Dataset Information

Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.

ABSTRACT:

Background

Child undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood undernutrition are not well studied in developing countries. The objective of the study is to examine the relationship between quality of governance, public health expenditures, urbanization and child undernutrition in Ethiopia.

Methods

This is pooled data analysis with ecological design. We obtained data on childhood undernutrition from the Ethiopian Demographic and Health Surveys (EDHS) that were conducted in 2000, 2005, 2011 and 2016. Additionally, data on quality of governance for Ethiopia were extracted from the World Governance Indicators (WGI) and public health spending and urbanization were obtained from the World Development Indicators and United Nations' World Population Prospects (WPP) respectively. Univariate and multivariate analysis were done to assess the relationship between governance, public health expenditure and urbanization with childhood undernutrition.

Result

Government effectiveness (adjusted odd ratio (AOR)?=?20.7; p?=?0.046), regulatory quality (AOR?=?0.0077; p?=?0.026) and control of corruption (AOR?=?0.0019; p?=?0.000) were associated with stunting. Similarly, government effectiveness (AOR?=?72.2; p?=?0.007), regulatory quality (AOR?=?0.0015; p?=?0.004) and control of corruption (AOR?=?0.0005; p?=?0.000) were associated with underweight. None of the governance indicators were associated with wasting. On the other hand, there is no statistically significant association observed between public health spending and urbanization with childhood undernutrition. However, other socio-demographic variables play a significant effect on reducing of child undernutrition.

Conclusion

This study indicates that good governance in the country plays a significant role for reducing childhood undernutrition along with other socio-demographic factors. Concerned bodies should focus on improving governance and producing a quality policy and at the same time monitor its implementation and adherence.

SUBMITTER: Biadgilign S

PROVIDER: S-EPMC6334413 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.

Biadgilign Sibhatu S Ayenew Habtamu Yesigat HY Shumetie Arega A Chitekwe Stanley S Tolla Assaye A Haile Demewoz D Gebreyesus Seifu Hagos SH Deribew Amare A Gebre Betemariam B

BMC health services research 20190115 1

<h4>Background</h4>Child undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood undernutrition are not well studied in developing countries. The objective of the study is to examine the relationship between quality of governance, public health expenditures, urbanization and child undernutrition in Ethiopia.<h4>Methods</h4>This is pooled data analysis with ...[more]

PMID: 30646917

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Dataset Information

Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.

Background

Methods

Result

Conclusion

Publications

Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.

Similar Datasets

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