scholarly journals Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Chalie Marew Tiruneh ◽  
Belete Gelaw Walle ◽  
Tigabu Desie Emiru ◽  
Nigusie Selomon Tibebu ◽  
Moges Wubneh Abate ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Associated Factors ◽  
Oral Lesion ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cd4 Counts ◽  
Under Nutrition

Abstract Background Malnutrition is very common in HIV-infected individuals. Even though data from different settings are necessary to tackle it, pieces of evidence are limited especially in the case of the nutritional status of HIV-infected children. Hence, this study aims to assess the nutritional status and associated factors among children on antiretroviral therapy. Methods An institutional-based cross-sectional study was conducted among 383 HIV-positive children in Southern Ethiopia. Data were collected using an interviewer-administered questionnaire and anthropometry measurement. Data were coded and entered into Epi-Data Version 3.1 and analyzed using SPSS Version 25. Bi-variable and multi-variable binary logistic regression models were used to identify factors associated with nutritional status and variables with p-values <0.05 in multi-variable logistic regression were considered as statistically significant. Results The prevalence of wasting among HIV-positive children in Southern Ethiopiaselected Hospitals was 36.3% (95% CI, 31.6–41.0) while stunting on the same study population was 5.5% (95% CI, 3.4–7.8). Rural residence, lack of maternal education, low CD4 counts (< 500), using an unprotected water source, having a non-biological mother and recurrent oral lesion were significantly associated with wasting. Furthermore, history of hospital admission, recurrent oral lesion, low CD4 counts (< 500), advanced WHO clinical stage were statically associated with stunting with p-value < 0.05. Conclusion This study found that the prevalence of under-nutrition among HIV-positive children in Ethiopia was significantly high. Therefore, timely identification and monitoring of nutritional problems should be necessary to enhance the effectiveness of ART treatment and to prevent further related complications.

Under-nutrition and Associated Factors Among Children on ART in Southern Ethiopia: a Multicenter Facility Based Cross-sectional Study

2021 ◽  
Author(s):  
Belete Gelaw ◽  
Chalie Marew ◽  
Tigabu Dessie ◽  
Nigusie Selomon ◽  
Moges Wubneh ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Maternal Education ◽  
Clinical Stage ◽  
Oral Lesion ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Cd4 Counts ◽  
History Of

Abstract Background: Malnutrition is very common in HIV infected individual due to decreased food intake, altering digestion, absorption and altering metabolism and by increasing energy need. Even though data from different settings are necessary to tackle it, evidences are limited especially in case of nutritional status of HIV-infected children. Hence, this study aims to assess the nutritional status and associated factors among children on antiretroviral therapy. Methods: An institutional-based cross-sectional study was conducted among 383 HIV-positive children in Southern Ethiopia. Data were collected using interviewer administered questionnaire and anthropometry measurement. Data were coded and entered into Epi-Data Version 3.1, and analyzed using SPSS Version 25. Bivariable and multivariable binary logistic regression models were used to identify factors associated with nutritional status and variables with p-values ˂0.05 in multivariable logistic regression were considered as statistically significant factors.Results: The prevalence of wasting among HIV positive children in Southern Ethiopia selected Hospitals was 36.3% (95% CI: 31.6, 41.0), while stunting on the same study population was 5.5% (95% CI: 3.4, 7.8). Rural residence (AOR = 4.1, CI: 2.0, 8.4), lack of maternal education (AOR =9.3, CI: 5.0, 17.3), low CD4 counts (<500) (AOR =4.9, CI: 2.3, 10.4), using unprotected water source (AOR = 3.2, CI: 1.8, 5.8), having non-biological mother (AOR =4.2, CI: 1.9, 9.2) and recurrent oral lesion (AOR =2.2, CI:1.2, 4.2) were significantly associated with wasting. Furthermore, history of hospital admission (AOR =4.9, CI: 1.6, 15.0), recurrent oral lesion (AOR =3.9, CI: 1.1, 14.1), low CD4 counts (< 500) (AOR =3.5, CI: 1.0-12.0), advanced WHO clinical stage III (AOR =4.0, CI: 1.1, 14.2) were statically associated with stunting. Conclusion: This study found that the prevalence of under-nutrition among HIV-positive children in Ethiopia was significantly high. Rural residence, lack of maternal education, low CD4 count, recurrent oral lesion, having none-biological caretakers and unprotected source of water were significantly associated with childhood wasting. On the other hand, history of hospital admission, recurrent oral lesion, advanced WHO clinical stage and low CD4 counts were significantly associated with stunting of HIV positive children. Therefore, timely identification and monitoring of nutritional problems should be necessary to enhance the effectiveness of ART treatment and to prevent further related complications.

scholarly journals Under Nutrition and associated factors among lactating mothers in Southern Ethiopia: Institution Based Cross-sectional study

2019 ◽  
Author(s):  
Gemechu Kejela ◽  
Feleke Gebremeskel ◽  
Hadiya Hassen ◽  
Misgun Shewangizaw ◽  
Markos Desalegn
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Systematic Sampling ◽  
P Value ◽  
Sectional Study ◽  
Quality Of Data ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Lactating Mothers

Abstract Background Maternal Nutrition contributes significantly to the long term health of mothers and their children. Despite this importance, globally, about 795 million people are undernourished and women and their children are the most vulnerable groups.Objective the main aim of this study was to assess under nutrition and associated factors among lactating mothers in Arba Minch zuria district, Southern Ethiopia.Methods institution based cross-sectional study was used. Data was collected using interview administered questionnaire from a total of 441 lactating mothers. To get the required respondents, first health centers in Arba Minch zuria district were selected by using lottery method and probability to population size was performed for each health center. Finally, eligible respondents were selected using systematic sampling method. The questionnaire was pretested and close supervision was undertaken during data collection to assure the quality of data. The collected data was entered using Epi data version 3.02 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression were conducted, and finally variables with p-value of <0.05 were considered as statistically significant predictors.Results Prevalence of under nutrition in this study was 26.1%. Under nutrition is higher among mothers who are unable to read and write (AOR[95%CI]= 3.931[1.700,9.091]), mothers who experienced more than five numbers of pregnancies (AOR[95%CI]= 2.453[1.051, 5.728]), those with more than four members of family size (AOR[95%CI]= 2.289[1.171, 4.472]), those who live in the household with no toilet (AOR [95%CI] = 6.407[3.556, 11.545]) and those who have less than 4 antenatal care visits (AOR[95%CI]= 2.053[1.185, 3.559]).Conclusions and Recommendations In this study, the magnitude of under nutrition among lactating women was high. So, nutrition based health information, education and communication is needed for mothers especially during pregnancy and lactation in the study area.

scholarly journals The Magnitude of Wasting and Associated Factors among Children Aged 2-5 Years in Southern Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Selamawit Dires ◽  
Moges Mareg
Keyword(s):  
Nutritional Status ◽  
Associated Factors ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Male Child ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Past ◽  
Age Range

Background. Malnutrition accounts for almost half of the global under-five child mortality. Worm infections are one of the immediate and commonest causes that affect the nutritional status of children. There is limited data related to the magnitude of wasting and associated factors among children. Therefore, this study was aimed at assessing the magnitude of wasting and associated factors among children aged 2 to 5 years in the Wonago district of Gedeo Zone, southern Ethiopia. Methods. Community-based cross-sectional study design was conducted. A total of 3324 children aged 2-5 years were included in the study. A pretested semistructured questionnaire was used for data collection, and anthropometric measurements were computed using the World Health Organization Anthro-nutritional software. The multivariate logistic regression analyses with adjusted odds ratio, 95% confidence interval, and P value less than 0.05 were used to identify the factors significantly associated with wasting. Results. A total of 3273 children aged 2-5 years participated with a 98.5% response rate. The magnitude of wasting was 13%. The factors like government-employed fathers [ AOR = 1.93 ; 95% CI (1.08, 3.46)], child’s age range between 48 and 59 months [ AOR = 1.46 ; 95% CI (1.01, 2.09)], being a male child [ AOR = 1.42 ; 95% CI (1.07, 1.88)], having diarrheal disease in the past two weeks [ AOR = 0.39 ; 95% CI (0.17, 0.90)], and bathing less than two times per week [ AOR = 1.42 ; 95% CI (1.03, 1.96)] were factors significantly associated with wasting. Conclusion. Undernutrition in children is still a problem, and the proportion of wasting was 13%. Government-employed fathers, child’s age range between 48 and 59 months, being a male child, having diarrheal disease in the past two weeks, and bathing below two times per week were significantly associated with children’s nutritional status warranting close attention by policymakers and stakeholders. For researchers, a further longitudinal study is recommended to get strong evidence.

scholarly journals Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
World Health ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

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