Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey

Tanzania is home to the third highest population of stunted children in Sub-Saharan Africa, with about 2.7 million children under the age of five failing to reach their full potential of growth attainment compared with the reference population as p...

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Main Authors: Joseph, George, Gething, Peter W., Bhatt, Samir, Ayling, Sophie C.E.
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/834741546530273286/Understanding-the-Geographical-Distribution-of-Stunting-in-Tanzania-A-Geospatial-Analysis-of-the-2015-16-Demographic-and-Health-Survey
http://hdl.handle.net/10986/31091
id okr-10986-31091
recordtype oai_dc
spelling okr-10986-310912022-05-21T06:14:59Z Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey Joseph, George Gething, Peter W. Bhatt, Samir Ayling, Sophie C.E. DEMOGRAPHIC AND HEALTH SURVEY STUNTING GEOSPATIAL ECONOMICS GEO-STATISTICS HEALTH POLICY Tanzania is home to the third highest population of stunted children in Sub-Saharan Africa, with about 2.7 million children under the age of five failing to reach their full potential of growth attainment compared with the reference population as per the World Health Organization standards. Several studies have shown that stunted growth during childhood entraps the future of children in a vicious circle of recurrent diseases, reduced human development, and lower earnings, thus increasing their likelihood of being poor when they grow up. To reduce stunting, the Government of Tanzania and development partners are introducing a convergence of multisectoral interventions adapted to local needs. However, the existing stunting data are representative only at higher administrative levels, thus making it difficult to implement these efforts. The paper uses the 2016 geo-referenced Demographic and Health Survey in conjunction with relevant spatially gridded covariate data, such as nighttime lights, water and sanitation access, vegetation index, travel time, and so on. Geospatial techniques, such as model-based statistics and Bayesian inference implemented using the INLA algorithm, along with appropriate model validation exercises are employed to develop high-resolution maps of stunting in Tanzania at 1×1-kilometer spatial resolution. The maps show that areas of consistently high stunting rates tend to be more common in rural parts of the country, especially throughout the western and southwestern border areas. There is high prevalence of low stunting in the urban areas around Dar es Salaam, Arusha, and Dodoma, as well as in the south of Lake Victoria. 2019-01-03T17:24:54Z 2019-01-03T17:24:54Z 2019-01 Working Paper http://documents.worldbank.org/curated/en/834741546530273286/Understanding-the-Geographical-Distribution-of-Stunting-in-Tanzania-A-Geospatial-Analysis-of-the-2015-16-Demographic-and-Health-Survey http://hdl.handle.net/10986/31091 English Policy Research Working Paper;No. 8688 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa Tanzania
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic DEMOGRAPHIC AND HEALTH SURVEY
STUNTING
GEOSPATIAL ECONOMICS
GEO-STATISTICS
HEALTH POLICY
spellingShingle DEMOGRAPHIC AND HEALTH SURVEY
STUNTING
GEOSPATIAL ECONOMICS
GEO-STATISTICS
HEALTH POLICY
Joseph, George
Gething, Peter W.
Bhatt, Samir
Ayling, Sophie C.E.
Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
geographic_facet Africa
Tanzania
relation Policy Research Working Paper;No. 8688
description Tanzania is home to the third highest population of stunted children in Sub-Saharan Africa, with about 2.7 million children under the age of five failing to reach their full potential of growth attainment compared with the reference population as per the World Health Organization standards. Several studies have shown that stunted growth during childhood entraps the future of children in a vicious circle of recurrent diseases, reduced human development, and lower earnings, thus increasing their likelihood of being poor when they grow up. To reduce stunting, the Government of Tanzania and development partners are introducing a convergence of multisectoral interventions adapted to local needs. However, the existing stunting data are representative only at higher administrative levels, thus making it difficult to implement these efforts. The paper uses the 2016 geo-referenced Demographic and Health Survey in conjunction with relevant spatially gridded covariate data, such as nighttime lights, water and sanitation access, vegetation index, travel time, and so on. Geospatial techniques, such as model-based statistics and Bayesian inference implemented using the INLA algorithm, along with appropriate model validation exercises are employed to develop high-resolution maps of stunting in Tanzania at 1×1-kilometer spatial resolution. The maps show that areas of consistently high stunting rates tend to be more common in rural parts of the country, especially throughout the western and southwestern border areas. There is high prevalence of low stunting in the urban areas around Dar es Salaam, Arusha, and Dodoma, as well as in the south of Lake Victoria.
format Working Paper
author Joseph, George
Gething, Peter W.
Bhatt, Samir
Ayling, Sophie C.E.
author_facet Joseph, George
Gething, Peter W.
Bhatt, Samir
Ayling, Sophie C.E.
author_sort Joseph, George
title Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
title_short Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
title_full Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
title_fullStr Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
title_full_unstemmed Understanding the Geographical Distribution of Stunting in Tanzania : A Geospatial Analysis of the 2015-16 Demographic and Health Survey
title_sort understanding the geographical distribution of stunting in tanzania : a geospatial analysis of the 2015-16 demographic and health survey
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/834741546530273286/Understanding-the-Geographical-Distribution-of-Stunting-in-Tanzania-A-Geospatial-Analysis-of-the-2015-16-Demographic-and-Health-Survey
http://hdl.handle.net/10986/31091
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