@article{fdi:010079526,
  title = {{R}educing malnutrition in {C}ambodia : a modeling exercise to prioritize multisectoral interventions},
  author = {{L}aillou, {A}. and {G}authier, {L}udovic and {W}ieringa, {F}ranck and {B}erger, {J}acques and {C}hea, {S}. and {P}oirot, {E}.},
  editor = {},
  language = {{ENG}},
  abstract = {{U}ndernutrition is a major contributor to child morbidity and mortality and poses a large burden to the economy, in {C}ambodia. {T}his study explored factors contributing to child stunting and wasting and their regional inequalities among 1,938 {C}ambodian children aged 6-23.9 months. {D}ata were drawn from a longitudinal study (year 2017) conducted in six districts of two north-eastern provinces and the capital and used as cross-sectional. {S}ocio-demographic and household characteristics, children's feeding practices during the previous 24 hr, and children's length and weight measurements were collected. {G}radient boosting models were used to calculate the contribution of determinants to child undernutrition whereas concentration index was used to assess the impact of those determinants on stunting and wasting inequalities among socioeconomic groups. {I}t was found that low-household wealth could predict 21% to 45% of child stunting and 23% to 36% of wasting across regions. {A}fter wealth, source and treatment of drinking water were found the second major predictor for stunting (15%) and wasting (21%). {C}ombining child nutrition and household water, sanitation and hygiene indicators predicted around 30% of child undernutrition, either in the form of stunting or wasting. {M}others' education predicted >30% of stunting in the north-eastern region. {R}esults highlight that a complex interplay of factors contributes to child stunting and wasting. {A}n integrated, intersectoral, equity-focused approach that addresses children's dietary quality, household's water, sanitation and hygiene conditions, mother's education, and poverty is likely to yield the highest impact in achieving further gains in nutritional status among {C}ambodian children.},
  keywords = {{C}ambodia ; children under 5 years of age ; integrated approach ; modeling ; stunting ; wasting ; {CAMBODGE}},
  booktitle = {},
  journal = {{M}aternal and {C}hild {N}utrition},
  volume = {16},
  numero = {{S}2},
  pages = {e12770 [11 ]},
  ISSN = {1740-8695},
  year = {2020},
  DOI = {10.1111/mcn.12770},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079526},
}