Assessment of acceptability of provider initiated HIV testing and counseling and associated factors among pregnant women attending antenatal care in Wolisso town BY

Abstract

Background: Undernutrition is a global health problem affecting more women in developing countries. Woman in sub-Saharan Africa, south east and south central Asia are most affected. Malnutrition causes 300,000 deaths per year and is indirectly responsible for about half of all deaths in young children. Maternal malnutrition in Ethiopia is higher than the level for any African countries. Although there are studies on maternal Undernutrition, they have not included factors like household food security status, meal pattern and dietary diversity. Objective: To assess the magnitude of Undernutrition and associated factors among pregnant women. Methods: Institution based cross sectional study was conducted from March to April, 2015 at Nigest Ellieni Mohamed General Hospital. A total of 211 pregnant women who came for ante natal care services were selected using systematic sampling methods. Data were collected using a structured interviewer administered questionnaire.Mid upper arm circumference (MUAC) was measured using adult MUAC tape. The data were edited, coded, entered into EPI data version 3.2.1, and exported to SPS for windows version 20 for analyses. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed to identify factors associated with under nutrition. P values < 0.05 were considered for declaring statistical significance. Results: All the 211 were interviewed giving response rate of 100%. On average 24.6% of the pregnant women were undernourished. On multivariable regression model, after adjusting for various variables, indepedendent predictors of under nutrition were frequency of meal consumption less than three times per day(AOR:, 2.601,95%CI: 1.036-6.535 , P=0.044 )earning a monthly income of greater than two thousand Birr per month(AOR: 0.319 95%CI: 0.113-0.903 , P= 0.002), having a dietary diversity score of less than 5(AOR:, 12.393, 95%CI 2.607-58.920:, P=0.0001 ) Conclusion and recommendations: The findings large proportions of women are undernourished in the study area. Low monthly income, low dietary diversity and inadequate meal frequency were independent predictors of under nutrition. . Enhancing intervention maternal nutrition during pregnancy focusing of diversification of diet and the importance of having additional meal during pregnancy through the health extension workers and women’s development army is essential to curb the problem of maternal malnutrition in the study area.