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Abstract Background Child undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood undernutrition are not well studied in developing countries. The objective of the study is to examine the relationship between quality of governance, public health expenditures, urbanization and child undernutrition in Ethiopia. Methods This is pooled data analysis with ecological design. We obtained data on childhood undernutrition from the Ethiopian Demographic and Health Surveys (EDHS) that were conducted in 2000, 2005, 2011 and 2016. Additionally, data on quality of governance for Ethiopia were extracted from the World Governance Indicators (WGI) and public health spending and urbanization were obtained from the World Development Indicators and United Nations’ World Population Prospects (WPP) respectively. Univariate and multivariate analysis were done to assess the relationship between governance, public health expenditure and urbanization with childhood undernutrition. Result Government effectiveness (adjusted odd ratio (AOR) = 20.7; p = 0.046), regulatory quality (AOR = 0.0077; p = 0.026) and control of corruption (AOR = 0.0019; p = 0.000) were associated with stunting. Similarly, government effectiveness (AOR = 72.2; p = 0.007), regulatory quality (AOR = 0.0015; p = 0.004) and control of corruption (AOR = 0.0005; p = 0.000) were associated with underweight. None of the governance indicators were associated with wasting. On the other hand, there is no statistically significant association observed between public health spending and urbanization with childhood undernutrition. However, other socio-demographic variables play a significant effect on reducing of child undernutrition. Conclusion This study indicates that good governance in the country plays a significant role for reducing childhood undernutrition along with other socio-demographic factors. Concerned bodies should focus on improving governance and producing a quality policy and at the same time monitor its implementation and adherence.

Abstract Background Despite some improvements towards reducing hunger, malnutrition remains to be a crucial challenge in the developing world. The objective of this paper is to analyze the interplay between production diversity and dietary diversity across different seasons in rural Nigeria. The paper also investigates the relationship across different income quantiles. Method The study uses the Living Standards Measurement Study – Integrated Surveys on Agriculture (LSMS-ISA) dataset of the World Bank. We use two rounds of survey data (2010 and 2012) from Nigeria. Data were collected in two visits: at post-planting (from September to November), and at post-harvesting (from February to April). We analyze the relationship between production diversity and dietary diversity using different panel data regression tools. Result In post-harvest season, an increase in farm production diversification is associated with an increase with dietary diversity. On the other hand, production diversification does not have a significant contribution to the dietary diversity at post-planting. The analysis reveals that production diversification leads to better diet diversity for households in the second and third income quantiles. Conclusion Seasonal variation on the contribution of production diversification on dietary diversity in rural Nigeria calls for the role of seasonally targeted policies. A higher propensity of households in the poorest quantile for malnutrition irrespective of the season suggests the need for targeted and continuous public health and nutrition interventions.

It has been highlighted that the original article [1] contained a typesetting mistake in the name of Sibhatu Biadgilign. This was incorrectly captured as Biadigilign in the original publication which has since been updated.