JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Vol. 7 No. 1 (2026): Journal Community Medicine and Public Health Research

A Cross-Sectional Assessment of Conflict, Nutrition and Health Among Children Under Five in Cameroon

Cynthia Fonta (School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ,)
David Gordon (School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ,)
Timothy F. Brewer (Department of Medicine, Geffen School of Medicine and Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles)
Zoi Toumpakari (School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ,)



Article Info

Publish Date
13 Apr 2026

Abstract

Studies have shown inconsistent effects of conflict on children’s nutritional status. Cross-border and internal conflicts may harm children’s well-being more than in stable regions. This analysis examines the relationship between conflict zones, undernutrition as measured by the Composite Index of Anthropometry Failure (CIAF), and anaemia in Cameroon. The study used Cameroon’s 2018 Demographic and Health Survey (CDHS), sampling 4,498 children under five with complete anthropometry data. We performed a multivariate logistic regression analysis to test the association of conflicts, food insecurity (FI), and other covariates with undernutrition and anaemia. In univariate analyses, rural residence, living in conflict zones, water/sanitation deprivation, and lack of maternal education were associated with undernutrition, while female sex and household wealth were protective. In multivariate analyses, residing in a conflict area was significantly associated with undernutrition (OR=1.7; 95% CI: 1.4-2.0), whereas female sex remained protective against undernutrition (OR=0.7; 95% CI: 0.6-0.9). Increasing household wealth was associated with lower rates of undernutrition (OR=0.3; 95% CI: 0.2-0.5) and anaemia (OR=0.6; 95% CI: 0.4-0.8). Higher maternal education remained protective against undernutrition (OR=0.8; 95% CI: 0.6-0.9) and anaemia (OR=0.6; 95% CI: 0.5-0.8), and increasing childhood age reduced the odds of anaemia (OR=0.7; 95% CI: 0.6-0.9). Living in a household with unimproved/surface water increased the odds of anaemia (OR=1.3; 95% CI: 1.1-1.5). Food insecurity was not associated with undernutrition or anaemia. Living in a conflict zone adversely impacts the nutritional status of children in Cameroon. These findings highlight the need for nutrition- focused interventions in conflict-affected areas.

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Journal Info

Abbrev

JCMPHR

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Public Health Research (JCMPHR) publishes articles in the field of community medicine and public health focusing on family health care, epidemiology, biostatistics, public health administration, management of health, national health problems, social medicine, nutrition and enviromental and ...