Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

Low birth weight is a global public health problem having various severe and life-threatening health effects. The World Health Organization is working to reduce the prevalence of low birth weight to 30% by the year 2025. Pinpointing the determinants of low birth weight at different scenarios is cruc...

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Main Authors: Muse Bututa Bekela, Mulugeta Shegaze Shimbre, Teshale Fikadu Gebabo, Mengesha Boko Geta, Abayneh Tunje Tonga, Eshetu Andarge Zeleke, Negussie Boti Sidemo, Agegnehu Bante Getnet
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2020/4675701
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author Muse Bututa Bekela
Mulugeta Shegaze Shimbre
Teshale Fikadu Gebabo
Mengesha Boko Geta
Abayneh Tunje Tonga
Eshetu Andarge Zeleke
Negussie Boti Sidemo
Agegnehu Bante Getnet
author_facet Muse Bututa Bekela
Mulugeta Shegaze Shimbre
Teshale Fikadu Gebabo
Mengesha Boko Geta
Abayneh Tunje Tonga
Eshetu Andarge Zeleke
Negussie Boti Sidemo
Agegnehu Bante Getnet
author_sort Muse Bututa Bekela
collection DOAJ
description Low birth weight is a global public health problem having various severe and life-threatening health effects. The World Health Organization is working to reduce the prevalence of low birth weight to 30% by the year 2025. Pinpointing the determinants of low birth weight at different scenarios is crucial to reduce the rate of low birth weight in low-income countries which consist of 96.5% of global low birth weight newborns. Thus, the aim of this study was to assess determinants of low birth weight in Sidama Zone public hospitals of South Ethiopia. An institution-based case-control study was conducted from March 1 to May 5, 2019, in Sidama Zone public hospitals. Data were collected from 354 mother-neonate samples with 118 of them having newborns with birth weight<2500 g (cases) and 236 of them having birth weight≥2500 g (controls) using a pretested, interviewer-administered structured questionnaire and medical record review. The odds of being rural dweller women was 3.51 times higher among cases (low birth weight babies) than among controls (normal birth weight babies) as compared to being urban dweller women (AOR=3.51, 95% CI (1.91-6.45)). The likelihood of initiating antenatal care late was 3.22 times more among cases than among controls when compared with timely initiation of antenatal care (AOR=3.22, 95% CI (1.47-7.14)). The probability of having pregnancy-induced hypertension was 4.49 times higher among mothers of the cases than among mothers of the controls as compared to not having pregnancy-induced hypertension (AOR=4.49, 95% CI (1.94-10.38)). The odds of not taking iron and folic acid during pregnancy was 3.92 times higher among mothers of the cases than mothers of the controls when compared with taking iron and folic acid (AOR=3.92, 95% CI (1.80-8.50)). The likelihood of having Mid-Upper Arm Circumference MUAC<23 cm was 4.27 times higher among mothers of the cases than among mothers of the controls as compared to having MUAC≥23 cm (AOR=4.27, 95% CI (2.24-8.12)). The probability of having inadequate dietary diversity was 3.75 times higher among cases than among controls as compared to having adequate dietary diversity (AOR=3.75, 95% CI (1.64-8.57)). Interventions targeting the aversion of low birth weight should focus on promotion of iron-folic acid supplementation and dietary diversification through timely initiation of antenatal care.
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issn 2090-2727
2090-2735
language English
publishDate 2020-01-01
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series Journal of Pregnancy
spelling doaj-art-82d639b1ca0e4d3c879832d271c73bf22025-02-03T06:46:32ZengWileyJournal of Pregnancy2090-27272090-27352020-01-01202010.1155/2020/46757014675701Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control StudyMuse Bututa Bekela0Mulugeta Shegaze Shimbre1Teshale Fikadu Gebabo2Mengesha Boko Geta3Abayneh Tunje Tonga4Eshetu Andarge Zeleke5Negussie Boti Sidemo6Agegnehu Bante Getnet7Bona District Hospital, Bona, Sidama Zone, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, EthiopiaBona District Hospital, Bona, Sidama Zone, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, EthiopiaCollege of Medicine and Health Sciences, School of Nursing, Arba Minch University, EthiopiaLow birth weight is a global public health problem having various severe and life-threatening health effects. The World Health Organization is working to reduce the prevalence of low birth weight to 30% by the year 2025. Pinpointing the determinants of low birth weight at different scenarios is crucial to reduce the rate of low birth weight in low-income countries which consist of 96.5% of global low birth weight newborns. Thus, the aim of this study was to assess determinants of low birth weight in Sidama Zone public hospitals of South Ethiopia. An institution-based case-control study was conducted from March 1 to May 5, 2019, in Sidama Zone public hospitals. Data were collected from 354 mother-neonate samples with 118 of them having newborns with birth weight<2500 g (cases) and 236 of them having birth weight≥2500 g (controls) using a pretested, interviewer-administered structured questionnaire and medical record review. The odds of being rural dweller women was 3.51 times higher among cases (low birth weight babies) than among controls (normal birth weight babies) as compared to being urban dweller women (AOR=3.51, 95% CI (1.91-6.45)). The likelihood of initiating antenatal care late was 3.22 times more among cases than among controls when compared with timely initiation of antenatal care (AOR=3.22, 95% CI (1.47-7.14)). The probability of having pregnancy-induced hypertension was 4.49 times higher among mothers of the cases than among mothers of the controls as compared to not having pregnancy-induced hypertension (AOR=4.49, 95% CI (1.94-10.38)). The odds of not taking iron and folic acid during pregnancy was 3.92 times higher among mothers of the cases than mothers of the controls when compared with taking iron and folic acid (AOR=3.92, 95% CI (1.80-8.50)). The likelihood of having Mid-Upper Arm Circumference MUAC<23 cm was 4.27 times higher among mothers of the cases than among mothers of the controls as compared to having MUAC≥23 cm (AOR=4.27, 95% CI (2.24-8.12)). The probability of having inadequate dietary diversity was 3.75 times higher among cases than among controls as compared to having adequate dietary diversity (AOR=3.75, 95% CI (1.64-8.57)). Interventions targeting the aversion of low birth weight should focus on promotion of iron-folic acid supplementation and dietary diversification through timely initiation of antenatal care.http://dx.doi.org/10.1155/2020/4675701
spellingShingle Muse Bututa Bekela
Mulugeta Shegaze Shimbre
Teshale Fikadu Gebabo
Mengesha Boko Geta
Abayneh Tunje Tonga
Eshetu Andarge Zeleke
Negussie Boti Sidemo
Agegnehu Bante Getnet
Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
Journal of Pregnancy
title Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
title_full Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
title_fullStr Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
title_full_unstemmed Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
title_short Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study
title_sort determinants of low birth weight among newborns delivered at public hospitals in sidama zone south ethiopia unmatched case control study
url http://dx.doi.org/10.1155/2020/4675701
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