Undernutrition among Pregnant Women in Rural Communities in Southern Ethiopia

Zewdie, Solomon; Fage, Sagni Girma; Tura, Abera Kenay; Weldegebreal, Fitsum

doi:10.2147/ijwh.s285132

Cited by 21 publications

(19 citation statements)

References 26 publications

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“…The current study found that the prevalence of undernutrition in pregnant women was 43.1% (95% CI: 38.8%-47.5). 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 ].…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Background Undernutrition during pregnancy is an important public health problem. It is highly prevalent in Ethiopia but not sufficiently addressed yet. Hence, this study aimed to assess the prevalence of undernutrition and its associated factors among pregnant mothers in Konso district, Ethiopia. Methods Community-based cross-sectional study was conducted with a qualitative inquiry from December 2018 to January 2019. A multistage stratified sampling technique was used to select 527 subjects and quantitative data were collected from these subjects using a structured interviewer-administered questionnaire and additionally qualitative data were generated through two focus group discussions among purposely selected discussants. Mid upper arm circumference (MUAC) was measured by standard non-stretchable MUAC tape. Data were entered into Epi-data version3.1 and analyzed by SPSS version 21. In multivariable binary logistic regression, a statistically significant association was declared at p-value < 0.05 while thematic framework analysis was employed for the qualitative data. Results Among 501 participants, the overall prevalence of undernutrition (MUAC < 23 cm) was 43.1% (95% CI 38.7–47.5%). Household food security (AOR = 3.1; 95% CI: 2.1–4.6), low dietary diversity score (AOR = 4.9; 95% CI: 2.6–9.2), medium dietary diversity score (AOR = 2.3; 95% CI: 1.2–4.7), absence of latrine (AOR = 1.8; 95% CI: 1.2–2.6) and having family resource decision making by husband only (AOR = 1.7; 95% CI: 1.1–2.6) were significantly associated factors. Traditional believes to restrict food such as egg, milk, and milk products, avocado for women, weak nutrition education and malnutrition screening program, daily consumption of locally prepared alcoholic drink called “Cheka”, drought-prone nature of this setting, traditional way of farming practices and low socio-economic status were found to be barriers for women’s undernutrition. Conclusions The prevalence of undernutrition was found to be higher than previously reported findings. Household food security, dietary diversity, latrine availability, family resource decision making, food restrictions, weak maternal nutrition education, and malnutrition screening program, the practice of depending on a local alcoholic drink called “Cheka”, drought, traditional way of farming and low socio-economic status were identified factors. Hence, interventions targeting maternal nutrition education, hygiene, and sanitation promotion, household food insecurity improvement strategies should be implemented to improve the nutritional status of pregnant women.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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“…This study aimed to assess the maternal undernutrition and associated factors among pregnant women at the public hospitals of Bench-Sheko and Kaffa zone, Southwest Ethiopia. According to this study, the prevalence of maternal undernutrition among pregnant women was 42.4%, which is almost consistent finding with the study from the Guji zone (41.2%) [ 21 ], Tigray region, (40.6%) [ 23 ], from the rural district of Oromia region (41%) [ 3 ], Konso district of Ethiopia (43.1%) [ 26 ] and India (38%) [ 27 ]. This alignment might be because the measurement cut-off points used were similar to this study's cut-off points for undernutrition, which all used <23 cm, and the socio-economic status of the study participants.…”

Section: Discussionsupporting

confidence: 89%

“…For further analysis, the data was exported to the Statistical Package for Social Science (SPSS) version 21 software. Undernutrition was classified and coded as 1 for "yes" if the MUAC was 23 cm and 0 for "no" if the MUAC was 23 cm [ [14] , [21] , [22] , [23] , [24] , [25] ]. The household food insecurity access score was calculated for each household by summing up the nine food insecurity frequencies in the previous 30 days.…”

Section: Methodsmentioning

confidence: 99%

Undernutrition and its associated factors among pregnant women at the public hospitals of Bench-Sheko and Kaffa zone, southwest Ethiopia

Girma

Dereje

Fufa

2022

Heliyon

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The impacts of okra consumption on the nutritional status of pregnant women, west Ethiopia

Negash

Belachew

Tamiru

2023

Food Science & Nutrition

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Food‐insecurity and poor‐quality diets remain a challenge for pregnant women. Consumption of okra has a great impact on improving the nutritional status of pregnant women. Okra plays a critical role in the prevention of malnutrition among pregnant women living in resource‐limited settings. The evidence is scarce on the impacts of okra on mid‐upper arm circumference (MUAC) measurement of pregnant women. A community‐based cross‐sectional study was employed among randomly selected 224 pregnant women from June 1 to July 30, 2020. An interviewer‐administered questionnaire was used. The MUAC was measured by using an adult MUAC measuring tape. Data were entered into Epi‐data version 3.1 and exported to SPSS version 25 for analysis by linear regression. The statistical significance of variables was declared at a p‐value of .05, and unstandardized beta (β) coefficients along with a 95% confidence interval were computed. The proportion of pregnant women with low MUAC (≤22 cm) was 42.4%. In the multivariable linear regression model, hemoglobin concentration (β = 0.346, [95% CI: 0.153, 0.539], p = .001), food insecurity (β = −0.887, (95% CI: −1.441, −0.334), p = .002), daily consumption of okra (β = 1.269, [95% CI: 0.583, 1.956], p ≤ .001), and women working in NGO (β = 0.443, [95% CI: 0.256, 0.630], p ≤ .001) were significant variables. The prevalence of malnutrition among pregnant women (MUAC ≤ 22 cm) was 42.4%. Therefore, behavioral change communication interventions to promote okra consumption on regular basis were recommended.

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Undernutrition among Pregnant Women in Rural Communities in Southern Ethiopia

Cited by 21 publications

References 26 publications

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

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

Undernutrition and its associated factors among pregnant women at the public hospitals of Bench-Sheko and Kaffa zone, southwest Ethiopia

The impacts of okra consumption on the nutritional status of pregnant women, west Ethiopia

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