In Ethiopia, information is limited about energy and micronutrient intakes from complementary foo... more In Ethiopia, information is limited about energy and micronutrient intakes from complementary foods consumed by children in Productive Safety Net Program districts. Therefore, we assessed feeding practices and intakes of energy and selected micronutrients from complementary foods of children aged 6–23 months in a food insecure rural area of Ethiopia. Energy and micronutrient intakes were estimated from multiple-pass 24 h recall. Data were collected using a structured questionnaire. Only 1⋅9 % of children in the age range 6–8 months met recommended minimum dietary diversity of ≥5 food groups; this value slightly increased to 4 and 10⋅1 % in the older age groups (9–11 months and 12–23 months, respectively). Overwhelmingly, none of the children (9–11 months) did get the minimum acceptable diet (Children receiving minimum acceptable diet were 4 and 2⋅6 % in 6–8 months and 12–23 months, respectively). The overall prevalence of stunting was 34 % in younger children (6–8 months) and 51 % i...
ObjectiveThis study aims to assess the determinants of depressive symptoms among postpartum mothe... more ObjectiveThis study aims to assess the determinants of depressive symptoms among postpartum mothers.DesignA community-based cross-sectional study was conducted.SettingTen randomly selected rural kebeles of Meket district of Ethiopia.ParticipantsA random sample of 232 mothers with infants 5–10 months was included in this study.Data analysisForward multivariable logistic regression analysis.ResultsThe factors significantly associated with increased odds of maternal postpartum depressive symptoms were: moderate (adjusted OR (AOR) 4.44, 95% CI 1.34 to 14.72) and severe (AOR 12.98, 95% CI 5.24 to 32.14) household food insecurity; infant underweight (AOR 2.99, 95% CI: 1.21 to 7.37) and infant acute respiratory infection (ARI) (AOR 7.0, 95% CI: 3.09 to 15.99). Maternal education, workload and age, household socioeconomic status, distance to the health facility, and child stunting, diarrhoea and fever were not significantly associated with postpartum depressive symptoms in adjusted logistic...
Background Food cravings is a strong and intense urge to consume a specific food and reported as ... more Background Food cravings is a strong and intense urge to consume a specific food and reported as being associated with overweight and overall caloric intake in pregnant women. However, the nutritional and anthropometric consequences are not well recognized. Therefore, this study aimed to assess magnitude and effects of food cravings on nutritional status of pregnant women in Southern Ethiopia. Methods A community-based cross-sectional study conducted among 586 randomly selected pregnant mothers at Sidama Regional State from June 1–20, 2019. Pre-tested and semistructured face-to-face interview questionnaires used to collect the data. The data were cleaned, coded, and entered into Epi Data version 3.1 and analysed using SPSS IBM version 20. The bi-variable and multivariable logistic regression used to identify the possible factors of food cravings. Principal component analysis used to determine the wealth status of the study participants. Adjusted Odds Ratio (AOR) together with 95% Co...
Background Despite high prevalence, food aversions are closely linked to the dietary intake of pr... more Background Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Regional state, Southern Ethiopia, 2019. Methods A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1–20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a conte...
<p>Mixed = <i>co—infection with one or more intestinal parasites</i>, <i>... more <p>Mixed = <i>co—infection with one or more intestinal parasites</i>, <i>other = Taenia species and Trichuris trichuria</i>.</p
<p>Dietary practice and level of food security among pregnant women in Lemo district, South... more <p>Dietary practice and level of food security among pregnant women in Lemo district, Southern Ethiopia, 2015 (n = 504).</p
ABSTRACTBackgroundChild undernutrition is a major public health problem in Ethiopia. Stunting is ... more ABSTRACTBackgroundChild undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions.ObjectivesThis study aimed to identify key factors contributing to undernutrition among 6- to 23-mo-old children.MethodsA community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother–child dyads. Bivariate and multivariate logistic regression analyses were conducted.ResultsThe prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12–23 mo (vs 6–11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food.Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utilizatio...
Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor ... more Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor health and economic losses. Ethiopia has one of the highest child undernutrition rates in the world that occurs to multifaceted factors, including food insecurity. Thus, we performed a cross-sectional study to assess the prevalence and risk factors for child undernutrition in largely food insecure areas of Ethiopia. Data were collected from 354 mother–child pairs from the Siraro district. Both bivariate and multivariate logistic regression was used for statistical analysis. Variables with a P-value of <0⋅05 in multivariate analysis were used to detect statistical significance at a 95 % confidence level. About 67 % of households are food insecure. The prevalence of stunting wasting and underweight were 42⋅7, 9⋅9 and 27⋅7 %, respectively. Female gender, higher age of the child (12–23 months v. 6–11 months), living in a household with five or more siblings, not getting therapeutic zinc s...
Background: In Ethiopia, open defecation is a wide spread practice and this practice facilitates ... more Background: In Ethiopia, open defecation is a wide spread practice and this practice facilitates the transmission of infections. The main purpose of this study is to test the application of the Positive deviance (PD) approach on solving open defecation practice of the community. The approach uses solutions that already exist in the community to bring about sustainable behavioral and social change. Objective: Primarily aimed to achieve better sanitation and Sustainable Open-Defecation Free (ODF) villages in DFSA targeted areas of Amahara and Oromia region. Method: This study used Positive Deviance (PD) approach to understand and describe its application as a strategy to increases sustainable ODF villages in DFSA targeted areas of Amhara and Oromia regions. It used the three steps of the positive deviance methodology and utilized a purposive sampling method in selecting key informants, position and significance of individuals in society and involvement in other past health programs. F...
Child undernutrition is widespread in low- and middle-income countries and is linked with weakene... more Child undernutrition is widespread in low- and middle-income countries and is linked with weakened immunity and increased risks of morbidity and mortality. Ethiopia has made a marked reduction in stunting, but there has, however, been little progress in wasting reduction and limited evidence in food insecure areas may hamper the design of effective interventions. Therefore, the aim of the present study was to determine the contributing factors to persistent high prevalence of wasting among 6–59-month-old children. A community-based cross-sectional study was employed in February to March 2020, and included 384 mother–child pairs. Data were collected using a structured interviewer-administered questionnaire. Bivariate and multivariable logistic regression analyses were conducted. The overall prevalence of wasting was 12⋅8 % (95 % CI 9⋅1, 16⋅1); with 5⋅8 % severely wasted. Factors significantly associated with wasting were child age 6–23 (v. 24–59 months), delayed initiation of breast-...
Background Despite high prevalence, food aversions are closely linked to the dietary intake of pr... more Background Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Regional state, Southern Ethiopia, 2019. Methods A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1–20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a conte...
Background: Child undernutrition is a major public health problem in Ethiopia. Stunting is highes... more Background: Child undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions. Objectives: This study aimed to identify key factors contributing to undernutrition among 6-to 23-mo-old children. Methods: A community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother-child dyads. Bivariate and multivariate logistic regression analyses were conducted. Results: The prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12-23 mo (vs 6-11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food. Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utiliza...
Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor ... more Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor health and economic losses. Ethiopia has one of the highest child undernutrition rates in the world that occurs to multifaceted factors, including food insecurity. Thus, we performed a cross-sectional study to assess the prevalence and risk factors for child undernutrition in largely food insecure areas of Ethiopia. Data were collected from 354 mother-child pairs from the Siraro district. Both bivariate and multivariate logistic regression was used for statistical analysis. Variables with a P-value of <0⋅05 in multivariate analysis were used to detect statistical significance at a 95 % confidence level. About 67 % of households are food insecure. The prevalence of stunting wasting and underweight were 42⋅7, 9⋅9 and 27⋅7 %, respectively. Female gender, higher age of the child (12-23 months v. 6-11 months), living in a household with five or more siblings, not getting therapeutic zinc supplement at least once, inadequate diet diversity, lack of growth monitoring service, and maternal own income increases the likelihood of child undernutrition. It can be concluded that child undernutrition is a severe public health problem in the study area. Improving primary healthcare services related to zinc supplementation, growth monitoring and promotion, and improving infant and child feeding practices can be considered as a strategy to address the problem.
In Ethiopia, information is limited about energy and micronutrient intakes from complementary foo... more In Ethiopia, information is limited about energy and micronutrient intakes from complementary foods consumed by children in Productive Safety Net Program districts. Therefore, we assessed feeding practices and intakes of energy and selected micronutrients from complementary foods of children aged 6–23 months in a food insecure rural area of Ethiopia. Energy and micronutrient intakes were estimated from multiple-pass 24 h recall. Data were collected using a structured questionnaire. Only 1⋅9 % of children in the age range 6–8 months met recommended minimum dietary diversity of ≥5 food groups; this value slightly increased to 4 and 10⋅1 % in the older age groups (9–11 months and 12–23 months, respectively). Overwhelmingly, none of the children (9–11 months) did get the minimum acceptable diet (Children receiving minimum acceptable diet were 4 and 2⋅6 % in 6–8 months and 12–23 months, respectively). The overall prevalence of stunting was 34 % in younger children (6–8 months) and 51 % i...
ObjectiveThis study aims to assess the determinants of depressive symptoms among postpartum mothe... more ObjectiveThis study aims to assess the determinants of depressive symptoms among postpartum mothers.DesignA community-based cross-sectional study was conducted.SettingTen randomly selected rural kebeles of Meket district of Ethiopia.ParticipantsA random sample of 232 mothers with infants 5–10 months was included in this study.Data analysisForward multivariable logistic regression analysis.ResultsThe factors significantly associated with increased odds of maternal postpartum depressive symptoms were: moderate (adjusted OR (AOR) 4.44, 95% CI 1.34 to 14.72) and severe (AOR 12.98, 95% CI 5.24 to 32.14) household food insecurity; infant underweight (AOR 2.99, 95% CI: 1.21 to 7.37) and infant acute respiratory infection (ARI) (AOR 7.0, 95% CI: 3.09 to 15.99). Maternal education, workload and age, household socioeconomic status, distance to the health facility, and child stunting, diarrhoea and fever were not significantly associated with postpartum depressive symptoms in adjusted logistic...
Background Food cravings is a strong and intense urge to consume a specific food and reported as ... more Background Food cravings is a strong and intense urge to consume a specific food and reported as being associated with overweight and overall caloric intake in pregnant women. However, the nutritional and anthropometric consequences are not well recognized. Therefore, this study aimed to assess magnitude and effects of food cravings on nutritional status of pregnant women in Southern Ethiopia. Methods A community-based cross-sectional study conducted among 586 randomly selected pregnant mothers at Sidama Regional State from June 1–20, 2019. Pre-tested and semistructured face-to-face interview questionnaires used to collect the data. The data were cleaned, coded, and entered into Epi Data version 3.1 and analysed using SPSS IBM version 20. The bi-variable and multivariable logistic regression used to identify the possible factors of food cravings. Principal component analysis used to determine the wealth status of the study participants. Adjusted Odds Ratio (AOR) together with 95% Co...
Background Despite high prevalence, food aversions are closely linked to the dietary intake of pr... more Background Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Regional state, Southern Ethiopia, 2019. Methods A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1–20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a conte...
<p>Mixed = <i>co—infection with one or more intestinal parasites</i>, <i>... more <p>Mixed = <i>co—infection with one or more intestinal parasites</i>, <i>other = Taenia species and Trichuris trichuria</i>.</p
<p>Dietary practice and level of food security among pregnant women in Lemo district, South... more <p>Dietary practice and level of food security among pregnant women in Lemo district, Southern Ethiopia, 2015 (n = 504).</p
ABSTRACTBackgroundChild undernutrition is a major public health problem in Ethiopia. Stunting is ... more ABSTRACTBackgroundChild undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions.ObjectivesThis study aimed to identify key factors contributing to undernutrition among 6- to 23-mo-old children.MethodsA community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother–child dyads. Bivariate and multivariate logistic regression analyses were conducted.ResultsThe prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12–23 mo (vs 6–11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food.Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utilizatio...
Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor ... more Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor health and economic losses. Ethiopia has one of the highest child undernutrition rates in the world that occurs to multifaceted factors, including food insecurity. Thus, we performed a cross-sectional study to assess the prevalence and risk factors for child undernutrition in largely food insecure areas of Ethiopia. Data were collected from 354 mother–child pairs from the Siraro district. Both bivariate and multivariate logistic regression was used for statistical analysis. Variables with a P-value of <0⋅05 in multivariate analysis were used to detect statistical significance at a 95 % confidence level. About 67 % of households are food insecure. The prevalence of stunting wasting and underweight were 42⋅7, 9⋅9 and 27⋅7 %, respectively. Female gender, higher age of the child (12–23 months v. 6–11 months), living in a household with five or more siblings, not getting therapeutic zinc s...
Background: In Ethiopia, open defecation is a wide spread practice and this practice facilitates ... more Background: In Ethiopia, open defecation is a wide spread practice and this practice facilitates the transmission of infections. The main purpose of this study is to test the application of the Positive deviance (PD) approach on solving open defecation practice of the community. The approach uses solutions that already exist in the community to bring about sustainable behavioral and social change. Objective: Primarily aimed to achieve better sanitation and Sustainable Open-Defecation Free (ODF) villages in DFSA targeted areas of Amahara and Oromia region. Method: This study used Positive Deviance (PD) approach to understand and describe its application as a strategy to increases sustainable ODF villages in DFSA targeted areas of Amhara and Oromia regions. It used the three steps of the positive deviance methodology and utilized a purposive sampling method in selecting key informants, position and significance of individuals in society and involvement in other past health programs. F...
Child undernutrition is widespread in low- and middle-income countries and is linked with weakene... more Child undernutrition is widespread in low- and middle-income countries and is linked with weakened immunity and increased risks of morbidity and mortality. Ethiopia has made a marked reduction in stunting, but there has, however, been little progress in wasting reduction and limited evidence in food insecure areas may hamper the design of effective interventions. Therefore, the aim of the present study was to determine the contributing factors to persistent high prevalence of wasting among 6–59-month-old children. A community-based cross-sectional study was employed in February to March 2020, and included 384 mother–child pairs. Data were collected using a structured interviewer-administered questionnaire. Bivariate and multivariable logistic regression analyses were conducted. The overall prevalence of wasting was 12⋅8 % (95 % CI 9⋅1, 16⋅1); with 5⋅8 % severely wasted. Factors significantly associated with wasting were child age 6–23 (v. 24–59 months), delayed initiation of breast-...
Background Despite high prevalence, food aversions are closely linked to the dietary intake of pr... more Background Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Regional state, Southern Ethiopia, 2019. Methods A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1–20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a conte...
Background: Child undernutrition is a major public health problem in Ethiopia. Stunting is highes... more Background: Child undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions. Objectives: This study aimed to identify key factors contributing to undernutrition among 6-to 23-mo-old children. Methods: A community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother-child dyads. Bivariate and multivariate logistic regression analyses were conducted. Results: The prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12-23 mo (vs 6-11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food. Conclusions: Our findings support the need to emphasize appropriate child feeding practices and iodized salt utiliza...
Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor ... more Child malnutrition is the leading public health problem in Sub-Saharan Africa, resulting in poor health and economic losses. Ethiopia has one of the highest child undernutrition rates in the world that occurs to multifaceted factors, including food insecurity. Thus, we performed a cross-sectional study to assess the prevalence and risk factors for child undernutrition in largely food insecure areas of Ethiopia. Data were collected from 354 mother-child pairs from the Siraro district. Both bivariate and multivariate logistic regression was used for statistical analysis. Variables with a P-value of <0⋅05 in multivariate analysis were used to detect statistical significance at a 95 % confidence level. About 67 % of households are food insecure. The prevalence of stunting wasting and underweight were 42⋅7, 9⋅9 and 27⋅7 %, respectively. Female gender, higher age of the child (12-23 months v. 6-11 months), living in a household with five or more siblings, not getting therapeutic zinc supplement at least once, inadequate diet diversity, lack of growth monitoring service, and maternal own income increases the likelihood of child undernutrition. It can be concluded that child undernutrition is a severe public health problem in the study area. Improving primary healthcare services related to zinc supplementation, growth monitoring and promotion, and improving infant and child feeding practices can be considered as a strategy to address the problem.
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