Quality & Quantity

, Volume 48, Issue 3, pp 1389–1408 | Cite as

Child malnutrition in developing economies: a case study of Bangladesh



The study investigate the impact of socioeconomic factors on malnutrition in children (under 5 years) using Bangladesh Demographic and Health Survey. The urban and rural areas are separately probed for stunting, wasting and under-weight children. The analysis revealed that birth-interval, mother’s education and wealth index reduce the malnutrition in children for urban and rural household, while duration of breastfeeding and lower BMI of the mother increase the malnutrition in both urban and rural areas. Wealth index is more effective in rural areas as compared to urban ones. The male children are more likely to be malnourished in urban areas but female children are more likely to be malnourished in rural areas. The primary level of education of the women has no significant impact on nutritional status of children in urban as well as in rural areas. It has important policy implications that at least secondary level of education should be part of the education policy of Bangladesh. The incidence of diarrhea enhances the probability of stunting and wasting in both urban and rural areas of Bangladesh. From the policy perspective mother’s education and birth-interval are required for achieving the nutrition status of children. For the long-run the socioeconomic status of the household expressed by wealth index is needed. The duration of breastfeeding needs to be reduced by initiation of the supplement food.


Stunting Wasting Under-weight Breastfeeding  BMI Female education Rural and urban areas DHS  Human development 


  1. Behrman, J.R.: Nutrition, health, birth-order and seasonality intra-household allocation among children in rural India. J. Dev. Econ. 28, 43–63 (1988)CrossRefGoogle Scholar
  2. Black, R.: Reducing Prenatal and Neonatal Mortality Child Health Research Project Special Report, vol. 3. Johns Hopkins University, Baltimore (1999)Google Scholar
  3. Bourne, P.A.: Childhood health in Jamaica: changing patterns in health conditions of children 0–14 years. N. Am. J. Med. Sci. 1, 160–168 (2009)Google Scholar
  4. Bryce, J., Coitinho, D., Danton-Hill, I., Pelletier, D., Pinstrup-Andersen, P.: Maternal and child undernutrition: effective action at national level. Lancet 317, 510–526 (2008)CrossRefGoogle Scholar
  5. Choudhury, K.K., Hanifi, M.A., Rasheed, S., Bhuiya, A.: Gender inequality and severe malnutrition among children in a remote rural area of Bangladesh. J. Health Popul. Nutr. 18, 123–130 (2000)Google Scholar
  6. Christiaensen, L., Alderman, H.: Child malnutrition in Ethiopia: can maternal knowledge augment the role of income? Africa Region Paper Series No. 22 (2001)Google Scholar
  7. Das, S., Rahman, R.M.: Application of ordinal logistic regression analysis in determining risk factors of child malnutrition in Bangladesh. Nutr. J. 10, 24 (2011)CrossRefGoogle Scholar
  8. de Onis, M., Garza, C., Onyango, A., Borghi, E.: Comparison of the world health organization child growth standards and the national center for health statistics/who international growth reference: implications for child health programs. Public Health Nutr. 9, 942–947 (2006)Google Scholar
  9. Fenn, B., Penny, M.: Using the new world health organization standards: differences from 3 countries. J. Pediatr. Gastroenterol. Nutr. 46, 316–321 (2008)CrossRefGoogle Scholar
  10. Garcia, M., Alderman, H.: Patterns and determinants of malnutrition in children in Pakistan: impact of community health. Pak. Dev. Rev. 28, 891–902 (1989)Google Scholar
  11. Giroux, S.C.: Child Stunting Across Schooling and Fertility Transitions: Evidence from Sub-Saharan Africa. MACRO International Inc., Calverton (2008)Google Scholar
  12. Haddinot, J., Maluccio, J., Behrman, J., Flores, R., Martorell, R.: Effects of a nutrition intervention during early childhood on economic productivity in Guatemalan adults. Lancet 371, 411–416 (2008)CrossRefGoogle Scholar
  13. Hien, N.N., Hoa, N.N.: Nutritional status and determinants of malnutrition in children under three years of age in Nghean, Vietnam. Pak. J. Nutr. 8, 958–964 (2009)CrossRefGoogle Scholar
  14. Hong, R., Banta, J.E., Betancourt, J.: Relationship between household wealth inequality and chronic childhood undernutrition in Bangladesh. Int. J. Equity Health 5, 15 (2006)CrossRefGoogle Scholar
  15. Horton, S.: Birth order and child nutritional status: evidence from the Philippines. Econ. Dev. Cult. Change 36, 341–354 (1988)CrossRefGoogle Scholar
  16. Ibrahim, S.: Anthropometric pattern and correlates of growth attainment in under-five Pakistani children. Pak. Dev. Rev. 38, 131–152 (1999)Google Scholar
  17. Khan, R.E.A., Azid, T.: Malnutrition in primary school-age children: a case of urban and slum areas of Bahawalpur, Pakistan. Int. J. Soc. Econ. 38, 748–766 (2011)CrossRefGoogle Scholar
  18. Kothari, M.T., Rutstein, S.O., Sangha, J.K.: Where the Standards Make the Difference in the Real World of Malnutrition: Analysis of 10 Countries with DHS Data. MACRO International Inc., Calverton (2009)Google Scholar
  19. Kristensen, P., Bjerkedalz, R.: Examining the relationship between birth-order and intelligence. Science 316, 1717 (2007)CrossRefGoogle Scholar
  20. Mbuya, M.N.N., Chidem, M., Chasekwa, B., Mishra, V.: Biological, Social, and Environmental Determinants of Low Birth Weight and Stunting Among Infants and Young Children in Zimbabwe. In: Zimbabwe Working Papers. MACRO International Inc., Calverton (2010)Google Scholar
  21. Mehrotra, S.: Child malnutrition and gender discrimination in South Asia. Econ. Polit. Weekly 11, 912–918 (2006)Google Scholar
  22. Mian, R.M.A., Ali, M., Ferroni, P.A., Underwood, P.: The nutritional status of school-aged children in an urban squatter settlement in Pakistan. Pak. J. Nutr. 1, 121–123 (2002)CrossRefGoogle Scholar
  23. Mozumder, A.B., Barket-e, K., Kane, T.T., Levin, A., Ahmed, S.: The effect of birth interval on malnutrition in Bangladesh: infants and young children. J. Biosoc. Sci. 32, 289–300 (2000)CrossRefGoogle Scholar
  24. Mukherjee, M.R., Chaturvedi, L.C.S., Bhalwar, C.R.: Determinants of nutritional status of school children. Med. J. Armed Forces India 64, 227–231 (2008)CrossRefGoogle Scholar
  25. Mukuria, A., Cushing, J., Sangha, J.: Nutritional Status of Children: Results from the Demographic and Health Surveys 1994–2001. Macro International, Calverton (2005)Google Scholar
  26. Nuruddin, R., Lim, M., Hadden, W., Azam, I.: Comparison of estimates of under-nutrition for pre-school rural Pakistani children based on the WHO standards and the national center for health statistics (NCHS) reference. Public Health Nutr. 27, 1–7 (2008)Google Scholar
  27. Pullum, T.W.: An Assessment of the Quality of Data on Health and Nutrition in the DHS Surveys, 1993–2003. MACRO International Inc., Calverton (2008)Google Scholar
  28. Rahman, A., Chowdhury, S.: Determinants of chronic malnutrition among pre-school children in Bangladesh. J. Biosoc. Sci. 39, 161–173 (2007)CrossRefGoogle Scholar
  29. Ramakrishnan, U., Martorell, R., Schroeder, D., Flores, R.: Role of intergenerational effects on linear growth. J. Nutr. 129, 544–549 (1999)Google Scholar
  30. Rutstein, S.O.: Further Evidence of the Effect of Preceding Birth Intervals on Neonatal, Infant, and Under-Five-Years Mortality and Nutritional Status in Developing Countries: Evidence from the Demographic and Health Surveys. MACRO International Inc., Calverton (2008)Google Scholar
  31. Rutstein, S. O., Kiersten, J.: The DHS Wealth Index DHS Comparative Report No. 6. ORC Macro, Calverton (2004)Google Scholar
  32. Rutstein, S., Johnson, K. J., Watkin, D. G.: Poverty, health inequality, and its health and demographic effects. Paper presented at annual meeting of population association of America 2000, Los Angeles (2000)Google Scholar
  33. Ukwuani, F.A., Suchindran, C.M.: Implications of women’s work for child nutritional status in Sub-Saharan Africa: a case study of Nigeria. Soc. Sci. Med. 56, 2109–2121 (2003)CrossRefGoogle Scholar
  34. Victora, G.C., Adair, L., Fall, C., Hallal, C.P., Martorell, R., Richter, L., Sachdev, S.H.: Maternal and child under-nutrition: consequences for adult health and human capital. Lancet 371, 340–357 (2008)CrossRefGoogle Scholar
  35. Wamani, H., Åstrøm, A., Peterson, S., Tumwine, J., Tylleskär, T.: Boys are more stunted than girls in Sub-Saharan Africa: a meta-analysis of 16 demographic and health surveys. BMC Pediatrics 7, 17 (2007)CrossRefGoogle Scholar
  36. Wamani, H., Tylleskär, T., Åstrøm, A.N., Tumwine, J.K., Peterson, S.: Mothers’ education but not fathers’ education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda. Int. J. Equity Health 3, 9 (2004)CrossRefGoogle Scholar
  37. World Health Organization: Global Strategy for Infant Young Child Feeding. WHO, Geneva (2003)Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.Department of EconomicsThe Islamia University of BahawalpurBahawalpurPakistan

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