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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2007

Open Access 01-12-2007 | Research

Malnutrition and the disproportional burden on the poor: the case of Ghana

Authors: Ellen Van de Poel, Ahmad Reza Hosseinpoor, Caroline Jehu-Appiah, Jeanette Vega, Niko Speybroeck

Published in: International Journal for Equity in Health | Issue 1/2007

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Abstract

Background

Malnutrition is a major public health and development concern in the developing world and in poor communities within these regions. Understanding the nature and determinants of socioeconomic inequality in malnutrition is essential in contemplating the health of populations in developing countries and in targeting resources appropriately to raise the health of the poor and most vulnerable groups.

Methods

This paper uses a concentration index to summarize inequality in children's height-for-age z-scores in Ghana across the entire socioeconomic distribution and decomposes this inequality into different contributing factors. Data is used from the Ghana 2003 Demographic and Health Survey.

Results

The results show that malnutrition is related to poverty, maternal education, health care and family planning and regional characteristics. Socioeconomic inequality in malnutrition is mainly associated with poverty, health care use and regional disparities. Although average malnutrition is higher using the new growth standards recently released by the World Health Organization, socioeconomic inequality and the associated factors are robust to the change of reference population.

Conclusion

Child malnutrition in Ghana is a multisectoral problem. The factors associated with average malnutrition rates are not necessarily the same as those associated with socioeconomic inequality in malnutrition.
Appendix
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Metadata
Title
Malnutrition and the disproportional burden on the poor: the case of Ghana
Authors
Ellen Van de Poel
Ahmad Reza Hosseinpoor
Caroline Jehu-Appiah
Jeanette Vega
Niko Speybroeck
Publication date
01-12-2007
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2007
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/1475-9276-6-21

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