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

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.

Prevalence of undernutrition and its associated factors among pregnant women in Konso district, southern Ethiopia: a community-based cross-sectional study

“…This finding was in agreement with the reported result from a rural community in southern Ethiopia which was 41.2% [ 22 ]. The result of this study was higher than those studies conducted in other areas of Ethiopia, 31.8% in Central Refit Valley [ 15 ], 9.2% in Wondogenet District southern Ethiopia [ 16 ], 21.8% in Silte zone southern Ethiopia [ 17 ], 19.8% in Dessie town, northeastern Ethiopia [ 14 ], 19.5% in Eastern Ethiopia [ 13 ], 24% in humanitarian setting in Ethiopia [ 18 ], 16.2% in Gondar hospital [ 20 ] and 14% in Gondar town [ 21 ]. The discrepancy might be due to differences in socio-demographic characteristics, geographical variation, cultural beliefs such as food taboos, poor nutritional intervention programs in the Konso district.…”

“…In Ethiopia, the prevalence of undernutrition in pregnant women varies from 9.2-41.2%. It was reported in Central Refit Valley, Wondogenet District in Ethiopia, Silte zone, Southern Ethiopia, Dessie Northern Ethiopia, Eastern Ethiopia, Gondar town and hospital in Northern Ethiopia, humanitarian setting of Ethiopia, Shashemene, in a rural community in southern Ethiopia, 31.7, 9.2, 21.8, 19.8%, 19.5, 16.2, 14.4, 24, 34, 35.5, and 41.2%, respectively [13][14][15][16][17][18][19][20][21][22]. The most acceptable explanation for this wide variation is likely to be the fact that variation in the contextual factors of pregnant women's undernutrition.…”

Prevalence of Under Nutrition and its Associated Factors Among Pregnant Women in Konso District, Southern Ethiopia: Community Based Cross Sectional Study

“…The current study found that the prevalence of undernutrition in pregnant women was (13)(14)(15)(16)(17)(18)(19)(20). The discrepancy might be due to difference in sociodemographic characterstics, geographical variation, cultural belives such as food taboos, poor nutritional intervention program in Konso district.…”

“…In Ethiopia, the prevalence of under nutrition in pregnant women varies from 9.2%-34%. It was reported in Central Refit Valley of Ethiopia, Wondogenet District in Ethiopia, Silte zone, Southern Ethiopia, Dessie Northern Ethiopia, Eastern Ethiopia, Gondar town and hospital in Northern Ethiopia, humanitarian setting of Ethiopia, Shashemene, 31.7%, 9.2%, 21.8%, 19.8%, 19.5, 16.2% ,14.4%, 24%, 34% and 35.5 (13)(14)(15)(16)(17)(18)(19)(20)(21).…”