A mixed-methods study of the drivers of stunting reduction among children under-5 in Sierra Leone, 2005–2017
Rapid reduction in under-5 stunting in Sierra Leone coincided with strong economic growth and declining urban poverty, along with high-profile health and development policies supported by external partners that targeted and/or benefited poorer and rural populations especially. Had the Ebola and COVID-19 epidemics not occurred, positive pre-2014 trajectories in child growth and other maternal and child health and nutrition outcomes in Sierra Leone may well have continued, yielding gains even larger than those observed over the study period.
Authors
- Anita Kargbo
- Erica Confreda
- Summer K. Peterson (ORCID: https://orcid.org/0009-0004-3248-2718)
- Zulfiqar Ahmed Bhutta (ORCID: https://orcid.org/0000-0003-0637-599X)
- Umu H. Jalloh
- Aminata Shamit Koroma (ORCID: https://orcid.org/0000-0001-9288-8542)
- Michelle F Gaffey (ORCID: https://orcid.org/0000-0002-1800-8145)
- Emily C Keats (ORCID: https://orcid.org/0000-0002-1354-7086)
- Sugandh Juneja
- Muhammad Islam (ORCID: https://orcid.org/0009-0008-8080-1372)
Institutions
- University of North Carolina at Chapel Hill (US)
- Helen Keller International (US)
- Hospital for Sick Children (CA)
- Ministry of Health and Sanitation (SL)
- SickKids Foundation (CA)
Publication Details
- Journal
- American Journal of Clinical Nutrition
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1016/j.ajcnut.2025.02.015
- Citations
- 5
- Primary Topic
- Child Nutrition and Water Access
- Type
- article
- Field-Weighted Citation Impact
- 5.60