Nutritional status of 6-59 months of age children is not significantly varied between households with and without home gardening practices in Zege, North West Ethiopia, 2020: community based comparative study

Abstract

Background: Malnutrition is a critical public health issue that has been related to a significant increase in mortality and morbidity rates. Despite the fact that children are expected to benefit from home gardening products, their nutritional condition in Ethiopia, particularly in the planned study region, is not thoroughly monitored. Therefore the purpose of this is to determine the nutritional status of 6-59 months of age children between households with and without home gardening practices at Zege.

Methods: A community based comparative cross-sectional study was conducted among paired mothers with 6-59 month children from February to March 2020. Data were collected using questionnaire and anthropometric measurement tools. Binary logistic regression models were used. A-p-value < 0.05 was used as cutoff point to declare statistically significant variables with the outcome variable.

Result: Stunting and wasting among children aged 6-59 months was high and did not show significant variation between households practicing home gardening (stunting 46.1%, at 95%, CI: 40.6-51.3 and wasting 9.1%, at 95% CI: 6.2-12.7) and not practiced home gardening (stunting 50.3%, at 95% CI: 44.5-55.8 and wasting 10.1%, 95% CI: 6.8-13.8). Having low dietary diversity (AOR = 2.7; 95% CI: 1.9-3.9), Being male (AOR = 2.1; 95% CI: 1.4-3), feeding frequency < 3/day (AOR = 1.7; 95% CI: 1.1-2.4), and presence of diarrhea (AOR = 2.6; 95% CI: 1.4-4.6) were predictors of stunting. Unprotected-drinking water (AOR = 2.1; 95% CI: 1.0-4.2), not fully-immunized (AOR = 2.6; 95% CI: 1.3-5.1) and being female (AOR = 2.4; 95% CI: 1.3-4.6) were predictors for child wasting.

Conclusion: stunting and wasting are highly prevalent in both home gardening and non- home gardening households' children of the community. Promoting diversified diet, protected water source, vaccinating children, access to a healthy environment and integrated with the access of nutrition education programs are vital interventions to improve nutrition.

Keywords: Ethiopia; Home gardening households; Nutritional status; Under-five children.