Abua Eucheria Ekugeni, Ndep Antor Odu, George Nsikakabasi Samuel, Edet Brian Enembe, Okoi Edward Onun, Lonn Helen, Ogben Christiana, Forje Gima Humphrey, Awa Theresa Mark, Ugbe Maurice-Joel Ugbe
Department of Public Health, University of Calabar, Calabar, Nigeria.
School of Medicine and Population Health, The University of Sheffield, Sheffield, United Kingdom.
BMC Nutr. 2025 Jul 25;11(1):147. doi: 10.1186/s40795-025-01131-0.
Internal displacement due to conflict or crises has led to millions, including children under five, residing in precarious internally displaced persons (IDP) camps. Malnutrition, predominantly undernutrition in Sub-Saharan Africa, is a significant concern in these contexts. This review aimed to assess the factors and determinants of malnutrition among under-five children in IDP Camps in Africa.
The review was conducted according to the PRISMA guidelines, and the research protocol was registered in PROSPERO (CRD42023460266). Embase, MEDLINE, CINAHL, Web of Science, CABI Abstracts, Scopus and Google Scholar were searched methodically. The AXIS Critical Appraisal of Cross-sectional Studies Tool was utilized to evaluate the quality and risk of bias of each included study.
After screening full-text articles, eight studies meeting eligibility criteria were included in the review. Factors influencing nutritional status of under-five children were summarized into 11 themes: Age, Gender, Caregiver's Educational Status, Family Planning, Antenatal Care, Displacement Status, Access to Safe Water and Handwashing, Dietary Diversity, Disease History, Caregiver's Occupation, and Household Income.
This review examined the factors contributing to malnutrition among under-five children in IDP camps in Africa, and sheds light on neglected crises. It adds to existing knowledge in this area. The findings underscore the need for future research to explore variations in malnutrition determinants across different IDP contexts and to focus on multi-sector collaboration for effective policy implementation in addressing malnutrition in African IDP camps.
冲突或危机导致的国内流离失所使数百万人，包括五岁以下儿童，居住在不稳定的境内流离失所者（IDP）营地。营养不良，主要是撒哈拉以南非洲的营养不良，是这些情况下的一个重大问题。本综述旨在评估非洲境内流离失所者营地中五岁以下儿童营养不良的因素和决定因素。
本综述按照PRISMA指南进行，研究方案已在PROSPERO（CRD42023460266）注册。对Embase、MEDLINE、CINAHL、Web of Science、CABI文摘、Scopus和谷歌学术进行了系统检索。使用AXIS横断面研究批判性评估工具来评估每项纳入研究的质量和偏倚风险。
在筛选全文文章后，八项符合纳入标准的研究被纳入综述。影响五岁以下儿童营养状况的因素归纳为11个主题：年龄、性别、照顾者的教育程度、计划生育、产前护理、流离失所状况、获得安全饮用水和洗手设施、饮食多样性、疾病史、照顾者职业和家庭收入。
本综述研究了非洲境内流离失所者营地中五岁以下儿童营养不良的影响因素，揭示了被忽视的危机。它增加了该领域的现有知识。研究结果强调，未来的研究需要探索不同境内流离失所者背景下营养不良决定因素的差异，并关注多部门合作，以有效实施政策来解决非洲境内流离失所者营地的营养不良问题。
