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The Double Burden of Malnutrition in Albania: Insights and Implications

This study explores the phenomenon of the double burden of malnutrition (DBM) in Albania, highlighting its demographic and epidemiological trajectory. It examines the regional variations in child malnutrition rates, including stunting and overweight among under-fives, as well as parallels with adult health indicators. Data from various studies, including UNICEF and WHO reports, reveal that Albania experiences the highest extent of DBM in Central and Eastern Europe (CEE), with significant urban-rural differences. Future research directions are proposed to better understand these issues.

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The Double Burden of Malnutrition in Albania: Insights and Implications

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  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.html#R *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.html

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