Assessment of nutritional status of children aged 6–59 months among internally displaced populations in Dongola locality, Northern State, Sudan
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261749Keywords:
Under nutrition, Internally displaced children, Wasting, Stunting, SudanAbstract
Background: Malnutrition remains a major public health problem among children under five years, especially in conflict settings. Internally displaced children are more vulnerable to malnutrition due to food insecurity, poor living conditions, and limited access to health and nutrition services. This study aimed to assess the nutritional status of internally displaced children in Northern State, Sudan, in 2024.
Methods: A community-based analytical cross-sectional study was conducted from April to May 2024 among internally displaced children aged 6–59 months residing in school shelters in Dongola locality, Northern State, Sudan. A multistage sampling technique was used to recruit 150 children. Data were collected using interviewer-administered questionnaires and anthropometric measurements. Nutritional status was assessed using World Health Organization growth standards. Chi-square, bivariate, and multivariable logistic regression analyses were performed to identify factors associated with wasting and stunting.
Results: The prevalence of wasting and stunting was 39.3% and 51.3%, respectively. Wasting was significantly associated with lack of maternal education (AOR=7.38; 95% CI: 1.93–28.18) and poor maternal health status (AOR=17.93; 95% CI: 5.57–57.85). Stunting was significantly associated with younger child age (<12 months AOR=14.66, 95% CI: 3.37–63.83), poor maternal health (AOR=4.59; 95% CI: 1.52–13.83) and early discontinuation of breastfeeding (AOR=3.38; 95% CI: 1.51–7.63).
Conclusions: There is a high burden of wasting and stunting among internally displaced children in Dongola locality. Maternal education, maternal health, and infant feeding practices were significant determinants. Strengthening nutrition and maternal-child health interventions is urgently needed.
References
World Health Organization. Malnutrition. Geneva: WHO. 2023. Available at: https://www.who.int/news -room/fact-sheets/detail/malnutrition. Accessed on 25 February 2026.
United Nations Children’s Fund (UNICEF). The State of the World’s Children 2023: For Every Child, Nutrition. New York: UNICEF. 2023. Available at: https://www.unicef.org/reports/state-of-worlds-children-2023. Accessed on 25 February 2026.
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340-57.
World Health Organization. Guideline: assessing and managing children at primary health-care facilities. 2022. Available at: https://www.who.int/publica tions. Accessed on 25 February 2026.
World Health Organization. WHO child growth standards. 2022. Available at: https://www.who.int/ tools/child-growth-standards. Accessed on 25 February 2026.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low- and middle-income countries. Lancet. 2013;382(9890):427-51.
United Nations Children’s Fund (UNICEF). Nutrition in emergencies. New York: UNICEF. 2022. Available at: https://www.unicef.org/nutrition. Accessed on 25 February 2026.
UNICEF, WHO, World Bank Group. Levels and trends in child malnutrition: Joint child malnutrition estimates 2024 edition. New York: UNICEF. 2024. Available at: https://data.unicef.org/resources/jme. Accessed on 25 February 2026.
World Health Organization. Malnutrition and child mortality. 2023. Available at: https://www.who.int. Accessed on 25 February 2026.
Akseer N, Kandru G, Keats EC, Bhutta ZA. Child malnutrition in humanitarian crises. Lancet Glob Health. 2020;8(9):e1230-41.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low- and middle-income countries. Lancet. 2021;397(10282):1356-423.
Victora CG, Christian P, Vidaletti LP, Gatica-Domínguez G, Menon P, Black RE. Revisiting maternal and child undernutrition in low- and middle-income countries. Lancet. 2021;397(10282):1388-99.
United Nations Children’s Fund (UNICEF). Sudan nutrition situation report. Khartoum: UNICEF. 2023. Available at: https://www.unicef.org/sudan. Accessed on 25 February 2026.
Federal Ministry of Health (Sudan). National nutrition strategic plan. Khartoum: FMo. 2022. Available at: https://scalingupnutrition.org/sites/defa ult/files/2021-12/4.-Sudan-National_nutrition_strate gic_Plan.pdf. Accessed on 25 February 2026.
United Nations Office for the Coordination of Humanitarian Affairs (OCHA). Sudan Humanitarian Needs Overview 2024. New York: OCHA. 2024. Available at: https://www.unocha.org. Accessed on 25 February 2026.
World Health Organization. Disease outbreaks and health risks in Sudan. 2023. Available at: https://www.who.int. Accessed on 25 February 2026.
Integrated Food Security Phase Classification (IPC). Sudan acute food insecurity analysis. Rome: IPC. 2024. Available at: https://www.ipcinfo.org. Accessed on 25 February 2026.
Food and Agriculture Organization (FAO). Sudan food security update. Rome: FAO. 2024. Available at: https://www.fao.org. Accessed on 25 February 2026.
United Nations Children’s Fund (UNICEF). WASH conditions among displaced populations in Sudan. New York: UNICEF. 2023. Available at: https:// www.unicef.org. Accessed on 25 February 2026.
Jomah JEAE. Determinants of child malnutrition in Sudan. BMC Public Health. 2021;21:1234.
Sudan Central Bureau of Statistics. Population estimates for Northern State. Khartoum: CBS. 2022. Available at: https://www.acaps.org/fileadmin/Data _Product/Main_media/20230829_ACAPS_thematic_report_Sudan_Northern_State_pre-crisis_and_ current_situation.pdf. Accessed on 25 February 2026.
Sudan Meteorological Authority. Climate profile of Northern State. Khartoum: SMA. 2022. Available at: https://www.climatecentre.org/wp-content/uploads/ RCCC-Country-profiles-Sudan-2022-Final-1.pdf. Accessed on 25 February 2026.
Food and Agriculture Organization (FAO). Livelihoods and economic activities in Northern State, Sudan. Rome: FAO. 2023. Available at: https://www.fao.org. Accessed on 25 February 2026.
Akseer N, Kandru G, Keats EC, Bhutta ZA. Child malnutrition in conflict and humanitarian emergencies. Lancet Glob Health. 2023;11(8):e124-36.
Spiegel PB, Checchi F, Colombo S, Paik E. Health-care needs of people affected by conflict. Lancet. 2007;369(9564):1693-704.
United Nations Children’s Fund (UNICEF). Sudan Simple Spatial Survey Method (S3M II) Report. Khartoum: UNICEF; 2022. Available at: https://ww w.google.com/search?q=26.+United+Nations+Children%E2%80%99s+Fund+%28UNICEF%29.+Sudan+Simple+Spatial+Survey+Method+%28S3M+II%29+Report.+Khartoum%3A+UNICEF%3B+2022&rlz=1C1ONGR_enIN1094IN1094&oq=26.%09United+Nations+Children%E2%80%99s+Fund+%28UNICEF%29.+Sudan+Simple+Spatial+Survey+Method+%28S3M+II%29+Report.+Khartoum%3A+UNICEF%3B+2022&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBBzU1N2owajSoAgCwAgA&sourceid=chrome&ie=UTF-8. Accessed on 25 February 2026.
World Bank. Poverty and Shared Prosperity 2023. Washington DC: World Bank. 2023. Available at: https://www.worldbank.org. Accessed on 25 February 2026.
Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90.
Rothman KJ. Epidemiology: An Introduction. 3rd ed. Oxford: Oxford University Press. 2021.