Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study

Abstract Introduction Maternal malnutrition remains a major public health problem, particularly in low and middle-income countries and war-affected areas like Ethiopia. Malnourished pregnant and lactating women with low nutrient stores have babies with poor mental and physical development, increasin...

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Main Authors: Aysheshim Kassahun Belew, Tadesse Awoke, Kassahun Alemu Gelaye, Asmamaw Atnafu, Tadesse Guadu, Telake Azale, Mezigebu Yitayal, Yohannes Awoke Assefa, Rediet Getachew, Tadele Amare, Sewbesew Yitayih, Kegnie Shitu, Demeke Demilew, Endalkachew Dellie, Andualem Yalew Aschalew, Biruk Fanta, Netsanet Worku, Ermias Solomon Yalew, Yohannes Abich, Getachew Azeze, Chanyalew Worku, Alemu Kassaw Kibret, Tsegaye G/Medhin, Melkamu Tamir Hunegnaw, Endalamaw Salelew, Goshu Nenko, Hailab Fekadu, Ayenew Molla
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s40795-023-00758-1
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author Aysheshim Kassahun Belew
Tadesse Awoke
Kassahun Alemu Gelaye
Asmamaw Atnafu
Tadesse Guadu
Telake Azale
Mezigebu Yitayal
Yohannes Awoke Assefa
Rediet Getachew
Tadele Amare
Sewbesew Yitayih
Kegnie Shitu
Demeke Demilew
Endalkachew Dellie
Andualem Yalew Aschalew
Biruk Fanta
Netsanet Worku
Ermias Solomon Yalew
Yohannes Abich
Getachew Azeze
Chanyalew Worku
Alemu Kassaw Kibret
Tsegaye G/Medhin
Melkamu Tamir Hunegnaw
Endalamaw Salelew
Goshu Nenko
Hailab Fekadu
Ayenew Molla
author_facet Aysheshim Kassahun Belew
Tadesse Awoke
Kassahun Alemu Gelaye
Asmamaw Atnafu
Tadesse Guadu
Telake Azale
Mezigebu Yitayal
Yohannes Awoke Assefa
Rediet Getachew
Tadele Amare
Sewbesew Yitayih
Kegnie Shitu
Demeke Demilew
Endalkachew Dellie
Andualem Yalew Aschalew
Biruk Fanta
Netsanet Worku
Ermias Solomon Yalew
Yohannes Abich
Getachew Azeze
Chanyalew Worku
Alemu Kassaw Kibret
Tsegaye G/Medhin
Melkamu Tamir Hunegnaw
Endalamaw Salelew
Goshu Nenko
Hailab Fekadu
Ayenew Molla
author_sort Aysheshim Kassahun Belew
collection DOAJ
description Abstract Introduction Maternal malnutrition remains a major public health problem, particularly in low and middle-income countries and war-affected areas like Ethiopia. Malnourished pregnant and lactating women with low nutrient stores have babies with poor mental and physical development, increasing the risk of poor birth outcomes. Despite the fact that the majority of Ethiopian mothers are malnourished, there is little evidence in war-affected areas. Therefore, the objective of this study was to assess the prevalence of undernutrition and associated factors among pregnant and lactating mothers in the war affected area of North Gondar Zone, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from April 10 to May 25, 2022. A multistage random sampling technique was used to select 1560 pregnant and lactating mothers. MUAC was to ascertain the outcome variable. Data was entered and analyzed by using EPI INFO version 3.5.3 and SPSS version 24, respectively. A multivariable logistic regression analysis was employed to identify the factors associated with acute malnutrition. An adjusted odds ratio (AOR) with a 95% confidence interval was used to show the strength of the association, while a P-value of 0.05 was used to declare the significance of the association. Results The prevalence of acute malnutrition among pregnant and lactating women was 34.3% at the 95% CI (31.9–36.8). The age of the mothers (AOR = 0.73; 95% CI: 0.54, 0.99), family size 6–8 (AOR = 1.21; 95% CI: 1.03, 1.82), and greater than or equal to 9 family sizes (AOR = 0.44; 95% CI: 0.19, 0.97), were significantly associated with acute malnutrition. Conclusions In the current study, the prevalence of acute malnutrition among pregnant and lactating mothers is high in the study area. Mother’s age and family size were factors associated with acute malnutrition in war-affected areas. As a result, mothers with large families will require special assistance to reduce the impact of malnutrition.
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spelling doaj.art-4c7243c0aa61475984eaeae90be209812024-03-10T12:07:51ZengBMCBMC Nutrition2055-09282023-09-01911710.1186/s40795-023-00758-1Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based studyAysheshim Kassahun Belew0Tadesse Awoke1Kassahun Alemu Gelaye2Asmamaw Atnafu3Tadesse Guadu4Telake Azale5Mezigebu Yitayal6Yohannes Awoke Assefa7Rediet Getachew8Tadele Amare9Sewbesew Yitayih10Kegnie Shitu11Demeke Demilew12Endalkachew Dellie13Andualem Yalew Aschalew14Biruk Fanta15Netsanet Worku16Ermias Solomon Yalew17Yohannes Abich18Getachew Azeze19Chanyalew Worku20Alemu Kassaw Kibret21Tsegaye G/Medhin22Melkamu Tamir Hunegnaw23Endalamaw Salelew24Goshu Nenko25Hailab Fekadu26Ayenew Molla27Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of occupational therapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of occupational therapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Introduction Maternal malnutrition remains a major public health problem, particularly in low and middle-income countries and war-affected areas like Ethiopia. Malnourished pregnant and lactating women with low nutrient stores have babies with poor mental and physical development, increasing the risk of poor birth outcomes. Despite the fact that the majority of Ethiopian mothers are malnourished, there is little evidence in war-affected areas. Therefore, the objective of this study was to assess the prevalence of undernutrition and associated factors among pregnant and lactating mothers in the war affected area of North Gondar Zone, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from April 10 to May 25, 2022. A multistage random sampling technique was used to select 1560 pregnant and lactating mothers. MUAC was to ascertain the outcome variable. Data was entered and analyzed by using EPI INFO version 3.5.3 and SPSS version 24, respectively. A multivariable logistic regression analysis was employed to identify the factors associated with acute malnutrition. An adjusted odds ratio (AOR) with a 95% confidence interval was used to show the strength of the association, while a P-value of 0.05 was used to declare the significance of the association. Results The prevalence of acute malnutrition among pregnant and lactating women was 34.3% at the 95% CI (31.9–36.8). The age of the mothers (AOR = 0.73; 95% CI: 0.54, 0.99), family size 6–8 (AOR = 1.21; 95% CI: 1.03, 1.82), and greater than or equal to 9 family sizes (AOR = 0.44; 95% CI: 0.19, 0.97), were significantly associated with acute malnutrition. Conclusions In the current study, the prevalence of acute malnutrition among pregnant and lactating mothers is high in the study area. Mother’s age and family size were factors associated with acute malnutrition in war-affected areas. As a result, mothers with large families will require special assistance to reduce the impact of malnutrition.https://doi.org/10.1186/s40795-023-00758-1MalnutritionPregnant and lactating motherNorth Gondar ZoneWarEthiopia
spellingShingle Aysheshim Kassahun Belew
Tadesse Awoke
Kassahun Alemu Gelaye
Asmamaw Atnafu
Tadesse Guadu
Telake Azale
Mezigebu Yitayal
Yohannes Awoke Assefa
Rediet Getachew
Tadele Amare
Sewbesew Yitayih
Kegnie Shitu
Demeke Demilew
Endalkachew Dellie
Andualem Yalew Aschalew
Biruk Fanta
Netsanet Worku
Ermias Solomon Yalew
Yohannes Abich
Getachew Azeze
Chanyalew Worku
Alemu Kassaw Kibret
Tsegaye G/Medhin
Melkamu Tamir Hunegnaw
Endalamaw Salelew
Goshu Nenko
Hailab Fekadu
Ayenew Molla
Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
BMC Nutrition
Malnutrition
Pregnant and lactating mother
North Gondar Zone
War
Ethiopia
title Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
title_full Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
title_fullStr Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
title_full_unstemmed Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
title_short Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
title_sort determinants of malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in north gondar zone northwest ethiopia a community based study
topic Malnutrition
Pregnant and lactating mother
North Gondar Zone
War
Ethiopia
url https://doi.org/10.1186/s40795-023-00758-1
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