Challenges in Implementing the Integrated Community-Based Outpatient Therapeutic Program for Severely Malnourished Children in Rural Southern Ethiopia

Background. Undernutrition is one of the most widespread public health problems that affect both developed and developing countries. In Ethiopia, it is one of the factors leading to unacceptable high morbidity and mortality among women. However, little is documented on undernutrition among lactating women particularly in such a purely pastoral community. Therefore, this study was designed to assess prevalence of undernutrition and its associated factors among lactating women living in pastoral community of Moyale District, Borena Zone, Southern Ethiopia, 2018. Methods. A community-based cross-sectional study was conducted. Data were collected from a random sampled 545 lactating women using structured interviewer-administered questionnaire. Height and weight measurements of the study participants were also taken to compute body mass index. Data were entered in to Epi info version 7 and then exported to SPSS version 21 software for analysis. Descriptive statistics like frequency, mean, and percentage were computed to describe characteristics of the sample. Multivariable analysis was carried out, association between independent and dependent variables were measured using adjusted odds ratios, and its 95% confidence interval and P value below 0.05 were considered statistically significant. Results. This study showed that prevalence of undernutrition among lactating women was 17.7%. Dietary diversity (AOR = 2.49, 95% CI: 1.43–4.36), monthly income (AOR = 5.22, 95% CI: 1.40–19.40), extra meal taking (AOR = 2.76, 95% CI: 1.43–5.29, delivery place (AOR = 2.65, 95% CI: 1.24–5.65), and household food insecurity (AOR = 6.57, 95% CI: 3.50–12.34) were independent variables showing statistically significant association with undernutrition of lactating women. Conclusion and recommendations. The study revealed that magnitude of undernutrition among lactating women was high. Dietary diversity, monthly income, extra meal, delivery place, and household food insecurity were found to be predictor of undernutrition. Finally, we recommend that governmental and nongovernmental organizations should organize timely interventions targeting lactating women.

Download Full-text

Early days of life are crucial for child survival in Gamo Gofa Zone, Southern Ethiopia: A community based study

BMC Pediatrics ◽

10.1186/s12887-016-0568-z ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 7

Author(s):

Girma Temam Shifa ◽

Ahmed Ali Ahmed ◽

Alemayehu Worku Yalew

Keyword(s):

Child Survival ◽

Southern Ethiopia ◽

Community Based ◽

Gamo Gofa

Download Full-text

Hypertension and its associated factors in Hosanna town, Southern Ethiopia: community based cross-sectional study

BMC Research Notes ◽

10.1186/s13104-018-3435-1 ◽

2018 ◽

Vol 11 (1) ◽

Cited By ~ 2

Author(s):

Likawunt Samuel Asfaw ◽

Samuel Yohannes Ayanto ◽

Fiseha Laemengo Gurmamo

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

Download Full-text

Effectiveness of Community-Based Soil and Water Conservation in Improving Soil Property in Damota Area, Southern Ethiopia

Applied and Environmental Soil Science ◽

10.1155/2021/5510587 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Mamush Masha ◽

Teshome Yirgu ◽

Mulugeta Debele ◽

Mengie Belayneh

Keyword(s):

Soil Fertility ◽

Water Conservation ◽

Agricultural Land ◽

Agricultural Landscapes ◽

Soil And Water Conservation ◽

Southern Ethiopia ◽

Conservation Practices ◽

Community Based ◽

The Impact ◽

Soil And Water

Soil and water conservation (SWC) is being advocated as an integral part of agricultural land management as it not only controls/minimizes soil erosion but also restores/rehabilitates the degraded lands. The purpose of this study was to evaluate the impact of soil and water conservation practices in improving soil fertility in the agricultural landscapes of the Damota area, southern Ethiopia. Forty-eight soil samples (both disturbed and core samples) were collected from the conserved and adjacent nonconserved plots. The significance analysis test was performed using analysis of variance. The result of the study showed that higher mean values of soil physicochemical properties were observed in the conserved plot than its nonconserved counterpart. The mean differences of organic carbon, total nitrogen, cation exchange capacity, and exchangeable K+ and Ca2+ between conserved and nonconserved plots were statistically significant at the P < 0.01 level. Besides, available phosphorous and bulk density were significant at P < 0.05 , but the effect of SWC practices was not found significant on soil texture, soil pH, and exchangeable Na+ and Mg2+ content of the soil in the Damota area. Community-based soil and water conservation practices have improved the soil fertility in agricultural landscapes, although significant results have been observed in some fertility indicators. Therefore, strengthening the implementation of conservation measures by participating in all stakeholders is recommended. Supporting physical structures by agronomic and vegetative measures and continued maintenance can bring better results.

Download Full-text

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

Journal of Nutrition and Metabolism ◽

10.1155/2021/8819846 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Tesfaye Guja ◽

Yabsira Melaku ◽

Eshetu Andarge

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Cross Sectional Study ◽

World Health ◽

Southern Ethiopia ◽

Food Groups ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Mothers And Children

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

Download Full-text