scholarly journals Nearly one-third of lactating mothers are suffering from undernutrition in pastoral community, Afar region, Ethiopia: Community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254075
Author(s):  
Getahun Fentaw Mulaw ◽  
Kusse Urmale Mare ◽  
Etsay Woldu Anbesu
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
P Value ◽  
Community Based ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Afar Region ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Background Undernutrition is responsible for a significant proportion of maternal and child morbidity and mortality. Lactating women are nutritionally vulnerable groups because this period places a high nutritional demand on the mother and leads to nutritional stress. Poor nutrition during lactation has a significant negative consequence to mothers and children’s survival, growth, and development. Therefore this study aimed to assess the nutritional status of lactating mothers and associated factors in pastoral community, Afar region, Ethiopia. Methods A community-based cross-sectional study was conducted from January 5/2020 to February 10/2020, in the Abala district. The data were collected from a sample of 366 lactating mothers whose children aged less than 24 months. Data was collected through face-to-face interviews and anthropometric measurements. Study participants were recruited using a systematic sampling technique. Anthropometric measurements (both body mass index and mid-upper arm circumference) were taken from each mother using calibrated equipment and standardized techniques. Data were entered into Epi-data version 4.2 and exported to SPSS version 22 for analysis. Predictor variables with a P-value < 0.25 at bivariable analysis were candidates for the final model. Statistical significance was declared at P-value of < 0.05 in the multivariable logistic regression. Result This study showed that 120(32.8%) and 122(33.3%) surveyed mothers were undernourished using a cut-off body mass index <18.5 kg/m2 and mid-upper arm circumference <23 Centimeter, respectively. Lactating mothers who didn’t meet the minimum dietary diversity score were more than five (Adjusted odds ratio (AOR) = 5.103; 95% confidence interval (CI): 2.128, 12.238) times more likely to be undernourished than those who met the minimum dietary diversity score. Mothers with short birth intervals were also more than four (AOR = 4.800; 95% CI: 2.408, 9.567) time more likely to be undernourished. Conclusion Nearly one-third of lactating mothers were undernourished. Undernutrition among lactating mothers was significantly associated with maternal dietary diversity score and birth interval. Health education on proper and adequate maternal dietary feeding practices, and proper family planning utilization during lactation should be emphasized.

scholarly journals Assessing Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A Cross-Sectional Study, Zambia

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

scholarly journals Only one in four lactating mothers met the minimum dietary diversity score in the pastoral community, Afar region, Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Kusse Urmale Mare
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Meal Frequency ◽  
Food Groups ◽  
Community Based ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Minimum Dietary Diversity

Abstract Maternal dietary feeding practice is one of the proxy indicators of maternal nutrient adequacy and it improves outcomes for both mothers and their offspring. The minimum maternal dietary diversity score of lactating women is defined as when the mother ate at least four and above food groups from the nine food groups 24 h preceding the survey regardless of the portion size. Therefore, the present study aimed to determine the minimum dietary diversity score (MDDS) and its predictors among lactating mothers in the Pastoralist community, Ethiopia. A community-based cross-sectional study design was employed on 360 lactating mothers using a multi-stage sampling technique from 5 January 2020 to 10 February 2020. Data were collected using questionnaires and anthropometry measurements. Data were entered using EPI-data 4.6.02 and exported into SPSS version 25. Statistical significance was declared at P-value <0⋅05 at multivariable logistic regression. Only one in four lactating mothers met the MDDS. The majority of them consumed cereals in the preceding 24 h of data collection. The most important predictors were maternal meal frequency (adjusted odds ratio (AOR) 6⋅26; 95 % confidence interval (CI) (3⋅51, 11⋅15)), antenatal care (ANC) follow-up one to three times and four and above times (AOR: 2⋅58; 95 % CI (1⋅24, 5⋅36), 4⋅77 (1⋅90, 11⋅95), respectively) and secondary paternal education (AOR 2⋅97; 95 % CI (1⋅44, 6⋅11)). The MDDS among lactating mothers was low. Paternal education, maternal meal frequency and ANC follow-up were the significant predictors. Therefore, to improve maternal dietary diversity score emphasis should be given to those predictors.

scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia. Methods. A community-based cross-sectional study design was used among 652 lactating mothers aged 15–49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model. Results. The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity. Conclusion. The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother’s decision-making autonomy, nutrition knowledge, household food security, and wealth status.

scholarly journals Maternal Characteristics Are Associated with Child Dietary Diversity Score, in Golina District, Northeast Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Seteamlak Adane Masresha
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Maternal Characteristics ◽  
Dietary Diversity Score ◽  
Northeast Ethiopia ◽  
Minimum Dietary Diversity

Background. Dietary diversity is part of the set of indicators developed to assess infant and young child feeding practices. In developing countries, only a quarter of children met the required minimum dietary diversity. In Ethiopia, only 14% of children aged 6–23 months met the minimum dietary diversity score, with regional variation. Therefore, this study aimed to assess dietary diversity score and associated factors among children aged 6–23 months in Golina district, Afar region, Ethiopia. Method. A community-based cross-sectional study was conducted among 345 study participants from February 15 to March 30, 2017, in Golina district, Afar, Northeast Ethiopia. The study kebeles were selected randomly and the study subjects were selected using a cluster sampling technique. The child dietary diversity score was determined by the WHO child dietary diversity score scale, using a 24-hour dietary recall method, and data were collected using an interviewer-administered questionnaire. Multivariable logistic regression was used to identify predictor variables, and the level of significance was determined at P value <0.05. Result. This study revealed that children who met the required minimum dietary diversity score were 35.1% (95% CI, (30%–40%)). Children whose mothers have not attended formal education were 3.042 times (AOR = 3.042 95% CI: (1.312–7.052)) less likely to meet the minimum dietary diversity score than children whose mothers have attended secondary and above. Children whose mothers had normal BMI were 51.2% (AOR = 0.488, 95% CI: (0.259–918)) and 68.1% (AOR = 0.319, 95% CI: (0.119–0.855)) more likely to meet the minimum dietary diversity score than children whose mothers’ BMI was underweight and overweight, respectively. Conclusion. Maternal characteristics (educational status and nutrition status) were found to be associated with their child's dietary diversity score. This study also revealed that children who met the minimum dietary diversity score were few. Therefore, the increased emphasis on the importance of the education of girls (future mothers) and nutrition counseling for girls/women who currently have received little education on ways to improve the family and child dietary feeding practice is needed.

scholarly journals Assessing malnutrition in pregnant women using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A cross-sectional study, Zambia

2020 ◽  
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Phoebe Bwembya ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Sampling Method ◽  
Dietary Diversity ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Background One of the easiest and effective ways of predicting under nutrition is to use the Dietary Diversity Score (DDS) and the mid-upper arm circumference (MUAC). The dietary diversity score is a qualitative measure of food consumption reflecting an individual’s access to different food items and therefore is a proxy indicator of the nutritional status. The aim of the study was to assess whether the DDS and MUAC can be used to assess the nutritional status of pregnant women attending antenatal. Methods A cross-sectional survey was conducted at Chilenje level I Hospital in a township located in Lusaka city, Lusaka province. The study employed quantitative methods to collect and analyse data on the dietary patterns and if this can be used to assess the nutritional status of individuals 24 hours preceding the survey. Health facilities were selected using random sampling method and systematic sampling method was used to select a sample of 299 pregnant women. An interview schedule was used to collect data. Logistic regression was used to establish associations between DDS and MUAC. Results In this study, 44% of the women were in the lowest dietary diversity category, which indicates inadequate nutrient intake, 31% in the medium category and 24% in the high intake. Maternal weight was associated with a 0.08 cm increase in MUAC (95% CI; 0.74 – 0.93) and this was statistically significant. Marital status and age (95% CI; 0.83 – 0.93) were significantly associated with an increase in MUAC in the univariate analysis but when adjusted for other confounders this was not significant (95% CI; 0.81 – 1.00). Consumption of organ meat was associated with a 0.21cm increase in MUAC (95% CI; 0.04 - 0.97). Conclusion The study results indicated that 44% of the women had inadequate nutrient intake, indicating that the dietary diversity score can be used to predict malnutrition in pregnant women. The mid upper was negatively correlated with the 24hour dietary diversity score implying that we might not rely on this measurement to assess the nutritional status. Key words Dietary Diversity Score, Malnutrition, Mid Upper Arm Circumference, Pregnant women, Antenatal.

scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

AbstractBackgroundLow dietary diversity superimposed with poor quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia.MethodsA community-based cross-sectional study design was used among 652 lactating mothers aged 15-49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model.ResultsThe prevalence of minimum dietary diversity among lactating mothers was 48.8%, (95% CI: (44.7%, 52.9%). Having formal education [(AOR=2.16, 95% CL: (1.14, 4.09)], a final say on household purchases [(AOR=5.39, 95% CI: (2.34, 12.42)], home gardening practices [(AOR=2.67, 95% CI: (1.49, 4.81)], a history of illness [(AOR=0.47, 95% CI: (0.26, 0.85), good knowledge of nutrition [(AOR=5.11, 95% CI: (2.68, 9.78)], being from food-secure households [(AOR=2.96, 95% CI: (1.45, 6.07)] and medium [(AOR=5.94, 95% CI: (2.82, 12.87)] and rich wealth indices [(AOR= 3.55, 95% CI: (1.76, 7.13)] were significantly associated with minimum dietary diversity.ConclusionThe prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mothers decision-making autonomy, nutrition knowledge, household food security and wealth status.

scholarly journals Dietary diversity score and socio-economic factors of stunting among pre-school children in Rajshahi city, Bangladesh

2019 ◽  
Vol 26 ◽  
pp. 31-40
Author(s):  
K Yeasmin ◽  
L Bari ◽  
KMS Islam ◽  
T Yeasmin
Keyword(s):  
Developing Countries ◽  
School Children ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Population Data ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Rajshahi City

In the developing countries, stunting has been the most tenacious public health problem and is the major cause of child mortality and global disease burden, where 80% of this burden is found in developing countries and would result in 22% loss of adult income. The aim of this study was to investigate prevalence and determinant factors associated with stunting among pre-school children in Rajshahi City, Bangladesh. A multi-stage cross sectional study was performed during the period March 2017 to September 2017. One thousand and nine (1009) pre-school children (36≤ Age ≤71 months) were considered as our study population. Data were collected by using a pretested and semi-structured questionnaire, which consisted of socio-economic characteristics, dietary and feeding pattern related information. Stunting of a child was determined using the WHO Multicenter Growth Reference Standard. Chi-square test and multiple logistic regressions were carried out to identify determinants of stunting. The odds ratio (OR) with a 95% confidence interval was calculated to assess the strength of the association, and p-value of <0.05 were considered as statistically significant. Boys (52%) with mean age 53.56 ± 10.405 months and girls (48%) with mean age 51.67 ± 10.934 months were participated. The prevalence of stunting among the preschool children in Rajshahi City was 39.7% (5.4% severe, 24.9% moderate and 9.4% mild stunted). The odds of being stunted were illiterate mother, lower food purchasing capabilities, poor dietary diversity score (95% CI: 1.640-3.052; p<0.001), experiencing pre-lacteal (95% CI: 1.616-2.789; p <0.001), prevalence of disease frequency (95% CI: 1.62-3.56; p<0.01), poor socio-economic class (95% CI: 2.83- 9.51; p<0.01). J. bio-sci. 26: 31-40, 2018

scholarly journals Dietary diversity and associated factors among lactating mothers in Debre Tabor General Hospital, Northcentral Ethiopia

2018 ◽  
Vol 5 (1) ◽  
pp. 17
Author(s):  
Melaku Tadege Engidaw ◽  
Alemayehu Digssie Gebremariam ◽  
Sofonyas Abebaw Tiruneh ◽  
Desalegn Tesfa Asnakew ◽  
Bedilu Abebe Abate
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Debre Tabor ◽  
Systematic Sampling Method ◽  
Degree Of Association

<p class="abstract"><strong>Background:</strong> Dietary diversity score indicates that the intake of general nutritional adequacy. Low dietary diversity is a major problem among poor populations in the developing world due to consumption of monotonous staple diet consumption. Therefore, it has various consequences on the health and wellbeing of the family, communities, and nation at large. Overall, there are limited studies on this major issue and its contributing factors among lactating mothers.</p><p class="abstract"><strong>Methods:</strong> Institution based cross-sectional study was employed among 419 participants who were selected by using a systematic sampling method. The data were collected using a pretested structured questionnaire. The collected data were checked for completeness, cleaned, coded and entered into EPI info version 7 and exported into SPSS version 20.0 software for further analysis. The degree of association between dependent and independent variables were assessed by using odds ratio with a 95% of confidence interval and variables with p≤0.05 were considered significant after fitting into logistic regression.  </p><p class="abstract"><strong>Results:</strong> The average dietary diversity score±SD was 4.94±0.76. The magnitude of low dietary diversity score was 25% (95% CI: 22.1, 30.4). Women’s, being government employer and having meal 2 times per day were the factors associated with low dietary diversity score among lactating mothers.</p><p class="abstract"><strong>Conclusions:</strong> One-fourth of the lactating women were had poor dietary diversity and age of the women, meal frequency, and respondent occupation were the determinant factors. So, appropriate counseling during maternal care are very important to halt this problem.</p>

scholarly journals Prevalence of Stunting and Its Associated Factors Among Children 6-59 Months of Age in Pastoralist Community, Northeast Ethiopia: A Community Based Cross Sectional Study

2020 ◽  
Author(s):  
Awrajaw Dessie ◽  
Mulugeta Gebreayohanes
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
P Value ◽  
Feeding Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North East

Abstract Background: Globally, stunting affects over 161 million children under the age of five, and one million deaths each year. Stunting hits hard on African and Asian children. In Ethiopia, the level of stunting is critically high and remains a major public health challenge among those under the age of five. Numerous factors such as poor maternal health and nutrition, inadequate feeding practices for infants and young children, deficiencies in micronutrients, infections and environmental health conditions are related to stunting. There is, however, dearth of evidence in Ethiopia’s pastoral populations.Methods: A community-based cross-sectional study was conducted from 2-31 January 2018 to assess the prevalence and associated factors of stunting among children 6-59 months of age in Dubti District, Afar Region, north East Ethiopia. For this study, a total of 554 children were included, and multi-stage sampling technique was used to select the study participants. Data was entered in EPI-Info version 7.2 and height for age was converted to Z-score with WHO Anthro software. A binary logistic regression analysis was conducted to identify factors associated with stunting. The significance of the associations was determined at p-value < 0.05 and the adjusted odds ratio at 95% CI was calculated to evaluate the strength of the associations.Results: The prevalence of stunting was 39.5% (95% CI: 35.4-43.5%). The odds of stunting was increased, so does age of the child increased as compared to 6-11 months of children. Initiating breast feeding after 1 hour after birth (AOR = 1.99; 95% CI: 1.22, 3.23), not exclusively breast feeding for at least 6 months (AOR = 2.57; 95% CI: 1.49, 4.42), poor dietary diversity (AOR = 1.93; 95% CI: 1.03, 3.62), and using unprotected water sources for drinking (AOR = 1.68; 95% CI: 1.21, 2.94) were significant factors. Conclusion: Stunting levels in pastorals was critically high among children aged 6-59 months. The study showed that stunting was associated with different nutritional and non-nutritional factors. Intersectoral coordination is required to tackle stunting by enhancing the community's safe water supply, optimal breast feeding practice, food diversity and economic status.

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