How important are community characteristics in influencing children׳s nutritional status? Evidence from Malawi population-based household and community surveys

Lana Clara Chikhungu, Nyovani Janet Madise , Sabu S. Padmadas

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Abstract

Using the 2004 data from the Malawi Integrated Household Survey and the Malawi Community Survey, this study investigates the influence of community characteristics on stunting among children under five years of age in a rural context. Multilevel logistic regression modelling on 4284 children with stunting as the dependent variable shows that availability of daily markets and lineage defined in terms of patrilineal or matrilineal communities were significant community determinants of childhood stunting in Malawi. There were significant differences in socio-economic status between household heads from matrilineal and patrilineal communities. Implementation of strategies that empower communities and households economically such as supporting the establishment of community daily markets and promoting household income generating opportunities can effectively reduce the burden of childhood stunting in Malawi.
Original languageEnglish
Pages (from-to)187-195
Number of pages9
JournalHealth & Place
Volume30
Early online date8 Oct 2014
DOIs
Publication statusPublished - 1 Nov 2014

Keywords

  • Malawi
  • Stunting
  • Child under-nutrition
  • Community characteristics
  • Lineage
  • RCUK
  • ESRC
  • ES/G019630/1

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