Background: According to the 2022 Kenya Demographic and Health Survey, 18% of children under 5 years in Kenya were stunted, with West Pokot County recording the second-highest prevalence at 34%. Nevertheless, there is a lack of robust evidence explaining the persistent factors contributing to these high levels of stunting. This study, therefore sought to assess the predictors of stunting among children aged 6-59 months in Kapenguria Ward, West Pokot County, Kenya.
Methods: This cross-sectional study was conducted among 517 caregivers of children aged 6-59 months selected through multistage sampling. Data were collected using structured interviewer-designed questionnaires and analysed in SPSS. Descriptive statistics summarized participant characteristics. Associations were assessed through chi-square and t-tests, and significant variables (p < 0.05) were entered in a binary logistic regression to determine the predictors of stunting at 95% CI. Qualitative component involved thematic analysis to explore insights.

Results: Findings showed a 32.3% stunting rate. Significant predictors of stunting were household income (OR=0.314, CI=0.181 - 0.545, p=0.001) and phone ownership (OR=0.627, CI: 0.410-0.959, p=0.031). Child’s age (overall wald X2=19.515, p=0.001), breastfeeding status (OR=0.456, CI=0.286 – 0.729, p=0.001) and vaccination card ownership (OR = 0.463, CI=0.299 – 0.718, p=0.001) were also significant factors influencing child stunting.

Conclusion: Stunting level in Kapenguria Ward has slightly decreased compared to 2022 rates, although still comparatively high as per WHO thresholds. These results highlight the necessity of multisectoral interventions, including poverty reduction, improved maternal-child healthcare and full child vaccination.

Keywords: Malnutrition, Stunting, Height for age