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Gender inequality in food intake and nutritional status of children under 5 years old in rural Eastern Kenya

European Journal of Clinical Nutrition volume 65, pages 26–31 (2011)Cite this article

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Abstract

Background/Objective:

Although gender inequality in nutritional status has been consistently reported in several parts of South Asia, in sub-Sahara Africa there is a paucity of data and conflicting conclusions. We conducted a study to assess if gender inequality in food intake and nutritional status is present in rural Eastern Kenya.

Subjects/Methods:

This was a descriptive cross sectional study conducted in the Mwingi and Makueni districts of Ukambani region in Eastern Kenya, two rural districts where grains are the main contributor of energy intake. There were 629 children aged <60 months, randomly selected for participation in the study.

Results:

Boys consistently had higher energy intakes than girls (P=0.005). More girls were stunted, underweight and wasted 51.7%, (49.9–53.5), 32.1%, (30.4–33.7), 4.6%, (3.9–5.4) than boys 35.9% (34.2–37.7), 14.6% (13.4–15.9) and 1.2% (0.8–1.6), respectively, P<0.001. Of the total, 24.6% (23.1–26.2) of the girls were severely stunted compared with boys 16.3% (15.0–17.7). Boys had higher Z-score indices (height-for-age (HAZ)=−1.33±1.86, weight-for-age (WAZ)=−0.60±1.53 and weight-for-height (WHZ)=0.25±1.23) than girls (HAZ=−2.02±1.94, WAZ=−1.37±1.27 and WHZ=−0.10±1.49), all P<0.001.

Conclusions:

The prevalence of malnutrition among children in rural Eastern Kenya is sizable. However, girls were more stunted, underweight and wasted than boys at all age categories due to their consistent lower food intake. Further research is needed to expose the social and cultural determinants underlying gender discrimination in intra-household allocation of food.

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References

  • Bridge A, Kipp W, Jhangri GS, Laing L, Konde-Lule J (2006a). Nutritional status of young children in AIDS-affected households and controls in Uganda. Am J Trop Med Hyg 74, 926–931.

    Article  Google Scholar 

  • Bridge AK, Raine W, Konde-Lule J (2006b). Nutritional status and food consumption patterns of young children living in Western Uganda. East Afr Med J 83, 619–625.

    CAS  PubMed  Google Scholar 

  • CDC (2000). Clinical Growth Charts. Available online at http://www.cdc.gov/growthcharts/clinical_charts.htm. Accessed 12 June 2008.

  • Dancer D, Rammohan A, Murray SD (2008). Infant mortality and child nutrition in Bangladesh. Health Econ 17, 1015–1035.

    Article  Google Scholar 

  • Dey I, Chaudhuri RN (2008). Gender inequalities in nutritional status among under five children in a village in Hooghly district, West Bengal. Indian J Public Health 52, 218–220.

    CAS  PubMed  Google Scholar 

  • Gibson RS (2005). Principles of Nutritional Assessment, 2nd ed. Oxford University Press: New York.

    Google Scholar 

  • Gillet R, Perry A (2005). Gender and nutritional status at the household level among Gwembe valley Tonga children, 0–10 years. Am J Hum Biol 17, 372–375.

    Article  Google Scholar 

  • Hadley C, Lindstron D, Tessema F, Belachew T (2007). Gender bias in the food insecurity experience of Ethiopian adolescents. Soc Sci Med 66, 427–438.

    Article  Google Scholar 

  • IOM (Institute of Medicine) of the National Academies (2006). Dietary Reference Intakes. The National Academies Press: Washington, DC.

  • KDHS (2003). Kenya demographic health survey. Calverton National Council of Populations and Development: Claverton, MD, 153–168.

  • Kelly B (2008). How much milk do babies need: Kellymom breastfeeding and parenting. Available online at http://www.kellymom.com/bf/pumping/milkcalc.html. Accessed 12 December 2008.

  • Klasen S (1996). Nutrition health and mortality in sub-Sahara Africa: is there a gender bias? J Dev Stud 32, 913–932.

    Article  Google Scholar 

  • KPC (2000). Rapid knowledge, practices and coverage (KPC) survey module 3: growth monitoring and maternal/child anthropometry. Available online at http://www.childsurvival.com/kpc2000/mod3.pdf. Accessed 15 March 2007.

  • Leenstra T, Kariuki SK, Kurtis JD, Oloo AJ, Kager PA, ter Kuile FO (2004). Prevalence and severity of anemia and iron deficiency: cross-sectional studies in adolescent schoolgirls in western Kenya. Eur J Clin Nutr 58, 681–691.

    Article  CAS  Google Scholar 

  • Moestue H, de Pee S, Hall A, Hye A, Sultana N, Ishtiaque MZ et al. (2004). Conclusions about differences in linear growth between Bangladeshi boys and girls depend on the growth reference used. Eur J Clin Nutr 58, 725–731.

    Article  CAS  Google Scholar 

  • Moestue H (2008). Can anthropometry measure gender discrimination? An analysis using WHO standards to assess the growth of Bangladeshi children. Public Health Nutr 12, 1085–1091.

    Article  Google Scholar 

  • NCHS (2000). CDC Growth Charts: United States. Available online at http://www.cdc.gov/growthcharts/. Accessed 12 June 2008.

  • NCHS/WHO (2006). WHO Child Growth Standards. Available online at http://www.cdc.gov/growthcharts/who_charts.htm. Accessed 12 June 2008.

  • Ndiku M, Jaceldo-Siegl K, Singh P, Sabaté J (2010). Dietary patterns of children &lt;5 years old in mwingi and makueni districts of Ukambani region, Eastern Kenya. Afr J Food Agric Nutr Dev 10, 2804–2817.

    Google Scholar 

  • Ndiku M, Sabaté J, Jaceldo-Siegl K (2009). Dietary patterns of children 0–59 months in Ukambani region of Kenya. FASEB J 23, 916 (abstract).

  • Nieman D, Lee R (2006). Nutritional Assessment, 3rd ed. Library of Congress Cataloging-Publication Data: New York.

    Google Scholar 

  • Osman S, Sen A (2003). The hidden penalties of gender inequality: fetal origins of ill-health. Econ Hum Biol 1, 105–121.

    Article  Google Scholar 

  • Pal S (1999). An analysis of childhood malnutrition in rural India: role of gender, income and other household characteristics. World Dev 27, 1151–1171.

    Article  Google Scholar 

  • Sen A (2001). Many faces of gender inequality. The Hindu: India's National Magazine 18, Available online at http://www.hinduonnet.com/fline/fl1822/18220040.htm. Accessed 10 November 2009.

  • Smith LC, Haddad L (2000). Overcoming child malnutrition in developing countries: Past achievements and future choices A 2020 vision for food, agriculture, and the environment. International Food Policy Research Institute (IFPRI): Washington, DC. pp 1–2.

  • Steenbergen VM, Kusin JA (1981). Lactation performance of Akamba mothers, Kenya. Breast feeding behavior, breast milk yield and composition. J Trop Pediatrics 27, 155–161.

    Article  Google Scholar 

  • Wamani H, Astrom AN, Peterson S, Tumwine J, Tylleskar T (2007). Boys are more stunted than girls in sub-Saharan Africa: a meta-analysis of 16 demographic and health surveys. BMC Pediatr 7, 1–10.

    Article  Google Scholar 

  • World Bank (2003). Gender equality and the millennium development goals. Gender and Development Group. Available online at http://siteresources.worldbank.org/INTGENDER/Publications/20169280/gendermdg.pdf. Accessed 10 September 2009.

  • World Bank (2006). Repositioning nutrition as central to development a strategy for large-scale action. Washington DC: USA. Available online at http://siteresources.worldbank.org/NUTRITION/Resources/281846-1131636806329/NutritionStrategy.pdf. Accessed 15 September 2009.

  • WHO (1985). Energy and protein requirements. Report of a Joint FAO/WHO/UNA expert consultation WHO Technical Report Series No. 724. Geneva.

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Acknowledgements

We thank the Federico Foundation, Switzerland for funding this project, Dr Patricia Johnson for revising a previous version of this manuscript, and the field research team for invaluable assistance during data collection. We also acknowledge the time given by the subjects and mothers who participated in the study.

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Authors and Affiliations

  1. Department of Nutrition, School of Public Health, Loma Linda University, Loma Linda, CA, USA

    M Ndiku, K Jaceldo-Siegl, P Singh & J Sabaté

  2. Department of Family and Consumer Science, School of Sciences and Technology, University of Eastern Africa, Baraton, Eldoret, Kenya

    M Ndiku & J Sabaté

  3. Department of Epidemiology and Biostatistics, School of Public Health, Loma Linda University, Loma Linda, CA, USA

    P Singh

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  1. M Ndiku
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Correspondence to J Sabaté.

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Ndiku, M., Jaceldo-Siegl, K., Singh, P. et al. Gender inequality in food intake and nutritional status of children under 5 years old in rural Eastern Kenya. Eur J Clin Nutr 65, 26–31 (2011). https://doi.org/10.1038/ejcn.2010.197

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