Co-occurrence of iron, folate, and vitamin A deficiency among pregnant women in eastern Ethiopia: a community-based study

BMC Nutrition

Research

Demiraw Bikila Gurmu¹  Feyissa Challa Waka¹  Wossene Habtu¹  Meseret Belete Fite²  Meseret Woldeyohannes³  Masresha Tessema³  Nahom Tefera Demiss³  Dawit Alemayehu³  Tahir Ahmed Hassen⁴  Kedir Teji Roba⁴  Aboma Motuma⁴  Tesfaye Assebe Yadeta⁴  Abera Kenay Tura⁵  Newas Yusuf Mamme⁶  Gemechu Asefa⁶  Tara Wilfong⁶  Lemessa Oljira⁶ 

[1]Department of National Clinical Chemistry Reference Laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

[2]Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia

[3]Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

[4]School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

[5]School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

[6]Department of Obstetrics and Gynaecology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands

[7]School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia

关键词: Co-occurrence;    Micronutrient deficiency;    Pregnant women;    Ferritin;    Retinol;    Vitamin A;    Ethiopia;   

DOI  :  10.1186/s40795-023-00724-x

 received in 2022-12-09, accepted in 2023-06-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIt is well known that the magnitude of undernutrition in Ethiopia is unacceptably high. The burden of co-occurrence of iron, folate, and vitamin A deficiency, on the other hand, has received less attention. Thus, in this study, we looked at the prevalence of iron, folate, and vitamin A deficiency in pregnant women in eastern Ethiopia.MethodsA community-based cross-sectional study was conducted among 397 pregnant women in Haramaya district, eastern Ethiopia. An interview-assisted questionnaire and blood serum were collected from pregnant women using standard techniques and shipped to an EPHI for micronutrient analysis. Factors associated with the co-occurrence of iron, folate, and vitamin A deficiency were identified using binary and multiple logistic regressions.ResultsAccording to this study, 81.6% of the participants were deficient in at least one micronutrient, and 53.53.2% were deficient in two or more. Women who did not receive iron-folic acid supplementation (AOR = 2.44; 95% CI = 1.52–3.92), did not attend Antenatal care (ANC) follow up (AOR = 2.88; 95% CI = 1.81–4.61), and reported low consumption of diversified diet (AOR = 2.18 (95% CI = 1.35–3.51) had a higher risk of co-occurrence of iron, folate, and vitamin A deficiency.ConclusionThis study found that more than half of pregnant women were in multiple micronutrients, indicating a major public health issue. In addition to the IFA supplementation programs that are already in place, there is a need for multiple micronutrient supplementation.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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