Effect of modern family planning (MFP) use on

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