scholarly journals Prevalence of Underweight and Associated Factors among Lactating Women in Ethiopia: A Mini-review

Author(s):  
Quraish Sserwanja ◽  
Joseph Kawuki

Nutritional status is considered as one of the key indicators of the overall wellbeing of a population. Lactating women and children are among the most vulnerable groups due to their higher nutritional needs and detrimental effects of poor nutrition on their health. Lactating women have increased nutritional needs and if not well met, breast milk quality and quantity are negatively affected, which leads to increased risk for child morbidity and mortality. Studies have been done in the different regions of Ethiopia to assess the nutritional status among lactating women and have reported various prevalence and different associated factors. Despite the different efforts to improve nutrition in Ethiopia, the prevalence of underweight is still high, with most regions having a higher prevalence than the documented 5-20% of African women. We aimed to review the prevalence and associated factors of underweight among lactating women in Ethiopia. We used literature searched from key databases such as Google Scholar, Web of Science, among others, to collect relevant information about the prevalence of underweight among pregnant women in Ethiopia. The mini-review identified the highest prevalence at 50.6% in the Northern parts and the lowest at 17.4% in the Southern parts of Ethiopia. Several factors were identified to be associated with underweight among lactating women in Ethiopia including; dietary diversity score, household food security, family income, place of delivery, nutritional education programs and antenatal care attendance. This implies the need for targeted programs/policies to promote household food security and family income, community nutritional education, and nutritional counselling during antenatal care attendance. Besides, there is a need to conduct national and regional studies to inform policy further since there were more studies done in the Southern parts of the Country with less information from other regions.

2014 ◽  
Vol 40 (3) ◽  
pp. 8-11
Author(s):  
MA Alam ◽  
Md Anisur Rahman ◽  
Meerjady Sabrina Flora ◽  
Md. Rizwanul Karim ◽  
Md. Parvez Iqbal Sharif ◽  
...  

Household food security is an emerging public health issue and the rural elderly people are one of the most vulnerable groups for the household food security. This cross-sectional study was conducted in Barobaria union of Gofargaon upazila of Mymensingh district to assess the nutritional status of rural elderly (?60 years) in relation to the household food security. A total of 118 purposively selected elderly were interviewed and measured for height and weight following a standard protocol. The mean (SD) age of the respondents was 68.6 (7.3) years and gender participation was equally represented. Majority (68.6%) of the respondents was illiterate and 92% were Muslims. Mean family size and monthly family income was estimated to be 5.5 and Taka 6106, respectively and 70% of the rural elderly were found to be dependent on their family members as they were not involved in income generation and most of the respondents were the members of joint family. Only about 29% of the total elderly were at the highest quarter of food security. Illiteracy, members of single family and larger family were found to be significantly associated with lower level of household food security (p < 0.05). Although age, sex, personal income and occupational category had no significant association, the total family income was significantly associated with household food security. Among the respondents 56% were underweight including 13% with severe chronic energy deficiency. Only 5.9% were overweight. Illiterates were three times more likely to be underweight than literates (OR 2.95 with 95% CI 1.32, 6.59). Smoking, lower family income, poor housing, single family, irregularity in treatment were significantly associated with underweight. A significant difference was found between mean body mass index of different household food security level (F =3.22, p < 0.05). There was gradual increase of mean body mass index with the improved status of food security level. Policy makers, therefore, need to consider programs that empower people to solve the problem of food insecurity and to improve the nutritional status of rural elderly people. DOI: http://dx.doi.org/10.3329/bmj.v40i3.18649 Bangladesh Medical Journal 2011 Vol.40(3):8-11


2002 ◽  
Vol 76 (1) ◽  
pp. 210-217 ◽  
Author(s):  
Donna M Matheson ◽  
John Varady ◽  
Ann Varady ◽  
Joel D Killen

2006 ◽  
Vol 9 (7) ◽  
pp. 830-836 ◽  
Author(s):  
A Kruger ◽  
S Lemke ◽  
Mars Phometsi ◽  
H van't Riet ◽  
AE Pienaar ◽  
...  

AbstractObjectiveTo assess socio-economic indicators, nutritional status and living conditions of farm workers and their families, with the purpose to develop research and intervention programmes aimed at enhancing nutritional status and quality of life.Design and settingThree farm schools in two districts of the North-West Province and farming communities were selected. Anthropometrical measurements, structured face-to-face questionnaires and focus group discussions were carried out in 2002 and 2003 by a multidisciplinary research team.ResultsAccess to electricity, water and sanitation, as well as monthly food rations or subsidies, vary and depend on farm owners. The majority of adults have education below or up to grade four, farm schools provide only up to grade seven. Distance to farm schools and intra-household issues hamper children's attendance and performance at school. Household food security is compromised due to a lack of financial resources, infrastructure and also household resource allocation. This impacts negatively especially on children, with half of them being underweight, stunted or wasted. Employment is usually linked to men, while most women have access to casual jobs only. Insecurity of residence and the perceived disempowered position towards farm owners add to feelings of hopelessness and stress.Conclusions and recommendationsThis study highlights destitute living conditions of farm worker families. Apart from structural and financial constraints, paternalistic structures of the past might also hamper development. Based on these findings, follow-up research projects and in-depth investigations into underlying social issues with regard to nutrition insecurity and livelihoods of farm workers were initiated.


2020 ◽  
Vol 9 (1) ◽  
pp. 92
Author(s):  
Arnati Wulansari

Chronic Energy Deficiency (CED) is the impact of poor nutritional status of pregnant women. One of determining factors that influence the nutritional status is household food security. The purpose of this study was to determine household food security and incidence of CED in pregnant women’s Suku Anak Dalam in Bungku Village Batanghari Regency. This study used crossectional study design and using a total sampling of 31 pregnant women. Measuring instruments using questionnaires and CED measured using CUA ribbon and energy intake 2x24 hours measuredby recall. Data analysis were used univariate and bivariate (spearman test). The results showed that the majority of respondent experienced the risk of CED(67.7%). As many as 45.2% household experienced food shortages. Most of respondent who experienced food shortages also have risk of CED was 25.8%. The results showed an correlation between food security and risk of CED (P<0.05). 


2020 ◽  
Vol 14 (2) ◽  
pp. 130-133
Author(s):  
Md Nazrul Islam Khan ◽  
Nasim Jahan ◽  
Md Abdul Wahab ◽  
Farzana Zafreen

Introduction: Food insecurity refers to a household’s having “limited or uncertain availability of food, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways”. Iron deficiency and iron deficiency anaemia, are the most prevalent nutritional deficiencies worldwide and related to household food insecurity. Objectives: To find out the association between household food security and anaemia in children of a selected rural area of Bangladesh. Materials and Methods: This descriptive cross-sectional study was conducted among children ranging age from 12 to 60 months during the period ofJanuary 2009 to June 2009in Chandpur district. Mothers of the children were the respondents. A total of 192 children selected by simple random sampling were included in the study. Data were collected by face-to-face interview of the respondents and by estimation of haemoglobin of the children. Results: The mean age of the children was 34.5 ± 16.8 months. Male children were more than the female children with male to female ratio being 3:2. The average monthly family income was taka 7500. More than 60% of the mother had secondary level education. Farming was the prime occupation (36.4 %) of the father followed by business (25.5%) and service (22.4%). About 36% of the household did not have food security and nearly 45% of the children wereanaemic (Hb<11 g/dl). About two-thirds (65.2%) children with household food insecurity was anaemic (Hb 11g/dl). Estimation of odds ratio demonstrates that food insecured children were nearly 3 times as likely to develop anaemia as the children having household food security. The present study revealed a significant association (P<0.001) between household food security and anaemia in children. Household food security was not influenced by age and gender of the children. Low family income and mother’ illiteracy was significantly associated with household food insecurity. Conclusion: The present study revealed a significant association between household food insecurity and anaemia in children. Household food security was not influenced by age and gender of the children. However, low family income and mothers’ illiteracy play significant role in household food security. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 130-133


2011 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Drajat Martianto ◽  
Hadi Riyadi ◽  
Rizma Ariefiani

<p class="MsoNormal" style="margin: 0cm 8.65pt .0001pt 13.5pt; text-align: justify; text-indent: 31.5pt;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">This study aimed to analyze the impacts of feeding practices on underfive children’s nutritional status in different level of household food security. The study design was a cross-sectional study. Data on feeding practices were collected through personal interviews used questionnaire and nutritional status was calculated by using WHO-NCHS z-score. The average scores of feeding practices among samples were categorized as low (54.4%) and children of group very food-insecure had the lowest score of feeding practices. There was a significantly difference among the groups in the scores of sample’s feeding practices. The study showed that about 86 percent of children were categorized as normal (BB/TB indicator), but there were 11.6 percent categorized as wasting, while 32.0 percent and 54.3 percent categorized as underweight and stunting, respectively. Statistical analyses showed significant difference in term of nutritional status. There was a significant correlation between child’s nutritional status (BB/U, TB/U and BB/TB) and household food security. The study showed that child’s nutritional status (BB/TB) was influenced by energy’s adequacy level.</span></p>


2021 ◽  
Vol 21 (105) ◽  
pp. 18912-18931
Author(s):  
U Mukherjee ◽  
◽  
JM Chalwe ◽  
S Mbambara ◽  
WH Oldewage-Theron ◽  
...  

Socio-demographic factors and household food insecurity are considered to influence the nutritional status of older women. The rapidly growing elderly population in Africa is a concern particularly in sustaining their health and nutritional status. In spite of this, there is a scarcity of information in older Zambian women and this study aimed to assess the socio-demographic factors, nutritional status and household food insecurity status of older women in rural Zambian communities. This cross-sectional study was conducted in Twatasha compound of Kitwe and Ndeke community of Ndola. The socio-demographic characteristics, anthropometric measurements, dietary intakes and household food security were evaluated in a convenience sample of 153 older women (≥ 50 years) through the Household Food Insecurity Access Scale (HFIAS). IBM SPSS version 26 was used for descriptive (frequencies, means and standard deviations, and medians with interquartile frequencies) and inferential (bivariate and Spearman correlations) statistical analyses. The socio-demographic characteristics showed that almost all (98.7%) of the participants had other members of the family residing with them. Most participants (57%) had attained primary school education, 19% had secondary education and 5% had college education. Almost half (49%) of the participants did not report their employment status and 36% reported to be unemployed. Over-nutrition was most prevalent (37.3% overweight and 39.8% obese) while 20.9 % and 2.0% of the respondents were normal weight and underweight respectively. The median (25th percentile; 75th percentile) dietary intakes showed inadequate intakes for most nutrients, except for carbohydrates (170 g [133;225]). The total fat intake represented 14% of total energy intake. The majority (86.0%) of the participants were identified as severely food insecure while only 6.0% were food secure. The majority of the participants (80-90%) used at least seven out of the nine behavioural responses to food insecurity. The findings show resource-poor and severely food insecure communities. We recommended urgent interventions to improve access to healthy foods (such as home gardening projects) and promote healthy dietary habits (including nutrition education).


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