Economic Consequences of Malnutrition among Under-five Children on Households: New Insights from South-South of Nigeria

Authors

  • Charles Dabbie Elele Delta State University
  • Titus Olufemi Awogbemi Delta State University

DOI:

https://doi.org/10.58765/ijemr.v4i2.449

Keywords:

Malnustrition, Economic Consequences, under-five-children, regression, Nigeria

Abstract

Purpose – Analyzing the impact of direct healthcare costs, indirect burdens, and coping strategies associated with childhood malnutrition on household economic well-being in South-South Nigeria.

Design/methodology/approach – A quantitative survey-based study was conducted involving 363 households with children under five across six states in the South-South region of Nigeria. The data were analyzed using multiple regression.

Originality – It presents recent (2025) micro-level empirical evidence that integrates medical expenditures, productivity losses, and household recovery responses within a single framework in the South-South region of Nigeria.

Findings and Discussion – Direct Healthcare Costs ($X_1$): Had a significant negative effect ($\beta = -0.054$; $p = 0.044$). Out-of-pocket medical payments substantially depleted savings and worsened the family's economic situation. Indirect Costs ($X_2$): Had a positive but non-significant effect ($\beta = 0.080$; $p = 0.054$). The loss of caregivers' working days was offset by informal support or side jobs. Coping Strategies ($X_3$): Had a positive but non-significant effect ($\beta = 0.079$; $p = 0.507$). Debt and reduced food intake provided only temporary liquidity relief rather than long-term economic resilience.

Conclusion – Malnutrition among toddlers places a significant strain on household finances due to high direct medical costs. Coping mechanisms such as informal loans fail to provide long-term recovery solutions; therefore, the government needs to implement community-based health insurance and microcredit schemes.

Keywords – Malnutrition, Economic Consequence, Under-five children, Regression, Nigeria

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References

Adepoju, A. O., Akinyemi, A. I., &Osotimehin, K. (2020). Determinants of child malnutrition and household healthcare expenditure in Nigeria. Journal of Public Health in Africa, 11(2), 45–54.

Akinola, T. J., &Eze, U. F. (2021). Child malnutrition and household economic vulnerability in Nigeria: Evidence from the General Household Survey Panel. Journal of African Development Studies, 13(2), 77–93.

Akinyele, I. O. (2009). Ensuring food and nutrition security in rural Nigeria: An assessment of the challenges, information needs, and analytical capacity.International Food Policy Research Institute (IFPRI).

Akinyemi, J. O., &Adedini, S. A. (2020). Household economic burden of child malnutrition in Nigeria.Health Economics Review, 10(3), 1–12.

Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., &Renzaho, A. M. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17(1), 15–23.

Akombi, B. J., Renzaho, A. M., Hall, J. J., &Agho, K. E. (2019). Trends in socioeconomic inequalities in child undernutrition across Nigerian geopolitical zones. Maternal & Child Health Journal, 23(10), 1403–1416.

Aregbeshola, B. S., & Khan, S. M. (2018). Out-of-pocket payments, catastrophic health expenditure and poverty among households in Nigeria.International Journal of Health Policy and Management, 7(9), 798–806.

Arodiwe, E., Arodiwe, I., &Okoronkwo, I. (2023). Investigating household catastrophic health expenditure and coping mechanisms in patients with chronic illness in Enugu, Nigeria.Annals of Clinical and Biomedical Research, 4(2), 51–63

Ayipe, F. I., &Tanko, M. (2023). Public health expenditure and under-five mortality in low-income Sub-Saharan African countries.Social Sciences & Humanities Open, 8(1), 100175

Babatunde, R. O., Olagunju, F. I., &Fakayode, S. B. (2021). Coping strategies and household welfare implications of childhood malnutrition in Nigeria. African Development Review, 33(4), 602–616.

Briggs-Megafu, T. E. (2025). Assessing the relationship between the informal sector, out-of-pocket healthcare expenses, and maternal and infant mortality in Nigeria, Doctoral dissertation, Walden University, 51-76

Colecraft, E. K., Shittu, O. O., & Christian, A. (2020). Nutrition transition and the triple burden of malnutrition in Sub-Saharan Africa: Status, determinants and economic welfare costs. In O. A. Oyediran& A. T. Ogunleye (Eds.), Combating Africa’s malnutrition through food, agriculture and targeted policies (pp. 47–68). Accra, Ghana: African Nutrition Society.

Danjuma, R. Y., Adewale, O. O., &Oche, A. B. (2025). Early childhood malnutrition and lifetime earnings: Evidence from longitudinal Nigerian data. Development Economics and Public Policy Journal, 8(1), 22–39.

De-Onis M., Onyango, A. W., Borghi, E., Arimond, M., Webb, P., Croft, T., &Saha, K. (2019). Prevalence and trends of stunting among pre-school children, 1990–2020.Public Health Nutrition, 22(6), 1–13

Ene-Obong, H. N., Ibeanu, V. N., Onuoha, N., &Ejekwu, A. (2019). Determinants of malnutrition among under-five children in Nigeria and implications for nutrition policy. Journal of Health, Population and Nutrition, 38(1), 17–28.

Federal Ministry of Health. (2021). National Strategic Plan of Action on Nutrition 2021–2025. Abuja, Nigeria: FMoH.

Food and Agricultural Organization (FAO, 2022

Maurice, M. R., Sam, O., Francis, O., &Proscovia, N. (2025). Estimating the catastrophic and impoverishing health expenditure risk among malnourished under-five children in Uganda.Journal of Health Economics and Outcomes Research, 13(1), 98–112.

Musa, O. A., Ojonugwa, A. M., & Monday, N. A. (2023). Impact of out-of-pocket health expenditure on under-five mortality (U5M) in Nigeria.Adamawa Journal of Applied Economics and Finance Management 2(1): 34-42

National Demographic and Health Survey (1990). Healthcare statistics, Abuja: National Population Commission

Nigeria Demographic and Health Survey (2018). Key Indicators Report. Abuja: National Population Commission

Ogunniyi, A., Oladeebo, J. O., &Ajao, R. A. (2020). Economic costs of childhood malnutrition and household coping responses in Southwest Nigeria. African Journal of Economic Review, 8(2), 63–81.

Okafor, N. C., & Ibrahim, U. A. (2022). Malnutrition and parental labor productivity among rural households in northern Nigeria. Journal of Agricultural Economics and Human Development, 14(3), 105–120

Olanrewaju, S. T., &Adebiyi, F. O. (2023). Household cost burden of child malnutrition and productivity loss in southwestern Nigeria. Public Health and Economic Development Journal, 11(4), 91–109.

Olumakaiye, M. F. (2013). Household food insecurity and nutritional status of under-five children of low-income households in a Nigerian urban community. Malawi Medical Journal, 25(4), 116–121.

Onabanjo, O. O., &Balogun, O. L. (2022). Economic consequences of child malnutrition in Nigeria: Evidence from household-level data. Health Economics Review, 12(1), 24.

Sambo, M. N., Ejembi, C. L., Adamu, Y. M., &Aliyu, A. A. (2004). Out-of-pocket health expenditure for under-five illnesses in a semi-urban community in Northern Nigeria.Journal of Community Medicine and Primary Health Care, 16(2), 29–32

UNICEF. (2020). The state of the world’s children 2020: Children, food and nutrition. New York: United Nations Children’s Fund. https://www.unicef.org/reports/state-of-worlds-children-2020

UNICEF. (2023). State of the World’s Children 2023: For every child, nutrition. New York: UNICEF.

Uzochukwu, B. S. C., Ughasoro, M. D., Etiaba, E., Okwuosa, C., Envuladu, E., &Onwujekwe, O. E. (2018). Health care financing in Nigeria: Implications for achieving universal health coverage. Nigerian Journal of Clinical Practice, 21(10), 1308–1317.

Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: Variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399.

World Bank. (2019). The economic cost of malnutrition in Nigeria. Washington, D.C.: World Bank

World Health Organization (WHO). (2022). Levels and trends in child malnutrition. Geneva: WHO

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Published

2026-08-29

How to Cite

Elele, C. D., & Awogbemi, T. O. (2026). Economic Consequences of Malnutrition among Under-five Children on Households: New Insights from South-South of Nigeria. INTERNATIONAL JOURNAL OF ECONOMICS AND MANAGEMENT REVIEW, 4(2), 120–137. https://doi.org/10.58765/ijemr.v4i2.449