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International Journal of

                                                                          Population Studies





                                        RESEARCH ARTICLE
                                        Associated factors of child wasting among

                                        children aged 0 – 23 months in India: Analysis of
                                        the National Family Health Survey-5



                                                                   2†
                                                     1†
                                        Shivam Pandey , Jyoti Sharma *, and Mumtaj Ali 3
                                        1 Department of Biostatistics, All India Institute of Medical Sciences, India
                                        2 Indian Institute of Public Health Delhi, Public Health Foundation of India, India
                                        3 Centre for Chronic Disease Control, India





                                        Abstract

                                        The enduringly high prevalence of child wasting (weight-for-height-2SD) in India is a
                                        significant cause for concern. The objective of this study is to identify areas with high
                                        incidence of wasting among children aged 0 – 23 months and to uncover the factors
                                        influencing wasting among young children in India. The analysis utilized individual
                                        and  district-level  data  from  the  National  Family  Health  Survey-5  in  2019  –  2021.
                                        The wasting prevalence exceeding 30% was found in 81 districts, with 501 districts
                                        surpassing 15%. Our analysis indicated that children from the poorest households
            † These authors contributed equally   (adjusted odds ratio [AOR] = 1.60, 95% confidence interval [CI] = 1.43 – 1.79), those
            to this work.
                                        lacking access to improved sanitation facilities (AOR = 1.18, 95% CI = 1.11 – 1.25),
            *Corresponding author:      belonging to other backward class families (AOR =1.12, 95% CI = 1.04 – 1.20), and
            Jyoti Sharma
            (jyoti@iiphd.org)           born to mothers with body mass index (BMI) <18.5 (AOR = 1.30, 95% CI = 1.23 –
                                        1.37) faced higher odds of wasting. In addition, low birth weight (<2500 g) increased
            Citation: Pandey, S., Sharma, J., &   the odds of wasting by 27% (AOR = 1.27, 95% CI = 1.20 – 1.36). The study further
            Ali, M. (2024). Associated factors of
            child wasting among children aged   found that a minimum acceptable diet and female gender had protective effects
            0 – 23 months in India: Analysis   on wasting among children aged 6 – 23  months. These findings underscore the
            of the National Family Health   need for a comprehensive programmatic response to addressing wasting in young
            Survey-5. International Journal of
            Population Studies, 10(3): 60-68.   children. Urgent policies and programmatic actions are warranted, with a specific
            https://doi.org/10.36922/ijps.453  focus on strengthening the care of low birth weight and premature babies, as well
            Received: January 28, 2023  as promoting optimal child feeding practices. There is a call for intensified nutrition
                                        services as an integral component of routine health services for mothers. Early
            Accepted: November 17, 2023
                                        identification and management of wasting and counseling during pre-conception
            Published Online: April 22, 2024  and pregnancy should be prioritized.
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the   Keywords: Child wasting; Undernutrition; Early childhood development; National Family
            Creative Commons Attribution   Health Survey; India
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: AccScience
            Publishing remains neutral with   Nutrition serves as the cornerstone of human development, essential for optimal
            regard to jurisdictional claims in
            published maps and institutional   growth, cognitive abilities, learning capacity, and economic productivity. Recognized as
            affiliations.               a highly cost-effective intervention, nutrition plays a pivotal role in poverty reduction,



            Volume 10 Issue 3 (2024)                        60                         https://doi.org/10.36922/ijps.453
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