Background
Methods
Study design, population, and sampling technique
Data collection methods and instruments
Data quality assurance
Data management and analysis
Result
Characteristics of study participants
Characteristics | Categories | Frequency (n) | Percentage (%) |
---|---|---|---|
Sex of child | Male | 378 | 53.5 |
Female | 329 | 46.5 | |
Age of child (months) | 6–11 | 74 | 10.5 |
12–23 | 181 | 25.6 | |
24–35 | 174 | 24.6 | |
36–47 | 155 | 21.9 | |
48–59 | 123 | 17.4 | |
Child’s place of delivery | At home | 145 | 20.5 |
At health institution | 562 | 79.5 | |
Child’s birth type | Singleton | 692 | 97.9 |
Twins | 15 | 2.1 | |
Mode of delivery | CS or instrumental delivery | 73 | 10.3 |
spontaneous vaginal delivery | 634 | 89.7 | |
Pre-lacteal feeding | Yes | 58 | 8.2 |
No | 649 | 91.8 | |
Exclusive breastfeeding statusa | Exclusively breastfed | 577 | 81.6 |
Not exclusively breastfed | 130 | 18.4 | |
Breastfeeding status | Being breastfed | 301 | 42.6 |
Not being breastfed | 406 | 57.4 | |
Preceding birth intervalb | 12–24 months | 83 | 19.9 |
25–48 months | 149 | 35.6 | |
> 48 months | 186 | 44.5 | |
WHZ | Wasted | 46 | 6.5 |
Normal | 661 | 93.5 | |
HAZ | Stunted | 323 | 45.7 |
Normal | 384 | 54.3 | |
WAZ | Underweight | 111 | 15.7 |
Normal | 596 | 84.3 | |
Complementary feeding frequency | < 4 time per day | 210 | 29.7 |
4–5 times per day | 440 | 62.2 | |
> 5 time per day | 57 | 8.1 |
Parental characteristics
Characteristics | Categories | Frequency (n) | Percentage (%) |
---|---|---|---|
Maternal age(year) | < 25 | 165 | 23.3 |
25–30 | 364 | 51.5 | |
31–35 | 102 | 14.4 | |
> 35 | 76 | 10.7 | |
Maternal marital status | Married | 619 | 87.6 |
Unmarrieda | 88 | 12.4 | |
Maternal educational status | No formal education | 220 | 31.1 |
Primary education | 210 | 29.7 | |
Secondary education | 218 | 30.8 | |
Tertiary education | 59 | 8.9 | |
Maternal occupation | Housewives | 500 | 70.7 |
Government or private sector employees | 38 | 5.3 | |
Merchants | 58 | 8.2 | |
Daily laborer | 111 | 15.8 | |
Maternal BMI | Underweight | 95 | 13.4 |
Normal weight | 472 | 66.8 | |
Overweight | 140 | 19.8 | |
Paternal educational status | No formal education | 163 | 23 |
Primary education | 237 | 33.5 | |
Secondary education | 220 | 31.1 | |
Tertiary education | 87 | 12.3 | |
Paternal occupation | Government or private sector employees | 287 | 40.6 |
Merchants | 236 | 33.4 | |
Daily laborer | 184 | 26 | |
Family size | < 4 | 250 | 35.4 |
4–5 | 314 | 44.4 | |
> 5 | 143 | 20.2 | |
Number of under-five children | 1 | 565 | 79.9 |
≥2 | 142 | 20.1 | |
Family monthly income | < $60 | 162 | 22.9 |
$60–124 | 376 | 53.2 | |
> $124 | 169 | 23.9 |
Prevalence of anemia
Variable | Categories | Anemic status and severity level (n (%)) | ||||
---|---|---|---|---|---|---|
Severely anemic | Moderately anemic | Mildly anemic | Non-anemic | Overall anemia prevalence | ||
Sex of child | Male | 3 (0.8) | 38 (10.1) | 69 (18.3) | 268 (70.9) | 110 (29.1) |
Female | 2 (0.6) | 35 (10.6) | 55 (16.8) | 237 (72.0) | 92 (28.0) | |
Age of child (months) | 6–11 | 2 (2.7) | 16 (21.6) | 18 (24.3) | 38 (51.4) | 36 (48.6) |
12–23 | 1 (0.6) | 29 (16.0) | 45 (24.9) | 106 (58.8) | 75 (41.4) | |
24–35 | 1 (0.6) | 19 (10.9) | 27 (15.5) | 127 (73.0) | 47 (27.0) | |
36–47 | 1 (0.6) | 6 (3.9) | 26 (16.8) | 122 (78.7) | 33 (21.3) | |
48–59 | 0 | 3 (2.4) | 8 (6.5) | 112 (91.1) | 11 (8.9) | |
WHZ | Wasted | 0 | 6 (13.0) | 8 (17.4) | 32 (69.6) | 14 (30.4) |
Normal | 5 (0.8) | 67 (10.1) | 116 (17.5) | 473 (71.6) | 188 (28.4) | |
HAZ | Stunted | 3 (0.9) | 30 (9.3) | 60 (18.6) | 230 (71.2) | 93 (28.8) |
Normal | 2 (0.5) | 43 (11.2) | 64 (16.7) | 275 (71.6) | 109 (28.4) | |
WAZ | Underweight | 2 (1.8) | 9 (8.1) | 23 (20.7) | 77 (69.4) | 34 (30.6) |
Normal | 3 (0.5) | 64 (10.7) | 101 (16.9) | 428 (71.8) | 168 (28.2) | |
Maternal age | < 25 years | 1 (0.6) | 18 (10.9) | 41 (24.8) | 105 (63.6) | 60 (36.4) |
25–35 years | 0 | 7 (9.2) | 13 (17.1) | 56 (73.7) | 20 (26.3) | |
> 35 years | 4 (0.9) | 48 (10.3) | 70 (15.0) | 344 (73.8) | 122 (26.2) | |
Maternal education | No formal education | 2 (0.9) | 25 (11.4) | 42 (19.1) | 151 (68.6) | 69 (31.4) |
Primary education | 0 | 27 (12.9) | 44 (21.0) | 139 (66.2) | 71 (33.8) | |
Secondary and above | 3 (1.1) | 21 (7.6) | 38 (13.7) | 215 (77.6) | 62 (22.4) | |
Frequency of ANC visits | Never visited | 1 (2.1) | 9 (9.1) | 12 (25.5) | 25 (53.2) | 22 (46.8) |
1–4 times visited | 4 (0.7) | 55 (9.4) | 101 (17.2) | 428 (72.8) | 160 (27.2) | |
More than 4 times visited | 0 | 9 (12.5) | 11 (15.3) | 52 (72.2) | 20 (27.8) | |
Child’s place of delivery | At home | 1 (0.7) | 25 (17.1) | 29 (20.0) | 90 (62.1) | 55 (37.9) |
At health institution | 4 (0.7) | 48 (8.5) | 95 (16.9) | 415 (73.8) | 147 (26.2) | |
Type of child birth | Twin | 1 (6.7) | 4 (26.7) | 3 (20.0) | 7 (46.7) | 15 (53.3) |
Singleton | 4 (0.6) | 69 (10.0) | 121 (17.5) | 498 (72.0) | 194 (28.0) | |
Frequency of Complementary feeding | < 3 times per day | 1 (3.7) | 6 (22.2) | 7 (17.1) | 13 (64.8) | 14 (519) |
3–4 times per day | 3 (0.6) | 54 (10.0) | 90 (16.6) | 394 (72.8) | 147 (27.2) | |
> 4 times per day | 1 (0.7) | 13 (9.4) | 27 (19.4) | 98 (70.5) | 41 (29.5) | |
Loss of appetite | Yes | 2 (1.4) | 15 (10.7) | 34 (24.3) | 89 (63.6) | 51 (36.4) |
No | 3 (0.5) | 58 (10.2) | 90 (15.9) | 416 (73.4) | 51 (9.0) | |
Presence of morbidity symptoms | Yes | 2 (1.3) | 16 (10.5) | 38 (25.0) | 96 (63.2) | 56 (36.8) |
No | 3 (0.5) | 57 (10.3) | 86 (15.5) | 409 (73.7) | 146 (26.3) | |
Child being breastfed | Yes | 4 (1.3) | 48 (15.9) | 71 (23.6) | 178 (59.1) | 123 (40.9) |
No | 1 (0.2) | 25 (6.2) | 53 (13.1) | 327 (80.3) | 79 (19.5) | |
Presence of Diarrhea | Yes | 0 | 8 (9.6) | 23 (27.1) | 52 (62.7) | 31 (37.3) |
No | 5 (0.8) | 65 (10.4) | 101 (62.2) | 453 (72.6) | 624 (27.4) | |
Preceding birth intervala | 12–24 months | 1 (1.2) | 9 (10.8) | 16 (19.3) | 57 (68.7) | 26 (31.3) |
25–48 months | 1 (0.7) | 19 (12.8) | 24 (16.1) | 105 (70.5) | 44 (29.5) | |
> 48 months | 1 (0.5) | 16 (8.6) | 26 (14.0) | 143 (76.9) | 43 (23.1) | |
Maternal marital status | Married | 4 (0.6) | 61 (9.9) | 106 (17.1) | 448 (72.4) | 171 (27.6) |
Unmarriedc | 1 (1.1) | 12 (13.6) | 18 (20.5) | 57 (64.8) | 31 (35.2) | |
Pre-lacteal feeding | Yes | 0 | 8 (13.8) | 13 (22.4) | 37 (63.8) | 21 (36.2) |
No | 5 (0.8) | 65 (10.0) | 111 (17.1) | 468 (72.1) | 181 (27.9) | |
Number of under five children | 1 | 2 (0.4) | 58 (10.3) | 100 (17.7) | 405 (71.7) | 160 (28.3) |
≥2 | 3 (2.1) | 15 (10.6) | 24 (16.9) | 100 (70.4) | 42 (29.6) | |
Family monthly incomeb | < 108$ | 4 (0.9) | 50 (11.2) | 88 (19.7) | 304 (68.2) | 142 (31.8) |
≥ 108$ | 1 (0.4) | 23 (8.8) | 36 (13.8) | 201 (77.0) | 60 (23.0) |
Factors associated with anemia
Variable | Categories | Anemic status and severity level(n(%)) | Bivariable POM Analysis | Multivariable POM analysis | ||||
---|---|---|---|---|---|---|---|---|
Severe or moderate anemia (n(%)) | Mild anemia (n(%)) | No anemia | cPOR (95%CI) |
p-value
| aPOR (95%CI) |
p-value
| ||
Age of child (months) | 6–11 | 18 (24.3) | 18 (24.3) | 38 (51.4) | 10.20 (4.81, 21.71) | < 0.001 | 13.9 (5.5, 35.02) | < 0.001 |
12–23 | 30 (16.6) | 45 (24.9) | 106 (58.6) | 7.17 (3.56, 14.24) | < 0.001 | 8.53 (3.8, 19.18) | < 0.001 | |
24–35 | 20 (11.5) | 27 (15.5) | 127 (73.0) | 3.88 (1.92, 7.82) | < 0.001 | 4.77 (1.67, 10.04) | < 0.001 | |
36–47 | 7 (4.5) | 26 (16.8) | 122 (78.7) | 2.67 (1.29, 5.55) | 0.008 | 3.58 (1.67, 7.65) | 0.001 | |
48–59 | 3 (2.4) | 8 (6.5) | 112 (91.1) | 1.00 | 1.00 | |||
Maternal age | < 25 years | 19 (11.5) | 41 (24.8) | 105 (63.6) | 1.51 (1.04, 2.19) | 0.032 | 0.94 (0.60, 1.47) | 0.7794 |
> 35 years | 7 (9.2) | 13 (17.1) | 56 (73.7) | 0.98 (0.57, 1.69) | 0.943 | 0.92 (0.49, 1.74) | 0.806 | |
25–35 years | 52 (11.2) | 70 (15) | 344 (73.8) | 1.00 | 1.00 | |||
Maternal education | No formal education | 27 (12.3) | 42 (19.1) | 151 (68.6) | 1.57 (1.06, 2.34) | 0.025 | 1.19 (0.72, 1.96) | 0.489 |
Primary education | 27 (12.9) | 44 (21) | 139 (66.2) | 1.74 (1.17, 2.59) | 0.006 | 1.71 (1.10, 2.65) | 0.017 | |
Secondary and above | 24 (8.7) | 38 (13.7) | 215 (77.6) | 1.00 | 1.00 | |||
ANC visits | Never visited | 10 (21.3) | 12 (25.5) | 25 (53.2) | 2.23 (1.06, 4.69) | 0.035 | 1.42 (0.59, 3.39) | 0.433 |
1–4 time visited | 59 (10.0) | 101 (17.2) | 428 (72.8) | 0.94 (0.55, 1.61) | 0.831 | 0.72 (0.39, 1.31) | 0.281 | |
More than 4 times visited | 9 (12.5) | 11 (15.3) | 52 (72.2) | 1.00 | 1.00 | |||
Child’s birth place | At home | 26 (17.9) | 29 (20.0) | 90 (62.1) | 1.8 (1.23, 11.99) | 0.002 | 1.64 (1.3, 2.61) | 0.038 |
At health institution | 52 (9.3) | 95 (16.9) | 145 (73.8) | 1.00 | 1.00 | |||
Frequency of Complementary feeding | < 3 times per day | 7 (25.9) | 7 (25.9) | 13 (48.1) | 2.68 (1.22, 5.92) | 0.015 | 2.46 (1.02, 5.77) | 0.003 |
3–4 times per day | 57 (10.5) | 90 (16.9) | 394 (72.8) | 0.91 (0.61, 1.37) | 0.853 | 1.51 (0.94, 2.43) | 0.181 | |
> 4 times per day | 14 (10.1) | 27 (19.4) | 98 (70.5) | 1.00 | 1.00 | |||
Loss of appetite | Yes | 17 (12.1) | 34 (24.3) | 89 (63.6) | 1.51 (1.02, 2.20) | 0.039 | 1.14 (0.74, 1.75) | 0.554 |
No | 61 (10.8) | 90 (15.9) | 416 (73.4) | 1.00 | 1.00 | |||
Presence of morbidity symptom | Yes | 18 (11.8) | 38 (25.0) | 96 (63.2) | 1.54 (1.06, 11.60) | 0.025 | 1.46 (0.83, 2.58) | 0.191 |
No | 60 (10.8) | 86 (15.5) | 409 (73.7) | 1.00 | 1.00 | |||
Child being breastfed | Yes | 52 (17.3) | 71 (23.6) | 178 (59.1) | 2.88 (2.08, 4.01) | < 0.001 | 1.24 (0.76, 2.03) | 0.382 |
No | 26 (6.4) | 53 (13.1) | 327 (80.5) | 1.00 | 1.00 | |||
Presence of Diarrhea | Yes | 8 (9.6) | 23 (27.7) | 52 (62.7) | 1.43 (0.89, 2.30) | 0.135 | 0.64 (0.31, 1.31) | 0.222 |
No | 70 (11.2) | 101 (16.2) | 453 (72.6) | 1.00 | 1.00 | |||
Preceding birth interval | 12–24 months | 10 (12) | 16 (19.3) | 57 (68.7) | 1.04 (0.62, 1.75) | 0.882 | 1.0 (0.52, 1.92) | 0.9963 |
25–48 months | 20 (13.4) | 24 (16.1) | 105 (70.5) | 0.99 (0.65, 1.51) | 0.949 | 0.76 (0.42, 1.35) | 0.346 | |
> 48 months | 17 (9.1) | 26 (14.0) | 143 (76.9) | 0.69 (0.46, 1.05) | 0.087 | 0.71 (0.40, 1.24) | 0.231 | |
First child | 31 (10.7) | 58 (20.1) | 200 (69.1) | 1.00 | 1.00 | |||
Maternal marital status | Unmarried* | 13 (14.8) | 18 (20.5) | 57 (64.8) | 1.43 (0.90, 2.28) | 0.126 | 1.8 (1.07, 3.03) | 0.026 |
Married | 65 (10.5) | 106 (17.1) | 448 (72.4) | 1.00 | 1.00 | |||
Pre-lactal feeding | Yes | 8 (13.8) | 13 (22.4) | 37 (63.8) | 1.44 (0.83, 2.50) | 0.194 | 1.33 (0.71, 2.46) | 0.37 |
No | 70 (10.8) | 111 (17.1) | 468 (72.1) | 1.00 | 1.00 | |||
Family monthly income | <$108 | 54 (12.1) | 88 (19.7) | 308 (68.2) | 1.54 (1.09, 2.18) | 0.015 | 1.35 (0.91, 2.01) | 0.136 |
≥$108 | 24 (9.2) | 36 (13.8) | 201 (77.0) | 1.00 | 1.00 | |||
Family size | > 5 | 17 (11.9)_ | 26 (18.2) | 100 (69.9) | 0.95 (0.61, 1.47) | 0.819 | 1.51 (0.83, 2.77) | 0.179 |
4–5 | 33 (10.5) | 47 (15.0) | 234 (74.5) | 0.84 (0.53, 1.10) | 0.145 | 1.16 (0.71, 1.90) | 0.562 | |
< 4 | 28 (11.2) | 51 (20.4) | 171 (68.4) | 1.00 | 1.00 |