FACTORS ASSOCIATED WITH THE NUTRITIONAL STATUS OF CHILDREN AGED 6-59 MONTHS ATTENDING MALABLE HEALTH CENTER IN WANLAWEYN DISTRICT LOWER-SHABELLE, SOMALIA.

Abstract Background: The nutritional status of children is a key indicator of community development and future potential. The early years of life are crucial for optimal growth and development, making the nutritional status of children under five particularly important. Nutritional deficiencies can lead to long-term physical growth and development issues, resulting in high levels of illness and disability in adulthood. High malnutrition prevalence also threatens future economic growth by reducing the intellectual and physical potential of the population. Problem Statement: In Sub-Saharan Africa (SSA), poor physical growth is prevalent, with approximately 21.9% of children underweight and 40.1% stunted. Anemia is also widespread, with prevalence rates between 40–70%. Both growth restriction and anemia in early life increase the risk of mortality and morbidity and are linked to developmental and cognitive impairments. Objective: This study aims to determine the nutritional status of children aged 6-59 months attending the maternal and child health clinic at Malable Health Center, Wanlaweyn district, Somalia. Methods: A cross-sectional study design was employed. A researcher-administered semi-structured questionnaire collected socio-demographic information, feeding practices, and anthropometric data. Statistical analyses compared anthropometric measurements to WHO reference populations. SPSS version 25 analyzed epidemiological data to determine malnutrition indicators such as underweight, stunting, and wasting. Results: The study found that 45% of mothers had no formal education, and most were not employed, with 58% being pastoralists and 42% business persons. Most households had more than two children and over five members. Nutritional assessments revealed 15% of children were wasted, 20% stunted, and 20% underweight, with higher malnutrition rates in the 24-59 months age group and among male children. Dietary patterns showed a preference for rice and pasta, with fruits being the least consumed due to cost and availability. While 75.9% of women were aware of exclusive breastfeeding, only 42% learned about it in the maternity ward, and 57% introduced complementary feeding early, often seeking advice from friends and relatives rather than healthcare providers.