ResearchArticle
Prevalence of Undernutrition and Associated Factors among
Lactating Mothers of Angecha District, Kembata Tembaro Zone,
Southern Ethiopia
Moges Muluneh Boke ,
1
Aman Yesuf,
2
and Befikadu Tariku Gutema
3
1
University of Gondar School of Public Health, Gondar, Ethiopia
2
St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
3
School of Public Health, Arba Minch University, Arba Minch, Ethiopia
CorrespondenceshouldbeaddressedtoBefikaduTarikuGutema;befikadutariku2@gmail.com
Received 19 December 2020; Revised 4 April 2021; Accepted 22 April 2021; Published 27 April 2021
AcademicEditor:ElsaLamy
Copyright©2021MogesMulunehBokeetal.isisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Major reasons for malnutrition, particularly among those who live in low- and middle-income countries, are
physiologicalvulnerabilityandinadequateintake.eobjectiveofthestudywastoassesstheprevalenceofundernutritionand
associatedfactorsamonglactatingmothersofAngechaDistrict,SouthernEthiopia. Methods.Acommunity-basedcross-sectional
study was conducted among randomly selected lactating mothers in Angecha District from March to April 2017. A pretested
structured questionnaire was used to assess the prevalence of undernutrition and associated factors among lactating mothers.
Undernutritionwasdefinedasthebodymassindexoflessthan18.5kg/m
2
.Amultivariablelogisticregressionmodelwasfitted,
andtheadjustedoddsratio(AOR)ata p valuelessthan0.05wasusedtodetermineastatisticallysignificantassociationbetween
predictors and outcome variables. Result.eprevalenceofundernutritionamonglactatingmotherswas21.2%(95%CI:17.52,
25.46). e odds of undernutrition were higher among lactating mothers in the younger age group (AOR 4.12 (95% CI:
1.25–13.63),comparedto36–49yearsgroup),dietarydiversitylessthanfivefoodgroups(AOR2.4,95%CI:1.35–4.36),andnot
attendingantenatalcare(ANC)(AOR2.90(95%CI:1.43–5.86),comparedtothosewhoattendedANCfor4ormoretimes).e
oddsofundernutritionamonglactatingwomenfrom3
rd
quantilewealthindexhouseholdsreducedbynearlyhalf(AOR0.47,95%
CI: 0.23–0.98) compared to lactating mothers from 1
st
quantile wealth index households. Conclusion. Nearly one in every five
lactatingmotherswasundernourished.Age,dietarydiversityscore,ANCvisit,andwealthindexwerefoundtobetheassociated
factors of undernutrition. erefore, due attention should have to be given to increase the use of ANC.
1. Background
Nutritionhasafundamentalroleinhumanlife,health,and
development throughout the entire lifespan, and its defi-
ciency is prevalent in many countries [1, 2]. In low- and
middle-income countries, maternal and child undernutri-
tion related mortality and morbidity remain inescapable.
Undernutrition is the underlying cause of 20% of maternal
death and prevalent among lactating women in many re-
gions of the world. In most countries, maternal undernu-
trition(BMIlessthan18.5kg/m
2
)rangesfrom10%to19%
[2–4]. A serious problem of maternal undernutrition was
markedinmostSub-SaharanAfricacountries,wheretwoin
every 10 women were undernourished [5]. Similarly, a re-
portbasedonEthiopianDHS2016showedthattwoinevery
ten women suffered from undernutrition in Ethiopia [6].
Maternal nutrition is important to child survival and
development [7]. Lactating mothers’ nutritional status and
intake determine some of the nutritional components of
breastmilkandchildnutritionalstatusasevidencerevealed
thatnutrientcontent,specificallytheconcentrationsoffatty
acids, iodine, fat, vitamin A, thiamin, and cobalamin, de-
pendsoncorrespondingdietaryintakesofthesenutrientsin
the maternal diet and lactating women’s nutritional status
Hindawi
Journal of Nutrition and Metabolism
Volume 2021, Article ID 6691982, 8 pages
https://doi.org/10.1155/2021/6691982