Meal frequency and associated factors among children 6-23 months in Tahtay michew district, northern Ethiopia, 2018

Abstract BackgroundThe term meal frequency is used to describe the adequacy of complementary feedings among children. In the absence of adequate meal frequency young children are susceptible to malnutrition like stunting, wasting, micronutrient deficiencies and associated morbidity and mortality. More half of Ethiopian children did not receive age appropriate minimum meal frequency. Therefore, the aim of this study is to determine minimum meal frequency and associated factors among children 6–23 months in Tahtay Michew district, Northern Ethiopia.MethodsA community based cross sectional study was conducted among systematically selected 981 mothers with index children 6–23 month. An interviewer- administered structured questionnaire was used to collect data. 24 hours dietary recalls was used to determine minimum meal frequency. Crude and Adjusted Odds Ratio with the corresponding 95% confidence interval were computed. In the multivariable analysis, variables with less than 0.05 P-value were considered statistically significant.ResultsMinimum meal frequency was 68% [95% CI: 64.9, 70.9%]. Wealth index (AOR = 1.69, 95% CI = 1.09, 2.61), growth monitoring follow up (AOR = 1.98, 95% CI = 1.41, 2.79) and mothers knowledge (AOR = 2.15, 95% CI = 1.51, 3.04) were factors significantly associated with minimum meal frequency.Conclusion and recommendationThe proportion of children who received the minimum meal frequency was found low. Improving the wealth status of families and encouraging all mothers to attend growth monitoring follow ups are important for improving meal frequency and dietary diversity.

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Minimum Meal Frequency Practice and Its Associated Factors among Children Aged 6–23 Months in Amibara District, North East Ethiopia

Journal of Environmental and Public Health ◽

10.1155/2019/8240864 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Mohammed Wagris ◽

Anwar Seid ◽

Molla Kahssay ◽

Osman Ahmed

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Multivariable Analysis ◽

Meal Frequency ◽

Micronutrient Deficiencies ◽

Timely Initiation ◽

North East ◽

Minimum Dietary Diversity ◽

Timely Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Background. Minimum meal frequency, a proxy indicator for a child’s energy requirements, examines the number of times children received foods other than breast milk. Without adequate diversity and meal frequency, infants and young children are vulnerable to malnutrition, especially stunting and micronutrient deficiencies, and increased morbidity and mortality. In Ethiopia, only 45% of children had fed with an age-appropriate minimum meal frequency. Objective. The study was aimed to assess the minimal meal frequency practice, and its associated factors among children aged 6–23 months in Amibara district, North East Ethiopia. Methods. A community-based cross-sectional study was conducted from May 07–May 23, 2018. Systematic random sampling technique was applied to select 367 children aged 6–23 months. The univariable and multivariable binary logistic regression analyses model was used to identify potential predictors of meeting minimum meal frequency. All variables with P values <0.25 in the univariable analysis were taken to multivariable analysis, and variables at P values <0.05 were considered as statistically significant. Results. The study revealed a prevalence of minimum meal frequency 69.2% (95% CI: 0.64–0.74). Timely initiation of breastfeeding (AOR = 2.2, 95% CI (1.17, 4.18)), current breastfeeding status (AOR = 7.5, 95% CI (3.95, 14.4)), meeting minimum dietary diversity (AOR = 3.7, 95% CI (1.85, 7.44)), and household hunger scale (AOR = 5.3, 95% CI (1.5, 12.5)) were some of the significant predictors to achieve minimum meal frequency. Conclusion. The prevalence of minimum meal frequency practice is low in the study area. Current breastfeeding status, timely initiation of breastfeeding, no/little household hunger scale, and meeting minimum dietary diversity were found as significant predictors for minimum meal frequency practice. Mothers having children aged 6–23 months should be aware and practice appropriate infant and young child feeding practices including timely initiation of breastfeeding, breastfeeding till the child celebrate his/her second birthday, recommended meal frequency, and dietary diversity practice. In addition, households should be assessed and strengthened for food security.

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Determinants of minimum acceptable diet among young children in an urban slum: a community-based study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210214 ◽

2021 ◽

Vol 8 (2) ◽

pp. 638

Author(s):

Kavita Kunhipurayil ◽

Manissha Srivastav

Keyword(s):

Maternal Education ◽

Nuclear Family ◽

Dietary Diversity ◽

Urban Slum ◽

P Value ◽

Meal Frequency ◽

Community Based ◽

Chi Square ◽

College Hospital ◽

Cross Sectional

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.

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Intended Pregnancy as a Predictor of Good Knowledge on Birth Preparedness and Complication Readiness: the Case of Northern Ethiopia Pregnant Mothers

International Journal of Reproductive Medicine ◽

10.1155/2019/9653526 ◽

2019 ◽

Vol 2019 ◽

pp. 1-10

Author(s):

Haile Zewdu Tsegaw ◽

Endeshaw Admassu Cherkos ◽

Marta Berta Badi ◽

Muhabaw Shumye Mihret

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multivariable Analysis ◽

Good Knowledge ◽

P Value ◽

Northern Ethiopia ◽

Birth Preparedness ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Complication Readiness

Background. Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community’s awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017. Methods. A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance. Results. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness. Conclusion. Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.

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Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0249736 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249736

Author(s):

Anteneh Ayelign Kibret ◽

Mohammed Oumer ◽

Abebe Muche Moges

Keyword(s):

Associated Factors ◽

Multivariable Analysis ◽

Northwest Ethiopia ◽

Adult Patients ◽

Outpatient Department ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Specialized Hospital ◽

The University

Introduction Hemorrhoidal disease is a very common benign anorectal disease. It affects millions of people around the world, and represent a major medical and socioeconomic problem. However, studies that determine the magnitude and risk factors are limited. Therefore, the aim this study is to assess the prevalence and associated factors of hemorrhoid among adult patients visiting the surgical outpatient department at the University of Gondar Comprehensive Specialized Hospital (UoGCSH) Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted from February to May 2020. A systematic random sampling technique was used to select a total of 403 participants. The data were collected then entered using EPI DATA version 3.1 and exported to the STATA 14 for analysis. Bivariable and multivariable logistic regression analysis were performed. Adjusted odds ratio (AOR) with 95% confidence interval was used as a measure of association. Variables having P-value < 0.05 from the multivariable analysis were considered to have a significant association with the outcome. Result Out of the 403 study participants, 13.1% (95%CI; 10.1, 16.8) had hemorrhoids. Constipation (AOR = 4.32, 95% CI; 2.20, 8.48) and BMI ≥25kg/m2 (AOR = 2.6, 95% CI; 1.08, 6.23) had a statistically significant association with hemorrhoid. Conclusion The overall prevalence of hemorrhoid was high and its prevalence was higher in male subjects. Constipation and being overweight were found to increase the odds of having hemorrhoids. Screening for early identification and intervention of hemorrhoids, especially for risk groups is better to be practiced by health professionals.

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Household Food Insecurity, Coping Strategies and Adolescent Girls’ Dietary Diversity Status in Hossana Town, Ethiopia.

10.21203/rs.2.19588/v1 ◽

2019 ◽

Author(s):

Belay Bancha ◽

Legese Petrose ◽

Begidu Bashe Fanta ◽

Ashebir Endale ◽

Romedan Delil ◽

...

Keyword(s):

Coping Strategies ◽

Adolescent Girls ◽

Dietary Diversity ◽

Statistical Significance ◽

Household Food Security ◽

P Value ◽

Cluster Sampling ◽

Micronutrient Deficiencies ◽

Cross Sectional ◽

Household Food

Abstract Background Globally there are 1.8 billion adolescents, comprised of 10-19 years old, represent approximately 20% of the world’s population. In Ethiopia this group represents 20-26% of general population. Despite the fact that this period is a window of opportunity to break intergenerational cycle of malnutrition, macro and micronutrient deficiencies are among leading health problems in this vulnerable age groups. Moreover, there is scarcity of data on the status of dietary diversity in this segments of the population.Methods a community based cross sectional study design was employed from May 21-June 20, 2019. Pre-tested structured questionnaire was used for data collection using cluster sampling technique to approach 451 households with adolescent girls. Data was entered in to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Descriptive and logistic regression analysis were performed. Adjusted Odd Ratios (AOR), along with corresponding 95% confidence interval (CI) were used and the level of statistical significance was declared at a p-value of <0.05.Results a total of 434 households with adolescent girls were involved in the study. We found that 41.7% of households were food insecure, only 57.8%, (C.I.53.5-62.2) of adolescent girls consumed diversified diet, with the mean DDS of 5.38 (SD=1.75). After adjusting for potential confounders, occupational status of the adolescents’ father, (AOR= 0.56, 95% C.I. 0.32-0.99 and AOR=0.26, 95% C.I. 0.17-0.47), exposure to televised media (AOR=3.36, 95% C.I. =1.55-7. 3) and household food security status (AOR=5.09, 95% C.I. =3.2-8.08) were significant predictors of dietary diversity among adolescent girls.Conclusion Significant portion of households were food insecure; practicing ranges of coping strategies which further compromised dietary diversity of adolescent girls. Poor dietary diversity adversely affects micronutrient reserves of to-be a-mother girls; the vicious cycles of malnutrition continues its far fetching effect. Given that adolescence is the second period in life with rapid growth and development, improving dietary status of this sensitive segments of the population are to be an agenda of all concerned bodies.

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Vancomycin resistant Enterococci and its associated factors among HIV infected patients on anti-retroviral therapy in Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0251727 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0251727

Author(s):

Belayneh Regasa Dadi ◽

Zerihun Solomon ◽

Mheret Tesfaye

Keyword(s):

Antimicrobial Susceptibility ◽

Associated Factors ◽

Multivariable Analysis ◽

Diffusion Method ◽

Resistance Pattern ◽

P Value ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Vancomycin Resistant Enterococci ◽

Vancomycin Resistant

Background The emergence of vancomycin resistant Enterococci (VRE) has alarmed the global community due to its tendency for colonization of the gastrointestinal tract. Human Immunodeficiency Virus (HIV) patients are colonized by vancomycin resistant Enterococci than other groups. The aim of this study was to determine the incidence of vancomycin resistant Enterococci and its associated factors among HIV infected patients on Anti-Retroviral Therapy (ART). Methods Institution based cross sectional study was conducted among HIV infected patients on ART at from June 1 to August 30, 2020. Socio-demographic and clinical data were collected by pre-tested structured questionnaire. Stool sample was collected and processed by standard microbiological techniques. Kirby Bauer Disc diffusion method was used to perform antimicrobial susceptibility testing. Data were entered by Epi data version 4.6.0.2 and analyzed by SPSS version 25. Bivariable and multivariable logistic regression model was used to analyze the association between dependent and independent variables. P-values in the multivariable analysis, adjusted odds ratio (AOR) and 95% confidence interval (CI) were used to determine the strength of association. P-value ≤0.05 was considered as significant. Results Enterococci spp was isolated on 123/200 (61.50%) patients. Among these isolates, the incidence of vancomycin resistant Enterococci was 11.4% [95% CI: (6.0–17.0)]. Antimicrobial susceptibility patterns against Enterococci showed highest rate of resistance to ampicillin (69.9%). Multidrug resistances were observed in 49.59% of Enterococci isolates. Study participants who had prior antibioticexposurer more than two weeks [AOR = 7.35; 95% CI: (1.2144.64)] and hospitalization for the last six months [AOR = 5.68; 95% CI: (1.09 29.74)] were significantly associated with vancomycin resistant Enterococci. Conclusions In our study high incidence of vancomycin resistant Enterococci was found. Previous exposure to antibiotics for more than two weeks and hospitalization for more than six months were significantly associated with vancomycin resistant Enterococci. The isolated Enterococci had variable degrees of resistance to commonly prescribed antibiotics. Therefore, periodic surveillance on antimicrobial resistance pattern, adhering to rational use of antibiotics and implementing infection prevention protocols may reduce colonization by VRE.

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Household Food Insecurity, Coping Strategies and Adolescent Girls’ Dietary Diversity Status in Hossana Town, Ethiopia.

10.21203/rs.2.19588/v2 ◽

2020 ◽

Author(s):

Belay Bancha ◽

Legese Petrose ◽

Begidu Bashe Fanta ◽

Ashebir Endale ◽

Romedan Delil ◽

...

Keyword(s):

Coping Strategies ◽

Adolescent Girls ◽

Dietary Diversity ◽

Statistical Significance ◽

Household Food Security ◽

P Value ◽

Cluster Sampling ◽

Micronutrient Deficiencies ◽

Cross Sectional ◽

Household Food

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Dietary diversity and associated factors among children (6–23 months) in Gedeo zone, Ethiopia: cross - sectional study

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01181-7 ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Wondwosen Molla ◽

Dirshaye Argaw Adem ◽

Ruth Tilahun ◽

Seid Shumye ◽

Robel Hussen Kabthymer ◽

...

Keyword(s):

Low Socioeconomic Status ◽

Associated Factors ◽

Dietary Diversity ◽

Multivariable Analysis ◽

Household Wealth ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Food Groups ◽

Sectional Study ◽

Cross Sectional

Abstract Introduction Different foods and food groups are good sources for various macro- and micronutrients. Diversified diet play an important role in both physical and mental growth and development of children. However, meeting minimum standards of dietary diversity for children is a challenge in many developing countries including Ethiopia. Objective To assess dietary diversity and associated factors among children (6–23 months) in Gedieo Zone, Ethiopia. Method Community based cross-sectional study was carried out at Gedieo Zone, Ethiopia, from January to March 15, 2019. Multi-stage sampling technique was used to get a total of 665 children with the age of between 6 and 23 months from their kebeles. Data was collected by using face-to-face interview with structured questionnaire. Data was entered into Epidata version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 23.0 for analyses. Variables having p < 0.25 at bivariate analysis were fitted to multivariable analysis. Multivariable logistic regression model was used at 95% confidence interval and with P-Value < 0.05. Bivariate. Result A total of 665 children were participated with response rate of 96.2%. Only 199(29.9%) of children were met the minimum requirements for dietary diversity. Age of children [AOR 4.237(1.743–10.295))], Educational status [AOR 2.864(1.156–7.094)], Number of families [AOR 2.865(1.776–4.619))] and household wealth index [AOR4.390(2.300–8.380)] were significantly associated with Dietary Diversity of children. Conclusion Only, one out of four children aged of 6–23 months attained the minimum dietary diversity score. Children from low socioeconomic status and mothers with no formal educational attainment need special attention to improve the practice of appropriate feeding of children.

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Undernutrition and Associated Factors among Under-Five Orphan Children in Addis Ababa, Ethiopia, 2020: A Cross-Sectional Study

Journal of Nutrition and Metabolism ◽

10.1155/2021/6728497 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Selam Shegaw Sewnet ◽

Hunegnaw Almaw Derseh ◽

Hanna Demelash Desyibelew ◽

Netsanet Fentahun

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Addis Ababa ◽

Cross Sectional Study ◽

Vaccination Status ◽

Full Potential ◽

Meal Frequency ◽

Sectional Study ◽

Cross Sectional ◽

Under Five

Background. Undernutrition contributes to the death of around 3 million children and threatens the futures of hundreds of millions, undermining healthy development and the strength of their societies by preventing children from achieving their full potential. Orphans are at greater risk of undernutrition because they are more likely to be extremely poor and receive less medical and social care. However, there is little information about the prevalence of undernutrition and associated factors among under-five orphan children. Objective. This study aimed to assess undernutrition and associated factors among under-five orphan children in orphanages in Addis Ababa, Ethiopia. Methods. An institution-based cross-sectional study was conducted in Addis Ababa from February 28 to March 28, 2020. A simple random sampling technique was employed to recruit a total of 275 orphan children. An interviewer-administered questionnaire and anthropometric measurements were used to collect data. Data were entered using EpiData version 3.1 and analysis was done by WHO Anthro version 3.2.2 and SPSS version 23. Multivariable logistic regression analysis was performed to identify determinants of undernutrition at a p value of less than 0.05 with an adjusted odds ratio of 95% confidence interval. Results. The prevalence of wasting, stunting, and underweight were 11.1%, 45.8%, and 25.5%, respectively. Presence of illness (AOR = 2.23; 95% CI: 1.41, 12.73), children who received less than three meals per day (AOR = 2.11; 95% CI: 1.58, 7.71), and children who were not vaccinated (AOR = 2.86; 95% CI: 2.07, 11.61) were significantly associated with stunting. Children who were not vaccinated (AOR = 2.04; 95% CI: 1.29, 9.71) and who had inadequate dietary diversity scores (AOR = 1.32, 95% CI: 1.16, 12.65) were significantly associated with wasting and underweight, respectively. Conclusion. The prevalence of undernutrition was very high compared to national data. Health status, meal frequency, and vaccination status were associated factors of stunting. Vaccination status and dietary diversity score were associated factors with wasting and underweight, respectively. Therefore, improving meal frequency, dietary diversity, and early treatment during childhood illness are important to reduce orphan undernutrition.

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Prevalence of heavy episodic drinking and associated factors among adults residing in Arba Minch health and demographic surveillance site: a cross sectional study

10.21203/rs.3.rs-21183/v3 ◽

2020 ◽

Author(s):

Befikadu Tariku Gutema ◽

Adefris Chuka ◽

Gistane Ayele ◽

Eshetu Zerhun Tariku ◽

Zeleke Aschalew ◽

...

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Heavy Episodic Drinking ◽

Bivariate Analysis ◽

P Value ◽

Sectional Study ◽

Wealth Status ◽

Cross Sectional ◽

Demographic Surveillance Site ◽

Surveillance Site

Abstract Background: Alcohol consumption is associated with different types of illnesses; particularly heavy episodic drinking is one of the risk factors for the disease burden of alcohol intake. The aim of the study was to assess the prevalence of heavy episodic drinking and associated factors in Arba Minch Health and Demographic Surveillance Site (HDSS).Methods: A community-based cross-sectional study was conducted in 2017 among adult residents of Arba Minch HDSS. Using Arba Minch HDSS database, 3368 individuals were selected by simple random sampling techniques. From WHO STEPS instruments, step one was applied for this study. Variables with a p-value of less than 0.10 for bivariate analysis entered into a multivariable logistic regression model to outline the independent predictors of the heavy episodic drinking. To assess the presence of an association between dependent and independent variables, a p-value of less than 0.05 was considered.Results: The prevalence of heavy episodic drinking was 13.7% (95% CI: 12.6–14.9). The study has shown that heavy episodic drinking was significantly associated with occupation (daily laborer [AOR=0.49; 95% C.I: 0.29–0.85] and housewives [AOR=0.63; 95% C.I: 0.45–0.88] compared with farmers), wealth index (2nd quintiles [AOR =0.55; 95% C.I: 0.41–0.74) and 3rd quintiles [AOR = 0.66; 95% C.I: 0.46–0.93] compared with 1st quintiles), and climatic zone (midland [AOR=1.80;95% CI: 1.11–2.93), highland [AOR=1.95;95% CI: 1.19–3.18] compared with lowland). In addition, tobacco use [AOR=4.28;95% CI: 3.38–5.43], and khat use [AOR=4.75; 95% CI: 2.66–8.50) were also associated with heavy episodic drinking among the study participants. Conclusions: More than one in ten adults reported heavy episodic drinking in the study area. Intervention programs that aim to prevent heavy episodic drinking should be designed appropriately for individuals from lower wealth status, and for highlander.

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