Introduction
Methods
Study design, data source, and setting
Population and sampling procedure
Study variables
Outcome variable
Explanatory variables
Data management and analysis
Results
Individual level background characteristics of respondents
Children given iron rich food | ||||
---|---|---|---|---|
Variables | No | Yes | Total | Weighted |
% | % | % | Frequency | |
Household wealth-index | ||||
Poor | 20.84 | 24.49 | 45.33 | 1,189 |
Middle | 9.19 | 11.15 | 20.34 | 533 |
Rich | 16.59 | 17.74 | 34.33 | 900 |
Household family size | ||||
Greater than 5 | 27.91 | 33.58 | 61.49 | 1,612 |
Less than or equal to five | 18.7 | 19.8 | 38.51 | 1,010 |
Sex of household head | ||||
Male | 35.42 | 41.12 | 76.54 | 2,007 |
Female | 11.2 | 12.26 | 23.46 | 615 |
Mother age in Year | ||||
15–19 | 4.93 | 4.99 | 9.92 | 260 |
20–34 | 31.15 | 37.1 | 68.25 | 1,790 |
35–49 | 10.54 | 11.29 | 21.83 | 572 |
Occupation status | ||||
Not working | 10.49 | 9.69 | 20.18 | 529 |
Working | 36.13 | 43.69 | 79.82 | 2,093 |
Education level | ||||
Low | 32.04 | 36.77 | 68.81 | 1,804 |
High | 14.58 | 16.62 | 31.19 | 818 |
Exposure to either of the three media at least once a week | ||||
No | 35.45 | 37.92 | 73.37 | 1,924 |
Yes | 11.17 | 15.46 | 26.63 | 698 |
Religiona | ||||
Christian | 9.64 | 11.73 | 21.38 | 560 |
Islam | 36.95 | 41.68 | 78.62 | 2,060 |
Ever used the internet | ||||
No | 42.73 | 48.91 | 91.64 | 2,403 |
Yes | 3.89 | 4.47 | 8.36 | 219 |
Husband occupationa | ||||
Not working | 2.81 | 1.96 | 4.78 | 105 |
Working | 42.95 | 52.28 | 95.22 | 2,100 |
Husband attended secondary education and abovea | ||||
No | 28.72 | 34.78 | 63.5 | 1,369 |
Yes | 16.75 | 19.76 | 36.5 | 787 |
Child age in months | ||||
6–11 | 25.61 | 8.97 | 34.58 | 907 |
12–17 | 14.23 | 24.9 | 39.13 | 1,026 |
18–23 | 6.78 | 19.51 | 26.29 | 689 |
Sex of child | ||||
Male | 23.86 | 26.44 | 50.3 | 1,319 |
Female | 22.76 | 26.94 | 49.7 | 1,303 |
Birth order | ||||
1 | 11.32 | 11.99 | 23.3 | 611 |
2–4 | 23.96 | 26.98 | 50.94 | 1,336 |
> = 5 | 11.34 | 14.42 | 25.76 | 675 |
Currently breastfeeding | ||||
No | 6.93 | 17.93 | 24.87 | 652 |
Yes | 39.68 | 35.45 | 75.13 | 1,970 |
A Child with minimum acceptable diet | ||||
No | 45.96 | 44.42 | 90.39 | 2,370 |
Yes | 0.65 | 8.96 | 9.61 | 252 |
A child took drug for intestinal parasitea | ||||
No | 26.02 | 19.02 | 45.04 | 1,179 |
Yes | 20.63 | 34.33 | 54.96 | 1,439 |
A child had fever in last two weeks | ||||
No | 37.75 | 41.03 | 78.78 | 2,066 |
Yes | 8.86 | 12.36 | 21.22 | 556 |
A child had diarrhea last two weeks | ||||
No | 42.2 | 47.74 | 89.93 | 2,358 |
Yes | 4.42 | 5.65 | 10.07 | 264 |
A child had Short, rapid breathsa | ||||
No | 43.98 | 50.19 | 94.17 | 2,466 |
Yes | 2.6 | 3.23 | 5.83 | 153 |
Distance to health facility | ||||
Big problem | 22.27 | 27.52 | 49.79 | 1,306 |
Not a big problem | 24.35 | 25.86 | 50.21 | 1,316 |
Attended 4 + ANC visits | ||||
No | 12.34 | 8.76 | 21.1 | 553 |
Yes | 34.28 | 44.62 | 78.9 | 2,069 |
Attended ANC in the first trimester of pregnancy | ||||
No | 25.14 | 30.81 | 55.95 | 1,467 |
Yes | 21.48 | 22.58 | 44.05 | 1,155 |
Place of delivery | ||||
Non-health facility | 5.88 | 8.27 | 14.16 | 371 |
Health facility | 40.74 | 45.11 | 85.84 | 2,251 |
New born postnatal check in the first 2 days | ||||
No | 40.93 | 46.06 | 86.99 | 2,281 |
Yes | 5.69 | 7.32 | 13.01 | 341 |
Community level background characteristics of respondents
Children given iron rich-food | ||||
---|---|---|---|---|
Variables | No | Yes | Total | Weighted |
% | % | % | frequency | |
Type of place of residence | ||||
Urban | 17.05 | 17.4 | 34.45 | 903 |
Rural | 29.57 | 35.98 | 65.55 | 1,719 |
Region | ||||
Eastern | 13.28 | 8.59 | 21.87 | 573 |
Northern | 8.64 | 11.09 | 19.73 | 517 |
Northwestern | 6.53 | 12.21 | 18.74 | 491 |
Southern | 9.33 | 11.93 | 21.26 | 557 |
Western | 8.84 | 9.57 | 18.41 | 483 |
Community distance to a health facility | ||||
A big problem | 25.16 | 28.42 | 53.59 | 1,405 |
Not a big problem | 21.45 | 24.96 | 46.41 | 1,217 |
Community ANC coverage | ||||
lower community ANC | 9.8 | 8.84 | 18.64 | 489 |
higher community ANC | 36.82 | 44.54 | 81.36 | 2,133 |
Community maternal education level | ||||
lower community maternal education | 22.4 | 25.79 | 48.19 | 1,264 |
higher community maternal education | 24.21 | 27.59 | 51.81 | 1,358 |
Community poverty level | ||||
lower community poverty | 24.54 | 27.92 | 52.46 | 1,376 |
higher community poverty | 22.08 | 25.46 | 47.54 | 1,246 |
Community media exposure | ||||
lower community media exposure | 24.66 | 25.63 | 50.29 | 1,319 |
higher community media exposure | 21.96 | 27.75 | 49.71 | 1,303 |
Iron-rich food consumption
Random effect (community-level clustering) and model comparison
Parameter | Null Model | Model I | Model II | Model III a |
---|---|---|---|---|
ICC | 0.14 | 0.15 | 0.1 | 0.1 |
MOR (95%CI) | 2(1.72–2.27) | 2.1(1.7–2.5) | 1.8(1.5–2.1) | 1.9(1.5–2.3) |
Model Comparison | ||||
Log likelihood | -1797.15 | -1201.84 | -1768.71 | -1181.18 |
Deviance | 3594.3 | 2403.68 | 3537.42 | 2362.36 |
Individual and community-level factors associated with iron-rich food consumption among children of age 6–23
Variables | COR | CI | AOR | 95%CI | |
---|---|---|---|---|---|
Household wealth-index | Poor | 1 | |||
Middle | 0.96 | 0.76—1.22 | |||
Rich | 0.92 | 0.72—1.16 | |||
Household family size | > 5 | 1 | 1 | ||
< = 5 | 0.85*** | 0.71—1.02 | 0.84 | 0.67—1.05 | |
Sex of household head | Male | 1 | |||
Female | 0.88 | 0.72—1.09 | |||
Mother's age in Year | 15–19 | 1 | 1 | ||
20–34 | 1.28*** | 0.95—1.72 | 0.61 | 0.37—1.01 | |
35–49 | 1.11 | 0.80—1.55 | 0.48* | 0.27—0.85 | |
Occupation status of Mother | Not working | 1 | 1 | ||
Working | 1.36*** | 1.09—1.71 | 1.49* | 1.08—2.06 | |
Mother Education secondary and above | No | 1 | |||
Yes | 1.03 | 0.85—1.26 | |||
Exposure to either of the three media at least once a week | No | 1 | 1 | ||
Yes | 1.22*** | 0.99—1.51 | 1.08 | 0.81—1.45 | |
Religion | Christian | 1 | |||
Islam | 0.92 | 0.74—1.16 | |||
Ever used the internet | No | 1 | |||
Yes | 1.22 | 0.87—1.71 | |||
Husband occupation | Not working | 1 | 1 | ||
Working | 1.72*** | 1.09—2.71 | 1.35 | 0.78—2.34 | |
Husband attended secondary education and above | No | 1 | |||
Yes | 0.97 | 0.79—1.20 | |||
Child age in months | 6–11 | 1 | 1 | ||
12–17 | 7.05*** | 5.53—8.98 | 4.81*** | 3.67—6.31 | |
18–23 | 13.19*** | 9.93—17.50 | 9.30*** | 6.55—13.20 | |
Sex of a child | Male | 1 | |||
Female | 1.09 | 0.91—1.29 | |||
Birth order | 1 | 1 | 1 | ||
2–4 | 1.05 | 0.85—1.31 | 1.11 | 0.79—1.56 | |
> = 5 | 1.19*** | 0.93—1.53 | 1.31 | 0.87—1.98 | |
Currently breastfeeding | No | 1 | 1 | ||
Yes | 0.27*** | 0.22—0.34 | 0.72* | 0.53—0.97 | |
Drug for intestinal parasite in the last 6 months | No | 1 | 1 | ||
Yes | 2.82*** | 2.33—3.41 | 1.40** | 1.12—1.75 | |
Child with minimum acceptable diet | No | 1 | 1 | ||
Yes | 17.39*** | 10.19 -29.67 | 22.50*** | 11.65—43.46 | |
Had fever in last two weeks | No | 1 | 1 | ||
Yes | 1.17*** | 0.94—1.45 | 1.13 | 0.86—1.48 | |
Had diarrhea last two weeks | No | 1 | 1 | ||
Yes | 1.13 | 0.85—1.52 | 1.27 | 0.87—1.85 | |
Short, rapid breath | No | 1 | |||
Yes | 0.89 | 0.61—1.30 | |||
Distance to health facility | A big problem | 1 | 1 | ||
Not a big problem | 0.85*** | 0.70—1.03 | 0.84 | 0.66—1.06 | |
Attended 4 + ANC visits | No | 1 | 1 | ||
Yes | 2.04*** | 1.62—2.55 | 1.87*** | 1.36—2.55 | |
Attended ANC < 4 months of pregnancy | No | 1 | 1 | ||
Yes | 0.87*** | 0.72—1.04 | 0.80* | 0.64—0.99 | |
Place of delivery | Non-health facility | 1 | |||
Health facility | 0.91 | 0.70—1.20 | |||
New born postnatal check in the first 2 days | No | 1 | |||
Yes | 1.06 | 0.81—1.38 | |||
Type of place of residence | Urban | 1 | |||
Rural | 1.20*** | 0.94—1.52 | 1.13 | 0.81—1.60 | |
Region | Eastern | 1 | |||
Northern | 2.26*** | 1.61—3.17 | 2.37*** | 1.64—3.42 | |
Northwestern | 3.17*** | 2.22—4.51 | 3.01*** | 2.02—4.48 | |
Southern | 2.09*** | 1.50—2.90 | 1.95*** | 1.35—2.82 | |
Western | 1.79*** | 1.26—2.55 | 1.84* | 1.10—3.07 | |
Community distance to a health facility | A big problem | 1 | |||
Not a big problem | 1.05 | 0.84—1.33 | |||
Community ANC coverage | Low | 1 | |||
High | 1.39*** | 1.05—1.86 | 1.02 | 0.70—1.48 | |
Community maternal education level | Low | 1 | |||
High | 1.02 | 0.81—1.28 | |||
Community poverty level | Low | 1 | |||
High | 1.02 | 0.81—1.28 | |||
Community media exposure | Low | 1 | |||
High | 1.24*** | 0.98—1.55 | 1.28 | 0.96—1.70 |