Mapping child growth failure in Africa between 2000 and 2015

Aaron Osgood-Zimmerman, Anoushka I. Millear, Rebecca W. Stubbs, Chloe Shields, Brandon V. Pickering, Lucas Earl, Nicholas Graetz, Damaris K. Kinyoki, Sarah E. Ray, Samir Bhatt, Annie J. Browne, Roy Burstein, Ewan Cameron, Daniel C. Casey, Aniruddha Deshpande, Nancy Fullman, Peter W. Gething, Harry S. Gibson, Nathaniel J. Henry, Mario Herrero, L. Kendall Krause, Ian D. Letourneau, Aubrey J. Levine, Patrick Y. Liu, Joshua Longbottom, Benjamin K. Mayala, Jonathan F. Mosser, Abdisalan M. Noor, David M. Pigott, Ellen G. Piwoz, Puja Rao, Rahul Rawat, Robert C. Reiner, David L. Smith, Daniel J. Weiss, Kirsten E. Wiens, Ali H. Mokdad, Stephen S. Lim, Christopher J. L. Murray, Nicholas J. Kassebaum () and Simon I. Hay ()
Additional contact information
Aaron Osgood-Zimmerman: Institute for Health Metrics and Evaluation, University of Washington
Anoushka I. Millear: Institute for Health Metrics and Evaluation, University of Washington
Rebecca W. Stubbs: Institute for Health Metrics and Evaluation, University of Washington
Chloe Shields: Institute for Health Metrics and Evaluation, University of Washington
Brandon V. Pickering: Institute for Health Metrics and Evaluation, University of Washington
Lucas Earl: Institute for Health Metrics and Evaluation, University of Washington
Nicholas Graetz: Institute for Health Metrics and Evaluation, University of Washington
Damaris K. Kinyoki: Institute for Health Metrics and Evaluation, University of Washington
Sarah E. Ray: Institute for Health Metrics and Evaluation, University of Washington
Samir Bhatt: Imperial College London
Annie J. Browne: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Roy Burstein: Institute for Health Metrics and Evaluation, University of Washington
Ewan Cameron: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Daniel C. Casey: Institute for Health Metrics and Evaluation, University of Washington
Aniruddha Deshpande: Institute for Health Metrics and Evaluation, University of Washington
Nancy Fullman: Institute for Health Metrics and Evaluation, University of Washington
Peter W. Gething: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Harry S. Gibson: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Nathaniel J. Henry: Institute for Health Metrics and Evaluation, University of Washington
Mario Herrero: Commonwealth Scientific and Industrial Research Organisation
L. Kendall Krause: Bill & Melinda Gates Foundation
Ian D. Letourneau: Institute for Health Metrics and Evaluation, University of Washington
Aubrey J. Levine: Institute for Health Metrics and Evaluation, University of Washington
Patrick Y. Liu: Institute for Health Metrics and Evaluation, University of Washington
Joshua Longbottom: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Benjamin K. Mayala: Institute for Health Metrics and Evaluation, University of Washington
Jonathan F. Mosser: Institute for Health Metrics and Evaluation, University of Washington
Abdisalan M. Noor: Kenya Medical Research Institute-Wellcome Trust Collaborative Programme
David M. Pigott: Institute for Health Metrics and Evaluation, University of Washington
Ellen G. Piwoz: Bill & Melinda Gates Foundation
Puja Rao: Institute for Health Metrics and Evaluation, University of Washington
Rahul Rawat: Bill & Melinda Gates Foundation
Robert C. Reiner: Institute for Health Metrics and Evaluation, University of Washington
David L. Smith: Institute for Health Metrics and Evaluation, University of Washington
Daniel J. Weiss: Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford
Kirsten E. Wiens: Institute for Health Metrics and Evaluation, University of Washington
Ali H. Mokdad: Institute for Health Metrics and Evaluation, University of Washington
Stephen S. Lim: Institute for Health Metrics and Evaluation, University of Washington
Christopher J. L. Murray: Institute for Health Metrics and Evaluation, University of Washington
Nicholas J. Kassebaum: Institute for Health Metrics and Evaluation, University of Washington
Simon I. Hay: Institute for Health Metrics and Evaluation, University of Washington

Nature, 2018, vol. 555, issue 7694, 41-47

Abstract: Abstract Insufficient growth during childhood is associated with poor health outcomes and an increased risk of death. Between 2000 and 2015, nearly all African countries demonstrated improvements for children under 5 years old for stunting, wasting, and underweight, the core components of child growth failure. Here we show that striking subnational heterogeneity in levels and trends of child growth remains. If current rates of progress are sustained, many areas of Africa will meet the World Health Organization Global Targets 2025 to improve maternal, infant and young child nutrition, but high levels of growth failure will persist across the Sahel. At these rates, much, if not all of the continent will fail to meet the Sustainable Development Goal target—to end malnutrition by 2030. Geospatial estimates of child growth failure provide a baseline for measuring progress as well as a precision public health platform to target interventions to those populations with the greatest need, in order to reduce health disparities and accelerate progress.

Date: 2018
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DOI: 10.1038/nature25760

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