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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Wealth status, mid upper arm circumference (MUAC) and antenatal care (ANC) are determinants for low birth weight in
Nega Assefa1, Yemane Berhane, Alemayehu Worku
1College of Health Science, Haramaya University, Harar, Ethiopia. negaassefa@yahoo.com
Insights
Low birth weight (LBW) affects 28.3% of newborns in rural Ethiopia, linked to poverty and poor maternal health access. Interventions should focus on improving maternal healthcare and community support to reduce LBW incidence.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Low Birth Weight (LBW) is a critical risk factor for infant mortality globally.
- Predictors of LBW in sub-Saharan Africa remain under-researched, necessitating localized studies.
- This study addresses the knowledge gap by investigating LBW incidence and determinants in rural Ethiopia.
Purpose of the Study:
- To determine the incidence of Low Birth Weight (LBW) in a rural Ethiopian population.
- To identify key socio-demographic, economic, maternal, and organizational factors associated with LBW.
- To inform targeted interventions for LBW prevention in the region.
Main Methods:
- An observational cohort study was conducted with pregnant women from December 2009 to November 2010.
- Birth weights of 956 infants were measured within 24 hours, with LBW defined as <2500g.
- Logistic regression analysis was employed to identify significant predictors of LBW.
Main Results:
- The incidence of LBW was found to be 28.3% in the study population.
- Significant predictors of LBW included poverty, maternal Mid Upper Arm Circumference (MUAC) <23 cm, and not attending antenatal care (ANC).
- Other significant factors were maternal experience of physical violence during pregnancy and longer travel time to health facilities.
Conclusions:
- The high incidence of LBW in Kersa highlights critical maternal health challenges.
- Poverty, undernutrition, violence during pregnancy, and limited access to healthcare significantly increase LBW risk.
- Improving maternal healthcare access and community engagement are crucial for reducing LBW rates.
Background:
Low Birth Weight (LBW) is one of the major risk factor for death in early life. However, little is known about predictors of LBW in sub-Saharan Africa. Therefore, the aim of this study was to measure the incidence and determinants of LBW in a rural population of Ethiopia.
Methods:
An observational cohort study on pregnant women was conducted from December 2009 to November 2010. During the study period 1295 live birth were registered and the weights of 956 children were measured within 24 hours after birth. Socio-demographic, economic, maternal and organizational factors were considered as a predicators of LBW, defined as birth weight below 2500g. Logistic regression was used to analyze the data, odds ratio (OR) and confidence intervals (CI) are reported.
Result:
The incidence of LBW was 28.3%. It is significantly associated with poverty [OR 2.1; 95% CI: 1.42, 3.05], maternal Mid Upper Arm Circumference (MUAC) less than 23 cm [OR 1.6; 95% CI: 1.19, 2.19], not attending ANC [OR 1.6; 95% CI: 1.12, 2.28], mother's experience of physical violence during pregnancy [OR 1.7; 95% CI: 1.12, 2.48], and longer time to walk to health facility [OR 1.6; 95% CI: 1.11, 2.40].
Conclusion And Recommendation:
The incidence of LBW was high in Kersa. Babies born to women who were poor, undernourished, experienced physical violence during pregnancy and who had poor access to health services were more likely to be LBW in this part of the country. In this largely poor community where ANC coverage is low, to reduce the incidence of LBW, it is essential to improve access for maternal health care. The involvement of husbands and the community at large to seek collective action on LBW is essential.
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