Poster Topical Area: Community and Public Health Nutrition
Poster Board Number: 64
Background: Limited epidemiological evidence existing in the developing world regarding the burden of multiple micronutrient deficiencies (MMDs) in pregnancy. This study aimed at assessing the concomitant burdens of zinc, vitamin A and iron deficiencies among pregnant women from rural Sidama, Southern Ethiopia.
Methods: The study was conducted in 700 randomly selected pregnant women from rural Sidama. Socio-demographic data were gathered using a pretested structured questionnaire. Serum zinc, retinol, ferritin, hemoglobin and C - Reactive Protein (CRP) concentrations were determined from venous blood following standard procedures. Factors associated with multiple micronutrient deficiencies were identified using multivariate multilevel Poisson regression.
Results: About 53.0%, 37.9% and 17.4% of the subjects had zinc, vitamin A and iron deficiencies, respectively. Above two-third (70.3%) of the pregnant women had at least one of the three deficiencies and merely 29.7% were free from any of the deficiencies. Approximately one-third, 230 (32.9%), had two or more concomitant deficiencies; and 36 (5.1%) had the three deficiencies. Huge overlap was observed between zinc and vitamin A deficiencies. About a quarter (24.8%) had concomitant zinc and vitamin A deficiencies. Factors associated with multiple micronutrient deficiencies were household food insecurity, grand multiparity, too close birth intervals ( 35 years) and third trimester pregnancy.
Conclusion: In addition to combating level of household food insecurity; family planning can help to reduce burden of micronutrient deficiencies by preventing too many, too close and too late pregnancies.
Hawassa, YeDebub Biheroch Bihereseboch na Hizboch, Ethiopia