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

Research

Tadesse Guadu¹  Hailab Fekadu²  Ayenew Molla²  Kassahun Alemu Gelaye²  Tadesse Awoke²  Kegnie Shitu³  Telake Azale³  Andualem Yalew Aschalew⁴  Endalkachew Dellie⁴  Asmamaw Atnafu⁴  Mezigebu Yitayal⁴  Tsegaye G/Medhin⁴  Netsanet Worku⁵  Melkamu Tamir Hunegnaw⁵  Aysheshim Kassahun Belew⁵  Chanyalew Worku⁶  Alemu Kassaw Kibret⁷  Ermiyas Solomon Yallew⁷  Getachew Azeze⁷  Yohannes Abich⁷  Yohannes Awoke Assefa⁸  Rediet Getachew⁸  Goshu Nenko⁹  Biruk Fanta⁹  Endalamaw Salelew⁹  Sewbesew Yitayih⁹  Tadele Amare⁹  Demeke Demilew⁹ 

[1] Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Health system and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of occupational therapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of physiatriy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;

关键词: Malnutrition;    Pregnant and lactating mother;    North Gondar Zone;    War;    Ethiopia;   

DOI  :  10.1186/s40795-023-00758-1

 received in 2023-01-10, accepted in 2023-08-17,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionMaternal 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.MethodsA 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.ResultsThe 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.ConclusionsIn 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.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023