1. No category

Effect of modern family planning (MFP) use on
nutritional status of women of reproductive age
group at Tena district ,Arsi zone, Ethiopia in 2013
By:- Mesfin Tafa1(MPH)
Mizan-Tepi University ,College of Health Science
Dr.Jemal Haidar2( Associate professor)
Addis Ababa University, School of Public Health
Presentation for 3rd ICFP at AU
12/12/2013
Nov 14, 2013
Addis Ababa ,Ethiopia
1
Presentations outline
• Introductions
• Research question
• Methodology
• Results
• Conclusions and Recommendations
• References
• Acknowledgement
12/12/2013
2
Background of the study
 The nutritional status of women is important.
 Maternal and child Undernutrition:-
- 3.5 million deaths each year and
- 11% of the total global disease burden
 Women in developing countries over their reproductive life
span conceive and nourish with their own bodies six to eight
children.
3
12/12/2013
Background…
 High energy and nutrient demands of pregnancy → nutritional
stress.
 Short birth intervals → depletion of energy and nutrients.
 Utilization of Modern Family Planning helps to space births by
providing time to replace energy and micronutrient stores.
 Funding gaps: for HIV/AIDS 9% in 1995 to 75% in 2007. FP
55%→ 5%
4
12/12/2013
Main question
 Do women of Ever MFP users have better nutritional status
than their counter parts measured by Anthropometrics
indicators ( BMI, MUAC, Weight and height) ?
5
12/12/2013
Methodology
 Tena Woreda, Arsi Zone Oromiya region,
 260 km away from Addis Ababa to south East.
 From Jan-Feb 2013.
6
12/12/2013
Method…
7
12/12/2013
Method….
 A community based quantitative comparative cross-
sectional study supplemented by qualitative method .
 A systematic random sampling procedure was used after
prior survey for quantitative.
 360 women(180 in each FPM and NFP user women)
 Two FGDs ,7 discussants were recruited in each group
purposively.
8
12/12/2013
Method….
 Pregnant, two months postpartum and physically disabled
women were excluded.
 Data were collected using structured interviewer administered
Afan Oromo and Amharic version questionnaire.
 Anthropometrics measurements(height,weight,MUAC)
 Cross tabulations
 Logistic regression.
 Ethical clearance obtained from SPH/AAU
9
12/12/2013
Result
 Mean age 32.9±8.2(NFP 34.3±9.2 and FP 3 1.4±6.8) years.
 Mean age at marriage FP (18.1±1.7) and NFP (18.6±2.2)years.
 Mean age at first delivery (NFP 19.6±1.8 vs FPM 20.5±2.2)years
 >6 children(NFP(44.4%) Vs FP (10.6%)).
 Median birth interval between young child and the next old child
was 24(20 NFP Vs. 36 FP users)months
10
12/12/2013
Table1: Nutritional status of women measured by Anthropometric
Measurement
11
Height in cms
≤145
>145
Mean ±SD
Weight in kg
≤45
>45
Mean±SD
MUAC in cm
≤21
>21
Mean±SD
BMI in KG/m2
<18.5
18.5-24.99
≥25
Mean±SD
NFP user(%)
FP user (%)
Total
5(2.8)
175(97.2)
155.9±5.2
2(1.1)
178(98.9)
157.5±5.6
7(1.9)
353(98.1)
156.76±5.5
77(42.8)
103(57.2)
47.4±6.1
33(18.3%)
147(81.7)
52.6±7.4
110(30.6)
250(69.4)
50.03±7.3
69(38.3)
111(61.7)
22.3±2.4
20(11.1)
160 (88.9)
24.57±2.9
89(24.7)
271(75.3)
23.4±2.9
70(38.9)
107(59.4)
3(1.7)
19.5±2.2
26(14.4)
141(78.3)
13(7.2)
21.2±2.5
96(26.7)
248(68.9)
16(4.4)
20.3±2.5
12/12/2013
Result cont….
 FGDs women also magnified the nutritional status of the
women between the two groups like the distance between the
sky and earth.
 A 30 years FPM,
“Yes there is a great difference like sky and
earth ... E.g to share a 2 birr cabbage for large family is difficult
for that reason they always consume the diluted stemming pea
(Yetebetebete shiro) , and the food not served in good quality
….. Really the difference is like sky and earth.”
12
12/12/2013
Table2. other factors associated with the nutritional status of the
women
Nutritional status
Variables
BMI<18.5kg/m2 BMI(18.5-24.99
kg/m2)
Addjusted odds
ratio
No
47(43.5)
61(5 6.5)
2.3(1.2, 4.5)*
Yes
49(20.8)
187(79.2)
1
No
37( 22 .7 )
126( 77 . 3 )
1
Yes
59(32.6)
122(67.4)
No
54(22.2)
1 8 9 (77.8)
Yes
42(41.6)
5 9 ( 5 8.4)
1.94(1.12, 3.4) *
<3times/day
10(66.7)
5 ( 3 3 .3)
3.6(1.0, 12.98)*
≥ 3times/day
86(26.1)
2 4 3 ( 73.9)
Educ.status
Currently BF
3.99(2.05, 7.8) **
Illness
1
Freq.meal/day
13
1
12/12/2013
Conclusions & Recommendations
 FPM users women had better nutritional status than the NFP
users.
 Continuous provisions of multi ranges of FPM
 Awareness creation of modern FPM
 Improving Women status
 Increasing dietary intake including during lactation and early
treatment of infections.
 Further Research
14
12/12/2013
References
1. ACC/SCN. The 35th session on Accelerating the reduction of
maternal and child undernutrition. 2008.
2. ACC/SCN. Women and Nutrition − Nutrition policy discussion
paper No.6. Geneva, Switzerland 1990.
3. UNFPA. Financial resource flows for population activities in 2006.
New York,2009.
4. Guttmacher Institute and UNFPA, Adding It up: The Costs and
Benefits of Investing in Family Planning and Maternal and Newborn
Health 2009.
5. UNICEF. Tracking progress on Child and Maternal Nutrition. A
survival and development priority. New York,2009.
15
12/12/2013
Acknowledgement
 AAU(SPH)
 UNFPA, for financial sponsoring
 Woreda Health office administrators
 Supervisors and data collectors
 Study participants
16
12/12/2013
Thank you
17
12/12/2013