Nutritional Status of Children Aged 6–23 Months in The Komanda Health Zone, Democratic Republic of The Congo
DOI:
https://doi.org/10.70851/jfines.2026.3(2).200.208Keywords:
Malnutrition, Stunting, UnderweightAbstract
Child malnutrition remains a major public health problem in the Democratic Republic of the Congo, particularly in eastern regions. This study assessed the nutritional status of children aged 6–23 months in the Komanda Health Zone, Ituri Province, and described crude associations with selected sociodemographic factors. A community-based cross-sectional study was conducted from June 12 to 29, 2025, in 10 of 17 health areas. Seven areas were excluded because of insecurity. Multistage cluster sampling was used. Data were collected with KoboCollect and anthropometric measurements. WAZ, HAZ, and WHZ indices were calculated using WHO Anthro and analyzed with Stata v13. Among 475 children, stunting, underweight, and wasting affected 50.95%, 25.05%, and 15.79%, respectively. Maternal age, child sex, child age, and maternal education showed significant crude associations with anthropometric indicators. Findings indicate a high burden of malnutrition, requiring cautious interpretation due to unadjusted analyses and unaccounted cluster effects.
References
Akombi, B. J., Agho, K. E., Hall, J. J., Wali, N., Renzaho, A. M. N., & Merom, D. (2017). Stunting, wasting and underweight in Sub-Saharan Africa: A systematic review. International Journal of Environmental Research and Public Health, 14(8), Article 863. https://doi.org/10.3390/ijerph14080863
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., Uauy, R., & Maternal and Child Nutrition Study Group. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Gatica-Domínguez, G., Neves, P. A. R., Barros, A. J. D., & Victora, C. G. (2021). Complementary feeding practices in 80 low- and middle-income countries: Prevalence of and socioeconomic inequalities in dietary diversity, meal frequency, and dietary adequacy. The Journal of Nutrition, 151(7), 1956–1964. https://doi.org/10.1093/jn/nxab088
Institut National de la Statistique & UNICEF. (2019). Multiple Indicator Cluster Survey 2017–2018: Survey results report. UNICEF. https://www.unicef.org/drcongo/media/3646/file/COD-MICS-Palu-2018.pdf
Institut National de la Statistique, École de Santé Publique de Kinshasa, & ICF. (2024). Democratic Republic of the Congo: Demographic and Health Survey 2023–24, key indicators report. ICF. https://www.unicef.org/drcongo/media/12021/file/COD-EDS-RDC-III-KIR.pdf
Kambale, R. M., Ngaboyeka, G. A., Kasengi, J. B., Niyitegeka, S., Cinkenye, B. R., Baruti, A., Mutuga, K. C., & Van der Linden, D. (2021). Minimum acceptable diet among children aged 6–23 months in South Kivu, Democratic Republic of Congo: A community-based cross-sectional study. BMC Pediatrics, 21, Article 239. https://doi.org/10.1186/s12887-021-02713-0
Liao, M., Feng, B., Huang, Q., Li, H., Tan, D., Fang, H., Liao, Y., & Huang, G. (2023). Association between infant and young child feeding indicators and the nutritional status of children aged 6–23 months in rural areas of Hunan Province in 2019. Wei Sheng Yan Jiu, 52(6), 972–978. https://doi.org/10.19813/j.cnki.weishengyanjiu.2023.06.018
Ngoy, E. B., Mapatano, A. M., Banza, C. L., Tshibuabua, B. M., Kalume, C. T., Ngalula, S. K., Kamwanya, A. K., Ngalula, N. M., Izala, V., Mashini, G. N., Mulungulungu, D. N., Mukalay, A. W., Makan, P. M., & Luboya, O. N. (2022). Infant and young child feeding indicators as predictors of malnutrition among children aged 6–23 months in the Kapolowe Health Zone, Haut-Katanga, Democratic Republic of the Congo. Revue de l’Infirmier Congolais, 6(2), 33–50.
Riwa, F. P., Odgers-Jewell, K., Jones, M. A., & Mushi, A. A. (2025). The prevalence and determinants of undernutrition among infants and children aged 6 months to 5 years in Sub-Saharan African countries: A systematic scoping review. Nutrition Reviews, 83(7), e1896–e1916. https://doi.org/10.1093/nutrit/nuae189
Sewenet, T., W/Selassie, M., Zenebe, Y., Yimam, W., & Woretaw, L. (2022). Undernutrition and associated factors among children aged 6–23 months in Dessie Town, Northeastern Ethiopia, 2021: A community-based cross-sectional study. Frontiers in Pediatrics, 10, Article 916726. https://doi.org/10.3389/fped.2022.916726
Thurstans, S., Opondo, C., Seal, A., Wells, J. C., Khara, T., Dolan, C., Briend, A., Myatt, M., Garenne, M., Mertens, A., Sear, R., & Kerac, M. (2022). Understanding sex differences in childhood undernutrition: A narrative review. Nutrients, 14(5), Article 948. https://doi.org/10.3390/nu14050948
UNICEF, World Health Organization, & World Bank Group. (2021). Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: Key findings of the 2021 edition. World Health Organization. https://www.who.int/publications/i/item/9789240025257
UNICEF, World Health Organization, & World Bank Group. (2025). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates: Key findings of the 2025 edition. UNICEF. https://data.unicef.org/resources/jme-report-2025/
World Health Organization. (2023). WHO guideline for complementary feeding of infants and young children 6–23 months of age. World Health Organization. https://www.who.int/publications/i/item/9789240081864
World Health Organization & UNICEF. (2021). Indicators for assessing infant and young child feeding practices: Definitions and measurement methods. World Health Organization. https://www.who.int/publications/i/item/9789240018389
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Copyright (c) 2026 Désiré NGONA, Raphael ISEAYEMBELE, Emmanuel TEBANDITE, Joris LOSIMBA (Author)

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