Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon

Zakariaou Njoumemi; Altine Fadimatou; Iliassou Nkariepoun Njoya; Rahimatou Manouore

doi:doi:10.11648/j.ejpm.20241204.11

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Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon

Zakariaou Njoumemi^*

, Altine Fadimatou

, Iliassou Nkariepoun Njoya

, Rahimatou Manouore

Published in European Journal of Preventive Medicine (Volume 12, Issue 4)

Received: 30 May 2024 Accepted: 8 July 2024 Published: 23 July 2024

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Abstract

Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p<0.05. The slightly majority of children were male (50.8%). Children in age groups older than 23 months were less likely (OR<1; p<0.01) to be consuming and/or supplemented with micronutrients compared to children aged 6 to 23 months. Children of mothers of middle and high income quintiles were more likely to be consuming and/or supplemented with micronutrients compared to children of mothers of low and very low income quintiles, while those in the very high income quintiles were less likely (OR=0.994 p>0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p>0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child's birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.

Published in	European Journal of Preventive Medicine (Volume 12, Issue 4)
DOI	10.11648/j.ejpm.20241204.11
Page(s)	81-93
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Economic and Social Determinants, Children Under Five Years, Micronutriments, Consumption, Supplementation, Cameroon

References

[1]	Khan A. U., Hasan S., Siddiqua F., Sultana S., Moniruzzaman, Hossain M., Shaheed S. I, and Shahid A.. (2024). The Significance of Providing the Optimal Micronutrients to the Preterm Low Birth Weight Infants to Prevent Long-Term Health Consequences. European Journal of Preventive Medicine, 2024. Vol. 12, No. 2, pp 35-46. https://doi.org/10.11648/j.ejpm.20241202.12
[2]	Bailey RL, West KP Jr, Black RE. The epidemiology of global micronutrient deficiencies. Ann Nutr Metab. 2015; 66 Suppl 2: 22-33. https://doi.org/10.1159/000371618 Epub 2015 Jun 2. PMID: 26045325
[3]	Pacifique, N. K., Ntahuma, B., Bujiriri, K., Masirika, Z., Bisengi, F., Ntana, N.,... & Malengera, K. (2023). Evaluation du statut nutritionnel et de la mortalité des enfants de 0 à 59 mois dans l'aire de santé Lwiro, Bukavu, Est RD Congo. International Journal of Innovation and Applied Studies, 39(1), 392-400. http://www.ijias.issr-journals.org/
[4]	Keita, S. (2022). Étude de la malnutrition aiguë sévère chez les enfants de 6 à 59 mois hospitalisés dans le service de pédiatrie du CSREF de Kalaban Coro de Janvier 2018 à Décembre 2019 (Doctoral dissertation, USTTB). https://www.bibliosante.ml/handle/123456789/5698
[5]	Gil, J. D. B.; Reidsma, P.; Giller, K.; Todman, L.; Whitmore, A.; Van Ittersum, M. Sustainable development goal 2: Improved targets and indicators for agriculture and food security. Ambio 2019, 48, 685–698. https://doi.org/10.1007/s13280-018-1101-4
[6]	Sabbahi, M.; Li, J.; Davis, C.; Downs, S. M. The Role of the Sustainable Development Goals to Reduce the Global Burden of Malnutrition. In Advances in Food Security and Sustainability; Elsevier BV: Amsterdam, The Netherlands, 2018; Volume 3, pp. 277–333. https://doi.org/10.1016/bs.af2s.2018.09.007
[7]	Langley-Evans, S. C. (2015): Nutrition in Early Life and the Programming of Adult Disease: A Review. J. Hum. Nutr. Diet 2015, 28, 1–14. https://doi.org/10.1111/jhn.12212
[8]	Srivastava, S., Kumar, S. Does socio-economic inequality exist in micro-nutrients supplementation among children aged 6–59 months in India? Evidence from National Family Health Survey 2005–06 and 2015–16. BMC Public Health 21, 545 (2021). https://doi.org/10.1186/s12889-021-10601-6
[9]	Kim, J. Y.; Shin, S.; Han, K.; Lee, K.-C.; Kim, J.-H.; Choi, Y. S.; Kim, D. H.; Nam, G. E.; Yeo, H. D.; Lee, H. G.; et al. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea National Health and Nutrition Examination Surveys. Eur. J. Clin. Nutr. 2013, 68, 253–258. https://doi.org/10.1038/ejcn.2013.241
[10]	Hu, Y.; Chen, J.; Wang, R.; Li, M.; Yun, C.; Li, W.; Yang, Y.; Piao, J.; Yang, X.; Yang, L. Vitamin D Nutritional Status and its Related Factors for Chinese Children and Adolescents in 2010–2012. Nutrients 2017, 9, 1024. https://doi.org/10.3390/nu9091024
[11]	Khan, A., Ul-Haq, Z., Fatima, S., Ahmed, J., Alobaid, H. M., Fazid, S.,... & Safi, S. Z. (2023). Long-Term Impact of Multiple Micronutriments’ consumption and/or supplementation on Micronutrient Status, Hemoglobin Level, and Growth in Children 24 to 59 Months of Age: A Non-Randomized Community-Based Trial from Pakistan. Nutrients, 15(7), 1690. https://doi.org/10.3390/nu15071690
[12]	Galgamuwa, L. S.; Iddawela, D.; Dharmaratne, S. D.; Galgamuwa, G. L. S. Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka. BMC Public Health 2017, 17, 377. https://doi.org/10.1186/s12889-017-4311-y
[13]	Rahman, M. S.; Howlader, T.; Masud, M. S.; Rahman, M. L. Association of Low-Birth Weight with Malnutrition in Children under Five Years in Bangladesh: Do Mother’s Education, Socio-Economic Status, and Birth Interval Matter? PLoS ONE 2016, 11, e0157814. https://doi.org/10.1371/journal.pone.0157814
[14]	National Institue of Statistics (NIS), Ministry of Public Health (MoPH) & ICF Macro, (2018). Cameroon: Fifth Demographic and Health Survey, Yaounde, Cameroon.
[15]	Nugroho W. N. and Vitri W. (2016). Socioeconomic Determinants of Health Insurance Membership Of Women Of Reproductive Age In Indonesia. Proceedings ICHWB (International Conference on Health and Well-Being) 2016. (Universitas Muhammadiyah Surakarta, 2016-05 27). http://hdl.handle.net/11617/7406
[16]	Kamuyango, A., Yu, T., Ao, C. K., Hu, S. C., Salim, L. A., Sulistyorini, Y., & Li, C. Y. (2023). Associations of Urban Residence and Wealth Index With Various Sources of Contraceptives Among Young Women Aged 15–24 Years en 25 Sub-Saharan African Countries. Journal of Adolescent Health. https://doi.org/10.1101/2023.04.11.23288416
[17]	UNICEF (2023) La nutrition dans la petite enfance: Prévenir la malnutrition chez les nourrissons et les jeunes enfants. New York, USA.
[18]	Tchagbele, O. B., Segbedji, K. A. R., Talboussouma, S. M., Toï, A., Agoro, S., Djadou, K. E.,... & Azoumah, K. D. (2023). Évaluation des pratiques alimentaires chez les nourrissons de 6 à 23 mois dans la ville de Kara. Journal de Pédiatrie et de Puériculture. https://doi.org/10.1016/j.jpp.2023.06.007
[19]	Engidaw, M. T., Gebremariam, A. D., Tiruneh, S. A. et al. Micronutrient intake status and associated factors in children aged 6–23 months in sub-Saharan Africa. Sci Rep 13, 10179 (2023). https://doi.org/10.1038/s41598-023-36497-3
[20]	Lucha, T. A., Engida, T. A. & Mengistu, A. K. Assessing the potential determinants of national vitamin A supplementation among children aged 6–35 months in Ethiopia: further analysis of the 2019 Ethiopian Mini Demographic and Health Survey. BMC Pediatr 22, 439 (2022). https://doi.org/10.1186/s12887-022-03499-5
[21]	Thiam, M., Diouf, A., Coly, O. B., Kébé, S. D., Diongue, O., Badiane, A.,... & Médoc, J. M. (2022). Dietary intakes and nutritional status of mother-child (6-23 months old) pair targeted through the" organic residual products for biofortified foods for africa project" in rural area in Senegal.
[22]	Pham, B. N., Silas, V. D., Okely, A. D., & Pomat, W. (2021). Breastfeeding rate, food supplementation, dietary diversity among children aged 6–59 months, and associated factors in Papua New Guinea. Frontiers in Nutrition, 8, 18. https://doi.org/10.3389/fnut.2021.622645
[23]	Lal S. Integrated Reproductive and Child Health Register (IRCHR) Vesrion- 2.0: A Ready Reckoner and Learning Resource for UGs and PGs. Indian J Community Med. 2023 Mar-Apr; 48(2): 205-208. https://doi.org/10.4103/ijcm.ijcm_933_22 Epub 2023 Apr 7. PMID: 37323751; PMCID: PMC10263033.
[24]	Marjan, N., Rahman, A., Rois, R. et al. Factors associated with coverage of vitamin a supplementation among Bangladeshi children: mixed modelling approach. BMC Public Health 21, 648 (2021). https://doi.org/10.1186/s12889-021-10735-7

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APA Style

Njoumemi, Z., Fadimatou, A., Njoya, I. N., Manouore, R. (2024). Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. European Journal of Preventive Medicine, 12(4), 81-93. https://doi.org/10.11648/j.ejpm.20241204.11

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ACS Style

Njoumemi, Z.; Fadimatou, A.; Njoya, I. N.; Manouore, R. Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. Eur. J. Prev. Med. 2024, 12(4), 81-93. doi: 10.11648/j.ejpm.20241204.11

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AMA Style

Njoumemi Z, Fadimatou A, Njoya IN, Manouore R. Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. Eur J Prev Med. 2024;12(4):81-93. doi: 10.11648/j.ejpm.20241204.11

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@article{10.11648/j.ejpm.20241204.11,
  author = {Zakariaou Njoumemi and Altine Fadimatou and Iliassou Nkariepoun Njoya and Rahimatou Manouore},
  title = {Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon
},
  journal = {European Journal of Preventive Medicine},
  volume = {12},
  number = {4},
  pages = {81-93},
  doi = {10.11648/j.ejpm.20241204.11},
  url = {https://doi.org/10.11648/j.ejpm.20241204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20241204.11},
  abstract = {Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p>0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child's birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.
},
 year = {2024}
}

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TY  - JOUR
T1  - Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon

AU  - Zakariaou Njoumemi
AU  - Altine Fadimatou
AU  - Iliassou Nkariepoun Njoya
AU  - Rahimatou Manouore
Y1  - 2024/07/23
PY  - 2024
N1  - https://doi.org/10.11648/j.ejpm.20241204.11
DO  - 10.11648/j.ejpm.20241204.11
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 81
EP  - 93
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20241204.11
AB  - Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p>0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child's birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.

VL  - 12
IS  - 4
ER  -

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Author Information

Zakariaou Njoumemi

Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon; Policy and Programme Analysis Division, Health Economics and Policy Research and Evaluation for Development Results Group (HEREG), Yaounde, Cameroon; Economic and Social Division, Strategic Purchasing for System Performance, Monitoring and Evaluation Consulting Group, Yaounde, Cameroon

Contact Email

http://orcid.org/0000-0003-1392-3763
Altine Fadimatou

Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameron; Policy and Programme Analysis Division, Health Economics and Policy Research and Evaluation for Development Results Group (HEREG), Yaounde, Cameroon

Contact Email

http://orcid.org/0000-0003-3588-6967
Iliassou Nkariepoun Njoya

Economic and Social Division, Strategic Purchasing for System Performance, Monitoring and Evaluation Consulting Group, Yaounde, Cameroon; Africa Innovation Technologies & Services, Yaounde, Cameroon

Contact Email

http://orcid.org/0000-0002-6022-9849
Rahimatou Manouore

Policy and Programme Analysis Division, Health Economics and Policy Research and Evaluation for Development Results Group (HEREG), Yaounde, Cameroon; Africa Innovation Technologies & Services, Yaounde, Cameroon

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APA Style

Njoumemi, Z., Fadimatou, A., Njoya, I. N., Manouore, R. (2024). Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. European Journal of Preventive Medicine, 12(4), 81-93. https://doi.org/10.11648/j.ejpm.20241204.11

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ACS Style

Njoumemi, Z.; Fadimatou, A.; Njoya, I. N.; Manouore, R. Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. Eur. J. Prev. Med. 2024, 12(4), 81-93. doi: 10.11648/j.ejpm.20241204.11

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AMA Style

Njoumemi Z, Fadimatou A, Njoya IN, Manouore R. Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon. Eur J Prev Med. 2024;12(4):81-93. doi: 10.11648/j.ejpm.20241204.11

Copy | Download

@article{10.11648/j.ejpm.20241204.11,
  author = {Zakariaou Njoumemi and Altine Fadimatou and Iliassou Nkariepoun Njoya and Rahimatou Manouore},
  title = {Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon
},
  journal = {European Journal of Preventive Medicine},
  volume = {12},
  number = {4},
  pages = {81-93},
  doi = {10.11648/j.ejpm.20241204.11},
  url = {https://doi.org/10.11648/j.ejpm.20241204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20241204.11},
  abstract = {Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p>0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child's birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon

AU  - Zakariaou Njoumemi
AU  - Altine Fadimatou
AU  - Iliassou Nkariepoun Njoya
AU  - Rahimatou Manouore
Y1  - 2024/07/23
PY  - 2024
N1  - https://doi.org/10.11648/j.ejpm.20241204.11
DO  - 10.11648/j.ejpm.20241204.11
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 81
EP  - 93
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20241204.11
AB  - Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p>0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child's birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.

VL  - 12
IS  - 4
ER  -

Copy | Download