Prevalence of Low Birth Weight and Its Determinants in Bahir Dar City, Amhara Region, North West Ethiopia: Health Facility Based Cross-Sectional Study

Aynie, Amare Alamirew; Kassa, Tigabu Birhan; Abie, Dagninet Derebe

doi:10.11648/j.bsi.20200501.11

Cited by 3 publications

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“…The binary logistic regression analysis revealed that, in the rural area of southwestern Ethiopia, women whose husband completed elementary or secondary education, and women without transportation problem had higher chance of utilizing the ANC service as recommended by WHO than those whose husband is illiterate and those who had transportation problem, which are consistent with what was reported in Menit-Shasha District, Ethiopia [ 16 ] and in Addis Ababa, Ethiopia [ 17 ]. These findings are also similar to what were reported in other studies including in Nigeria [ 7 ], in Kenya [ 18 ], in Afghanistan [ 19 ], in Arsi zone, Ethiopia [ 20 ], in Hadiya zone, Ethiopia [ 21 ], in Bahir Dar, Ethiopia [ 22 ], in Ethiopia [ 23 ], and in Tigray, Ethiopia [ 24 ]. This indicates that uneducated husbands make women’s utilization of the ANC service less likely compared to educated husbands in southwestern Ethiopia, which highlights the comparative advantage of husband’s education.…”

Section: Discussionsupporting

confidence: 91%

Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia

Belay

Astatkie

Abebaw

et al. 2022

BMC Pregnancy Childbirth

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Background Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. According to the World Health Organization, at least four ANC visits are recommended for a healthy pregnancy. However, whether this recommended number of visits was followed or not in the rural areas of Southwestern Ethiopia is not known. Therefore, the study aimed to investigate the prevalence of, and the associated factors of ANC utilization by pregnant women in the rural areas of Southwestern Ethiopia. Methods A community-based cross-sectional study design was used in three rural zones. The data were collected from n = 978 women through a structured questionnaire with face-to-face interview. The collected data were analyzed using descriptive statistics and a multiple binary logistic regression model. Results The results showed that 56% of women made the recommended minimum number of ANC visits and the remaining 44% of them underutilized the ANC service. The multiple binary logistic regression model identified zone, marital status of the woman, educational level of the husband, occupation of the husband, knowledge of danger signs of pregnancy, birth interval, source of information, timely visits, and transportation problem to be statistically significant factors affecting the prevalence of ANC visit utilization of women. Bench Maji zone had smaller odds ratio of ANC visit prevalence as compared to Kaffa zone. Women who lived in the rural area of Sheko zone are 2.67 times less likely to utilize ANC visit than those who lived in the rural area of Kaffa zone keeping other variables constant. Conclusion The study results highlight the need to increase the number of ANC visits, and the importance of using an appropriate model to determine the important socio-demographic factors that ANC service providers shall focus on to improve the health of the unborn baby and the mother during pregnancy.

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Section: Discussionsupporting

confidence: 91%

Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia

Belay

Astatkie

Abebaw

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Association between iron and folic acid supplementation and birth weight in Ethiopia: systemic review and meta analysis

et al. 2021

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Background Previous studies on iron with folic acid supplementation and low birth weight indicated different findings. The aim of the current systemic review and meta-analysis was to examine the relationship between iron and folic acid supplementation and birth weight in Ethiopia. Main body The databases searched were PubMed, Google Scholar, Web of Science and Cochrane Library in January 2021. AZ, KTT and AAA carried out the data extraction and independently assessed the articles for inclusion in the review using risk-of-bias tool guided by PRISMA checklist. The combined Odds ratio with 95% confidence interval was calculated using random effect model. Twenty four observational studies involving 10,989 participants, 2423 newborns who were born LBW were included. The combined effect size (OR) for low birth weight comparing women who have Iron and Folic acid supplementation versus women who did not have iron and folic acid supplementation was 0.39 (95% CI 0.27–0.59, p < 0.00001, I2 = 91%). There was significant heterogeneity (Q = 264.16, I2 = 91%, p < 0.00001). No publication bias was observed (Egger’s test: p = 0.742, Begg’s test: p = 0.372). Overall 69.5% of women reported having iron and folic acid supplementation during current pregnancy. And the overall proportion of low birth weight was 22.1%. Conclusions Women who were supplied with iron and folic acid during pregnancy had a 67% decreased chance of delivering low birth weight new born in Ethiopia.

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Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis

Beressa,

Whiting,

Kuma

et al. 2024

PLoS ONE

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Background Anemia in pregnancy has been associated with a number of adverse birth outcomes, such as low birth weight (LBW) or preterm birth (PTB). However, the evidence from primary studies on anemia in pregnancy with LBW and PTB is contentious. Moreover, a systematic review and meta-analysis to summarize these findings have not been conducted for Ethiopia. This study aimed to synthesize the best available evidence and quantify the strength and direction of the association of anemia in Ethiopia. Methods This review examined women with singleton pregnancies with low birth weight (LBW) and preterm birth (PTB). We retrieved studies from PubMed, Wiley, Cochrane databases, and Google Scholar from inception to February 2, 2024. The World Health Organization (WHO) defines anemia in pregnancy as a low blood haemoglobin (Hgb) concentration below 11 g/dl or a hematocrit level of < 33%. When the newborn’s weight was below 2500 g, LBW was considered. Preterm birth refers to the birth of a baby before 37 completed weeks of gestation. Meta-analysis was conducted using fixed and random effects models. The degree of heterogeneity, publication bias, and quality of the evidence of studies was assessed. Results There were 35 and 8 studies, with 14,319 and 3,265 respondents included in the meta-analysis for LBW and PTB, respectively. Neonates born to women who had normal Hgb levels were less likely to be LBW [pooled odds ratio (POR) = 0.22, 95% CI: (0.17, 0.28); I2 = 80%] (low-quality evidence). Neonates born to women with normal Hgb levels had a lower risk of PTB [POR = 0.22, 95% CI: 0.18, 0.28; I2 = 19%] (very low-quality evidence). The effect size estimate remained significant after sub-group analysis based on study design and province, except in two retrospective cohort studies for LBW. Conclusion The findings suggest major implications for strengthening the implementation of nutrition policies to prevent anemia during pregnancy in Ethiopia. Further research is warranted to assess interventions that are effective in combating maternal anemia to reduce rates of LBW and PTB.

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Prevalence of Low Birth Weight and Its Determinants in Bahir Dar City, Amhara Region, North West Ethiopia: Health Facility Based Cross-Sectional Study

Cited by 3 publications

References 0 publications

Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia

Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia

Association between iron and folic acid supplementation and birth weight in Ethiopia: systemic review and meta analysis

Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis

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