Multivariate analysis of correlates of children nutritional status in Harar region, Ethiopia


  • Dufera Tejjeba Kebede Department of Statistics, College of Computing and Informatics, Haramaya University, Ethiopia
  • Daniel Biftu Bekalo Department of Statistics, College of Computing and Informatics, Haramaya University, Ethiopia
  • Daniel Mesele Mekuriaw Department of Statistics, College of Computing and Informatics, Haramaya University, Ethiopia



Malnutrition, Wasting, Stunting, Underweight, Factor analysis, Multivariate multiple linear regression


Background: Malnutrition is defined as deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients. In Ethiopia malnutrition is one of the most serious health and welfare problems among infants and young children. Malnutrition among children under five years of age is a chronic problem in most regions of Ethiopia, including the Harari region. The main objective of this study was to assess risk factors attributed to nutritional status of children in Harari region.

Methods: Data was obtained from Ethiopian Demographic Health Survey, 2016. Different factors were considered as determinants of nutritional status of a child. The study used Multivariate Multiple Linear Regression model to identify significant correlates of children nutritional status.  

Results: The descriptive statistics in the study revealed that out of a total of 233 children included in the study 21% are underweighted, 19.3% are stunted and 11.2% are wasted in the study area. From Multivariate multiple linear regression, breast feeding factors, health status of child and child vaccination status significantly affect nutritional status of the under five children.

Conclusions: The factor analyses conducted in this study indicated that only two factors (instead of 5 original observed variables or items) were sufficient to explain 78.605% of the total variation in PCFA of observed items related to child nutritional status. Factors duration of breast feeding, birth order of a child, current age of child is statistically significant in affecting child malnutrition.


Metrics Loading ...


Park K. Park ‘s Textbook of Preventive and social medicine Nutrition and Health 21st edition. India; 2011.

Melvin WH. Nutrition for Health, Fitness and Sport, 7th edition Mc Graw-Hill New York; 2006.

Svedberg, P. An End to World Hunger “Poverty and Under nutrition”. Am J Public Health. USA; 2010: 298.

Cohen D. Achieving food security in vulnerable populations. Br Med J. 2009;331:775-7

WHO, WFP. Standing Committee on Nutrition and UNICEF, 'Community-based Management of Severe Acute Malnutrition: A joint statement by WHO, WFP, SCN and UNICEF', New York; 2007.

WHO. ‘Better care for newborns crucial for Millennium Development Goal on child deaths’ World Health Organization, Geneva; 2010.

Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF; 2016.

Muller O, Krawinkel M. Malnutrition and health in developing countries; 2005.

UNICEF/ WHO/ World Bank Group - Joint Child Malnutrition Estimates; 2017.

WHO, World Health Organization. Indicators for Assessing Infant and Young Child Feeding Practices Part 3: Country Profiles; World Health Organization: Geneva, Switzerland; 2010.

Senbanjo IO, Adeodu OO, Adejuyigbe EA. Influence of socio-economic factors on nutritional status of children in a rural community of Osun State, Nigeria; 2009.

Siddiqi NA, Haque N, Goni MA. Malnutrition of Under-Five Children: Evidence from Bangladesh. Asian J Med Sci. 2011;2:113-8.

Otgonjargal D, Bradley A, Woodruff F, Batjarga l, Davaalkham D. Nutritional status of under- five children in Mongolia; 2012.

Cogill, B. Anthropometric indicators measurement guide: food and nutrition technical assistance project. European J Clin Nutr. 2011;58:532-40.

Mengistu K, Alemu K, Destaw B. Prevalence of Malnutrition and Associated Factors Among Children Aged 6-59 Months at Hidabu Abote District, North Shewa, Oromia Regional State. J Nutr Disorders Ther T. 2013;1:001.

Teshome B, Kogi- Makau W, Getahun Z, Taye G. Magnitude and determinants of stunting in children under five years of age in food surplus region of west Gojam zone. Ethiop J Health Dev. 2006;23:98-106.

Emily B, Fidelis W, Robert CB. Prevalence and Predictors of Underweight, Stunting, and Wasting among Children Aged 5 and Under in Western Kenya. J Trop Pediatr. 2002;50:260-9.

Ethiopian DHS. Central Statistical Agency, Addis Ababa, Ethiopia; 2006: 19-20.

Tesfaye M. Bayesian approach to identify predictors of children Nutritional status in Ethiopia; 2009.






Original Research Articles