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Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis

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  • Ayenew Kassie Tesema
  • Alemneh Mekuriaw Liyew
  • Adugnaw Zeleke Alem
  • Yigizie Yeshaw
  • Getayeneh Antehunegn Tesema
  • Achamyeleh Birhanu Teshale

Abstract

Introduction: Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the household, improper food storage and preparation, dietary taboos, infectious diseases, and care. Therefore, this study aimed to assess the spatial distribution and determinants of undernutrition among reproductive age of Ethiopia. Methods: The study was based on the 2016 Ethiopian Demographic and Health Survey. The study included a total sampled weight of 15,139 women aged 15–49 years. The ArcGIS version 10.7 and SaTScan version 9.6 statistical software were used for exploring the spatial distribution of undernutrition. A multilevel logistic regression model was fitted to determine the individual and community level factors associated with women undernutrition. Finally, the factors which were significant at 95% confidence interval were reported. Result: The spatial analysis revealed that women undernutrition was significantly varied across the country. The SaTScan analysis identified a total of 144 significant hotspot areas of maternal undernutrition with three significant spatial windows. Of these, 134 clusters were primary. The primary spatial window was identified in the southeast Tigray, northwest Afar, central and north Amhara regions (LLR = 57.48, P

Suggested Citation

  • Ayenew Kassie Tesema & Alemneh Mekuriaw Liyew & Adugnaw Zeleke Alem & Yigizie Yeshaw & Getayeneh Antehunegn Tesema & Achamyeleh Birhanu Teshale, 2021. "Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-15, September.
    • Handle: RePEc:plo:pone00:0257664
    DOI: 10.1371/journal.pone.0257664
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    Cited by:

    1. Vallence Ngabo Maniragaba & Leonard K. Atuhaire & Pierre Claver Rutayisire, 2023. "Analysis of Spatiotemporal Patterns of Undernutrition among Children below Five Years of Age in Uganda," Sustainability, MDPI, vol. 15(20), pages 1-19, October.

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