2. Rationale

1
The Double Burden of Malnutrition in Albania
Katie Bates, London School of Economics
Supervisors Dr Arjan Gjonça and Dr Tiziana
Leone, London School of Economics

• 1. Background
• GHLC country in an international context, but
  child health lagged behind and a history of
  severe malnutrition.
• Regional variation in adult health
• 1990s - significant economic and social changes

• 3. International Context
• 2005-06 UNICEF MICS data for 11 countries.
• Anthropometric indices created using WHO 2006
  Growth Reference Standards (F1)

F1 Anthropometric Indices for Selected Countries
2005-06

• 2. Rationale
• Albanian population has experienced a unique
• trajectory in terms of the demo-graphic and
  epidemiologic transition likely reflected in a
  double burden of malnutrition (DBM) among
  under-5s
• It is hypothesised regional differences occur in
  under-5 malnutrition that parallel adult health

F2 Stunted and Overweight for Selected CEE
Countries

• 3.1. CEE Context
• Data on stunting and overweight from
• WHO Global Database on Child Growth and
  Malnutrition for CEE Countries (F2)

• 4. Regional Distribution
• Anthropometric indices created from ADHS
• 2008-09 using WHO 2006 Growth Reference Standards
  (F3)

F3 Geographical Distribution of Under-5s
Anthropometric Indices in Albania 2008-09
Stunting
Wasting
Overweight

• 5. Key Findings
• Albania has DBM to a greater extent than any
  other CEE country
• Internationally, Albania greatest DBM in terms of
  stunting and overweight
• North-south gradient present in stunting and
  wasting indicators
• Parallels adult health indicators
• Urban penalty of overweight in Tirana

• 6. Future Research
• Multivariate analyses on factors impacting upon
  nutritional status among under-5s
• Analysis of stunted overweight individuals

F2 - WHO Global Database on Child Growth and
Malnutrition website accessed 29th April 2010,
http//www.who.int/nutgrowthdb/database/countries/
en/index.htmlR Russia and Ukraine data
2000-2001 Bulgaria data 2004 Serbia and
Montenegro data 2005-2006
F3 INSTAT Albanian National Institute of
Statistics, Institute of Public Health Albania
and ICF Macro 2010 Albania Demographic and
Health Survey 2008-09, Tirana, Albania Institute
of Statistics, Institute of Public Health and ICF
Macro
F1 UNICEF Multiple Indicator Cluster Surveys
(MICS3) http//www.childinfo.org/mics3_surveys.ht
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