IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0221712.html
   My bibliography  Save this article

Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis

Author

Listed:
  • Hanna Demelash Desyibelew
  • Abel Fekadu Dadi

Abstract

Background: Malnutrition in pregnancy remains unacceptably high across all regions of Africa though promising progresses have been made globally. Primary studies might not be sufficient to portrait a comprehensive picture of malnutrition during pregnancy and its main risk factors. Therefore, we intended to review the burden of malnutrition, for this specific review implies to protein energy malnutrition, during pregnancy in Africa to present its magnitude and determinant factors. Methods: We did a systematic review of observational studies published from January 1/2008 to January 31/2018. The CINAHL(EBSCO), MEDLINE (via Ovid), Emcare, PubMed databases and Google scholar were searched. Articles quality was assessed using the Newcastle-Ottawa Scale and studies with fair to good quality were included. We pooled malnutrition prevalence and an odds ratio estimates for risk factors after checking for heterogeneity and publication bias. This review has been registered in Prospero with a protocol number CRD42018114949. Result: 23 studies involving 20,672 pregnant women were included. Using a random effect model, the overall pooled prevalence of malnutrition among pregnant women in Africa was 23.5% (95%CI: 17.72–29.32; I2 = 98.5%). Based on the current review pooled odds ratio finding; rural residency (POR = 2.6%; 95%CI: 1.48–4.65; I2 = 0%), low educational status of partners (POR = 1.7%; 95%CI: 1.19–2.53; I2 = 54.8%), multiple pregnancy (POR = 2.15%; 95%CI: 1.27–3.64; I2 = 0%) and poor nutritional indicators (POR = 2.03%; 95%CI: 1.72–2.4, I2 = 0%) were positively determine maternal malnutrition. On contrary, better household economic status (POR = 0.47%; 95%CI: 0.36–0.62; I2 = 24.2%) negatively determine maternal malnutrition. Conclusion: A significant number of the pregnant population in Africa are suffering of malnutrition, above 10% of the standard acceptable malnutrition rate. Thus, efforts should be renewed to ensure a proper and widespread implementation of programs that would address issues identified in the current review to reduce the burden of malnutrition.

Suggested Citation

  • Hanna Demelash Desyibelew & Abel Fekadu Dadi, 2019. "Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-19, September.
    • Handle: RePEc:plo:pone00:0221712
    DOI: 10.1371/journal.pone.0221712
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221712
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0221712&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0221712?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Adeladza K Amegah & Obed K Damptey & Gideon A Sarpong & Emmanuel Duah & David J Vervoorn & Jouni J K Jaakkola, 2013. "Malaria Infection, Poor Nutrition and Indoor Air Pollution Mediate Socioeconomic Differences in Adverse Pregnancy Outcomes in Cape Coast, Ghana," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Elias M. A. Militao & Elsa M. Salvador & José P. Silva & Olalekan A. Uthman & Stig Vinberg & Gloria Macassa, 2022. "Coping Strategies for Household Food Insecurity, and Perceived Health in an Urban Community in Southern Mozambique: A Qualitative Study," Sustainability, MDPI, vol. 14(14), pages 1-16, July.
    2. Abebaw Gedef Azene & Abiba Mihret Aragaw & Habtamu Tilaye Wubetie & Gizachew Tadesse Wassie & Gebiyaw Wudie Tsegaye & Muluwork Ayele Derebe & Habitamu Dessie Mitiku, 2021. "Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-20, June.
    3. Gizachew Worku Dagnew & Melash Belachew Asresie, 2020. "Factors associated with chronic energy malnutrition among reproductive-age women in Ethiopia: An analysis of the 2016 Ethiopia demographic and health survey data," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-12, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      More about this item

      Statistics

      Access and download statistics

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0221712. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.