Annals of Tropical Medicine and Public Health
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Year : 2017  |  Volume : 10  |  Issue : 3  |  Page : 667-677

Maternal empowerment holds the key to reducing stunting during first 1000 days of life: Evidence from a case–controlled study

1 Jhpiego, India
2 Department of Community Medicine, Era Medical College, Lucknow, Uttar Pradesh, India
3 National Health Mission, Rajnandgaon, India
4 Sarthak, Chhattisgarh, India

Correspondence Address:
Pavan Pandey
E-33 Surya Apartments, Nehru Nagar–E, Bhilai - 490 020, Durg, Chhattisgarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ATMPH.ATMPH_228_17

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Objective: Stunting during the first 2 years of life can affect child's cognitive development, schooling, and earning potential. The objective of the study is to identify the determinants of severe stunting among children aged 2 years of age. Materials and Methods: We conducted a case–control study involving 289 severely stunted children as cases and 578 children with normal height as controls. Household-, maternal-, pregnancy-, and child care-related data were collected. Adjusted odds ratio (AOR) with confidence interval (CI) was calculated. Results: Multivariate regression analyses indicated that mother having short stature (AOR = 1.92 [95% CI = 1.14–3.52]), severe anemia during pregnancy (AOR = 1.98 [95% CI = 1.13–3.82]), weight gain <8 kg during pregnancy (AOR = 6.36 [95% CI = 4.08–10.81]), birth weight <2 kg (AOR = 5.96 [95% CI = 4.22–8.92]), a younger sibling (AOR = 12.62 [95% CI = 8.63–18.52]), and not receiving Vitamin A supplementation (AOR = 2.78 [95% CI = 1.87–4.45]) were associated with higher odds of severe stunting among children aged 2 years. Conclusion: Most of the factors associated with severe stunting were directly or indirectly related to child's mother. Thus, educating and empowering mother (s) for self-care before, during, and after pregnancy and about child care practices during first 2 years of life are crucial for reducing stunting in the first 1000 days of life.

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