Chronic Energy Deficiency and its Associated Factors Among Lactating Women in Debre Tabor General Hospital, Northcentral Ethiopia
Journal of Family Medicine and Health Care
Volume 5, Issue 1, March 2019, Pages: 1-7
Received: Nov. 29, 2018;
Accepted: Jan. 11, 2019;
Published: Feb. 28, 2019
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Melaku Tadege Engidaw, Public Health Department, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Alemayehu Digssie Gebremariam, Public Health Department, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Sofonyas Abebaw Tiruneh, Public Health Department, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Desalegn Tesfa Asnakew, Public Health Department, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Bedilu Abebe Abate, Public Health Department, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Introduction: Maternal nutrition during pregnancy and/or lactation is a fundamental determinant of maternal and child health. So, it can halt the long-term and irreversible consequences of malnutrition. The burden of undernutrition among women and children became a significant public health problem in low and middle-income countries including Ethiopia. However, lactating mothers in these countries are one of the nutritionally vulnerable groups. There are limited studies conducted to assess the nutritional status of lactating women. So, the aim of this study was to assess the chronic energy deficiency and its associated factors among lactating mothers in Debre Tabor General Hospital, Northcentral Ethiopia. Methodology: An institutional based cross-sectional study was conducted to assess the nutritional status of 266 lactating mothers were selected by systematic random sampling from October 2017 to January 2018. The data were collected by face to face interview by using a pre-tested and structured questionnaire. The physical measurements were taken at the end of the interview. The bivariate and multivariable logistic regression were used to identify associated factors. The variables with a p-value <0.2 were used to select candidate variables for multivariable logistic regression. A p-value of ≤0.05 was used to declare statistical significance. Result: A total of 251 lactating mothers were included in the study which makes the response rate of 94.36%. The prevalence of chronic energy deficiency among lactating women was 17.9% (95% CI (13.5, 23.1)). Women’s who had daily laborer husband (AOR: 5.02, 95%CI (1.36, 18.50)), had not Post Natal Care (PNC) follow up (AOR: 6.39 95% CI (1.69, 24.13)), and ate 2 times per day (AOR: 4.87, 95% CI (1.44, 16.51)) were the contributing factors for the development of chronic energy deficiency. Conclusion: In this study, CED is a medium public health problem. The husband’s occupation, postnatal care follow up, and maternal feeding frequency were the contributing factors. Health professionals shall provide health education for pregnant and lactating women’s behavior regarding nutrition and health to improve maternal nutrition.
Melaku Tadege Engidaw,
Alemayehu Digssie Gebremariam,
Sofonyas Abebaw Tiruneh,
Desalegn Tesfa Asnakew,
Bedilu Abebe Abate,
Chronic Energy Deficiency and its Associated Factors Among Lactating Women in Debre Tabor General Hospital, Northcentral Ethiopia, Journal of Family Medicine and Health Care.
Vol. 5, No. 1,
2019, pp. 1-7.
Black, R. E., et al., Maternal and child undernutrition: global and regional exposures and health consequences. The lancet, 2008. 371 (9608): p. 243-260.
Amare, B., Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia. BMC Public Health, 2012. 12.
CSA, Ethiopia Demographic and Health Survey 2011 2012: p. 173-187.
Nutrition, D. o. H. D., Guidelines on Maternal Nutrition. South Africa: A manual for Health Care Personnel. 2008.
Asha, K. and S. Salil, Nutrient Intake of Lactating Mothers from Rural areas and urban areas. Indian J Soc Res, 1998. 39 (2).
Allen, L. H., B vitamins in breast milk: relative importance of maternal status and intake, and effects on infant status and function. Adv Nutr, 2012. 3.
Dawodu, A. and R. C. Tsang, Maternal Vitamin D Status: Effect on Milk Vitamin D Content and Vitamin D Status of Breastfeeding Infants. Advances in Nutrition, 2012. 3 (3): p. 353-361.
Jones, K. D., J. A. Berkley, and J. O. Warner, Perinatal nutrition and immunity to infection. Pediatric Allergy and Immunology, 2010. 21 (4p1): p. 564-576.
Arimond, M., Simple food group diversity indicators predict micronutrient adequacy of women's diets in 5 diverse, resource-poor settings. J Nutr, 2010. 140.
Saaka, M., Maternal dietary diversity and infant outcome of pregnant women in Northern Ghana. International Journal of Child Health and Nutrition, 2013. 1 (2): p. 148-156.
Nguyen, P. H., et al., Maternal and Child Dietary Diversity Are Associated in Bangladesh, Vietnam, and Ethiopia, 2. The Journal of nutrition, 2013. 143 (7): p. 1176-1183.
Berihun, S., G. M. Kassa, and M. Teshome, Factors associated with underweight among lactating women in Womberma woreda, Northwest Ethiopia; a cross-sectional study. BMC Nutrition, 2017. 3 (1): p. 46.
Biru, K., A. Jima, and S. Abeya, Prevalence of Chronic Energy Malnutrition and maternal health service utilizations among lactating mothers in Adama district, Oromia Region, Eastern Ethiopia. Journal of Food Processing and Technology, 2017. 8 (1).
Haileslassie, K., A. Mulugeta, and M. Girma, Feeding practices, nutritional status and associated factors of lactating women in Samre Woreda, South Eastern Zone of Tigray, Ethiopia. Nutr J, 2013. 12: p. 28.
Hundera, D., et al., Nutritional status and associated factors among lactating mothers in Nekemte Referral Hospital and Health Centers, Ethiopia. Int J Nutr Food Sci, 2015. 4 (2): p. 216-22.
Sitotaw, I. K., K. Hailesslasie, and Y. Adama, Comparison of nutritional status and associated factors of lactating women between lowland and highland communities of District Raya, Alamata, Southern Tigray, Ethiopia. BMC Nutrition, 2017. 3 (1): p. 61.
FAO and USAID, Food and Nutrition Technical Assistance III Project (FANTA). 2016: Rome.
Hoddinott, J. and Y. Yohannes, Dietary Diversity as a Food Security Indicator. 2002, Washington, D. C: Food and Nutrition Technical Assistance Project, Academy for Educational Development.
Black, R. E., Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 2013. 382.
UNICEF, Infant and Young Child feeding response. 2010.
Muller O. and Krawinkel M., Malnutrition and health in developing countries. CMAJ, 2005. 173: p. 279-286.
Alemayehu, M., A. Argaw, and G. Mariam A., Factors Associated with Malnutrition among Lactating Women in Subsistence Farming Households from Dedo and Seqa-Chekorsa Districts, Jimma Zone, 2014. iiste-developing country studies 2015. 5 (21).
Nakamori, M., Nutritional status of lactating mothers and their breast milk concentration of iron, zinc, and copper in rural Vietnam. J Nutr Sci Vitaminol (Tokyo), 2009. 55.
Haddis F., Levels, Differentials and Determinants of Malnutrition among Women in Ethiopia. Addis Ababa: School of Graduate Studies Addis Ababa University; 2008.
Hindin MJ., Women’s Autonomy, Status, and Nutrition in Zimbabwe, Zambia, and Malawi. Maryland: ORC Macro Calverton, 2005.
Girma, W. and T. Genebo, Determinants of the nutritional status of mothers and children in Ethiopia. 2002, Calverton: ORC Macro.
Khan, Y. M. and A. Khan, A study on factors influencing the nutritional status of lactating women in Jammu, Kashmir and Ladakh regions. Inter J Advancements Res Technol, 2012. 1.
Henjum, S., Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal. Public Health Nutr, 2015. 18.
Mtumwa, A. and E. Paul, Determinants of undernutrition among women of reproductive age in Tanzania mainland. South African Journal of Clinical Nutrition, 2016. 29 (2): p. 75-78.
Nguyen, P., et al., Maternal and Child Dietary Diversity Are Associated in Bangladesh, Vietnam, and Ethiopia. Community and International Nutrition, 2013. 143: p. 1176–1183.
Bain, L. E., Malnutrition in sub-Saharan Africa: burden, causes, and prospects. Pan Afr Med J, 2013. 15.