Abstract:
Children can be stunted and wasted at the same time. Having both deficits greatly
elevates risk of mortality. The analysis aimed to estimate the prevalence and burden of
children aged 6-59 months concurrently wasted and stunted. Data from demographic and
health survey and Multi-indicator Cluster Surveys datasets from 84 countries were
analysed. Overall prevalence for being wasted, stunted, and concurrently wasted and
stunted among children 6 to 59 months was calculated. A pooled prevalence of
concurrence was estimated and reported by gender, age, United Nations regions, and
contextual categories. Burden was calculated using population figures from the global
joint estimates database. The pooled prevalence of concurrence in the 84 countries was
3.0%, 95% CI [2.97, 3.06], ranging from 0% to 8.0%. Nine countries reported a
concurrence prevalence greater than 5%. The estimated burden was 5,963,940 children.
Prevalence of concurrence was highest in the 12- to 24-month age group 4.2%, 95% CI
[4.1, 4.3], and was significantly higher among boys 3.54%, 95% CI [3.47, 3.61],
compared to girls; 2.46%, 95% CI [2.41, 2.52]. Fragile and conflict-affected states
reported significantly higher concurrence 3.6%, 95% CI [3.5, 3.6], than those defined as
stable 2.24%, 95% CI [2.18, 2.30]. This analysis represents the first multiple country
estimation of the prevalence and burden of children concurrently wasted and stunted.
Given the high risk of mortality associated with concurrence, the findings indicate a need
to report on this condition as well as investigate whether these children are being reached
through existing programmes.