Factors associated with the low birth weight of children under five years in North Center of Burkina Faso (original) (raw)
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BMC Pregnancy and Childbirth, 2022
Background: Low birth weight (LBW) is a major factor of neonate mortality that particularly affects developing countries. However, the scarcity of data to support decision making to reduce LBW occurrence is a major obstacle in sub-Saharan Africa. The aim of this research was to determine the prevalence and associated factors of LBW at the Yako health district in a rural area of Burkina Faso. Methods: A cross sectional survey was conducted at four peripheral health centers among mothers and their newly delivered babies. The mothers' socio-demographic and obstetrical characteristics were collected by face-to-face interview or by review of antenatal care books. Maternal malaria was tested by standard microscopy and neonates' birth weights were documented. Multivariate logistic regression was used to determine factors associated with LBW. A p-value < 0.05 was considered statistically significant. Results: Of 600 neonates examined, the prevalence of low birth weight was 11.0%. Adjustment for socio-demographic characteristic, medical conditions, obstetrical history, malaria prevention measures by multivariate logistic regression found that being a primigravid mother (aOR = 1.8, [95% CI: 1.1-3.0]), the presence of malaria infection (aOR = 1.9, [95% CI: 1.1-3.5]), the uptake of less than three doses of sulfadoxine-pyrimethamine for the intermittent preventive treatment of malaria in pregnancy (IPTp-SP) (aOR = 2.2, [95% CI: 1.3-3.9]), the presence of maternal fever at the time of delivery (aOR = 2.8, [95% CI: 1.5-5.3]) and being a female neonate (aOR = 1.9, [95% CI: 1.1-3.3]) were independently associated with an increased risk of LBW occurrence. The number of antenatal visits performed by the mother during her pregnancy did not provide any direct protection for low birth weight. Conclusion: The prevalence of LBW remained high in the study area. Maternal malaria, fever and low uptake of sulfadoxine-pyrimethamine doses were significantly associated with LBW and should be adequately addressed by public health interventions.
Determinants of low birth weight in the health district of Bounkiling in Senegal
South Eastern European Journal of Public Health
Aim: Low birth weight (LBW), 9.1 million deaths per year, is a global health issue. The proportion of LBW in Senegal is estimated at 12% (in 2017) and is at 11.7% (in 2017) in the region of Sedhiou. In this regard, rigorous management is required to address this issue, especially in rural areas. The objective of the study was to identify the determinants of LBW.Methodology: This is a case-control study which has been conducted in the district of Bounkiling. Socio-demographic characteristics of the mothers, their obstetrical and medical history, and information on the health status of the newborn in the case group were compared with that of the controls. Bivariate and multivariate analyses are performed using Epi info 7 software to identify the determinants.Results: Low-weights accounted for 97.05% of LBW. The sex ratio was 0.87 in favor of girls. The Apgar score at birth was not good for 31.4% of newborns. Teenage mothers accounted for 17.08%. The multivariate analysis showed that t...
PLOS ONE, 2018
To examine the social, economic and demographic factors that determine low birth weight in the two Kassena Nankana districts of the Upper East region of Ghana. Methods Cross-sectional data was collected from January 2009 to December 2011 using the Navrongo Health and Demographic Surveillance System which monitors routine health and demographic outcomes in the study area. Data on foetal characteristics such as birth weight, and sex and maternal age, parity, maternal education, marital status, ethnicity, religious affiliation and socioeconomic characteristics were collected and described. Tests of means, proportions and Chi-squares are employed in bivariate analysis, and adjusted logistic regression models fitted to control for potential confounding variables. All tests were twosided and test of significance was set at p-value of < 0.05. Results There were 8,263 live births (44.9% females) with an overall average birth weight of 2.85 kg (2.9 kg for males and 2.8 kg for females). The average maternal age was 28 years, median parity 2, maternal literacy rate was about 70% and 83% of mothers were married. The prevalence of low birth weight was 13.8% 95%CI [13.10, 14.6] and more in female babies than in males (15.5% vs 12.2%; p<0.0001). Determinants of low birth-weight after controlling for confounding factors were sex of neonate (OR = 1.32, 95%CI [1.14,1.52]; p<0.0001), maternal age (p = 0.004), and mothers who are not married (OR = 1.44 [1.19, 1.74]; p<0.0001). Conclusion Female neonates in this population were likely to present with low birth weight and maternal factors such as younger age, lower socioeconomic status and single parenthood were
Epidemiology of Underweight among Infants in Rural Burkina Faso
The American Journal of Tropical Medicine and Hygiene, 2021
ABSTRACT. Infant undernutrition is thought to contribute to growth failure and mortality. We evaluated the patterns in underweight in a population-based sample of children aged 1–11 months in rural northwestern Burkina Faso. Data were collected during the baseline assessment of a community-randomized trial evaluating mass azithromycin distribution in Nouna District, Burkina Faso. A door-to-door census was undertaken for all households in all communities. Infants aged 1–11 months were weighed for weight-based dosing in the trial and their weights were used to calculate weight-for-age Z-scores (WAZ). Underweight was defined as WAZ ≤ 2. We evaluated the age patterns in WAZ and underweight by demographic, seasonal, and geographic characteristics. Of 7,109 infants, 6,077 had accurate weight and global positioning system (GPS) coordinate data (85.5%). Infants were a median of 6 months old (interquartile range [IQR] 3–8) and 48.4% were female. Mean WAZ was −0.68 (SD 1.6) and 19.0% were und...
Low Birth Weight and Associated Maternal Factors in Ghana
Journal of Biology, Agriculture and Healthcare, 2013
This study examines the prevalence of low birth weight (LBW) among infants and its association with maternal factors in Ghana. The study used a data set based on alongitudinal study from the fourth round Multiple Indicators Cluster Survey (MICS). This was a national survey conducted by Ghana Statistical Service (GSS) in 2011 to monitor the progress of women and children. A sample of 10,963 women within the reproductive age (15 - 49 years) across the country between 2009 and 2011 were selected for the survey. In this study, a multiple logistic regression was used to determine the relationship of maternal factors and low birth weight. The estimated LBW prevalence was 9.2% which is higher than other part of the world. Few children are weighed at birth as less than 50% of babies born in Ghana are weighed at birth.This means that the prevalence rate could be higher than the current estimate. This stands to reason that the rate still indicates a public health problem (ACC/SCN, 2000). The...
2018
Background: Low birth weight refers to new borns weighting less than 2.5 kg at birth. In November 2017, the WHO reported a global prevalence of 15.5% with 96.5% of these cases happening in developing countries. Whilst this is a global canker, the risk factors differ from locality to locality. This study aims at determining which maternal factors explains low birth weight baby delivery in the Lower Manya Krobo Municipality.Methods: The chi-square test for independence was used to test for independence. The binary logistic model is fitted for the associated factors. The receiver operating characteristic (ROC) is used to classify unbiased estimators.Results: ANC (yes β= -2.769 sig.=0.000); Alcohol (none β=-1.479 sig.=0.000, occasionally β= −2.043 sig.=0.000); Age (<20years β=0.178 sig. =0.676, 20 to 25years β= -1.487 sig.=0.000, 26 to 30 β= -0.941 sig.=0.086); Education level (None β=2.778 sig. =0.000, primary β=3.090 sig.=0.000, JHS β=1.913 sig.=0.002, SHS/Secondary β=1.951 sig.=0...
Background: Low birth weight (LBW) is the weight of an infant at birth of less than 2,500 grams. It remains a major issue of public health concern globally with a disproportionate burden on low and middle income countries that leads to fetal and neonatal mortality and morbidity, poor cognitive development and an increased risk of chronic diseases later in life. As low birth weight relates to survival, growth and wellbeing of infants throughout the life and to the investigator’s knowledge, no study has yet been done to elucidate the determinants of low birth weight in Gabiley district, Western Somaliland. Therefore, this study aimed to assess the determinants of low birth weight among babies born Gabiley General Hospital. Methods: Facility based unmatched case control study was employed from July 1 to August 31, 2022. A total of 291 participants were included in the study of which 97 were cases and 194 were controls. The data were collected using structured and pretested interviewer ...
BMC Pregnancy and Childbirth
Background: Each year, about 20 million Low Birth Weight (LBW) babies are born with very high proportion (96.5%) occuring in developing countries. In the last decade, the incidence of LBW in Ghana has not declined. Brong Ahafo Region of Ghana recorded a LBW prevalence of 11% which was higher than the the national average of 10%. This study identifed determinants of LBW delivery in the Brong Ahafo Region. Methods: We conducted a 1:2 unmatched case control study among mothers with singleton deliveries in 3 major health facilities in the Brong Ahafo Region. A case was defined as a mother who delivered a baby weighing less than 2500g in any of the three selected health facilities between 1st December, 2015 and 30th April, 2016. A control was defined as a mother who within 24 h of delivery by a case, delivered a baby weighing at least 2500g and not exceeding 3400g in the same health facility. Deliveries that met the inclusion criteria for cases were selected and two controls were randomly selected from the pool of deliveries that meet criteria for controls within 24 h of delivery of a case. A total of 120 cases and 240 control were recruited for the study. We computed odds ratios at 95% confidence level to determine the associations between low birth weight and the dependent factors. Results: After controlling for confounders such as planned pregnancy, mode of delivery, parity and previous LBW in stepwise backward logistic regression, first trimester hemoglobin < 11 g/dl (aOR 3.14; 95%CI: 1.50-6.58), delivery at 32-36 weeks gestation (aOR 13.70; 95%CI: 4.64-40.45), delivery below 32 weeks gestation (aOR 58.5; 95%CI 6.7-513.9), secondary education of mothers (aOR 4.19; 95%CI 1.45-12.07), living with extended family (aOR 2.43; 95%CI 1.15-5.10, living alone during pregnancy (aOR 3.9; 95%CI: 1.3-11.7), and not taking iron supplements during pregnancy (aOR 3.2; 95%CI: 1.1-9.5) were found to be significantly associated with LBW. Conclusion: Determinants of LBW were: preterm delivery, mothers with secondary education, living alone during pregnancy, not taking daily required iron supplementation and mothers with first trimester hemoglobin below 11 g/dl. Education during antenatal sessions should be tailored to address the identified risk factors in the mother and child health care services.
Indo Global Journal of Pharmaceutical Sciences
BACKGOUND: Reducing infant mortality is a global priority which is particularly relevant in developing countries including Ethiopia. One of the key strategies to reduce infant mortality rate and improving child health is improving birth weight; however, low birth weight is significantly higher in Ethiopia. The main aim of this study was to determine prevalence and identify associated factors of low birth weight among newborns in Gondar town, North West Ethiopia. METHODS: An institution based cross-sectional study was employed. Systematic sampling was used to select 540 study participants. A pre tested and structured questionnaire was used to collect data. The data was entered, cleaned and edited using EPI INFO version 2002 and exported to SPSS version 16.0 software packages for analysis. Both bivariate and multiple logistic regression were fitted and odds ratio and 95% CI were computed to identify associated factors and determine the strength of association. A p-value of <0.05 was considered as statistical significant. RESULT: The response rate was 100%.The mean gestational age of the newborns was 39.49±1.53 weeks. The mean age of the respondents was 25.8±5.5 years. The overall prevalence of low birth weight was 17.4%. The covariates pregnancy-induced hypertension (AOR 9.2(95%CI 3.36, 25.3)), malaria attack during pregnancy (AOR 4.9(95%CI 1.95, 12.3)), female sex newborn (AOR 2.1, (95%CI 1.18, 3.76)) and gestational age less than 37 weeks (AOR 18, 95%CI 5.8, 31.2)) were found to be significantly associated with birth weight of new born. CONCLUSION: There was a high prevalence of low birth weight in the study area. Effective treatment and preventive of malaria and pregnancy induced hypertension; prevention of preterm birth could reduce low birth weight.