Menu ENN Search

Effects on child growth of a reduction in the general food distribution ration and provision of small-quantity lipid-based nutrient supplements in refugee camps in eastern Chad

Author: Bridget Fenn, Mark Myatt, Emily Mates, Robert E Black, Caroline Wilkinson, Tanya Khara
Year: 2021
Resource type: Research

Abstract

Background 

We used the United Nations High Commissioner for Refugees Standardised Expanded Nutrition Survey data to evaluate the effect of a change in food ration on child growth in refugee camps in eastern Chad.

Methods 

We compared trends of wasting and stunting prevalence over time and the association between the coexistence of being both stunted and wasted using Pearson’s χ2 test. We analysed the effect of an approximate 50% reduction in the general food distribution, with the introduction of a 20 g daily ration of small quantity lipid-based nutrient supplements given to all children aged 6–23 months, on child growth. This was done using interrupted time-series analysis to observe differences in levels and trends in mean height-for-age z-score (HAZ) and weight-for-height z-score (WHZ) over time and by age group (6–24 months and 24–59 months).

Results 

Overall the prevalence of stunting and wasting decreased significantly over time. The odds of being both stunted and wasted was 1.38 higher than having one or the other condition separately (p<0.001, 95% CI=1.29 to 1.47). Trends in mean HAZ and WHZ before and after a ration change in 2014 indicate that growth had either slowed down or worsened. In the period following the ration change, children 24–59 months saw a significant decrease in mean HAZ of 0.04 per year (p=0.02, 95% CI=−0.07 to –0.01) and for the younger age group, there was a significant decrease in mean WHZ of 0.06 per year (p=0.03, 95% CI=−0.12 to –0.01).

Conclusions 

The dual burden of stunting and wasting is a considerable challenge in refugee camp settings. Changes to the food distribution had adverse effects on child growth for both age groups. Broadening the scope of interventions aimed at children in camps is essential when tackling malnutrition with increased efforts essential during periods of wider food assistance shortages.

 

Original link to resource here.

Download

Effects-on-child-growth-of-a-reduction-in-the-general-food-distribution-ration-and-provision-of-small-quantity-lipid-based-nutrient-supplements-in-refugee-camps-in-eastern-Chad.pdf (PDF, 953kb)

More like this

FEX: Effect of adding RUSF to ageneral food distribution on child nutritional status and morbidity: a cluster randomised controlled trial

Summary of research1 Child during appetite test at a health facility offering treatment in Monrovia, Liberia The authors of a recent study hypothesized that including a daily...

FEX: MUAC vs WHZ in predicting mortality in hospitalised children under five years of age

Summary of research1 This research contributes to the evidence base regarding which anthropometric indicators identify malnourished sick children most at risk of death. Low...

FEX: Growth faltering in rural Gambian children after four decades of interventions: a retrospective cohort study

Summary of Research1 Nabwera HM, Fulford AJ, Moore SE and Prentice AM. (2017). Growth faltering in rural Gambian children after four decades of interventions: a retrospective...

FEX: Linear growth following complicated severe malnutrition

Research snapshot1 Children presenting with severe acute malnutrition (SAM) are often also severely stunted. The purpose of this study was to evaluate linear growth and its...

en-net: Coverage prevalence survey for blanket SFP for chronic malnutrition

Our programme is a blanket supplementary feeding programme (BSFP) that is targeting very high rates of chronic malnutrition, the largest nutrition problem in the country. We...

FEX: Child wasting and concurrent stunting in low- and middle-income countries

View this article as a pdf Click here to listen to an interview with one of the authors on the ENN podcast channel Summary of research1 What we know: Cross-sectional,...

FEX: Wasting and Stunting Technical Interest Group (WaSt TIG) meeting

On the 15th of January 2018 the Wasting and Stunting (WaSt) Technical Interest Group (TIG) held their third face-to-face meeting at Trinity College, Oxford. This group of 30...

FEX: Relationships between wasting and stunting and their concurrent occurrence in Ghanaian pre-school children

Summary of research* Location: Ghana. What we know: Wasting is a short-term health issue, but repeated episodes may lead to stunting (long-term or chronic malnutrition). This...

FEX: Effect of nutrition survey ‘cleaning criteria’ on estimates of malnutrition prevalence and disease burden: secondary data analysis

Summary of research1 Location: Global What we know: Standardised methods for collection and reporting malnutrition prevalence data in nutrition surveys are used. What this...

FEX: Concurrent wasting and stunting among under-five children in Senegal

Research snapshot1 The study describes the patterns of concurrent wasting and stunting (WaSt) among children age 6-59 months living in the 1980s in Niakhar, a rural area of...

FEX: Follow-up of post-discharge growth and mortality after treatment for SAM in Malawi

Summary of research1 Location: Malawi What we know: There are limited data on long term outcomes following discharge from SAM treatment; what exists is largely pre-HIV....

FEX: Wasting is associated with stunting in early childhood

Summary of published research1 Location: Africa, Asia, Latin America What we know already: Wasting and stunting are respectively short term and longer term conditions of...

Resource: Children who are both wasted and stunted are also underweight and have a high risk of death: a descriptive epidemiology of multiple anthropometric deficits using data from 51 countries

Abstract Background: Wasting and stunting are common. They are implicated in the deaths of almost two million children each year and account for over 12% of...

FEX: Predicting coexistence of wasting and stunting in Guinea-Bissau: A secondary data analysis

Summary of MSc thesis1 By Abbi Sage Abbi Sage is a recent MSc graduate in Nutrition for Global Health from the London School of Hygiene and Tropical Medicine. She is now part...

FEX: WASH interventions and their effects on the nutritional status of children

Summary of research1 Location: Global What we know: Water, sanitation and hygiene (WASH) interventions are frequently implemented to improve health and reduce infectious...

FEX: Children concurrently wasted and stunted: A meta- analysis of prevalence data of children 6-59 months from 84 countries

Research summary1 Location: Global What we know: Wasting and stunting are often present in the same geographical populations and can exist concurrently in the same children,...

FEX: The relationship between wasting and stunting: a retrospective cohort analysis of longitudinal data in Gambian children from 1976 to 2016

View this article as a pdf Summary of research1 Location: Gambia What we know: There are gaps in understanding the relationship between wasting and stunting that often...

Resource: The relationship between wasting and stunting: a retrospective cohort analysis of longitudinal data in Gambian children from 1976 to 2016

Abstract Background: The etiologic relationship between wasting and stunting is poorly understood, largely because of a lack of highquality longitudinal data from children at...

FEX: Taller but thinner: trends in child anthropometry in Senegal 1990–2015

View this article as a pdf Research snapshot1 This article investigates trends in child anthropometry in Senegal between1990 and 2015, associating them with potential causes;...

FEX: Effectiveness of food supplements in increasing fat-free tissue accretion in children with moderate acute malnutrition in Burkina Faso

Summary of research1 Location: Burkina Faso What we know: There is no consensus on the effectiveness of lipid-nutrient supplement (LNS) compared to corn-soy blend (CSB) in...

Close

Reference this page

Bridget Fenn, Mark Myatt, Emily Mates, Robert E Black, Caroline Wilkinson, Tanya Khara (2021). Effects on child growth of a reduction in the general food distribution ration and provision of small-quantity lipid-based nutrient supplements in refugee camps in eastern Chad. www.ennonline.net/childgrowthrefugeecampseasternchad

(ENN_7085)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.