Fwww.unicef.org%2Fgambia%2FImproving_Child_Nutrition_-_the_achievab"},{"key":"511_CR2","unstructured":"Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J, The Lancet. Maternal and child undernutrition: global and regional exposures and health consequences [Internet]. Vol.\u00a0371,. 2008 [cited 2022 Aug 22]. p.\u00a0243\u201360. Available from: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0140673607616900?casa_token=_Pn7-7hMG-cAAAAA_9QRwBwhR6jupeDbyCLtbTf_0QTFv__2D5XhVs4uHbXD33mqU8h3sIt2IFhVHm0rrZACbh3b1Q"},{"key":"511_CR3","unstructured":"Unicef\/ WHO\/The World Bank. LEVELS AND TRENDS IN CHILD MALNUTRITION. 47 million 38 million [Internet]. 2020 [cited 2020 May 2]. Available from: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/331621\/9789240003576-eng.pdf"},{"key":"511_CR4","unstructured":"Chiabi A, Lebela J, Kobela M, Mbuagbaw L, Obama MT, Ekoe T. The frequency and magnitude of growth failure in a group of HIV-infected children in Cameroon. Pan African Medical Journal [Internet]. 2012 [cited 2022 Sep 10];11:15. Available from: https:\/\/www.ajol.info\/index.php\/pamj\/article\/view\/75451"},{"key":"511_CR5","doi-asserted-by":"crossref","unstructured":"Ngassa AB, Meriki HD, Mbanga CM, Nzefa LD, Mbhenyane X, Tambe AB. Key predictors of undernutrition among children 6\u201359 months in the Buea Health District of the Southwest region of Cameroon: a cross sectional community-based survey. BMC Nutr. 2022 Dec;8(1):1\u20137.","DOI":"10.1186\/s40795-022-00646-0"},{"key":"511_CR6","unstructured":"UNICEF W and WB. Joint Child Malnutrition Estimates 2019 edition. Asia-Pacific Population Journal [Internet]. 2019 [cited 2022 Aug 22];24(2):51\u201378. Available from: https:\/\/scholar.google.com\/scholar?hl=en&as_sdt=0%2C5&q=+Joint+Child+Malnutrition+Estimates+2019+edition.&btnG="},{"key":"511_CR7","doi-asserted-by":"publisher","unstructured":"Keding GB, Schneider K, Jordan I. Production and processing of foods as core aspects of nutrition-sensitive agriculture and sustainable diets. Food Security [Internet]. 2013 Dec 26 [cited 2022 Sep 10];5(6):825\u201346. Available from: https:\/\/link.springer.com\/article\/https:\/\/doi.org\/10.1007\/s12571-013-0312-6","DOI":"10.1007\/s12571-013-0312-6"},{"key":"511_CR8","doi-asserted-by":"crossref","unstructured":"Springmann M, Wiebe K, Mason-D\u2019Croz D, Sulser TB, Rayner M, Scarborough P. Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail. 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Available from: https:\/\/doi.org\/10.1007\/s12571-019-00918-x","DOI":"10.1007\/s12571-019-00918-x"}],"container-title":["Conflict and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13031-023-00511-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13031-023-00511-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13031-023-00511-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T11:03:38Z","timestamp":1711364618000},"score":1,"resource":{"primary":{"URL":"https:\/\/conflictandhealth.biomedcentral.com\/articles\/10.1186\/s13031-023-00511-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,23]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["511"],"URL":"https:\/\/doi.org\/10.1186\/s13031-023-00511-2","relation":{},"ISSN":["1752-1505"],"issn-type":[{"value":"1752-1505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,23]]},"assertion":[{"value":"10 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 March 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 March 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"A research proposal was submitted to the Institutional Review Board of the University of Buea and the ethical clearance obtained (No:2021\/1467-04\/UB\/SG\/IRB\/FHS). Administrative approval was gotten from the Faculty of Health Sciences Buea, Regional Delegation of Public Health Bamenda and Bamenda Health District. For each participant, a satisfactory explanation was given to them in a local language (English-pidgin language) and their consent was obtained. Names were not taken, instead identification codes were used to maintain confidentiality. Information collected during the survey was used solely for the purpose of this study and participants had the rights to withdraw from the study without any problem.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author(s) declared no potential conflicts of interest with respect to the research, authorship, and\/or publication of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}],"article-number":"11"}}