The Prevalence and Associated Factors of Protein Energy Malnutrition among under Five Year Children in Pediatric OPDs of Public Health Institution in Yirgalem Town, Southern Ethiopia, 2017


  • Kaleab Tesfaye Tegegne Health Science, Hawassa Health Science College, Hawassa, Ethiopia
  • Iyasu Estiphanos Berisha Health Science, Hawassa Health Science College, Hawassa, Ethiopia



Malnutrition, stunting, wasting, underweight, paediatrics OPD.


Introduction: Protein energy malnutrition is one of the leading causes of morbidity and mortality in children under the age of five in developing countries. Ethiopia being one of these countries malnutrition is an important public health problem and among the highest in the world

Objectives: The main objective of this study is to assess the prevalence and associated factors of protein energy malnutrition among under-five children in pediatric OPDs of public health institutions at Yirgalem town, Dale woreda, Sidama zone, SNNPR, Ethiopia from September 18-26, 2017.

Methodology: Institutional based cross sectional study was conducted in pediatric OPDs of public health institutions in Yirgalem town, on a total of 204 children age less than five years from September 18-26, 2017. Study subjects were selected by using quota sampling technique. Interviewer administered structured questionnaire and anthropometric measurements were used to collect data. Data was analysed using SPSS version 20.0statistical software.

Result: This study indicated that the prevalence of stunting wasting and Under-weight was 41.2%, 1.7% and 25% respectively. Factors showed statistically significant association in multivariate analysis were family planning use by mother, children eat together with older siblings and exclusive breast feeding with P-value (0.02), (0.036) and (0.002) respectively.

Conclusion: This study reviled that the prevalence of stunting, wasting and under-weight were higher among under-five children participated in this study. Thus children are at a higher risk of under nutrition related morbidity and mortality. Further progress in under nutrition prevention can be achieved by specifically targeting children at their early age and conducting tailored public education to improve the nutritional status of the study subjects.


[1] WHO. Global strategy for infant and young child feeding. WHA 55/15, April 2002.
[2] National family health survey (NFHS-3) 2005-06, India. Suggested citation: International Institute for Population Sciences (IIPS) and Macro International 2009; 1: 269.
[3] UNICEF. Children and the Millennium Development Goals. Progress for children a report card on nutrition 2007.
[4] Consultancy Africa Inteligence. Food insecurity and malnutrition in Africa, 2012. com accessed on 29 May 2013.
[5] WHO. Household Food and Nutrition Security, 2001. accessed on 30 May 2013.
[6] Consultancy Africa Intelligence. Food Sovereignty, 2008. accessed on 30 May 2013.
[7] Eticha K. Prevalence and Determinants of Child Malnutrition In Gimbi district. Addis ababa university 2013; [master thesis].
[8] Ethiopian Central statistical Agency. Ethiopian Demographic and Health Survey. ICF International Calverton: Maryland 2016.
[9] Gamecha R, Demses T, Admise A. The magnitude of nutritional under-weight and associated factors among children aged 6-59 months in Wonsho woreda, Sidama zone southern Ethiopia February 07, 2017.
[10] Sisay Z. magnitude and factors associated with malnutrition of children under -five years of age in rural kebeles of Haramaya, Ethiopia Harar bull Health sci Extracts Number 2011; 2012.
[11] FMOH. Health sector development programme IV First Year annual performance report, Ethiopia, EFY (2013).
[12] Mostefa KS. Socio economic determinants of sever and moderate stunting among under-five children of rural Bangladesh. Malaysian Journal of Nutrition 2011; 17: 105-118,
[13] Tiwari SR, Bandi JR, Awasthi SR, Sharma AK. Assessment of prevalence of protein energy malnutrition inunder 5 year children in an urban slum of Mumbai, India and to study associated factors. Int J Community Med Public Health 2016; 3: 1129-34.
[14] Mengistu K, Alemu K, Destaw B. Prevalence of malnutrition and associated factors among children aged 6-59 months at Hidabu District, Northern Shewa, Oromia Regional state 2013.
[15] Nzala SH, Siziya S, Babaniyi O, Songolo P, Muula AS, Rudatikira E. demographic Cultural and environmental factors associated with frequency and severity of malnutrition among Zambian childrenless than five years of age. J public health Epidemiol 2011; 3(8): 362-70.
[16] Bantamen G, Belaynew W, Dube J. Assessment of factors associated with malnutrition among under five years age children at Machakel Woreda, Northwest Ethiopia: a case control study. J Nutr Food Sci 2014; 4: 256. doi:10. 4172/2155-9600.1000256
[17] Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: a case control study. Ethiop J Health Dev 2008; 22: 21.






General Articles