Karar Zunaid Ahsan|Shams El Arifeen|Md. Abdullah Al-Mamun|Shusmita Khan|Nitai Chakraborty
Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh
University of North Carolina at Chapel Hill|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|University of North Carolina at Chapel Hill|University of Dhaka
bangladesh urban population expected overtake rural population 2040 significant part increase slums wide disparities urban slums rest country potentially push country indicators track unless specific health nutrition needs expanding slum communities addressed study aims describing individual household community determinants undernutrition status among children living major urban strata viz city corporation slums nonslums order understand major drivers childhood undernutrition urban slum settingsdata derived bangladesh urban health survey conducted 2013 survey largescale nationally representative urban areas household survey designed specifically provide health nutrition status women children urban bangladeshdata showed 50 under5 children slums stunted 43 underweight whereas nonslums rates 33 26 respectively terms severity proportion under5 children living slums severely underweight stunted nearly double children living nonslums logistic analyses indicate mothers education childs age households socioeconomic status significantly affects stunting underweight levels among children living urban slums logistic models also indicate individuallevel characteristics except exposure mass media mothers working outside home significantly affect undernutrition levels among children living nonslums among household communitylevel characteristics households socioeconomic status remains significant nonslumspoor nutritional status major concern slum areas particularly group expected grow rapidly next years situation calls specially designed well targeted interventions take account many mothers poorer less educated affects ability provide care children