Malnutrition Among Children Under Five in Djibouti: A Composite Index of Anthropometric Failure Analysis from the 2023 Multisectoral Survey
Hassan Abdourahman Awaleh, Tony Byamungu, Mohamed Hsairi, Jalila El Ati

TL;DR
This study finds that over a third of children under five in Djibouti suffer from undernutrition, using a more comprehensive measure that captures multiple forms of malnutrition.
Contribution
The study introduces the use of the Composite Index of Anthropometric Failure (CIAF) to better assess malnutrition in Djibouti.
Findings
36.9% of children had at least one anthropometric failure, with 18.8% experiencing multiple failures.
Boys, younger children, and those in nomadic households had higher risks of undernutrition.
Socioeconomic factors were not independently linked to undernutrition after adjustment.
Abstract
Background/Objectives: Child undernutrition remains a major public health in Djibouti, yet conventional anthropometric indicators may underestimate its true burden by failing to capture overlapping forms of malnutrition. The Composite Index of Anthropometric Failure (CIAF) provides a more comprehensive assessment by identifying children experiencing one or multiple anthropometric deficits. This study aimed to estimate the prevalence and determinants of undernutrition among children under five years of age in Djibouti using the CIAF. Methods: This study is a secondary analysis of data from the nationally representative 2023 Multisectoral Survey conducted in Djibouti. A cross-sectional design with a two-stage stratified cluster sampling method was used to collect data on a national random sample (n = 2103) of children aged 6–59 months. Standardized anthropometric measurements were used to…
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Taxonomy
TopicsChild Nutrition and Water Access · Child Nutrition and Feeding Issues · Nutrition and Health in Aging
