Factors associated with undernutrition among 20 to 49 year old women in Uganda: a secondary analysis of the Uganda demographic health survey 2016

Sserwanja, Quraish; Mukunya, David; Habumugisha, Theogene; Mutisya, Linet M.; Tuke, Robert; Olal, Emmanuel

doi:10.1186/s12889-020-09775-2

Cited by 32 publications

(43 citation statements)

References 36 publications

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“…UDHS was implemented by the Uganda Bureau of Statistics (UBOS) with the technical assistance of Inner City Fund (ICF) International through the USAID-supported MEASURE DHS project [ 22 ]. The UDHS inquired about household members’ and individuals’ socio-demographic and reproductive health information using household, women’s, men’s and biomarker questionnaires [ 22 , 23 ]. The data used in this study was collected using the women’s questionnaire.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

2021

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Background The sexual and reproductive health (SRH) needs of adolescents remain largely unmet. For instance, over 20 million female adolescents in need of, a modern contraceptive method are not using any. This study determined the factors associated with utilization of modern contraceptives among female adolescents in Uganda. Methods A cross sectional study was conducted using the Uganda Demographic and Health Survey (UDHS) 2016 data of 4, 264 adolescents aged 15 to 19 years. Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the factors associated with modern contraceptive utilization. All our analyses were done using SPSS version 25. Results The prevalence of modern contraceptive utilization among female adolescents was 9.4% (401/4264: (95% CI: 8.6–10.3). The odds of contraceptive utilisation were 1.6 times (AOR = 1.60; 95% CI: 1.09–2.34) higher among married adolescents compared to unmarried adolescents. Adolescents whose age at first birth was less than 15 years (AOR = 2.01; 95% CI: 1.01–3.99) were twice more likely to utilize a modern contraceptive compared to those whose age at first birth was above 15 years. Women belonging to the Central region (AOR = 1.93; 95% CI: 1.01–3.69) and those in the middle wealth quintile (AOR = 1.91; 95% CI: 1.06–3.46) were 93% and 91% more likely to utilize a modern contraceptive compared to those in the Northern region and those in the poorest wealth index respectively. Conclusion The prevalence of modern contraceptive utilization was 9.4%. The findings show the need for designing targeted interventions due to differences in adolescents according to their wealth index, regions and marital status.

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Section: Methodsmentioning

confidence: 99%

“…The UDHS used two-stage systematic sampling to select participants from households nested in clusters (enumeration areas) across the all the regions of Uganda [ 22 , 23 ]. The 2014 population and housing census sample frame was used to select the enumeration areas [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

2021

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“…UDHS is a periodical survey that is carried out every 5 years as part of the MEASURE DHS global survey and collects Information on demographic, health and nutrition indicators. The survey was conducted between June 2016 and December 2016 using stratified two-stage cluster sampling design that resulted in the random selection of a representative sample of 20,880 households [ 22 , 23 ]. The households were randomly selected in two stages: clusters (or enumeration areas) were drawn in the first stage and then a count within each cluster led to a list of households from which was conducted a systematic sampling with equal probability [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Factors associated with childhood overweight and obesity in Uganda: a national survey

Sserwanja¹,

Mutisya

Olal³

et al. 2021

BMC Public Health

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Background Childhood obesity is an emerging public health problem globally. Although previously a problem of high-income countries, overweight and obesity is on the rise in low- and middle-income countries. This paper explores the factors associated with childhood obesity and overweight in Uganda using data from the Uganda Demographic and Health Survey (UDHS) of 2016. Methods We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4338 children less than 5 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Overweight and obesity were combined as the primary outcome. Children whose BMI z score was over two were considered as overweight while those with a BMI z score greater than three were considered as obese. We used multivariable logistic regression to determine factors associated with obesity and overweight among children under 5 years of age in Uganda. Results The prevalence of overweight and obesity was 5.0% (217/4338) (95% CI: 4.3–5.6), with overweight at 3.9% (168/4338: 95% CI: 3.2–4.3) and obesity at 1.1% (49/4338: 95% CI: 0.8–1.5). Mother’s nutritional status, sex of the child, and child’s age were associated with childhood obesity and overweight. Boys were more likely to be overweight or obese (aOR = 1.81; 95% CI 1.24 to 2.64) compared to girls. Children who were younger (36 months and below) and those with mothers who were overweight or obese were more likely to have obesity or overweight compared to those aged 49–59 months and those with underweight mothers respectively. Children from the western region were more likely to be overweight or obese compared to those that were from the North. Conclusion The present study showed male sex, older age of the children, nutritional status of the mothers and region of residence were associated with obesity and overweight among children under 5 years of age.

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“…Uganda currently has a population of about 44 million people 15 . Uganda's health system has six levels ranging from the highest level of national referral hospitals to the lowest level at the community level 16 .…”

Section: Study Settingmentioning

confidence: 99%

“…Agriculture is the main source of income for the 84% of Ugandans living in rural areas 16 . The Ugandan government abolished user fees in 2001 in all public health facilities.…”

Section: Study Settingmentioning

confidence: 99%

Dimensions of women’s empowerment on access to antenatal care in Uganda: a further analysis of the Uganda demographic health survey 2016

Sserwanja¹,

Kawuki

Nabbuye³

2021

Preprint

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Background: Women empowerment has been viewed as a good strategy in the reduction of global maternal morbidity and mortality. Most of the recent studies in Uganda have focused on ANC frequency and the associated factors with no focus on the effect of women empowerment. Our study aims at examining the prevalence of optimal access to ANC by considering timing of initiation, type of ANC provider and ANC frequency and their association with women empowerment.Methods: We used Uganda Demographic and Health Survey (UDHS) 2016 data of 9957 women aged 15 to 49 years. Multistage stratified sampling was used to select study participants and we conducted multivariable logistic regression to establish the association between women empowerment and access to ANC using SPSS version 25. Results: Out of 9,957 women, 2,953 (29.7%: 95% CI: 28.5.0-30.2) had initiated ANC in first trimester, 6,080 (61.1%: 95% CI: 60.4-62.3) had 4 or more ANC contacts, and 9,880 (99.2%: 95% CI: 99.0-99.3) had received ANC from a skilled provider. Overall, 2,399 (24.1%: 95% CI: 23.0-24.6) had optimal access to ANC. Economic empowerment and exposure to media were the only women empowerment indices that were positively associated with optimal access to ANC. Other factors that were significant include; region, wealth index, age, level of education and working status. Women in younger age groups, those with higher wealth quintiles and those from the Northern and Western regions were also more likely to have optimal access to ANC compared to their older, poorest quintile and Eastern region counterparts respectively.Conclusion: To ensure increased access to ANC, policy-makers and other stakeholders should prioritize use of mass media in maternal health programs, equitable allocation of the limited financial resources with a focus on older, poor and uneducated women.

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Factors associated with undernutrition among 20 to 49 year old women in Uganda: a secondary analysis of the Uganda demographic health survey 2016

Cited by 32 publications

References 36 publications

Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

Factors associated with childhood overweight and obesity in Uganda: a national survey

Dimensions of women’s empowerment on access to antenatal care in Uganda: a further analysis of the Uganda demographic health survey 2016

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