Anthropometric failures and its associated factors among preschool-aged children in a rural community in southwest Ethiopia

Background In 2019, 144 million under-five-year-old children were stunted, and 47 million were wasted globally. In Ethiopia, approximately 350,000 children are estimated to die each year. Preschool aged children need focused attention because this age group not only has special needs, but also forms the platform for growth and development of all children. Under nutrition among preschool children is the result of a complex interplay of diverse elements, such as birth weight, household access to food, availability and use of drinking water. This study aimed at determining the anthropometric failures and associated factors using composite indictors. Methods A community-based cross-sectional study design was used among randomly selected 588 caregivers with pre-school aged children. Under-nutrition of pre-school aged children was computed by using the composite index of anthropometric failure. A multi-stage sampling technique followed by a systematic random sampling technique was used to select study participants. Structured questionnaires were used to collect data. WHO Anthro software was used to calculate height for age, weight for age and weight for height. The overall prevalence of anthropometric failure (CIAF). Both bivariable and multivariable binary logistic regressions were used to identify factors associated with under-nutrition. Results The overall prevalence of under-nutrition among pre-school children was 50.8%, which was significantly associated with being a female (AOR = 1.51, CI: 1.076, 2.12), being from a large family (AOR = 1.78, CI: 1.19, 2.663), having acute respiratory infection (AOR = 1.767, CI: 1.216, 2.566), lack of improved source of drinking water (AOR = 1.484 CI: 1.056, 2.085) and poor dietary diversity score (AOR = 1.5, CI: 1.066, 2.112). Conclusions The study area has a high prevalence of CIAF in pre-school aged children. The CIAF was found to be significantly associated with the sex of the child, family size, ARI within the last two weeks, and dietary diversity score. To promote the use of family planning and the prevention of infectious diseases, health education is required. The government should adapt CIAF as a metric for assessing children’s nutritional status.

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Minimum Dietary Diversity Score and Associated Factors among Pregnant Women at Alamata General Hospital, Raya Azebo Zone, Tigray Region, Ethiopia

Journal of Nutrition and Metabolism ◽

10.1155/2019/8314359 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Kemal Jemal ◽

Mukemil Awol

Keyword(s):

Health Care ◽

Pregnant Women ◽

General Hospital ◽

Associated Factors ◽

Dietary Diversity ◽

Sampling Technique ◽

Systematic Sampling ◽

Cross Sectional ◽

Dietary Diversity Score ◽

Minimum Dietary Diversity

Background. Consumption of diversified food during pregnancy found very important and critical to determine healthy pregnancy outcome. Low dietary diversity has a major adverse effect on mothers, fetus, and life of new born. Dietary diversity is still low in low-resourced countries. Therefore, this study aims to determine prevalence of minimum dietary diversity score (MDDS) and associated factors among pregnant women. Methods. Facility-based cross-sectional study was conducted from April to May, 2017, in Alamata General Hospital (AGH). Data were collected using a pretested and structured self-interview questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression and odds ratio with 95% confidence interval (CI) were carried out to see the association between variables and the outcomes. Results. From a survey of 412 participants, 61.2% had high MDDS and 38.8% had low MDDS. Multivariate analysis revealed that being government employees (AOR = 4.87, CI: 1.70–13.95), merchant (AOR = 4.67, CI: 1.81–12.05), secured food (AOR = 3.85, CI: 2.12–6.97), and eating three meals and above (AOR = 2.66, CI: 1.47–4.82) were significantly associated with high MDDS among pregnant women. Conclusions. In our study, minimum dietary diversity shows small increment from previous study. Screening and special emphases should be given by a health-care provider on women diet during antenatal follow-up at health-care settings.

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Prevalence of Under Nutrition and its Associated Factors Among Pregnant Women in Konso District, Southern Ethiopia: Community Based Cross Sectional Study

10.21203/rs.3.rs-145846/v1 ◽

2021 ◽

Author(s):

DEYGANTO GELEBO ◽

MATHEWOS GEBREMICHAEL ◽

GISTANE ASALE ◽

DESSALEGN BERBADA

Keyword(s):

Nutrition Education ◽

Low Socioeconomic Status ◽

Associated Factors ◽

Maternal Nutrition ◽

Dietary Diversity ◽

Screening Program ◽

Cross Sectional Study ◽

Cross Sectional ◽

Low Socioeconomic ◽

Under Nutrition

Abstract Background: Under nutrition during pregnancy is an important public health problem. It is highly prevalent in Ethiopia but not sufficiently addressed yet. Hence, this study aimed to assess the prevalence of under nutrition and its associated factors among pregnant mothers in Konso district, Ethiopia. Methods: Community based cross-sectional study was conducted with qualitative inquiry study from December 2018 to January 2019. A multistage stratified sampling technique was used to select 527 subjects. Quantitative data were collected using pretested structured questionnaire. The qualitative data were generated through two focus group discussions among purposely selected discussants. Mid upper arm circumference (MUAC) was measured by standard non stretchable MUAC tape. Data were entered into Epi-data version3.1 and analyzed by SPSS version 21. In multivariable binary logistic regression statistically significant association was declared at p-value < 0.05 while thematic framework analysis was employed for the qualitative data. Results: Among 501 participants, the overall prevalence of under nutrition was 43.11% (95% CI 38.76%-47.47%). Family food insecurity (AOR = 3.1; 95%CI: 2.1-4.6), low dietary diversity score (AOR = 4.9; 95%CI: 2.6-9.2), medium dietary diversity score (AOR = 2.3; 95%CI: 1.2-4.7), absence of latrine (AOR = 1.8; 95%CI: 1.2-2.6) and having family resource decision making by husband only (AOR = 1.7; 95%CI: 1.1-2.6) were significantly associated factors. Traditional believes to restrict food such as egg, milk and milk products, avocado for women, weak nutrition education and malnutrition screening program, daily consumption of locally prepared alcoholic drink called ”Cheka”, draught prone nature of this setting, 2 traditional way of farming practices and low socioeconomic status were found to be barriers for women"s under nutrition. Conclusions: The prevalence of under nutrition was found to be higher than previously reported findings. Food security, dietary diversity, latrine availability, family resource decision making, food restrictions, weak maternal nutrition education and malnutrition screening program, practice of depending on local alcoholic drink called “Cheka”, draught, traditional way of farming and low socioeconomic status were identified factors. Hence, interventions targeting maternal nutrition education, hygiene and sanitation promotion, house hold food insecurity improvement strategies should be implemented to improve nutritional status of pregnant women.

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Dietary Diversity Practice and Associated Factors among Children Aged 6–23 Months in Robe Town, Bale Zone, Ethiopia

Journal of Nutrition and Metabolism ◽

10.1155/2020/9190458 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Shumi Bedada Damtie ◽

Tomas Benti Tefera ◽

Mekonnen Tegegne Haile

Keyword(s):

Associated Factors ◽

Maternal Education ◽

Dietary Diversity ◽

Media Exposure ◽

Sampling Technique ◽

Systematic Sampling ◽

Feeding Practice ◽

Cross Sectional ◽

Adequate Food ◽

Minimum Dietary Diversity

Background. Diet diversification is essential to prepare adequate food that is useful for children’s physical and cognitive development. Despite the limited studies performed in different parts of Ethiopia, the information about the feeding practice of children in the current study area is not documented. Thus, this study intended to assess the dietary diversity practices and associated factors among children aged 6–23 months. Methods. Community-based cross-sectional study was conducted on 517 children aged 6–23 months paired with their mothers in Robe town. Systematic sampling technique was applied to select a child-mother pair. Data were collected using a pretested and structured questionnaire. Multivariate logistic regression analyses were used to identify the factors associated with the dependent variable. Adjusted odds ratios with 95% confidence interval were used to assess the strength of association and level of significance. Results. From a total of 508 children included, making a 98% response rate, 77% of them did not meet the minimum dietary diversity. Children aged 12–23 months were more likely fed diversified food when compared with those aged 6–11 months (AOR = 2.99). Mothers whose educational level was secondary and above (AOR = 3.21), had media exposure (AOR = 3.99), and were knowledgeable about diet diversification (AOR = 8.5) were more likely to feed their child diversified food than their counterpart. Children whose father was a merchant were more likely to receive a diversified diet compared to those whose fathers were daily laborers. Conclusions. Inadequate practices of minimum dietary diversity observed in the current study area were mainly associated with the child’s age, maternal education, mothers’ knowledge on diet diversification, and media exposure. Improving knowledge of mothers, increasing their education, and promoting appropriate infant and child feeding practices through media are an important intervention to improve dietary diversity practices.

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Minimum acceptable diet and associated factors among children aged 6–23 months in Ethiopia

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01169-3 ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Haimanot Abebe ◽

Molla Gashu ◽

Aynalem Kebede ◽

Habtemariam Abata ◽

Alex Yeshaneh ◽

...

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Addis Ababa ◽

Statistical Significance ◽

Data Entry ◽

Sampling Technique ◽

Feeding Practices ◽

World Health ◽

Cross Sectional ◽

History Of

Abstract Introduction The health and growth of children less than two years of age can be affected by the poor quality of complementary foods and poor feeding practices even with optimal breastfeeding. In Ethiopia, empirical evidence on the minimum acceptable diet and its associated factors is limited. Therefore, this study was aimed to assess the level of minimum acceptable diet and its associated factors among children aged 6–23 months in Addis Ababa Ethiopia. Methods An institution-based Cross-sectional study was conducted among a total of 575 mother-child pairs. A simple random sampling technique was used to recruit participants. For infant and young child feeding practices, the data collection tools were adapted from world health organizations’ standardized questionnaire which is developed in 2007. Data entry and analysis were performed using EPI data version 3.1 and SPSS version 20 respectively. Bivariable and multivariable logistic regression analyses were performed to determine predictor variables. Statistical significance was declared at p-value < 0.05. Result In this study, the level of minimum acceptable diet was found to be 74.6%.. About 90.6 and 80.2% of the children received minimum meal frequency and dietary diversity respectively. Having a husband secondary and above educational level [AOR = 4.789(95%CI:1.917–11.967)], being a housewife [AOR = 0.351(95% CI: 0.150–0.819)], having a history of more than three postnatal follow-ups [AOR = 2.616(95%CI:1.120–6.111], Having mothers age between 25 and 34 years [AOR = 2.051(95%CI:1.267–3.320)], being male child [AOR = 1.585(95%CI:1.052–2.388)] and having children age between 18 and 23 months [AOR = 3.026(95%CI:1.786–5.128)] were some of the factors significantly associated with a minimum acceptable diet. Conclusion In this study, the minimum acceptable diet among children aged 6–23 months was significantly associated with the educational status of the husband, mother’s occupation, history of postnatal follow-up, age of the mother, sex of the child, and age of the child. Thus, attention should be given to educating the father, empowering mothers to have a job, promoting gender equality of feeding, and counseling on the benefit of postnatal care visits. In addition, the ministry of health should work on educating and advocating the benefit of feeding the recommended minimum acceptable diet to break the intergenerational cycle of malnutrition.

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Magnitude of under nutrition and Associated Factors among Adolescent Street Children at Jimma Town, South West Ethiopia

10.21203/rs.2.13547/v1 ◽

2019 ◽

Author(s):

Derese Bekele Daba ◽

Tamrat Shaweno ◽

Kefyalew Taye ◽

Abdulhalik Workicho

Keyword(s):

Associated Factors ◽

Lifestyle Modification ◽

Dietary Diversity ◽

Street Children ◽

Water Source ◽

Cross Sectional Study ◽

Cross Sectional ◽

Under Nutrition ◽

Jimma Town ◽

Significant Factors

Abstract Objective : This study assessed the prevalence of under-nutrition and its associated factors among adolescent street children at Jimma town from March 1-31, 2019. Results : A community based cross sectional study was conducted among 312 street children from March 1 st to 31 st . The study found 29.2% [95% C.I: 24%- 34.0%] and 30.4% [95% C.I; 24.6% - 35.3%] prevalence of thinness and stunting respectively. Being female [AOR: 2.55, 95%C.I: 1.16- 5.63], Ever skipped one or more daily meal per day [AOR: 6.56, 95%C.I: 2.25- 19.15], Inadequate dietary diversity score [AOR: 1.86, 95%C.I: 1.05- 3.27] and using unprotected water source [AOR: 1.78, 95%C.I: 1.03- 3.05] were statistically significant factors for thinness whereas being in age group15-18 [AOR: 5.78, 95%C.I: 3.20 -10.40] and ever used substance [AOR: 3.01, 95%C.I: 1.17 -7.77] were statistically significant factors for stunting. Interventions including nutritional support, lifestyle modification and personal and environmental hygiene shall be provided to these segments of the population to alleviate the problem. Key Words - Adolescent, street children, stunting, thinness, under nutrition.

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Undernutrition and Associated Factors among Lactating Mothers in Dega Damot Woreda, Northwest Ethiopia

Journal of Nutrition and Metabolism ◽

10.1155/2020/4627278 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Hunegnaw Almaw Derseh ◽

Liknaw Bewket Zeleke ◽

Melese Linger Endalifer ◽

Esmael Ali Muhammad ◽

Terefe Derso

Keyword(s):

Nutritional Status ◽

Associated Factors ◽

Dietary Diversity ◽

Sampling Technique ◽

Northwest Ethiopia ◽

Nutrition Status ◽

Cross Sectional ◽

Lactating Women ◽

Household Food ◽

Lactating Mothers

Introduction. Nutritional status of lactating women is highly linked with the overall nutritional status of population. Undernutrition during lactation results in increased morbidity and mortality to the mother and her child. The literature is dearth regarding to nutrition status of lactating mothers in developing countries such as Ethiopia. Objective. The aim of this study was to assess undernutrition and associated factors among lactating mothers having child 6–23 months in Dega Damot Woreda, Northwest Ethiopia. Methods. A community-based cross-sectional study was conducted from March 21 to April 19, 2018. Simple random sampling technique was employed to recruit a total of 733 participants. Data were collected by using an interview-administered questionnaire and entered into EpiData version 4.2 and transferred to SPSS version 20 for further analysis. Factors associated with undernutrition were identified using multivariable logistic regression at a p value of less than 0.05 at 95% confidence interval. The direction and strength of association was interpreted using adjusted odds ratio. Results. In this study, the magnitude of undernutrition among lactating women was 21.8%. Being unmarried (AOR: 2.65, 95% CI: 1.54, 4.53), their first pregnancy <18 years (AOR: 2.34, 95% CI: 1.42, 3.87), having more than 5 number of pregnancies (AOR: 2.79, 95% CI: 1.55, 5.03), inadequate dietary diversity score (AOR: 2.1, 95% CI: 1.16, 3.83), and household food insecurity (AOR: 3.68, 95% CI: 2.35, 5.77) were significantly associated factors with undernutrition. Conclusions. The prevalence of undernutrition among lactating women was found to be high. Programs should do better in enhancing activities of agricultural production to reduce household food insecure and to increase accessibility of diversified diet. Other researchers better to do other studies to identify main factors of undernutrition using a qualitative study.

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Appropriate Weaning Practice and Associated Factors among Infants and Young Children in Northwest Ethiopia

Journal of Nutrition and Metabolism ◽

10.1155/2017/9608315 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Liknaw Bewket Zeleke ◽

Mengistu Welday Gebremichael ◽

Yohannes Mehretie Adinew ◽

Kelemeu Abebe Gelaw

Keyword(s):

Young Children ◽

Associated Factors ◽

Maternal Nutrition ◽

Dietary Diversity ◽

Sampling Technique ◽

Simple Random Sampling ◽

Northwest Ethiopia ◽

Future Health ◽

Cross Sectional ◽

Infants And Young Children

Background. The right nutrition from the start of a pregnancy to the child’s second birthday has a profound impact on the future health, wellbeing, and success of a child. This can be achieved through proper maternal nutrition during pregnancy, exclusive breastfeeding, and appropriate weaning practice. Objective. This study was aimed at assessing appropriate weaning practice and associated factors among infants and young children aged 6–23 months in Feres Bet Town, Northwest Ethiopia. Methods. A community based cross-sectional study was conducted among 351 children aged 6–23 months. Simple random sampling technique was used to select study participants. Interviewer administered questionnaires were used. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with appropriate weaning practice. Results. Nearly quarter (23.9%) of mothers have practiced appropriate weaning. Proportion of children who started consumption of weaning food timely and met the recommended dietary diversity was 61.5% and 43.9%, respectively. Child age [AOR (Adjusted Odds Ratio): 7.04], husband’s occupation [AOR: 6.85], and maternal weaning advice [AOR: 4.38] were positively associated with appropriate weaning practice, while family size [AOR: 0.28] showed negative association. Conclusion. Appropriate weaning practice was found to be low. Health education at community level and one-on-one advice for mothers in health institutions are highly recommended to improve appropriate weaning.

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PERCEIVED EFFECTS OF STREET HAWKING ON THE WELL-BEING OF CHILDREN IN ANYIGBA, DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE, NIGERIA

Pakistan Journal of Public Health ◽

10.32413/pjph.v8i1.138 ◽

2018 ◽

Vol 8 (1) ◽

pp. 01-07

Author(s):

Alfred Eboh

Keyword(s):

Local Government ◽

Survey Design ◽

Sampling Technique ◽

Well Being ◽

Local Government Area ◽

Negative Consequences ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Perceived Effects ◽

The Government

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.

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Prevalence of Goiter and Associated Factors among Women of Reproductive Age Group in Demba Gofa Woreda, Gamo Gofa Zone, Southwest Ethiopia: A Community-Based Cross-Sectional Study

Journal of Nutrition and Metabolism ◽

10.1155/2020/5102329 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Befikaduwa Zekarias ◽

Frehiwot Mesfin ◽

Bezatu Mengiste ◽

Adane Tesfaye ◽

Lemma Getacher

Keyword(s):

Logistic Regression ◽

Iodine Deficiency ◽

Associated Factors ◽

Sampling Technique ◽

Iodized Salt ◽

Reproductive Age ◽

Age Group ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Reproductive Age Group

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.

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Patient satisfaction and associated factors among psychiatry outpatients of St Paulo’s Hospital, Ethiopia

General Psychiatry ◽

10.1136/gpsych-2019-100120 ◽

2020 ◽

Vol 33 (1) ◽

pp. e100120

Author(s):

Kebebew Wogi Goben ◽

Endalamaw Salelew Abegaz ◽

Samuel Tolesa Abdi

Keyword(s):

Patient Satisfaction ◽

Associated Factors ◽

Addis Ababa ◽

Mental Healthcare ◽

Sampling Technique ◽

Good Health ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Male Sex

BackgroundPatient satisfaction with mental healthcare service is recognised as an important integral part of measuring the outcomes and performance of clinical service delivery. It is not well studied in Ethiopia. Therefore, it is essential to improve service in the future.AimsTo assess patient satisfaction and associated factors among psychiatry outpatients at St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institutional-based cross-sectional study was conducted with consecutive sampling technique from May to June 2018. Data were collected using a Client Satisfaction Questionnaire (CSQ-8). Both bivariate and multivariate ordinal logistic regression analyses were used. Variables with p value <0.05 at multivariate analysis were considered statistically significant.ResultsA total of 589 participants were enrolled with a response rate of 98.2%. In regard to the magnitude of patient satisfaction, 50.3% (95% CI 46.0 to 54.2) were highly satisfied, 31.0% (95% CI 27.2 to 34.8) were satisfied, and 18.7% (95% CI 15.4 to 22.1) were dissatisfied. Male sex (adjusted OR (AOR) 2.30, 95% CI 1.57 to 3.36), inability to read and write (AOR 2.23, 95% CI 1.10 to 4.66), being unemployed (AOR 1.69, 95% CI 1.15 to 2.47), obtaining services for free (AOR 1.57, 95% CI 1.11 to 2.22), and availability of medication (AOR 1.62, 95% CI 1.13 to 2.23) were significantly associated with patient satisfaction.ConclusionsThe study showed that further improvements in patient satisfaction are required. Male sex, inability to read and write, being unemployed, obtaining services free of charge, and availability of medication were significantly associated with patient satisfaction. More than half of the participants were dissatisfied with the waiting time to receive services. The provision of services within a reasonable timeframe and meeting patient expectations are helpful for good health outcomes.

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