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. 2023 Mar 10;42(1):17.
doi: 10.1186/s41043-023-00358-6.

Prevalence of undernutrition among pregnant women and its differences across relevant subgroups in rural Ethiopia: a community-based cross-sectional study

Nana Chea  1 , Yadessa Tegene  2 , Ayalew Astatkie  2 , Mark Spigt  3   4
Affiliations

Prevalence of undernutrition among pregnant women and its differences across relevant subgroups in rural Ethiopia: a community-based cross-sectional study

Nana Chea et al. J Health Popul Nutr. .

Abstract

Background: Maternal undernutrition is one of the commonest public health problems in many low- and middle-income countries where generally more than 20% of women are undernourished. It is more common in rural areas due to unclear factors. Therefore, the aim of this study was to investigate the prevalence of undernutrition in general and in subgroups and determine risk factors among pregnant women in rural Ethiopia.

Methods: A community-based cross-sectional survey was conducted from April 30 to May 30, 2019 on 550 pregnant women who were randomly selected from six districts in southern Ethiopia. Trained and experienced nurses measured undernutrition using mid-upper arm circumference and collected other data. We used multilevel mixed-effect logistic regression to identify factors associated with undernutrition among pregnant women.

Results: The prevalence of undernutrition among pregnant women was 38% (95% CI: (34.2-42.3). The odds of undernutrition was higher among women who got pregnant previously (adjusted odds ratio [AOR]: 1.66; 95% CI: 1.02-2.71), who had a history of miscarriage (AOR: 3.18; 95% CI: 1.77-5.70), who practiced food taboos (AOR: 2.23; 95% CI: 1.47-3.39), and who did not get any nutritional counseling during pregnancy (AOR: 2.97; 95% CI: 1.79- 4.95). The prevalence of undernutrition was higher among pregnant women who had multiple risk factors and the difference was statistically significant (p < 0.001).

Conclusion: Undernutrition is a highly prevalent problem among rural Ethiopian pregnant women, especially with those who avoid food, do not get counseled, and had two or more pregnancies and a history of miscarriage. Improving the integration of nutrition programs with routine healthcare services and encouraging a multi-sectorial intervention strategy would help to reduce maternal undernutrition in the country.

Keywords: Ethiopia; Food taboo; Miscarriage; Nutritional counseling; Pregnant women; Sidama; Undernutrition.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Di Cesare M, Bentham J, Stevens GA, Zhou B, Danaei G, Lu Y, et al. Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387(10026):1377–96. doi: 10.1016/S0140-6736(16)30054-X. - DOI - PMC - PubMed
    1. Plb PLB, Ack ACK, Jyl JL. Prevalence and determinants of maternal malnutrition in africa: a systematic review. ARC J Gynecol Obstet. 2020;5(1):1–12.
    1. Stiller CK, Golembiewski SKE, Golembiewski M, Mondal S, Biesalski HK, Scherbaum V. Maternal nutritional status and child feeding practices: A retrospective study in Santal communities, Birbhum District, West Bengal. India Int Breastfeed J. 2020;15(1):1–24. - PMC - PubMed
    1. Ayensu J, Annan R, Lutterodt H, Edusei A, Peng LS. Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the Ashanti region of Ghana. Plos one. 2020;15(1):e0226026. doi: 10.1371/journal.pone.0226026. - DOI - PMC - PubMed
    1. Dadi AF, Desyibelew HD. Undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia. PLoS One. 2019;14(4):1–11. doi: 10.1371/journal.pone.0215305. - DOI - PMC - PubMed

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