Malnutrition and associated factors among lactating women in Dale District, Sidama, Ethiopia

Abstract Background: Proper diet and nutrition are necessary for the physical growth, mental development, performance, productivity, health, and well-being of an individual. Lactating women are among the most vulnerable groups of the population due to their increased nutritional requirements. This study aimed to assess the magnitude and associated factors of malnutrition among lactating women at public health facilities in Dale, Sidama Region, Ethiopia. Methods: Institution-based cross-sectional study was conducted among 400 randomly selected lactating mothers from March 20 to April 20, 2022. A structured interviewer-administered questionnaire was used to collect the data. A logistic regression model was applied to analyze the data using SPSS version 25. An adjusted odds ratio with a 95% CI was used to determine factors associated with malnutrition, considering a p-value <0.05 to declare statistical significance. Result: The magnitude of malnutrition among lactating women in this study was 30.1%. Early marriage [AOR = 2.46, 95% CI: 1.15–5.3], not consuming additional meals during lactation [AOR = 2.19, 95% CI: 1.0–4.72], not using contraceptives [AOR =3.41, 95% CI: 1.05–11.04], dietary diversity score below three [AOR = 3.64, 95% CI: 1.94-6.82], and food insecurity [AO = 7.86, 95% CI: 2.09–29.55] were significantly associated with malnutrition. Conclusion: In the current study, malnutrition among lactating women was high. Attention should be given to early married, non-contraceptive users. In addition, it is crucial to ensure food security and consume additional diversified meals during lactation. Keywords: Malnutrition, Lactating Women, Health Facility, Associated Factors, Dale Woreda