{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:44:56Z","timestamp":1793040296522,"version":"4.5.0"},"reference-count":32,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Background<\/jats:title>\n Wasting continued to threaten the lives of 52 million (7.7%) under-five children globally. Sub-Saharan Africa accounts for one-third of all wasted children globally, and Ethiopia is among the countries with the highest magnitude of Wasting in the region. Despite, the little decrement in the prevalence of other forms of malnutrition (stunting and underweight), the burden of wasting remains the same in the country. Gedeo zone is among those with a high prevalence of under-five wasting.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To identify determinants of wasting among children aged 6\u201359 months in Wonago Woreda, 2018.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A facility-based unmatched case-control study was conducted from May 11 to July 21\/2018. A total of 356 (119 cases and 237 controls) mothers\/caregivers of under-five children who visited the Wonago woreda public health facilities were included in the study using systematic random sampling. Data were collected using a structured questionnaire and anthropometric measurement. Descriptive analysis was used to describe data. Binary logistic regression was used to identify determinants of wasting among children aged 6\u201359 months. Variables with p-value < 0.25 in bi-variate analysis entered to multivariate analysis. Those variables with a p-value less than 0.05 during the multivariate regression were considered significant.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Determinants which found to have an association with wasting in this study were; maternal illiteracy [AOR = 2.48, 95% CI (1.11, 5.53)] family size <3 [AOR = 0.16, 95% CI (0.05, 0.50)] wealth index [AOR = 2.41, 95% CI (1.07, 5.46)] exclusive breastfeeding in the first 6 months [AOR = 2.71, 95% CI (1.15, 6.40)] dietary diversity [AOR = 5.52, 95% CI (2.06, 14.76)] and children been sick in the last 2 weeks [AOR = 4.36, 95% CI (2.21, 8.61)].<\/jats:p>\n <\/jats:sec>\n \n Conclusion and recommendations<\/jats:title>\n Determinants identified were maternal education, family size, wealth index, and exclusive breastfeeding, dietary diversity, and morbidity history of a child in the last 2 weeks. To reduce childhood wasting, due emphasis should be given to empowering women and improving the knowledge and practice of parents on appropriate infant and young child-caring practices.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0269380","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T13:42:22Z","timestamp":1654782142000},"page":"e0269380","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":13,"title":["Determinants of wasting among children aged 6\u201359 months in Wonago woreda, south Ethiopia. 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United Nations Children\u2019s Fund. Levels and trends in child mortality 2014."},{"issue":"9","key":"pone.0269380.ref004","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.3945\/jn.114.191981","article-title":"Linear growth deficit continues to accumulate beyond the first 1000 days in low-and middle-income countries: global evidence from 51 national surveys","volume":"144","author":"JL Leroy","year":"2014","journal-title":"The Journal of nutrition"},{"issue":"5","key":"pone.0269380.ref005","first-page":"300","article-title":"Determinants of severe acute malnutrition among under five children in Shashogo Woreda, southern Ethiopia: a community based matched case control study","volume":"4","author":"N. Dereje","year":"2014","journal-title":"J Nutr Food Sci"},{"issue":"1","key":"pone.0269380.ref006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2458-10-509","article-title":"Risk factors for childhood malnutrition in Roma settlements in Serbia.","volume":"10","author":"T Janevic","year":"2010","journal-title":"BMC public health."},{"issue":"5 Suppl","key":"pone.0269380.ref007","doi-asserted-by":"crossref","first-page":"6","DOI":"10.4269\/ajtmh.2012.12-0221","article-title":"World Health Organization\/United Nations Children\u2019s Fund joint statement on integrated community case management: an equity-focused strategy to improve access to essential treatment services for children","volume":"87","author":"M Young","year":"2012","journal-title":"The American journal of tropical medicine and hygiene"},{"key":"pone.0269380.ref008","volume-title":"Joint child malnutrition estimates: levels and trends","author":"UNICEF W","year":"2017"},{"key":"pone.0269380.ref009","unstructured":"World Health Organization. Health in 2015: from MDGs, millennium development goals to SDGs, sustainable development goals."},{"issue":"5","key":"pone.0269380.ref010","doi-asserted-by":"crossref","first-page":"e0177338","DOI":"10.1371\/journal.pone.0177338","article-title":"Child malnutrition in sub-Saharan Africa: A meta-analysis of demographic and health surveys (2006\u20132016).","volume":"12","author":"BJ Akombi","year":"2017","journal-title":"PloS one."},{"issue":"1","key":"pone.0269380.ref011","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13690-018-0281-5","article-title":"Individual and household risk factors of severe acute malnutrition among under-five children in Mao, Chad: a matched case-control study.","volume":"76","author":"J Dodos","year":"2018","journal-title":"Archives of Public Health."},{"issue":"2","key":"pone.0269380.ref012","first-page":"70","article-title":"Risk factors for severe acute malnutrition in Central India.","volume":"2","author":"S. Goyal","year":"2015","journal-title":"Inter J Medical Sci Res Prac"},{"issue":"5","key":"pone.0269380.ref013","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.18203\/2349-3291.ijcp20173773","article-title":"Risk factors for severe acute malnutrition in under-five children attending nutritional rehabilitation centre of tertiary teaching hospital in Karnataka: a case control study.","volume":"4","author":"M Prashanth","year":"2017","journal-title":"Int J Contemp Pediatr."},{"issue":"1","key":"pone.0269380.ref014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40795-015-0031-9","article-title":"Determinants of acute malnutrition among children aged 6\u201359 months in public hospitals, Oromia region, West Ethiopia: a case\u2013control study.","volume":"1","author":"AB Ayana","year":"2015","journal-title":"BMC Nutrition."},{"key":"pone.0269380.ref015","article-title":"Determinants of acute malnutrition among children aged 6\u201359 months in Public Health Facilities of Pastoralist Community, Afar Region, Northeast Ethiopia: a case control study","author":"A Seid","year":"2017","journal-title":"Journal of nutrition and metabolism"},{"issue":"1","key":"pone.0269380.ref016","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40795-018-0211-5","article-title":"Determinants of severe acute malnutrition among under five children in rural Enebsie Sarmidr District, East Gojjam Zone, North West Ethiopia, 2016.","volume":"4","author":"A Awoke","year":"2018","journal-title":"BMC nutrition."},{"issue":"5","key":"pone.0269380.ref017","first-page":"300","article-title":"Determinants of severe acute malnutrition among under five children in Shashogo Woreda, southern Ethiopia: a community based matched case control study","volume":"4","author":"N. Dereje","year":"2014","journal-title":"J Nutr Food Sci"},{"key":"pone.0269380.ref018","article-title":"Malnutrition and associated factors among under five children (6\u201359 Months) at Shashemene Referral Hospital, West Arsi Zone, Oromia, Ethiopia.","author":"ZY Kassa","year":"2017","journal-title":"Current Pediatric Research"},{"key":"pone.0269380.ref019","doi-asserted-by":"crossref","DOI":"10.4324\/9781315149776-11","volume-title":"The distributive effect and food security implications of biofuels investment in Ethiopia: A CGE analysis.","author":"Z Gebreegziabher","year":"2018"},{"key":"pone.0269380.ref020","unstructured":"Central statistics Agency, EDHS 2016. 2017: Addis Abeba, Ethiopia."},{"key":"pone.0269380.ref021","doi-asserted-by":"crossref","first-page":"317","DOI":"10.4172\/2161-0665.1000317","article-title":"Determinants for Acute Malnutrition among Under-Five Children at Public Health Facilities in Gedeo Zone, Ethiopia: A Case-Control Study.","volume":"7","author":"T. Abuka","year":"2017","journal-title":"Pediatr Ther"},{"issue":"1","key":"pone.0269380.ref022","first-page":"175","article-title":"Magnitude and factors associated with malnutrition in children 6\u201359 months of age in pastoral community of Dollo Ado Woreda, Somali region, Ethiopia.","author":"W.A. Demissie S","journal-title":"Sci J Public Health"},{"issue":"1","key":"pone.0269380.ref023","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/nyas.12330","article-title":"Water, sanitation, and hygiene (WASH), environmental enteropathy, nutrition, and early child development: making the links.","volume":"1308","author":"FM Ngure","year":"2014","journal-title":"Annals of the New York Academy of Sciences"},{"key":"pone.0269380.ref024","volume-title":"Progress on sanitation and drinking water: 2015 update and MDG assessment.","author":"WHO\/UNICEF Joint Water Supply, Sanitation Monitoring Programme","year":"2015"},{"key":"pone.0269380.ref025","first-page":"181","article-title":"Determinant of severe acute malnutrition among children aged 6\u201359 Months in Konso, Southern Ethiopia: Case control study.","volume":"24","author":"A Eshetu","year":"2016","journal-title":"Q Prim Care"},{"key":"pone.0269380.ref026","article-title":"Prevalence of Wasting and Associated Factors among Preschool Children in Gobu Sayo Woreda, East Wollega, Ethiopia.","volume":"28","author":"G Tolera","year":"2014","journal-title":"Prevalence"},{"issue":"132","key":"pone.0269380.ref027","first-page":"2161","article-title":"Prevalence of malnutrition and associated factors among children age 6\u201359 months at lalibela town administration, North WolloZone, Anrs, Northern Ethiopia.","volume":"4","author":"BM Yalew","year":"2014","journal-title":"J Nutr Disorders Ther"},{"issue":"1","key":"pone.0269380.ref028","first-page":"65","article-title":"Kwashiorkor-is it a dying disease?.","volume":"97","author":"TA Ogunlesi","year":"2007","journal-title":"South African Medical Journal"},{"issue":"1","key":"pone.0269380.ref029","article-title":"Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia.","volume":"14","author":"M Tessema","year":"2013","journal-title":"Pan African Medical Journal"},{"issue":"4","key":"pone.0269380.ref030","first-page":"242","article-title":"Determinants of acute malnutrition among under-five children in Karat Town Public Health Facilities, Southern Ethiopia: a case control study.","volume":"25","author":"A Miskir","year":"2017","journal-title":"Quality in Primary Care."},{"key":"pone.0269380.ref031","volume-title":"Guidelines for measuring household and individual dietary diversity","author":"G Kennedy","year":"2011"},{"issue":"1","key":"pone.0269380.ref032","first-page":"1","article-title":"Assessment of factors associated with malnutrition among under five years age children at Machakel Woreda, Northwest Ethiopia: a case control study","volume":"4","author":"G Bantamen","year":"2014","journal-title":"Journal of Nutrition & Food Sciences"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0269380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T13:43:02Z","timestamp":1654782182000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0269380"}},"subtitle":[],"editor":[{"given":"Sukumar","family":"Vellakkal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,6,9]]},"references-count":32,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,9]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0269380","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,9]]}}}