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Determinants of Child Size at Birth and Associated Maternal Factor in Gurage Zone

Gedif Mulat Alemayehu1, Ayele Gebeyehu Chernet2, Kassahun Trueha Dumga2

  • 1Department of Statistics, College of Natural and Computational Science, Injibara University, Injibara, Ethiopia.

Journal of Reproduction & Infertility
|June 6, 2020
PubMed

Insights

Low birth weight is linked to maternal education, drinking water quality, and malaria in Gurage zone. Rural, uneducated mothers, and those with poor access to antenatal care are more likely to have small babies.

Area of Science:

  • Maternal and Child Health
  • Public Health
  • Epidemiology

Background:

  • Low birth weight (LBW) is a significant public health concern in the Gurage zone, contributing to infant mortality and morbidity.
  • LBW has critical short-term and long-term health consequences for affected infants.
  • Identifying determinants of LBW is crucial for targeted interventions.

Purpose of the Study:

  • To examine and identify the key determinants of infant birth weight in the Gurage zone.
  • To provide evidence for public health strategies aimed at reducing LBW prevalence.

Main Methods:

  • A cross-sectional study involving 735,109 reproductive mothers and children under 59 months in the Gurage zone.
  • Ordinal logistic regression analysis was employed to identify factors associated with birth weight.
  • Maternal and sociodemographic variables were used as explanatory factors, with birth size as the outcome variable.

Main Results:

  • 30.1% of infants were small for gestational age, 44.4% were medium, and 25.5% were large.
  • Significant determinants included maternal education (uneducated mothers), antenatal care visits (2-3 visits), source of drinking water (non-improved), and maternal malaria infection during pregnancy.
  • Specific odds ratios and p-values highlight the statistical significance of these factors.

Conclusions:

  • Infants born to rural, uneducated mothers, those with limited antenatal care, and mothers using non-improved water sources are more likely to be small at birth.
  • Maternal malaria infection during pregnancy is a significant risk factor for LBW.
  • Interventions should focus on improving maternal education, access to clean water, antenatal care, and malaria prevention.
Abstract

Keywords:
Infant morbidityInfant mortalityProportion odds modeWeight of child at birth

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