Prevalence and Factors Associated with Low Birth Weight in Axum and Laelay Maichew Districts, North Ethiopia: A Comparative Cross Sectional Study
International Journal of Nutrition and Food Sciences
Volume 3, Issue 6, November 2014, Pages: 560-566
Received: Oct. 28, 2014;
Accepted: Nov. 12, 2014;
Published: Nov. 17, 2014
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Negassi Teklehaimanot, Tigray Health Bureau, PO. Box, 07 Mekelle, Tigray, Ethiopia
Tesfay Hailu, Department of Public Health, College of Health Sciences, Mekelle University, PO. Box, 1871 Mekelle, Ethiopia
Huruy Assefa, Department of Public Health, College of Health Sciences, Mekelle University, PO. Box, 1871 Mekelle, Ethiopia
Background: Weight at birth is a good indicator of the newborn’s chances for survival, growth, long-term health and psychosocial development. Low birth weight babies are significantly at risk of death, contributing to the high perinatal morbidity and mortality in Ethiopia. Therefore, the aimed of this study is to assess the prevalence and associated factors of Low Birth Weight in Axum and Laelay Maichew districts, Tigray, north Ethiopia. Method: An institution based comparative cross-sectional study using consecutive sampling technique was used to select a sample of 520 live birth neonates from both urban and rural districts. Data was collected from mothers’ using a structured interview questionnaire. The data were entered in to Epi-Info and analyzed on SPSS. Means and standard deviations of birth weight were calculated using the t-test. The chi-square (X2) test was computed to compare proportions of low birth weight with 95% Confidence Interval. Binary and multivariable logistic regression was used to identify the risk factors. Result: The prevalence of low birth weight was 9.9% and 6.3% in Axum and Laelay Maichew districts, respectively. In Axum district (Urban): low birth weight was associated with inadequate ANC service utilization [AOR=0.29, 95% CI:(0.12, 0.73)] and unwanted pregnancy [AOR=4.04, 95% CI:(1.17, 13.90)]. Sex of the neonate [AOR=6.08, 95% CI:(1.60, 23.07)] and pregnancy type [AOR=7.34, 95% CI:(2.050, 26.292)] were also significantly associated with low birth weight in Laelay Maichew district (rural). Conclusion and Recommendation: The prevalence of low birth weight was 9.9% and 6.3% in Axum and Laelay Maichew districts, respectively. The burden of low birth weight deliveries in these areas are associated with inadequate ANC service utilization, unwanted pregnancy and female sex of the neonate which deserve goal oriented prenatal care and choice based family planning service provision by the respective health facilities.
Prevalence and Factors Associated with Low Birth Weight in Axum and Laelay Maichew Districts, North Ethiopia: A Comparative Cross Sectional Study, International Journal of Nutrition and Food Sciences.
Vol. 3, No. 6,
2014, pp. 560-566.
UNICEF: Low Birth Weight New York, USA: United Nations Children’s Fund; 2001.
WHO: Low Birth Weight; Country, Regional and Global Estimates. Geneva, Switzerland & New York, USA: World Health Organization & United Nations Children’s Fund 2004.
Badshah S ML, McKelvie K, Payne R, Lisboa PJ. : Risk factors for low birth weight in the public hospitals at Peshawar. BMC Public Health 2008, 4(8):197.
Matsuo H.: The health consequences of low birth weight. Literature review and critique. Institut de démographie. . Available at http://1301045100/cps/ucl/doc/sped/documents/dt23pdf (Accessed on 09-10-2012).
L. PJaK: Low Birth weight. Nutrition Policy. Dhaka, Bangladesh Geneva, Switzerland: World Health Organization (Available at http://wwwunscnorg/layout/modules/resources/files/policy-paper-No 18pdf (Accessed on 28-09-2012) 2000.
Shrimpton R.: Preventing low birthweight and reduction of child mortality. Trans R Soc Trop Med Hyg 2003, 97(1):39-42.
UNICEF: A World fit for children statistical review. New York, USA: United Nations Children’s Fund 2007.
Annie E : Casey Foundation. Kids count indicator brief preventing low birth weight. Available at http://wwwaecforg/-/mediapubs/initiatives/KIDS%20countindicatorBriefPreventingLowBirthWeightpdf (Accessed on 06-10-2012) 2009.
WHO: Guide lines on optimal feeding of low birth weight infants in low and middle income countries. Geneva, Switzerland: World Health Organization 2011.
Centers for Disease Control and Prevention and World Food Programme : Measuring and Interpreting Malnutrition and Mortality. Rome, Italy. 2005.
UNICEF: Reduction of Low Birth Weight. Kathmandu, Nepal. United Nations Children’s Fund - Regional Office for South Asia 2002.
World Bank: Repositioning Nutrition as Central to Development, A Strategy for Large Scale Action. Washington DC, USA 2006.
Gebremariam A: Factors predisposing to low birth weight in Jimma Hospital, South Western Ethiopia. East African Medical Journal 2005, 82(11):554-558.
Siza JE: Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in northern Tanzania. Tanzania Journal of Health Research 2008, 10 (1):1-8.
Central statistical Agency: Ethiopia Demographic and Health Survey. Central Statistical Agency and ORC Macro 2011.
Central statistical Agency: Ethiopia Demographic and Health Survey. Central Statistical Agency and ORC Macro 2005.
Tema T: Prevalence and determinants of low birth weight in Jimma zone, southwest Ethiopia. East African Medical Journal 2006, 83(7):366-371.
Elder S: ILO school-to-work transition survey: A methodological guide. 2009. (http://www.ilo.org/wcmsp5/groups/public/@ed_emp/documents/instructionalmaterial/wcms_140859.pdf)
Jammeh, A. , Sundby, J. and Vangen, S: Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries. Open Journal of Obstetrics and Gynecology 2011, 1, 94-103.
Mduduzi N, Mbuya1M, Bernard C, Mishra V.: Biological, Social, and Environmental Determinants of Low Birth Weight and Stunting among Infants and Young Children. February 2010, 7:10-14.
Metgud CS NV, Mallapur MD: Factors affecting birth weight of a newborn. PLoS ONE 2012, 7(7): 01-04.
Fikre Enquoselassie AM: Changes in birth-weight of Hospital-delivered neonates in Addis Ababa. Ethiop J Health Dev 2000, 14(2):169–176.
Tegegne BA, FE, LY: Birth to pregnancy interval and its effect on perinatal outcomes in Addis Ababa, Ethiopia. Ethiopian Journal of Reproductive Health 2010, 4(37-51).
Nekatibeb G GMA: Analysis of birth weight in Metu Karl hospital: South West Ethiopia. Ethiop Med J 2007, 45(2):195-202.
Abdulbari Bener KMKS, Mohammad T. Yousafzai,Najah M. Saleh: Pattern of Maternal Complications and Low Birth Weight: Associated Risk Factors among Highly Endogamous Women. ISRN Obstetrics and Gynecology 2012.
Golestan M AKS, Fallah R.: Prevalence and risk factors for low birth weight in Yazd, Iran. Singapore Med J 2011, 52(10):730-3.
Mirzarahimi M. HS, Ahmad P., and Alijahan R: Prevalence and risk factors for low birth weight in Ardabil, Iran. Iranian Journal of Neonatology 2013, 4(1):18-23.
Elarab H: Epidemiological study of determinants of low birth weight in Egypt. The Egyptian Journal of Community Medicine 2011, 29(2):1-15.
Kramer MS: Determinants of low birth weight: Methodological assessment and meta-analysis. Bull World Health Organ 1987, 65(5):663-737.
Ezugwu E: Singleton low birth weight babies at a tertiary hospital in Enugu, South East Nigeria. The Internet Journal of Gynecology and Obstetrics 2010, 14(1).
Berihun Megabiaw Zeleke MZ, NM: Incidence and correlates of low birth weight at a referral hospital in Northwest Ethiopia Pan African Medical Journal 2012, 12:4.
Jayant D.; Phalke DB.; Bangal VB.; Peeyuusha D SB: Maternal risk factors for low birth weight neonates. National Journal of Community Medicine 2011, 2(3):396-7.
Eggleston E, Kotelchuck M: Unintended Pregnancy and Low Birth weight in Ecuador. 2001, 91(5):808-10.
Rafati S., Borna H., Akhavirad M., and Fallah F: Maternal determinants of giving birth to low-birth-weight neonates. Arch Iranian Med 2005, 8(4):277-281.
Shah P. BT, Ohlsson A., Beyene J., Scott F., and Frick C.: Intention to Become Pregnant and Low Birth Weight and Preterm Birth. Maternal and Child Health Journal 2011, 15(2):205-216.
Eggleston E. Unintended pregnancy and women’s use of prenatal care in Ecuador. SocSci Med. 2000, 51:1011–1018.
Elhassan M Elhassan AOA, Abderahuim D Haggaz, Magid S Abubaker and Ishag Adam: Anaemia and low birth weight in Medani, Hospital Sudan. BMC Research Notes 2010, 3(181).
Delaram MA, Alireza: Prevalence of Low Birth Weight and its Related Factors in Shahr-e-Kord J Reprod Infertil 2008, 9(3):263-270.