Low birth weight of institutional births in Cambodia: Analysis of the Demographic and Health Surveys 2010-2014

Chhea, Chhorvann; Ir, Por; Sopheab, Heng

doi:10.1371/journal.pone.0207021

Cited by 15 publications

(19 citation statements)

References 20 publications

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“…In this study, mothers who attended primary, secondary, and higher educational levels less likely deliver SBW babies compared to illiterate mothers. This finding is consistent with a study conducted in Cambodia using DHS data, further analysis of 2011 EDHS, and cohort studies conducted in southern Ethiopia ( 27 – 29 ). Having a higher educational level had a protective effect in a way that educated women have a higher possibility of making household decisions and have access to a nutritious diet during pregnancy that would, in turn, improve their body's composition which influences infant weight.…”

Section: Discussionsupporting

confidence: 91%

Trends and Determinants of Small Birth Weight in Ethiopia: Further Analysis of Ethiopian Demographic and Health Surveys

Kebede

Belina

Biratu

2021

Ethiop J Health Sci

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BACKGROUND፡ Globally, Low Birth Weight (LBW) prevalence is estimated to be 14.6%. It is a major cause of neonatal mortality in developing countries including Ethiopia. Despite extensive institution-based studies in Ethiopia, there is no comprehensive study using countrywide data. Thus, this study aimed to investigate trends and determinants of Small Birth Weight (SBW) among under-five children in Ethiopia.METHODS: Under-five children data from 2000, 2005, 2011, and 2016 Ethiopian Demographic and Health Surveys (EDHS) were used. However, only 2787 children were weighed at birth and used for analysis in this study. Descriptive statistics and the logistic regression model were used to determine trends and determinants of SBW respectively.RESULTS: The prevalence of SBW increased from 7.0% (95% CI; 3.1-10.0) to 13.2% (95% CI; 11.4-15.0) between 2000 and 2016. The odds of SBW increased by being a female child (AOR 1.50; 95% CI [1.07-2.09]), mother’s with partner occupation of agriculture (AOR 1.54; 95% CI [1.05-2.26]) and mothers who did not know their partner’s occupation (AOR 7.35; 95% CI [1.96-27.48]). However, infants born to mothers with primary (AOR 0.43;95% CI [0.29-0.65]), secondary (AOR 0.30; 95% CI [0.16-0.55]) and higher (AOR 0.55; 95% CI [0.31-0.97]) educational status versus no education and grandmultiparous mothers (OR 0.39; 95% CI [0.19-0.78]) versus primiparous had lower odds of SBW.CONCLUSION: In Ethiopia, during the survey period, there was an increment in prevalence of SBW, and maternal related factors were significant determinants. Therefore, empowering mothers through education and improving the socioeconomic status of the household can be one strategy to reduce SBW.

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Section: Discussionsupporting

confidence: 91%

Trends and Determinants of Small Birth Weight in Ethiopia: Further Analysis of Ethiopian Demographic and Health Surveys

Kebede

Belina

Biratu

2021

Ethiop J Health Sci

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“…It is well-known that low birth weight is negatively associated with a variety of health outcomes, such as lower immune levels, a higher risk of diarrhea and undernutrition, and difficulties of catch-up in child body growth [ 28 ]. The latest national demographic and health survey in Cambodia revealed that the prevalence of low birth weight in rural areas was significantly higher than in urban areas, and that mothers with low education were more likely to give birth to low birth weight children [ 29 ]. The low literacy rate among rural Cambodian women is still a serious problem and an indicator of social and medical disadvantage; however, in recent decades, the literacy rate has been improving [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

et al. 2021

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Objectives To investigate the association between underweight and early childhood caries (ECC) among children aged one to three years in rural Cambodia. Materials and methods A total of 200 Cambodian children aged one to three years at several villages in Kampong Cham province participated in this study. The children whose Z scores were below two and three standard deviations were considered as moderately-underweight and severely-underweight. Children whose mid-upper arm circumstance (MUAC) was below 12.5 cm, were regarded as having malnutrition. ECC was recorded following the WHO guidelines. Associated factors were obtained through interviews with caregivers. Results 33.5% and 7.0% of the children were identified as being moderately-underweight and severely-underweight, respectively. The prevalence of ECC was 61.5%. ECC was significantly associated with children being moderately-underweight (P < 0.05). The prevalence of ECC was higher prevalence of those who with severely-underweight, although significant differences were not observed (P = 0.054). Logistic regressions showed that those with low birth weight (OR = 2.57; 95% CI = 1.03–6.40) and malnutrition (OR = 4.71; 95% CI = 1.08–20.62) were likely to be moderately-underweight and severely-underweight, whereas those who with ECC had more moderately-underweight, although it was not significant (OR = 2.21; 95% CI = 0.97–5.00). Those with low birth weight (OR = 10.68; 95% CI = 2.95–38.65) and ECC (OR = 6.67; 95% CI = 1.02–43.61) were likely to be severely-underweight. Conclusion The findings of this study suggest that low birth weight, malnutrition and ECC were associated factors of underweight in this population.

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“…Every year, around 20.5 million babies are born with a low birthweight (LBW: birthweight < 2500 g) worldwide, 80% of whom are born in low- and middle-income countries (LMICs) [ 1 ]. LBW babies are at higher risk of mortality during the neonatal and postnatal periods, plus childhood morbidity, including stunting, developmental delay, and adult-onset diabetes and heart disease [ 1 – 3 ]. Accurate birthweight measurement is important for the identification of individual risk (e.g.…”

Section: Introductionmentioning

confidence: 99%

Birthweight data completeness and quality in population-based surveys: EN-INDEPTH study

Biks

Blencowe

Hardy

et al. 2021

Popul Health Metrics

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Background Low birthweight (< 2500 g) is an important marker of maternal health and is associated with neonatal mortality, long-term development and chronic diseases. Household surveys remain an important source of population-based birthweight information, notably Demographic and Health Surveys (DHS) and UNICEF’s Multiple Indicator Cluster Surveys (MICS); however, data quality concerns remain. Few studies have addressed how to close these gaps in surveys. Methods The EN-INDEPTH population-based survey of 69,176 women was undertaken in five Health and Demographic Surveillance System sites (Matlab-Bangladesh, Dabat-Ethiopia, Kintampo-Ghana, Bandim-Guinea-Bissau, IgangaMayuge-Uganda). Responses to existing DHS/MICS birthweight questions on 14,411 livebirths were analysed and estimated adjusted odds ratios (aORs) associated with reporting weighing, birthweight and heaping reported. Twenty-eight focus group discussions with women and interviewers explored barriers and enablers to reporting birthweight. Results Almost all women provided responses to birthweight survey questions, taking on average 0.2 min to answer. Of all babies, 62.4% were weighed at birth, 53.8% reported birthweight and 21.1% provided health cards with recorded birthweight. High levels of heterogeneity were observed between sites. Home births and neonatal deaths were less likely to be weighed at birth (home births aOR 0.03(95%CI 0.02–0.03), neonatal deaths (aOR 0.19(95%CI 0.16–0.24)), and when weighed, actual birthweight was less likely to be known (aOR 0.44(95%CI 0.33–0.58), aOR 0.30(95%CI 0.22–0.41)) compared to facility births and post-neonatal survivors. Increased levels of maternal education were associated with increases in reporting weighing and knowing birthweight. Half of recorded birthweights were heaped on multiples of 500 g. Heaping was more common in IgangaMayuge (aOR 14.91(95%CI 11.37–19.55) and Dabat (aOR 14.25(95%CI 10.13–20.3) compared to Bandim. Recalled birthweights were more heaped than those recorded by card (aOR 2.59(95%CI 2.11–3.19)). A gap analysis showed large missed opportunity between facility birth and known birthweight, especially for neonatal deaths. Qualitative data suggested that knowing their baby’s weight was perceived as valuable by women in all sites, but lack of measurement and poor communication, alongside social perceptions and spiritual beliefs surrounding birthweight, impacted women’s ability to report birthweight. Conclusions Substantial data gaps remain for birthweight data in household surveys, even amongst facility births. Improving the accuracy and recording of birthweights, and better communication with women, for example using health cards, could improve survey birthweight data availability and quality.

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Low birth weight of institutional births in Cambodia: Analysis of the Demographic and Health Surveys 2010-2014

Cited by 15 publications

References 20 publications

Trends and Determinants of Small Birth Weight in Ethiopia: Further Analysis of Ethiopian Demographic and Health Surveys

Trends and Determinants of Small Birth Weight in Ethiopia: Further Analysis of Ethiopian Demographic and Health Surveys

Underweight and early childhood caries among young children in rural Cambodia: a pilot study

Birthweight data completeness and quality in population-based surveys: EN-INDEPTH study

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