scholarly journals Determinants of Low Birth Weight Among Women Who Gave Birth at Public Health Facilities in North Shewa Zone: Unmatched Case-Control Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110471
Author(s):  
Berhanu Senbeta Deriba ◽  
Kemal Jemal
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Alcohol Drinking ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Nutritional Counseling ◽  
Public Health Facilities ◽  
Control Study

Globally, more than 20 million newborns are born with low birth weight (LBW) every year. Most of the LBW occurs in low- and middle-income countries. It is the most critical risk of neonate mortality. Therefore, this study aims to identify determinants of low birth weight among women who gave birth in public health facilities in the North Shewa zone. Institutional-based unmatched case–control study was conducted from February to June 2020 to select 180 cases and 380 controls. Interviewer-administered questionnaire was used to collect data. Data were entered through EPI Info and exported to Statistical Package for Social Science (SPSS) for analysis. Text, percentage and tables were used to present data. Bivariate and multivariate logistic regression analyses were performed to see the association and adjusted odds ratios with 95% confidence interval (CI), and P-value < .05 was considered to declare statistical significance. Lack of nutritional counseling (adjusted odds ratio [AOR] = 2.14; 95% CI = [1.13, 4.04]), unable to take iron-folate supplement (AOR = 2.3.78; 95% CI = [2.1, 6.85]), insufficient additional meal in take (AOR = 6.93; 95% CI = [3.92, 12.26]), restriction of foods (AOR=2.29; 95% CI =[1.81, 4.09]), maternal mid upper arm circumference (MUAC) < 23 cm (AOR=2.85; 95% CI = [ 1.68, 4.85]), maternal height ≤155 cm (AOR=3.58; 95% CI = [1.92, 6.7]), anemia (AOR = 2.34; 95% CI = [1.21, 4.53]), pregnancy-related complications (AOR=3.39; 95% CI = [2.02, 5.68]), and alcohol drinking during pregnancy (AOR = 2.25; 95% CI = [1.24, 4.08]) were significantly associated with LBW. Nutritional counseling, iron-folate supplementation, additional meal intake, restriction of some foods in pregnancy, MUAC of the mother, maternal stature, maternal anemia status, pregnancy-related complications, and a history of alcohol drinking during pregnancy were identified as determinants of low birth weight. The intervention-targeted nutritional counseling, early detection and treatment of anemia, and behavioral change communication to pregnant women are mandatory.

scholarly journals Determinants of Postpartum IUCD Utilization Among Mothers Who Gave Birth in Gamo Zone Public Health Facilities, Southern Ethiopia: a Case-Control Study

2020 ◽  
Vol Volume 11 ◽  
pp. 125-133
Author(s):  
Seid Jemal Mohammed ◽  
Weynshet Gebretsadik ◽  
Gesila Endashaw ◽  
Mulugeta Shigaz Shimbre ◽  
Kenzudin Assfa Mossa ◽  
...  
Keyword(s):  
Public Health ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Public Health Facilities ◽  
Control Study

scholarly journals Determinants of Low Birth Weight Among Newborn Delivered At Public Hospital in Silte Zone, Southern Ethiopia: Case Control Study

2021 ◽  
Author(s):  
Mubarek Hussen Mohammed ◽  
Yasin Awol Wabe ◽  
Musa Mohammed Ali
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Death ◽  
Case Control Study ◽  
Case Control ◽  
Southern Ethiopia ◽  
Hypertensive Disorder ◽  
Nutritional Counseling ◽  
Under Nutrition ◽  
Control Study

Abstract Background: There is high incidence of neonatal death in Ethiopia. There are various factors that contribute to neonatal death. Low birth weight (LBW) contributes for about half of infant death. Identification of modifiable determinants of LBW for potential interventions has received little attention in southern parts of Ethiopia. The aim of this study was to identify determinants of LBW among mothers delivered at hospitals in Silte Zone, Southern Ethiopia. Methods: A hospital-based unmatched case-control study was conducted in all public hospitals of Silte Zone. In the study, the number of mothers, cases and controls from each hospital was recruited using probability proportion to population size. Baby born with weight less than 2500gm were taken as a case where as a preceding three baby with birth weight of more than or equal to 2500gm was taken as control during study time in consecutive manner. Data was collected using pretested structured questionnaire, and by anthropometric measurements. Data was entered in to Epi Info 3.5.4 and exported to SPSS Version 20 software. Descriptive analysis and binary logistic regression model were used to calculate Odds ratio with 95% confidence intervals to estimate the association between the dependent and independent variables. Variables with a p-value less than 0.05 were considered as statistically significant. Result: The mean ± SD of birth weight of was 2174.47gm ±266.2for cases and 3370.48gm ±446.48for controls. After using multivariate logistic regression analysis, mothers who did not receive iron folate during pregnancy [AOR=2.84(1.15,7.03)], mothers who had anemia (hemoglobin <11mg/dl) during pregnancy [AOR=1.03(1.12, 6.24)], mothers who did not take additional meal [AOR =3.25(1.64,6.44)], mothers who did not receive nutritional counseling during the current pregnancy [AOR =6.93(4.80,11.76)], maternal under nutrition [AOR= 3.62(2.64, 6.47)], hypertensive disorder related to pregnancy [AOR= 2.76(1.34,5.71)] and inadequate Minimum Dietary Diversity Assessment(MDD-W) [AOR=6.65(2.31, 10.16)] were found as an independent and significant predictors of low birth weight. Conclusions: Maternal under nutrition, mothers not receiving iron folate during pregnancy, mother who had anemia, lack of target nutritional counseling, mothers who did not receive additional food during pregnancy, hypertensive disorder related to pregnancy and inadequate MDD-W were significant determinants of LBW. The importance of nutritional counseling with iron folate supplements, adherence during pregnancy and maternal under nutrition screening needs to be strengthened effort to reduce incidence of LBW infants.

scholarly journals Determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone public health facilities, southern Ethiopia; case-control study

2019 ◽  
Author(s):  
Seid Jemal Mohammed ◽  
Weynshet Gebretsadik ◽  
Gisila Endeshaw ◽  
Mulugeta shigaz Shimbre ◽  
Kenzudine Asfaw Mosa ◽  
...  
Keyword(s):  
Public Health ◽  
Birth Interval ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Partner Support ◽  
Southern Ethiopia ◽  
Public Health Facilities ◽  
Determinant Factors ◽  
Control Study

Abstract ABSTRACT Background: Even though postpartum IUCD is effective, reliable, safe and recommended contraceptive method during postpartum women, only a small amount of mother who gave birth in health facilities used PPIUCD in the world. Besides the underlining problem and as to the knowledge of the researcher; nothing is known in Gamo zone about the determinants of PPIUCD. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia, 2019. Methods: a facility based unmatched case control study was conducted in Gamo zone public health facilities, southern Ethiopia. A total of 536(179 cases and 357 controls) participants were selected in the study with a 1:2 case to control ratio. Data was collected by a pretested interviewer administered questionnaires from March 1 to April 15 2019. The data was coded, cleaned and entered by Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Bivariable and multivariable logistic regression analysis were performed to identify the determinants. Result: A total of 510(175 cases and 335 control) were involved in the study, which makes a response rate of 95.1%. The odds of mothers who have partner support for IUCD insertion were ten times more likely to utilize PPIUCD than those do not have partner support. (AOR (95 CI) 10(4.03, 24.3)). Mothers who have a birth interval of 1-2 year and 3-5 years 12 and almost 10 times more likely to utilize PPIUCD than mothers who have greater than five years. (AOR (95 CI) 12.0(1.5, 97.7), 9.7(1.7, 55.1)) respectively. The odds of mothers who are spacer four times more likely to utilize PPIUCD than limiters (AOR (95 CI) 4(1.44,10.84)). Mothers who are counseled during early labor around 88% less likely to utilize PPIUCD than those counseled during ANC (AOR (95 CI) .125(.034, .46)). Conclusion and recommendation : Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were determinant factors. Therefore, health professionals better to give counseling by incorporating partners during antenatal follow up and after delivery. Key words : Postpartum IUCD, Gamo zone, unmatched case control, determinant factors

scholarly journals Determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone public health facilities, southern Ethiopia; case-control study

2019 ◽  
Author(s):  
Seid Jemal Mohammed ◽  
Weynshet Gebretsadik ◽  
Gisila Endeshaw ◽  
Mulugeta shigaz Shimbre ◽  
Kenzudine Asfaw Mosa ◽  
...  
Keyword(s):  
Public Health ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Public Health Facilities ◽  
Control Study

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