Determinants of under-nutrition among women of reproductive age in Sindh, Pakistan: Findings from Pakistan Demographic and Health Survey, 2012-2013

Ali, Sumera Aziz; Ali, Savera Aziz; Razzaq, Shama; Tikmani, Shiyam Sunder; Allana, Ahreen; Rizvi, Narjis; Saleem, Sarah

doi:10.18332/popmed/125364

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…The study also indicated odds of acute undernutrition were higher among pregnant women who used substances compared to those who did not use the substances. This finding was supported by the studies conducted in eastern Ethiopia ( Kedir, Berhane & Worku, 2013 ), southwest Ethiopia ( Shiferaw & Husein, 2019 ), and the study conducted in Pakistan ( Ali et al, 2020 ). This could be due to the biological fact that substances use causes poor appetite and gastritis which leads to low food consumption and poor nutrient absorption.…”

Section: Discussionsupporting

confidence: 53%

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Adem

Usso

Jarso

et al. 2023

PeerJ

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Background Women’s undernutrition during pregnancy increases the risks and burdens of maternal and neonatal morbidity, death, and disability through its vicious cycles of irreversible intergenerational negative effects. Despite the high burden of maternal undernutrition during pregnancy in semi-pastoral communities of eastern Ethiopia, there is a paucity of information on its major risk factors. This study revealed determinants of acute undernutrition among pregnant women attending primary healthcare units in Chinaksen district in rural eastern Ethiopia. Method A facility-based case-control study was conducted among 113 cases and 113 controls in Chinaksen district from February 01 to March 30, 2017. Data were entered using EpiData version 3.1 and analyzed using SPSS version 24. Multivariable logistic regression analyses conducted to identify significant determinants of acute undernutrition. Adjusted odds ratio (AOR) with a 95% confidence interval was used to report the strength of association and statistical significance declared at p value < 0.05. Results Sixty (53.1%) of cases and 56 (49.6%) of controls were in the age group of 25-34 years and their mean ± SD age of cases and controls were 26.6 ± 5.7 and 28 ± 5.5 years, respectively. In this study, larger family size (AOR = 6.98, 95 CI [2.82–17.27]), lack of prenatal dietary advice (AOR = 3.68, 95% CI [1.67–8.00]), did not participate in a cooking demonstration (AOR = 5.41, 95% CI [2.39–12.24]), used substances (AOR = 3.65, 95% CI [1.30–10.23]), absence of basic latrine (AOR = 2.91, 95% CI [1.28–6.58]), low minimum dietary diversity of women (AOR = 2.48, 95% CI [1.20–5.12]), and household food insecurity (AOR = 3.06, 95% CI [1.44–6.51]) were significantly increased the odds of acute undernutrition among pregnant women. Conclusions The study revealed that living in crowded families, lack prenatal dietary advice, did not participate in cooking demonstrations, substances use; lack of toilet, low minimum dietary diversity, and household food insecurity were significant risk factors for acute undernutrition among pregnant women. Strengthening multi-sectoral approaches through improving dietary diversity/quality and food access/quantity would be essential to prevent, and reduce the risks, burdens, and impacts of maternal undernutrition during pregnancy.

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Section: Discussionsupporting

confidence: 53%

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Adem

Usso

Jarso

et al. 2023

PeerJ

View full text Add to dashboard Cite

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“…The study also indicated, the pregnant women who using substance were more likely undernutrition than non using women. This nding was supported by the studies conducted in eastern Ethiopia (Kedir et al, 2013), south west Ethiopia (Shiferaw & Husein, 2019) and the study conducted in Pakistan (Ali et al, 2020). This possible might be due to biological fact that, women who using substances have a poor appetite.…”

Section: Discussionmentioning

confidence: 60%

Determinants of Acute Undernutrition among Pregnant Women attending Primary Healthcare Unit in Chinaksen District, Eastern Ethiopia: a case-control study

Adem

Usso

Jarso

et al. 2022

Preprint

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Background Poor nutritional status of women during prenatal and pregnancy increases the risk of maternal mortality and neonatal birth outcome complication. It is important to identifying factors affecting maternal undernutrition during pregnancy and evidence answering major determinant factors was limited in Ethiopia. This study was assessed to determinants of acute undernutrition among pregnant women attending primary health care unit in Chinaksen district, eastern Ethiopia. Method a facility-based case-control study was conducted on 226 (113 cases and 113 controls) pregnant women attended primary healthcare units in Chinaksen district from February 01 to March 30, 2017. Data entered using EpiData 3.1 and analyzed using SPSS version 24. Bivariable and multivariable logistic regression analyses applied to identify determinant factors acute undernutrition. A p value < 0.05 was considered to be declare statistically significant. Result women living in large family size (AOR = 6.98, 95 CI: 2.82, 17.27), low minimum dietary diversity for women (AOR = 2.48, 95% CI: 1.20, 5.12), house hold food insecure (AOR = 3.06, 95% CI: 1.44, 6.51), not advised prenatal dietary diversity (AOR = 3.68, 95% CI: 1.67, 8.00), not participated on cooking food demonstration (AOR = 5.41, 95% CI: 2.39, 12.24), using substance (AOR = 3.65, 95% CI: 1.30, 10.23) and have not basic latrine (AOR = 2.91, 95% CI: 1.28, 6.58) were found to be statistically significant factor with acute undernutrition among pregnant women. Conclusions The study revealed main determinants of acute undernutrition among pregnant women. Large family size, low minimum dietary diversity, house hold food insecurity, not advised prenatal dietary diversity, not participation on cooking food demonstration, substance use and have not basic latrine were a basic determinant of acute undernutrition among pregnant women. Multi-sector approach is required to deal with acute undernutrition among pregnant women and improving minimum dietary diversity food and ensuring household food security is essential in improving maternal nutrition.

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“…8 This vicious cycle can be broken by strategies improving women's nutrition, literacy and empowerment. 1 Several studies have been done on malnourished children but very few studies on maternal malnutrition 18,19 , so in this study to find the nutritional Status of child of well-nourished mother vs malnourished mother.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status of Child of Well-Nourished Mother Vs Malnourished Mother

Masood¹,

Masood²,

Farooq³

et al. 2022

PJMHS

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Background: The nutritional status of children is a good predictor of the community's overall nutritional profile. The nutritional requirements of women before conception, during pregnancy, and during breastfeeding are referred to as maternal nutrition. Globally, 165 million children under the five years are malnourished. It accounts for at least half of all the childhood deaths worldwide. Objective: To find the nutritional status of child of well-nourished mother vs. malnourished mothers Methodology: This comparative1observational study was conducted at Pediatrics Department, Masood Hospital & The Children Complex, Rahim Yar Khan. The study included 294 mothers of children aged 6 to 59 months who were both well-nourished and malnourished. Both mothers of children who were well-nourished when they were admitted to the ward and mothers of children who were malnourished when they were admitted to the NSC were included. Mothers' Body Mass Index (BMI) was assessed, and children's MUAC was obtained. The information was gathered using a designed questionnaire that asked about the mother's age, BMI, the children's age and gender, MUAC.Data was entered in SPSS V 25. Result: Total 294 children were included. Among1them 158(53.7%) mothers malnourished children & 136(46.3%) mothers of well-nourished children. The mean age of children was 2.50 + 0.98. There were 129(43.9%) male children and 165(56.1%) female children. Out of malnourished children, there were 31(19.6%) mildly undеr-wеіght, 9(5.7%) moderately undеr wеіght & 3(1.9%) were severely underweight. Furthermore, 134 mothers1of well-nоurіshеd children, 55(40.4%) mildly1undеrwеіght, 40(30.9%) moderately1undеrwеіght & 27(19.9%) were severely1underweight. There were 145 mothers had normal Hb and 149 mother’s anemic. Practical Implication: The purpose of this research was to determine if there is a correlation between children malnutrition and the health of their mothers. The findings of this study may aid in bringing the attention of the entire family, and notably the mothers, to the treatment of children suffering from severe acute malnutrition. Children can be protected from developing malnutrition through early diagnosis and treatment. Conclusion: Findings of our study showed that many children having history of mother malnutrition were undernourished. Study concluded that malnutrition was not problem of only mothers; it was also a big problem for children as well as whole family. In addition to caring for the malnourished child who has been admitted, the underlying causes of malnutrition must be identified and addressed if the problem is to be resolved for the entire family. Keywords: Body Mass Index, Nutritional Assessment, Malnutrition, Well-nourished

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Determinants of under-nutrition among women of reproductive age in Sindh, Pakistan: Findings from Pakistan Demographic and Health Survey, 2012-2013

Cited by 5 publications

References 19 publications

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Determinants of acute undernutrition among pregnant women attending primary healthcare unit in Chinaksen District, Eastern Ethiopia: a case-control study

Determinants of Acute Undernutrition among Pregnant Women attending Primary Healthcare Unit in Chinaksen District, Eastern Ethiopia: a case-control study

Nutritional Status of Child of Well-Nourished Mother Vs Malnourished Mother

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