Determinants of growth failure in a group of Zambian children.

Abstract

Introduction. Many predictors of growth failure and of mortality in children have been identified. Research has not provided so far an accurate perception of the relative importance of each determinant and of the intricate interaction of all these factors. The present study attempts to accomplish this, using a set of data obtained from African children. Conclusion. The measures that emerge as probably the most useful to improve the growth of most Zambian children (healthy and malnourished, very young and older ones alike) are, in order of importance: (1) to reduce morbidity by treating and preventing childhood diseases; (2) to implement social measures that will improve the education and the health of the parents; (3) to create new economic incentives, attempting to improve indirectly environmental conditions of the household; (4) to provide the financial means to buy an adequate quantity and quality of food, and to access needed competent medical care. (Abstract shortened by UMI.)