Effects of guided counseling during pregnancy on birth weight of newborns in West Gojjam Zone, Ethiopia: a cluster-rando
- PDF / 831,498 Bytes
- 12 Pages / 595.276 x 790.866 pts Page_size
- 42 Downloads / 234 Views
RESEARCH ARTICLE
Open Access
Effects of guided counseling during pregnancy on birth weight of newborns in West Gojjam Zone, Ethiopia: a clusterrandomized controlled trial Yeshalem Mulugeta Demilew1* , Getu Degu Alene2 and Tefera Belachew3
Abstract Background: The high proportion of birth weight in Ethiopia is hypothesized to be due to inadequate maternal diet which is associated with poor nutrition education during pregnancy. There was no study that evaluated the effect of nutrition education on birth weight in the study area. This study aimed to assess the effects (overall, direct and indirect effects) of guided counseling on the birth weight of neonates. Methods: A two-arm parallel cluster randomized controlled community trial was conducted from May 1, 2018, to April 30, 2019, in West Gojjam Zone, Northwest Ethiopia. At the baseline, 346 pregnant women in the 11 intervention clusters and 348 pregnant women in the 11 control clusters were recruited. However, birth weight was measured from 258 and 272 newborns in the intervention and control groups, respectively. In the intervention group, counseling was given monthly for four consecutive months in the participant’s homes. Besides, leaflets with key counseling messages were distributed to each woman in the intervention arm. Pregnant women who attended routine nutrition education given by the health system were recruited as control. Dietary practice, nutritional status, and birth weight were the primary, secondary and tertiary outcomes of this intervention. Data were collected using a structured data collection tool. Birth weight was measured within 48 h after birth. Independent sample t-test, linear mixedeffects model, and path analysis were fitted to assess effects of the intervention. Results: The intra-cluster correlation coefficient was 0.095. The average birth weight of newborns in the intervention group was 0.257 kg higher compared with their counterparts in the control arm (β = 0.257, P < 0.001). The direct effect of this intervention on birth weight was 0.17 (β = 0.17, P =35
46(17.8)
62(22.8)
Orthodox
256(99.2)
270(99.3)
Muslim
2(0.8)
2(0.7)
0.138
Religion 0.958
Educational status Couldn’t read and write
199(77.1)
195(71.7)
Can read and write
17(6.6)
15(5.5)
Primary education
34(13.2)
39(14.3)
Secondary education
8(3.1)
23(8.5)
Housewife
120(46.5)
143(52.6)
Farmer
138(53.5)
129(47.4)
0.060
Occupational status 0.163
Marital status Married
253(98.1)
271 (99.6)
Unmarried/ Divorced
5 (1.9)
1(0.4)
No formal education
190(75.1)
202(74.5)
Primary education
45(17.8)
49(18.1)
Secondary and above education
18(7.1)
20(7.4)
Poorest
41(15.9)
51(18.7)
Poor
56(21.7)
53(19.5)
Medium
58(22.5)
54(19.9)
Rich
52(20.2)
62(22.8)
Richest
51(19.7)
52(19.1)
=5
121 (46.9)
139 (51.1)
1
57 (22.1)
57 (21.0)
2–3
75 (29.1)
68(25.0)
0.197
Husband education (n = 253, n = 271) 0.988
Wealth index
0.767
Family Size 0.333
Number of pregnancy
4–5
81 (31.4)
90 (33.1)
> =6
45(17.4)
57 (20.9)
0
60 (23.3)
62(22.
Data Loading...
