Child Stunting and Temperature Anomalies: A Cross-Sectional Study in Burkina Faso and Kenya

Climate anomalies and household conditions jointly influence stunting among children aged 24-59 months, with effects varying by country. Cold anomalies were associated with higher odds of stunting in Burkina Faso (BF OR = 2.14) and Kenya (KE OR = 1.20), while heat anomalies reduced stunting in BF (OR = 0.08) but increased it in KE (OR = 2.34). Electricity access was protective in both countries (BF OR = 0.61; KE OR = 0.71), while improved water, sanitation, and wealth were significant only in KE. Older child age consistently reduced stunting risk, and urban residence was protective only in BF. These findings underscore that climate impacts on stunting are context-specific and highlight the need for policies integrating climate adaptation with investments.