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An Analysis of the Immediate and Underlying Determinants of Severe Acute Malnutrition (SAM) Among Children Under Five in Leer County, Unity State, South Sudan


Authors : Pidor Riek Koang

Volume/Issue : Volume 11 - 2026, Issue 8 - August


Google Scholar : https://tinyurl.com/35wdxmc9

Scribd : https://tinyurl.com/bdzzp46v

DOI : https://doi.org/10.38124/ijisrt/26aug096

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Severe Acute Malnutrition (SAM) remains a critical public health emergency in South Sudan, particularly in conflictaffected zones like Leer County. Despite humanitarian interventions, prevalence rates remain persistently high. This study analyzed the immediate and underlying determinants of SAM among children aged 6–59 months in Leer County, Unity State.  Methodology: A cross-sectional mixed-methods study design was employed. Quantitative data was collected from 339 caregivers using a structured questionnaire based on SMART methodology, achieving a 100% response rate. Qualitative data was gathered from 23 health facilities and 12 community leaders through key informant interviews. Bivariate analysis using Fisher’s Exact Test was used to determine associations, alongside descriptive statistics.

Keywords : Severe Acute Malnutrition, Leer County, WASH, Conflict, Diarrhea.

References :

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Background: Severe Acute Malnutrition (SAM) remains a critical public health emergency in South Sudan, particularly in conflictaffected zones like Leer County. Despite humanitarian interventions, prevalence rates remain persistently high. This study analyzed the immediate and underlying determinants of SAM among children aged 6–59 months in Leer County, Unity State.  Methodology: A cross-sectional mixed-methods study design was employed. Quantitative data was collected from 339 caregivers using a structured questionnaire based on SMART methodology, achieving a 100% response rate. Qualitative data was gathered from 23 health facilities and 12 community leaders through key informant interviews. Bivariate analysis using Fisher’s Exact Test was used to determine associations, alongside descriptive statistics.

Keywords : Severe Acute Malnutrition, Leer County, WASH, Conflict, Diarrhea.

Paper Submission Last Date
31 - August - 2026

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