Background Only one in five children aged below 24 months in the low-income countries feed the minimum recommended diet, and significantly varied across socio-economic classes. Though sub-saharan Africa (SSA) shares the huge burden of children under nutrition, as to our search of literature there is limited evidence on the pooled magnitude and factors associated with minimum acceptable diet (MAD) intake among children aged 6 to 23 months in the region. This study aimed to assess the pooled magnitude and associated factors of MAD intake among children aged 6–23 months in SSA using recent 2010–2020 DHS data. Methods Demographic and Health Survey datasets of SSA countries were used for this study with a total of 78,542 weighted samples. The data were cleaned using MS excel and extracted and analyzed using STATA V.16 software. A multilevel binary logistic regression model was fitted. The adjusted odds ratio (AOR) with P-value < 0.05 was taken to declare statistical significance. Results The pooled magnitude of MAD intake among children aged 6–23 months in SSA was 9.89% [95%CI: 8.57, 11.21%] ranging from 3.10% in Guinea to 20.40% in Kenya. Individual level factors such as; secondary &above women educational status [AOR = 1.41; 95%CI; 1.29, 1.53], having employed women [AOR = 1.25;95%CI;1.17,1.33], having media exposure [AOR = 1.55;95%CI;1.45,1.66], richest household wealth [AOR = 1.93; 95%CI; 1.73, 2.15], plural birth [AOR = 0.68;95%CI; 0.56, 0.82] and breastfed child [AOR = 2.04; 95%CI; 1.89, 2.21], whereas, community level factor such as rural residence [AOR = 0.74; 95%CI; 0.69, 0.79] and living in upper middle income country [AOR = 1.62; [95%CI; 1.41,1.87] were significantly associated with MAD intake. Conclusion and recommendations Minimum acceptable diet intake in SSA is relatively low. Variables such as; secondary &above maternal education, having employed mother, exposure to media, richest wealth, breast feeding child, and upper middle income country have a significant positive association, whereas having plural birth and living in rural residence have a significant negative association with MAD intake. These findings highlight that policymakers and other stakeholders had better give prior attention to empowering women, enhance household wealth status and media exposure to increase the MAD intake in the region.
Background: Migrant and seasonal farm workers are at increased risk for occupational fatalities and injuries. However, there is limited evidence about the risk of occupational injury in those who move within the country to take up work in Ethiopia, although in recent years such employment-related geographical mobility is receiving increasing attention. Therefore, this study aimed to investigate work-related injuries, illnesses and the associated risk factors among seasonal and migrant farm workers in Ethiopia.Methods: Community-based cross-sectional study design was employed from October to November 2019 among seasonal and migrant farm workers. The study was carried out in two sites of Amhara regional state, northwest Ethiopia. A cluster sampling technique was used to select 990 study participants. Bivariable and multivariable binary logistic regression analyses were performed using SPSS version 20 to identify predictors. The significance level was obtained at 95% CI and p- value ≤ 0.05.Results: In this study, the period prevalence of work-related injury among seasonal and migrant farm workers was 32.5% (95% CI: 29.7, 35.9). Above half (60.9%) of study participants have shown three or more heat-related illness symptoms. Extreme weakness (56.8%), skin rash (45.1%), headache (40.4%), profuse sweating (42.9%) and fatigue (45.1%) were the commonest heat-related symptoms reported by the seasonal and migrant farm workers. Moreover, the prevalence of work-related stress among seasonal and migrant farm workers was 67.6% (95% CI: 64.6, 70.7). Being unemployed before migration (AOR = 2.22, 95% CI: 1.26, 3.91), working for > 8 h/day (AOR = 1.62, 95% CI: 1.16, 2.27), stress (AOR = 1.38, 95% CI: 1.02, 1.88) and thermal discomfort (AOR = 1.48, 95% CI: 1.09, 1.98) were the significant risk factors for work-related injury.Conclusion: In this study, heat-related illness, work-related injury and stress among seasonal and migrant farm workers in northwest Ethiopia remain a major public health problem. Employment history, average working hours and stress were among the risk factors associated with a work-related injury. Hence, provision of ongoing safety training, personal protective equipments, improving working hours and stress management could be given attention to minimize the problem.
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