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- W4252902997 abstract "This study has analysed the determinants of child undernutrition and mortality in Sierra Leone with the objective of identifying key predictors to advise policy . It utilises the country’s Demographic and Health Survey 2008. The estimation of the empirical model employs a seemingly unrelated r egression (SUR) technique and probit framework. The predictors of undernutrition found most significant are: mothers’ education ; housing environment measured by household density , accommodation capacity and sanitary condition; regional development differentials ; having vegetables in the diet for mothers and children ; and immunization. The predictors found significant for tackling mortality are : mothers’ education; household density ; recognition of gendered differential needs for children; nutritional deficiency ; micronutrient supplement ; and postnatal care . The policy simulations demonstrate that focusing policy on these factors could immensely help address child growth problems in the country. More particularly, t he paper suggests the need for a greater focus on supporting mother s ’ education and strengthening public health in childcare management . That, while modern medicine is always crucial , it can be perceived only as bolstering good natural practices in caring for children . It is noted that children that are chronically undernourished can resist episodic sources of undernutrition more strongly than those that have not been undernourished before. This supports the argument that while ‘ vulnerability ’ and ‘ poverty ’ are closely related concepts , they are separable from a static and dynamic point of view ; the former measures the probability of becoming poor due to exposure to shocks even if one is currently better - off , or the probability of becoming poorer for those that are already poor . Child wasting appears closer to vulnerability than stunting , which is mainly noted with those already in poverty . Therefore, policies should target both urban and rural settlers — the former are characterised in this study by higher incidence of child wasting (acute undernutrition ) while the latter are characterised by higher incidence of stunting ( chronic undernutrition ). The study does not find any strict linearity in the expectation of the distribution and dynamics of the effects of nutritional deficiency and morbid episode s across the socioeconomic groups analysed , thereby evincing the need for careful policy targeting . T he four regions of the country should be evaluated carefully in policy targeting processes , given that there are urban poverty pockets as well as rural poverty pockets ." @default.
- W4252902997 created "2022-05-12" @default.
- W4252902997 creator A5050688743 @default.
- W4252902997 date "2013-12-23" @default.
- W4252902997 modified "2023-09-26" @default.
- W4252902997 title "Fighting undernutrition and child mortality in Sierra Leone" @default.
- W4252902997 doi "https://doi.org/10.18697/ajfand.60.12755" @default.
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