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2. Rationale Albanian population has experienced a unique

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.

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2. Rationale Albanian population has experienced a unique

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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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