Effect Of Employment Status Of Mother On The Nutritional Status Of Children Aged 6-23 Months A Comparative Cross Sectional Study In Burayu Town Oromia Region Ethiopia 2019
Background: Mothers multiple roles as care-givers of her child & providers of family income may rnconflict with one another in child nutrition. Working mothers may not have adequate time to care forrntheir offspring’s which will negatively affect child nutritional status. On the other hand, working mothersrngenerate income which could be utilized for better child nutrition.rn So whether the well-being of childrenrnis affected more by the time constraints of women who perform dual role of mother and earner, or by thernincreased income generated by the mother’s working is a gap & require finding rnObjective:-To compare the nutritional status (stunting and wasting) of children aged 6-23 months amongrnemployed and unemployed mothers in Burayu Town.rnMethodology: A community based comparative cross-sectional study design was used from January tornJune 2019 in Burayu town on704 employed and unemployed mother-child pair. Multistage clusterrnsampling method was used for the selection of clusters and study participants. Data were entered into EPirninfo and analysis was performed using SPSS version 24.0, and WHO Anthro program was used forrnconversion of nutritional data of children into Z-scores. The differences in nutritional status of childrenrnaged 6-23 months between employed and unemployed mothers were analyised using Bivariate andrnMultivariate logistic regression at p-value 0.05.rnResults: The multivariate analysis shows that children of employed mothers were stunted ((AOR:4.38,rn95% CI(2.55-7.51) and wasted (AOR:2.38, 95%CI(1.16-4.91)). Children who received dietary diversityrnless than 4 food groups and meal frequency less than 4 times daily were stunted ((AOR:1.86,rn95%CI(1.26-2.76) and (AOR:1.77,95%CI(1.06-2.94)) respectively. Children whose households hadrnallocating lower monthly food expenditure, had using flush to septic tank type toilet facility, and boilingrnmethod of water treatment were stunted ((AOR:1.78, 95% CI(1.16-2.74), (AOR: 0.45, 95% CI ((0.250.81)andrnrn(AOR: 0.48, 95% CI(0.26-0.86)) respectively. Children of male sex and with parity of birthrnwith one years, who didn’t bottle fed and whose households using strained through cloth method of rntreatment of water were wasted ((AOR:2.42, 95% CI(1.45-4.02), (AOR: 3.74, 95% CI ((1.23-11.39),rn(AOR: 0.48, 95% CI(0.28-0.83) and (AOR: 0.22, 95% CI(0.07-0.72)) respectively. rnConclusion: Children from employed mother had significantly higher level of length for age Z-Score andrnweight for Length Z-Score than unemployed mothers. Mothers constraint’s of time and inconvenientrnworking area for feeding practice of children such as adequate dietary diversity (food groups) and mealrnfrequency were the contributory factors for the higher nutritional status. rnRecommendation: Giving emphasis for working mothers to receive more support in their work place tornpractice adequate dietary diversity (food groups) and meal frequency is recommended.