scholarly journals Undernutrition and Associated Factors among Pregnant Women in Kacha Birra District, Southern Ethiopia

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Teshome SM ◽  
◽  
Meskel D ◽  
Worsa TK ◽  
Datiko A ◽  
...  
Keyword(s):  
Public Health ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Educational Status ◽  
Health Concern ◽  
Southern Ethiopia ◽  
Dietary Diversity Score ◽  
Maternal Undernutrition

Background: Worldwide, malnutrition is a public health concern with noteworthy consequence especially in pregnant women. Maternal undernutrition may dispose mothers to poor wellbeing including infection, preeclampsia/ eclampsia, and adverse pregnancy outcomes such as preterm birth and intrauterine growth retardation. Pregnant women are exposed to nutritional deficiency because of increased metabolic needs as a result the usually end up in undernutrition. There is lack of updated information in the study area regarding nutritional status and factors among pregnant women. Objective: To assess undernutrition and associated factors among pregnant womenin Kacha Birra district, Southern Ethiopia in 2019. Methods: An institution-based cross-sectional study was conducted among 344 pregnant women attending antenatal care in public health facilities from February 21-March 20, 2019. A systematic sampling technique was employed. Data were collected using a structured questionnaire and analyzed by a statistical package for social science version 22 software. Both bivariate and multivariate logistic regression analyses were undergone to identify factors associated with the nutritional status of pregnant women. Result: Among 344 pregnant women who participated in the study, 52.6% were undernourished. On the multivariable analysis; having a history of peptic ulcer disease [(AOR=1.97 (1.23-3.17)], husband’s educational status with Illiterate to elementary [AOR=0.589 (0.369-0.940), medium dietary diversity score [AOR=2.931 (1.106-7.766)], high dietary diversity score [AOR=2.485 (0.915-6.747)], intestinal parasite infection [AOR=1.725 (1.086-2.742)], second trimester gestational age [AOR=0.338 (0.159-0.718)] had shown statistically significant association with maternal undernutrition. Conclusion: Over half of pregnant women were in undernurition. Multisectorial collaboration and coordination among related sectors and strengthening programs targeted on adult’s educational status, improved drinking water and sanitation against pregnant women’s, counseling on Antenatal clinic and prevention and treatment of chronic disease during pregnancy.

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 Prevalence and associated factors of undernutrition among pregnant women visiting ANC clinics in Silte zone, southern Ethiopia

2020 ◽  
Author(s):  
Mohammed Muze ◽  
Mubarek Yesse ◽  
Shemsu Kedir ◽  
Abdilmejid Mustefa
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Change ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Nutritional Knowledge ◽  
Current Estimate ◽  
Birth Intervals ◽  
Maternal Undernutrition

Abstract Background: Maternal undernutrition is highly prevalent in underdeveloped countries. Hence, this study was intended to determine the prevalence and associated factors of undernutrition among pregnant women visiting ANC follow up clinics of health facilities.Method: Facility-based cross-sectional study was conducted from July to January 2019. Systematic random sampling technique was used to select 422 study participants from 11 randomly selected health facilities. Data was collected by using a structured-interviewer administered questionnaire. Mid upper arm circumference (MUAC) was measured by standard non stretchable MUAC tape. Data was entered into a computer using Epi data 3.1 and edited, cleaned, and analyzed using SPSS version 20. Both bivariate and multiple logistic regression analyses were employed to identify factors associated with maternal undernutrition.Result: In this study, the overall prevalence of undernutrition among study subjects was 21.8%. Age greater than 31 years of women (AOR=0.15; 95% CI: 0.03, 0.93), Birth intervals > 2 years (AOR= 0.18; 95% CI: 0.04, 0.76), good nutritional knowledge (AOR=0.34; 95% CI: 0.17, 0.67), and having no dietary change as a result of current pregnancy AOR=6.02; 95% CI: 2.99, 12.14) were significantly associated with undernutrition.Conclusion and recommendation: The prevalence of undernutrition among pregnant women was 21.8 %. Current estimate is lower than previously reported in the study area but higher than reported in developed country. Age of women, Birth intervals, and Dietary change as a result of current pregnancy and Nutrition knowledge were important risk factors/ predictors of undernutrition (MUAC < 23 cm). Interventions targeting maternal nutrition education and child spacing with giving special emphasis to adolescent pregnant women are recommended.

scholarly journals Prevalence and associated factors of undernutrition among pregnant women vising ANC clinic in Silte zone, southern Ethiopia

2020 ◽  
Author(s):  
Mohammed Muze ◽  
Mubarak Yesse ◽  
Shemsu Kedir ◽  
Abdulmejid Mustefa
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Sampling Technique ◽  
Dietary Change ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Nutritional Knowledge ◽  
Birth Intervals ◽  
Cross Sectional ◽  
Maternal Undernutrition

Abstract Background: Maternal undernutrition is highly prevalent in underdeveloped country. Hence, this study was intended to determine prevalence and associated factors of undernutrition among pregnant women visiting ANC follow up clinics of health facilities.Method: Facility based cross sectional study was conducted from July to January 2019. Data was collected by using structured interviewer administered questionnaire. Mid upper arm circumference (MUAC) was measured by standard non stretchable MUAC tape. Systematic random sampling technique was used to select 422 study participants from 11 randomly selected health facilities. Sample size was allocated proportionately to each health facilities. Data was entered into a computer using Epi data 3.1 and edited, cleaned and analyzed using SPSS version 20. Both bivariate and multiple logistic regression analyses was employed to identify factors associated with maternal undernutrition.Result: This study found 91 (21.8%) of study subjects were undernourished. Age greater than 31 years of women (AOR=0.15; 95% CI: 0.03, 0.93), Birth intervals > 2 years (AOR= 0.18; 95% CI: 0.04, 0.76), good nutritional knowledge (AOR=0.34; 95% CI: 0.17, 0.67), and having no dietary change as a result of current pregnancy AOR=6.02; 95% CI: 2.99, 12.14) were significantly associated with undernutrition.Conclusion and recommendation: The prevalence of undernutrition among pregnant women was 21.8 % indicates little decrement. Age of women, Birth intervals, and Dietary change as a result of current pregnancy and Nutrition knowledge were important risk factors/ predictors of undernutrition (MUAC < 23 cm). Government, and other concerned bodies should strength nutritional counseling of pregnant women at health setting and in community level with giving special emphasis to adolescent pregnant women (Age ≤20 years old).

scholarly journals Minimum Dietary Diversity and Associated Factors Among Pregnant Women Attending Antenatal Care in Government Health Facilities of Soro District, Hadiya Zone, Southern Ethiopia

2022 ◽  
Author(s):  
Tegegn Tadesse ◽  
Abera Beyamo ◽  
Yilma Markos ◽  
Dawit Sulamo ◽  
Lire Lema ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Government Health ◽  
Minimum Dietary Diversity ◽  
Pregnant Mothers ◽  
Hadiya Zone

Abstract Background: Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women. Despite some improvements in dietary intake among pregnant mothers, achieving the minimum dietary diversity among them is still a great challenge in Ethiopia. There are no enough studies done on minimum dietary diversity among pregnant women and factors identified were more of local based. Therefore this study determined the prevalence of minimum dietary diversity and its associated factors among pregnant women attending antenatal care in government health facilities of Soro district, Hadiya Zone, Southern Ethiopia.Methods: This is the facility based study conducted in government health facilities of Soro district, Hadiya Zone from Oct. 2020-Jan 2021. Cross sectional study design was undertaken by using systematic sampling on 422 pregnant women attending antenatal care. Both bivariate and multivariable logistic regression analysis were used to assess the association of independent variables with outcome variable.Result: From the total of the 422 study subjects, 416 pregnant women attending antenatal care were participated in the study and making the response rate 98.6 percent. The overall prevalence of pregnant mothers who have met the minimum dietary diversity was only 7.9%. Maternal educational status being grade nine above, eating meal more than three times per day and women being currently not married were factors found to be significantly associated with minimum dietary diversity among pregnant mothers attending antenatal care in government health facilities.Conclusion: The prevalence of the minimum dietary diversity among pregnant women attending ANC in public health facilities of Soro district was very low and far from national and international recommendations to enhance the maternal food diversity. Inter sectoral collaboration is very important to enhance the minimum dietary diversity during pregnancy and should be worked intensively and in an integrated manner.

scholarly journals Prevalence and associated factors of undernutrition among pregnant women visiting ANC clinics in Silte zone, Southern Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammed Muze ◽  
Mubarek Yesse ◽  
Shemsu Kedir ◽  
Abdilmejid Mustefa
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Change ◽  
Southern Ethiopia ◽  
Nutritional Knowledge ◽  
Current Estimate ◽  
Birth Intervals ◽  
Cross Sectional ◽  
Maternal Undernutrition

Abstract Background Maternal undernutrition is highly prevalent in underdeveloped countries. Hence, this study was intended to determine the prevalence and associated factors of undernutrition among pregnant women visiting ANC clinics in Silte Zone. Method Facility-based cross-sectional study was conducted from July to January 2019. Systematic random sampling technique was used to select 422 study participants from 11 randomly selected health facilities. Data was collected by using a structured-interviewer administered questionnaire. Mid upper arm circumference (MUAC) was measured by standard non stretchable MUAC tape. Data was entered into a computer using Epi data 3.1 and edited, cleaned, and analyzed using SPSS version 20. Both bivariate and multiple logistic regression analyses were employed to identify factors associated with maternal undernutrition. Result In this study, the overall prevalence of undernutrition among study subjects was 21.8%. Age greater than 31 years of women (AOR = 0.15; 95% CI: 0.03, 0.93), Birth intervals > 2 years (AOR = 0.18; 95% CI: 0.04, 0.76), good nutritional knowledge (AOR = 0.34; 95% CI: 0.17, 0.67), and having no dietary change as a result of current pregnancy AOR = 6.02; 95% CI: 2.99, 12.14) were significantly associated with undernutrition. Conclusions The prevalence of undernutrition among pregnant women was 21.8%. Current estimate is lower than previously reported in the study area but higher than reported in developed country. Age of women, Birth intervals, and Dietary change as a result of current pregnancy and Nutrition knowledge were important risk factors/ predictors of undernutrition (MUAC < 23 cm). Interventions targeting maternal nutrition education and child spacing with giving special emphasis to adolescent pregnant women are recommended.

scholarly journals Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

2021 ◽  
pp. 201010582110078
Author(s):  
Tsegaye Lire ◽  
Berhane Megerssa ◽  
Yisalemush Asefa ◽  
Agete Tadewos Hirigo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Client Satisfaction ◽  
Care Service ◽  
Service Satisfaction ◽  
Southern Ethiopia ◽  
Health Centres

Background: Self-reported client satisfaction is vital in order to address service provider and facility-based factors that can be upgraded to maximise antenatal care (ANC) satisfaction and utilisation in service-providing institutions. Objective: This study aimed to assess ANC service satisfaction and associated factors among pregnant women attending Hawassa city public health centres (HC), Sidama regional state, Southern Ethiopia. Methods: This health facility–based cross-sectional study was conducted on 422 pregnant women from 14 March to 13 April 2017. Exit interview data were collected from pregnant women attending care service at five randomly selected public HC. Results: Overall, 79.2% were satisfied with the ANC service. As per specific components, 74.2% of respondents were satisfied with the information provided, and 74.2% were satisfied with the institution’s health care. Respondents who had received iron tablets were 3.2 times more likely to be satisfied than their counterparts (adjusted odds ratio (AOR)=3.2, 95% confidence interval (CI) 1.7–5.9). Pregnant women who were counselled on human immunodeficiency virus infection and its testing were 4.3 times more likely to be satisfied than those who had not received such counselling (AOR=4.3, 95% CI 2.2–8.4). Also, those women who waited ⩽30 minutes (AOR=2.6, 95% CI 1.2–5.5) and who received information on foetal movement (AOR=3.5, 95% CI 1.8–6.5) were significantly associated with ANC service satisfaction. Conclusion: More than 20% of pregnant women were not satisfied with ANC services. This reflects a need for attention in each aspect of health-care service provision in order to assure client satisfaction.

scholarly journals Youth unemployment and mental health: Prevalence and associated factors of depression among unemployed young adults in Gedeo zone, Southern Ethiopia

2020 ◽  
Author(s):  
Hirbaye Mokona ◽  
Kalkidan Yohannes ◽  
Getinet Ayano
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Young Adults ◽  
Young People ◽  
Associated Factors ◽  
Mental Health Problems ◽  
Public Health Problem ◽  
Health Concern ◽  
Southern Ethiopia ◽  
Study Participants

Abstract Background: The high rate of unemployment among young adults in Ethiopia (aged 18 to 30 years) is a public health concern. The risk of mental health problems like depression is higher among the unemployed than among the employed. However, there is no study conducted on the prevalence and associated factors of depression among unemployed young adults in Ethiopia. Hence, this study is aimed to assess the prevalence and associated factors of depression among unemployed young adults in Gedeo zone, Southern Ethiopia.Methods: Community based cross sectional study design was employed among 1452 unemployed young adults in Gedeo zone, Southern Ethiopia from May to July, 2019. Systematic random sampling technique was used to select study participants. The presence of depression was assessed by using Patient Health Questionnaire-9 (PHQ-9) and data on socio-demographic characteristics of study participants was collected by using structured questionnaire. Data was coded and entered into Epi-Data version 3.1 and analyzed by SPSS version 20. A multivariable logistic regression analysis was carried out to identify factors associated with depression, and variables with p-values < 0.05 were considered as statistically significant. The strength of the association was presented by adjusted odds ratio with their 95% confidence interval. Result: The overall prevalence of depression among unemployed young adults in the present study was 30.9% (95% CI: 28.4%, 33.1%). Of the total study participants with depression, 56.7% had mild depression, 36% had moderate depression, and 7.3% had severe depression. Being male (AOR=1.40, 95%CI: 1.10, 1.80), long duration of unemployment (≥1years) (AOR=1.56, 95%CI: 1.21, 1.99), low self-esteem (AOR=1.32, 95%CI: 1.03, 1.68), poor social support (AOR=1.98, 95%CI: 1.34, 2.93), and current alcohol use (AOR=1.86, 95%CI: 1.33, 2.59) were significantly associated with depression. Conclusion: The results of our study indicated that depression is an important public health problem among unemployed young adults in Ethiopia. The results of our study suggest that policy makers and program planners should establish appropriate strategy for prevention, early detection and management of depression among this population. Moreover, this study also indicates that addressing the need of unemployed young people, improving access to care for depression is an important next step. Furthermore, we recommend further studies to understand the nature of depression among unemployed young people and to strengthen the current results.

scholarly journals Determinants of dietary diversity practice among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250037
Author(s):  
Romedan Delil ◽  
Beakal Zinab ◽  
Hassen Mosa ◽  
Ritbano Ahmed ◽  
Habtamu Hassen
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Educational Status ◽  
Antenatal Clinic ◽  
Referral Hospital ◽  
Outcome Variable ◽  
Southern Ethiopia ◽  
Cross Sectional

Background Dietary diversity has continued to receive a global attention among pregnant women as they have been considered susceptible to malnutrition because of their increased nutrient demands. Thus, a variety of foodstuffs in their diet are necessary for ensuring the appropriateness of their nutrient consumptions. This study, therefore assessed the dietary diversity practice and its determinants among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia. Methods A hospital-based cross-sectional study was carried out on 303 participants from May 1 to June 15, 2019 using a systematic random sampling technique. Data were entered and analyzed using SPSS (version24.0). Both bivariate and multivariable logistic regression analyses were used to decide the association of each explanatory variable with the outcome variable. Odds ratio with their 95% confidence intervals was calculated to identify the presence and strength of association, and statistical significance was declared at p < 0.05. Results The overall prevalence of adequate dietary diversity practices was observed to be 42.6%. The determinants of dietary diversity practice included earning of a monthly income ≥2000 Ethiopian birr (AOR = 1.62; 95%CI:1.19–2.85), maternal educational level (AOR = 2.50; 95% CI: 1.05–6.12), educational status of partner (AOR = 2.45; 95% CI:1.20, 9.57), having a partner who was a government employee (AOR = 4; 95% CI:2.18–7.21), and the receiving of nutritional information (AOR = 1.35; 95% CI: 3.39–6.94). Conclusions The study indicated that the overall consumption of adequate dietary diversity practice was found to be low. Therefore, increasing household income, enhancing nutritional related information, advancing the academic level of both wife and her partner is essential to improve women’s dietary diversity practice.

scholarly journals Determinants of nutritional status of pregnant women attending antenatal care in Western Regional Hospital, Nepal

2018 ◽  
Vol 5 (12) ◽  
pp. 5045 ◽  
Author(s):  
Nishant Lama ◽  
Rajendra Lamichhane ◽  
Shreejana K. C. ◽  
Gia Pun Bhandari ◽  
Rajendra Raj Wagle
Keyword(s):  
Food Security ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Regional Hospital ◽  
Household Food Security ◽  
Measurement Tool ◽  
Maternal Undernutrition ◽  
Western Regional

Background: Good nutritional status during pregnancy is the precondition for healthy pregnancy outcome. Maternal undernutrition leads to life threatening health consequences to expectant mother and her child. Nepal has considered nutrition as right but still there is discrepancy in nutritional status of pregnant women. Reasons for this are little explored. Thus, the study was carried out to generate evidence on nutritional status of pregnant women and factors influencing it.Methods: A cross sectional descriptive study was carried out using systematic random sampling technique with 282 pregnant women of ≥3rd trimester attending antenatal care in Western Regional Hospital, Pokhara, Kaski, Nepal. Semi-structured questionnaire, 24 hour recall tool, HFIAS measurement tool, MUAC tape and ANC card were used to collect information from participants. Descriptive and statistical analyses were done to summarize the result. Research was adhered to principles of research ethics.Results: Pregnant women having acute malnutrition (MUAC <23 cm) were 24%, low gestational weight gain were 67% and anemic were 12%. Food security, ethnicity and dietary diversity were found to have significant association with the nutritional status of pregnant women.Conclusions: The study generated the evidence on determinants of nutritional status of pregnant women. It has recommended that ensuring household food security, increasing dietary diversity and focusing ethnicity can promote nutritional status of pregnant women.

Sign in / Sign up

Export Citation Format

Share Document