PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis
Version 1
: Received: 27 August 2024 / Approved: 28 August 2024 / Online: 29 August 2024 (07:15:14 CEST)
How to cite:
Yoseph, A.; Mussie, L.; Belayneh, M. Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis. Preprints2024, 2024082094. https://doi.org/10.20944/preprints202408.2094.v1
Yoseph, A.; Mussie, L.; Belayneh, M. Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis. Preprints 2024, 2024082094. https://doi.org/10.20944/preprints202408.2094.v1
Yoseph, A.; Mussie, L.; Belayneh, M. Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis. Preprints2024, 2024082094. https://doi.org/10.20944/preprints202408.2094.v1
APA Style
Yoseph, A., Mussie, L., & Belayneh, M. (2024). Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis. Preprints. https://doi.org/10.20944/preprints202408.2094.v1
Chicago/Turabian Style
Yoseph, A., Lakew Mussie and Mehretu Belayneh. 2024 "Individual, Household, and Community-Level Determinants of Undernutrition among Pregnant Women in the Northern Zone of the Sidama Region, Ethiopia: A Multi-level Modified Poisson Regression Analysis" Preprints. https://doi.org/10.20944/preprints202408.2094.v1
Abstract
AbstractIntroduction: In Ethiopia, maternal undernutrition is a major public health concern. However, comprehensive evidence is lacking in the southern part of Ethiopia, specifically the household and community-level related determinants of undernutrition. Besides, the evidence about the prevalence and determinants of undernutrition is not yet documented in the current study setting. Thus, this study aimed to determine the prevalence of undernutrition and identify its determinants among pregnant women in Hawela Lida district of the Sidama region, Ethiopia.Methods: A community-based cross-sectional study was conducted on a sample of 515 pregnant women from June 1–25, 2024. A multi-stage sampling method was utilized to select eligible pregnant women. We collected data using the Open Data Kit smart phone device and exported it to Stata version 17 for further processing and analysis. A multi-level mixed-effects modified Poisson regression analysis with robust variance was used to account for between and with cluster effects.Result: The prevalence of undernutrition among pregnant women was 41.7% (95% CI: 37.3–45.6). The prevalence of undernutrition was associated with planned pregnancy (adjusted prevalence ratio [APR]: 0.80; 95% CI: 0.66-0.98), household food insecurity (APR: 1.64; 95% CI: 1.26-2.13), inadequate dietary diversity (APR: 1.79; 95% CI: 1.43-2.25), and women’s poor knowledge of nutrition (APR: 1.68; 95% CI: 1.32-2.12) at individual levels. The identified determinants of undernutrition at the community level were low community literacy rates (APR: 4.62; 95% CI: 1.13–18.79) and low community wealth status (APR: 1.91; 95% CI: 1.10–3.31).Conclusion: Two in five pregnant womenhad an undernutrition problem in the study setting. Individual and community-level determinants contributed to the high prevalence of undernutrition. Thus, any prevention and control approaches to undernutrition should consider inter-sectorial collaboration to account for determinants at various levels. Besides, any program must emphasize the delivery of nutrition education about dietary diversity, particularly targeting pregnant mothers who have poor knowledge of nutrition and unplanned pregnancy at the individual level. Moreover, creating a small business reform for the community with low wealth status using agricultural extension workers must be considered.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
