Effect of Male Involvement on the Nutritional Status of Children Less Than 5 Years: A Cross Sectional Study in a Rural Southwestern District of Uganda

Kansiime, Noel; Atwine, Daniel; Nuwamanya, Simpson; Bagenda, Fred

doi:10.1155/2017/3427087

Cited by 41 publications

(37 citation statements)

References 13 publications

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“…A husband with low educational status (less than secondary) may not be gainfully employed, resulting in poor household wealth status, food insecurity, and poor general living conditions. Additionally, males are more involved in child care by providing financial and physical support to the woman and are less involved in decision making regarding appropriate infant and young child feeding practices [60]. The northern region of Ghana lies in the savannah zone.…”

Section: Discussionmentioning

confidence: 99%

The epidemiology of undernutrition and its determinants in children under five years in Ghana

et al. 2019

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Background Understanding the burden and contextual risk factors is critical for developing appropriate interventions to control undernutrition. Methods This study used data from the 2014 Ghana Demographic and Health Survey to estimate the prevalence of underweight, stunting, and wasting. Single multiple logistic regressions were used to identify the factors associated with underweight, wasting and stunting. The study involved 2720 children aged 0–59 months old and mother pairs. All analyses were done in STATA/IC version 15.0. Statistical significance was set at p<0.05. Results The prevalence of underweight, wasting and stunting were 10.4%, 5.3%, and 18.4% respectively. The age of the child was associated with underweight, wasting and stunting, whereas the sex was associated with wasting and stunting. Normal or overweight/obese maternal body mass index category, high woman’s autonomy and middle-class wealth index were associated with a lower odds of undernutrition. The factors that were associated with a higher odds of child undernutrition included: low birth weight (<2.5 kg), minimum dietary diversity score (MDDS), a higher (≥4 th ) birth order number of child, primary educational level of husband/partner and domicile in the northern region of Ghana. Conclusion There is still a high burden of child undernutrition in Ghana. The age, sex, birth weight, birth order and the MDDS of the child were the immediate factors associated with child undernutrition. The intermediate factors that were associated with child undernutrition were mainly maternal related factors and included maternal nutritional status and autonomy. Distal level factors which were associated with a higher odds of child undernutrition were the wealth index of the household, paternal educational status and region of residence. We recommend that interventions and policies for undernutrition should address socioeconomic inequalities at the community level while factoring in women empowerment programmes.

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Section: Discussionmentioning

confidence: 99%

The epidemiology of undernutrition and its determinants in children under five years in Ghana

et al. 2019

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“…Research from several countries suggests that a husband’s support during pregnancy improves delivery outcomes, such as significant reductions in length of labor, the amount of pain medication needed, the need for emergency care for the baby, and improvement in maternal dietary diversity [ 31 , 45 , 46 , 47 ]. The present finding sought to indicate that these observations were also reported from other studies conducted in Malawi [ 48 ] and Bangladesh [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Demand and Supply Side Barriers that Limit the Uptake of Nutrition Services among Pregnant Women from Rural Ethiopia: An Exploratory Qualitative Study

et al. 2018

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Despite poverty reduction and increased promotion of improved nutrition practices in the community, undernutrition in Ethiopia remains a concern. The present study aimed to explore the demand and supply side barriers that limit the uptake of nutrition services among pregnant women from the rural communities of the Tigray Region, Northern Ethiopia. A community-based qualitative study was conducted in December through January 2017. A total of 90 key informant in-depth interviews and 14 focus group discussions were undertaken. Study participants were purposively selected for specific characteristics, along with health professionals deployed at various levels of the health system, including health posts, health centers, woreda health offices, and the regional health bureau. Study participants were asked to identify the barriers and implementation challenges that limit access to nutrition services for pregnant women. Participants’ responses were transcribed verbatim, without editing the grammar, to avoid losing meaning. The data were imported to ATLAS.ti 7 (qualitative data analysis software) for coding and analyzed using a thematic content analysis approach. The study findings indicated that the dietary quality of pregnant women in the study area remains poor and in some cases, poorer quality than pre-pregnancy. Across study sites, heavy workloads, food taboos and avoidances, low husband support, lack of economic resources, lack of awareness, low educational level of women, poor dietary habits, increased expenditure for cultural and religious festivities, “dependency syndrome”, low physical access to health facilities, poorly equipped health facilities, focus on child health and nutrition, poor coordination among nutrition specific and sensitive sectors, and limited sources of nutrition information were identified as the demand and supply side barriers limiting the uptake of nutrition services during pregnancy. In conclusion, the community would benefit from improved social behavior change communication on nutrition during pregnancy and multi-sectoral coordination among nutrition-specific and nutrition-sensitive sectors.

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“…the HIV positive, pregnant women and elderly. More to this, given that the women in rural Africa, bare the greatest burden pertaining to household food production, children feeding, food preparation and child healthcare [21], issues related to their health could impact greatly on their children's health, especially whether they could be enrolled on preventive treatment or evaluated for TB in the timely manner.…”

Section: Discussionmentioning

confidence: 99%

Non-disclosure of tuberculosis diagnosis by patients to their household members in south western Uganda

2020

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Background Tuberculosis (TB) non-disclosure by adult patients to all household members is a setback to TB control efforts. It reduces the likelihood that household contacts will seek early TB screening, initiation on preventive or curative treatment, but also hinders the implementation of infection controls and home-based directly observed treatment. Therefore, the purpose of this study was to determine the level of TB non-disclosure, its predictors and the effects of disclosure among adult TB patients in Uganda. Methods We conducted a cross-sectional study at a large regional referral hospital in Mbarara, southwestern Uganda. Questionnaires were administered to collect patients' sociodemographic and their TB disclosure data. Non-disclosure was considered if a patient did not reveal their TB diagnosis to all household members within 2 weeks post-treatment initiation. Univariate and multivariate logistic regression models were fitted for predictors of non-disclosure. Results We enrolled 62 patients, 74% males, mean age of 32 years, and median of five people per household. Non-disclosure rate was 30.6%. Post-disclosure experiences were positive in 98.3% of patients, while negative experiences suggestive of severe stigma occurred in 12.3% of patients. Being female (OR 6.5, 95% CI: 1.4-29.3) and belonging to Muslim faith (OR 12.4, 95% CI: 1.42-109.1) were significantly associated with TB non-disclosure to household members. Conclusions There is a high rate of TB non-disclosure to all household members by adult patients in rural Uganda, particularly among women and muslim patients. Interventions enhancing TB

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Effect of Male Involvement on the Nutritional Status of Children Less Than 5 Years: A Cross Sectional Study in a Rural Southwestern District of Uganda

Cited by 41 publications

References 13 publications

The epidemiology of undernutrition and its determinants in children under five years in Ghana

The epidemiology of undernutrition and its determinants in children under five years in Ghana

Demand and Supply Side Barriers that Limit the Uptake of Nutrition Services among Pregnant Women from Rural Ethiopia: An Exploratory Qualitative Study

Non-disclosure of tuberculosis diagnosis by patients to their household members in south western Uganda

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